Good observation on your part.
I believe that my urologist had not reviewed my MRI report prior to the Bx. While there was one suspicious spot, there was also another concern regarding extrapostratic extension. My urologist never reviewed the MRI report with me.
On the day of the pathology review, he did not know what I was there for until he fired up the computer in the room, it was not a real review, he looked at the summary section of the path report on his computer screen which omitted to list a positive core!!! He did not realize that the summary was misstated my condition and wanted to wrap up the meeting by telling me to sign up for the AS program. I pointed out to him that the summary was wrong, there were three positive cores not two. Never was I given any written report. I happened to obtain the reports from the patient records and reviewed it prior to the meeting, that was how I discovered the mistake.
I also mentioned my concern that one of the cores involved at 50%, I also mentioned that I have three other positive cores from two prior Bx. The meeting would have ended in three minutes had I not started asking questions, and even that, the meeting ended quickly. Talk about
disappointment! The sloppiness of the pathology report and overlooked of the mistake by my urologist? Please note that this was all happening at one of the highly regarded institution!
Every time I met with my urologist was like meeting him the first time. Wonder why he did not just glance at my file (electronic file) before the meeting just to be familiar with my case? My urologist is quite skillful at doing MRI fused biopsy. I may have to stay with him for a short while as we are going to send the tissue samples to Myraid for another Prolaris test (I brought up my concern on the 50% of one core from the suspicious area - my uro offered to send the samples to Myraid).
I was very lucky that Jim Bear so kindly guiding me and helping me navigating the whole system at this institute, I had to get all my reports (MRI, Pathology, CD of my MRI scans) by myself. There was no biopsy report generated?
Post Edited (akai) : 5/24/2016 8:05:56 AM (GMT-6)