otons is not the same as Ph
otons. Protons is what is available at Loma Linda and is NOT covered by the VA and many insurance plans. Photons is available everywhere else, and IS covered by the VA and all insurance.
LDR is permanent seeds -- have them inplanted and no 'treatments' for it? HDR is temporary seeds still but treatments as well? I'm not talking about the radiation that may or may not be recommended after the brachy therapy -- just these 'seeds' that I'm trying to wrap my head around better.
I do not know what you mean by "treatments." Could you please explain? Do you mean hormone pretreatments? If so, you are correct that it is unnecessary to shrink the prostate first if he is having HDR brachy. He may
require hormone pretreatment if he is having LDR brachy, although with a 44 cc prostate, I think most ROs would go ahead without hormone pretreatment. If you mean external beam radiation, that will probably be necessary with LDR brachy, but probably will not be necessary with HDR brachy. Neither hormone treatment nor any other external beam treatment is required with SBRT.
These are very good questions to ask the experts in those therapies.
open enrollment beginning in just 3 days (Oct 15- Dec 7), this would be a good time to make that decision. It would give him access to top rate doctors and treatments that he could not otherwise get. He can always go back to VA only the following year. Just today, I spoke to someone from the California Health Insurance Counseling and Advocacy Program (HICAP) and she was very helpful in laying out my Medicare options and the costs. The number is (800) 434-0222
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEsmy PC blog