I'm strongly considering HDR monotherapy and am looking for an excellent, experienced, "local" radiation oncologist.
I'm in St Louis where I don't believe anyone is doing 2 fraction HDR. I met with the doc at Washington University last Friday, and he has been doing 1 fraction HDR as of last December (and has done about
30). I didn't get the impression he's doing the 2 fraction, as he said he thought it wasn't necessary and just added to the cost.
I spoke with Dr. Alvaro Martinez today on a cold call (what a nice and helpful man!!!). Like everyone else I have consulted (urologist, oncologist and rad oncologist), he too is recommending treatment, noting I don't fit the Hopkins active surveillance criteria with 5 positive cores (all 6s), strong family history (twin brother and father), and my relatively young age.
Although he normally recommends one fraction HDR, namely one day of treatment with 19 Gy, he thinks that would be too aggressive for my level of disease and recommended the 2 fraction HDR therapy, separated by 2 weeks. He has noticed less acute side effects when the treatment is 2 weeks apart versus 1 week apart, that is, based on his experience, the 2 weeks allows more time for the urethra, rectum and bladder, etc to recover between treatments.
I was very impressed with Dr. Martinez, and he was not soliciting my treatment. Just trying to help me.
BTW, he recommended that I have my biopsy slides sent for Prolaris testing, saying it was not a waste of money, strongly disagreeing with my urologist.
I know BenSam was treated in Chicago, I believe by Dr. Santosh Yajnik at Radiation Oncology Consultants. BenSam, is this correct and how was your experience? Any regrets? Chicago is closer than LA (Dr. Mitchell Kamara/Dr. Demanes).
If anyone else has received 2 fraction HDR monotherapy in the midwest, please let me know with whom, where, and the experience. I realize I could see Dr. Martinez but that's an even longer drive than Chicago.
60 yrs old
PCa Dx: 8/1/15 T1c
PSA increased from 1.6 to 2.7 in last year
Random biopsy: 5/12 positive cores; all 6s; bilat; volume 10-45%
Bone scan and CT negative
Strong family history of PCa (identical twin & father)
Post Edited (dcd55) : 9/8/2015 4:16:51 PM (GMT-6)