"We like to critique our doctor's bed-side-manner but it would be more to the point for us to work on our desk-side-manner as patients. We really need to do a better job of soothing the egos of our local urologists when we seek out high-volume expert doctors for treatments."
I disagree Peter. Physicians are supposed to be professionals and are they are being paid
for their time and services. We, as patients, should relate to them professionally but should not have to grovel or stroke their egos on top of paying them.
I never had a Uro until I had an abnormal DRE on screening. At the medical college where I was screened I was referred to a physician's assistant in Urology who triages abnormal screening results. The PA turned out to be great and eventually did my biopsy too, but when I was first referred to him after the screening I was not too comfortable with not seeing an actual urologist so, in parallel, I made a 2nd appointment with one of the top-ranked urologists in the Milwaukee area who is known as the guy most doctors go to for their own care. I had to wait several weeks to see him and by the time I did I was actually seeing him with a PCa diagnosis because, in the mean time, I had already gone ahead and seen the PA at the medical college and had a biopsy.
Anyway, when I finally saw this urologist I expected, given his reputation, that he might have somewhat of a big ego but nothing could have been further from he truth. He was very
open with his outcome metrics which were good but he really emphasized some of the negative outcomes he had in his first couple dozen RALP cases. Also, (although I was already thinking about
it) without any suggestion by me, he encouraged me to seek another opinion / surgery at a national center of excellence if that appealed to me. Several weeks after my initial consult I followed through with an eMRI he ordered and when he called me with the results I told him I had decided on
open surgery at Hopkins. His reaction was to exclaim "Good for you!" and he sounded very sincere. Needless to say, he is the urologist I intend to see for all of my future care...
Jan '13: PSA 1.23, small nodule on DRE (1st screening @ age 40)
Mar '13: Biopsy 2/12 cores positive GS 3+3: rt mid 10% and rt apex 20% w/ PNI+ Stage cT2a
Apr '13: Biopsy confirmed by Dr. Epstein @ Hopkins
open RRP by Dr. Burnett @ Hopkins. Both nerves spared.
Final Pathology: GS 3+3, organ confined (tumor extent moderate), SV and 11 nodes all negative (pT2a). Negative margins
Post Edited (njs) : 6/15/2013 12:16:15 PM (GMT-6)