Well Bill, the 100% means nothing because none of them died from Pca since it was the selection criteria. For the rest of it, it looks like a diet with high concentrations of vodka might be helpful for PCA whereas fish and rice don't help much. Best I can do!
Oh, how I wish my husband could have read your story way before ours. We go back to 2001. Seeds, external radiation, then salvage surgery, incontinence, fistula, implant for urination..still incontinence, and the final blow, radiation induced rectal cancer..and then exenteration surgery, and two permanent ostomies, urostomy and colostomy, rectum sewed shut, last March, and the darned PSA is now up to 38…lupron last month, and now feeling horrible and unable to even hobble around well. I believe all the treatments were way worse than the slow growing cancer.
I know there are many different kinds of PCA, but, I also know that this is a big business. I think a surgeon will cut, and a radiation doc will do radiation. These hospitals must perform their jobs. Just remember if you have surgery first, you can do the radiation after…not like my poor husband did. He had seeds and radiation, and then when the cancer came back, the surgery was devastating, even though our doctor at Sloan told us it would "debulk" the tumor. Well, he is still alive, but his QOL was debulked.
Cap Huff, today my husband said he wished he could go back to the incontinence. The bags are humiliating, and difficult for him, and for me to change. I love him dearly, and of course do anything for him, but, I do believe that Watchful Waiting may be a good option for those that can do it.
Wow, Divo, just wow. I'm so sorry to hear about
all of that. Just out of curiosity, do you know what kind of Gleason and PSA he started with?(EDIT: never mind, I see it now in your sig)
Doug, especially as I read Divo's post, I'm thinking that just maybe the 100% does mean something? Maybe the 100% dieing before PC makes some kind of a point. True, they are pre-selecting for death from other than PC. So obviously, no one is going to die from PC with that kind of pre-selection.
Still, 40-60% had PC, and 23-51% of those had the more aggressive PCs. Yet none had any treatment for PC, and none died of PC before something else could kill them(pre-selection bias again). BUT, what if they had PSA testing and follow up treatment available to them? Would these men have been helped even a small amount?
In fact, couldn't it be said that, at least for these men, unless they had some treatment that had zero SEs, wouldn't 100% of these men have been harmed by Bxs and treatment? Wouldn't they all have had a decreased QOL during their remaining years without getting even 1 day of extra life? In fact, didn't they come out better not even knowing they had PC?
I realize that may not be fair, choosing a group in which all died of something besides PC. Because, how could we ever know we were going to be in that group? Although I had a friend who was in that very type of group and in my opinion he would have been better off never knowing about
his PC. But who could have known he was going to die young from a stroke? Still, based on just that study, a lot of us would end up in the category of dead from other than PC regardless of what we do, 40-60% at least based on that group. And if limited to the G6s, maybe even the 3+4s, no doubt even larger % would have PC but die of something else.
Of course, age complicates things. These men were almost by definition older, old enough to start dying of other diseases. Men in their 40s or early 50s would have a lot more years, on average, for a PC to advance and do damage.
I don't know what to think sometimes. Sometimes it seems it's a real rock and a hard place we find ourselves between.