Andrew, hear hear! The reason more medical practices don't do this sort of thing is that it takes too much unbillable time. Sad but true.
My experience was similar in a way. I had been watching my PSA annually for a number of years..I think I asked my GP for PSA's starting when I was about
45. When it took three rises in a row (doubling each year), he sent me to the local Uro. (This was VERY small town rural Illinois). He did the biopsy, and when the results came back, his staff's response when I asked "OK, what do we do now" was this:
1. They did send me for full body CT scan with contrast and bone scan. I know today that it was unnecessary, but that is their routine, and all it cost me was a day off from work.
2. Then we scheduled an appointment with him at 5:30 pm, for my wife and I to sit with him. The understanding was that he would send the staff home, then he would sit with us in his office for as long as we needed to stay, and would answer as many questions as we had.
He told us right up front that he did
open surgery at the local small hospital, and that if I wanted either RALP or radiation, he would gladly refer me to Barnes-Jewish Hospital/Siteman Cancer/Wash. U in St. Louis (2 hour drive away), which I requested. The rest is history.
Dr. N. (the local guy) was caring and upfront and started right off telling me that I had 'at least 6 months to decide what to do'. No push, no insistence, no demands on me. He encouraged me to do my research and make the best decision I could.
Age at Diagnosis: 56
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
58.5g, G3+4, 20%, 4 quadrants involved
PSA 3/10/15: 0.10
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024