Allright, you're getting "mostly" good feedback. Yes, the professional medical societies all primarily recommend AS for cases like yours, but yes you will need a 2nd confirmatory biopsy in about
12-months to really validate that your AS candidacy is appropriate. Yes, you should strongly consider getting a 2nd opinion of your biopsy slides
because when read by the local hospital pathologist who just read a breast cancer sample and has a kidney cancer sample next is not as precise as someone who only reads prostate cancer samples; contact LINK
. It's important because you want to make your decision based on the best, most accurate information. Yes, when you start out down the AS path, a common step is to get a detailed mp-MRI...lots of new tools are becoming available to help confirm your choice. Someone here said something (rule 3 violation removed by moderator) "most anything should work for you: AS, surgery, RT." Yeah, surgery and RT work great for men who don't need treatment (rule 3 violation removed by moderator). Yes, once on AS if your monitoring thresholds are exceeded sometime down the road, the recommendation will likely still be as it is today (although treatment effectiveness will likely be better): either RT or surgery because cancer outcomes are (statistically) the same, and those outcomes are no different whether you defer treatment or not. Someone said to "get your AS protocol in writing;" well, even in AS protocols there's usually not any one-size-fits-all solution, but merely starting-place guidelines...so start gathering ideas from several sources to have a good, on-going dialogue
with your care provider...that's the important point. Yes, side effect profiles are different for those two most common treatments; surgery has immediate side effects which most men recover from over time, RT has not much affect immediately, but delayed late-term side effects (which is why RT is generally not recommended for younger men). No, you don't need Walsh's (long retired) "Surviving Prostate Cancer" book; it's outdated and very heavily slanted towards surgery. Instead, you need the book by Dr Mark Scholz (PC doctor to many here at this site) "Invasion of the Prostate Snatchers" (LINK
)because it is written for cases like yours. I've read both; Walsh essentially ignores AS...which is your recommended path (every professional medical society). Common sense...all of it.
OK, we got all that. No hurry. Now on to important stuff...so you like to barbecue? What do you do? I have three favorites: (1) ribs, but they're super easy, (2) pork shoulder/butt, which I do on a bullet smoker but I'm not a great fan of getting up before 5am to start the coals...and even then I usually end up finishing it in the oven, (3) I do a wicked bbq chicken that I learned from a country friend in North Carolina...shredded cooked chicken, stick of butter, cup of vinegar and lots of red peppers. What do you do?
Post Edited By Moderator (Tudpock18) : 11/2/2018 12:01:02 PM (GMT-6)