Thanks for giving us an update on your husband's medical condition. There is no question in my mind that radiation treatment, compared to surgery, should hopefully result in a better quality of life for your husband at his age. That's why I decided to do it at 68. While all of us have a responsibility to read the side effects of drugs prescribed to us by our doctors, I think that doctors who prescribe Lupron also have a responsibility to tell their patients about
all of the potential harsh side effects from taking this drug. I have an uncle in his mid-80's who has been on hormone therapy for a number of years and all of these drugs take their toll, especially when it comes to somewhat chronic fatigue.
I think you are taking the right steps and hopefully MSK will help your husband to come to a conclusion about
starting an appropriate treatment for his PCa. I think you are also wise to pursue 2nd or 3rd opinions from top experts regarding a propsed treatment for him. As far as proton radiation treatment is concerned, I think that most of the newer proton centers are very selective in the patients they will take (i.e., preferably those in an earlier stage of PCa with no known complications). Based on my knowledge, I think that Loma Linda might be the only proton treatment center that would consider taking him as a patient. I was not treated at Loma Linda--the proton facility that I was treated at is very selective and only allocate time for up to a maximum of 12 patients during any 8-week treatment period. I hope and pray that your husband can get his present medical delima behind him. All the best.
IMPORTANT P.S. i just noticed in your footnote that your husband had a TURP in 1999. Based on what I have learned on this message board and elsewhere, if you have prostate surgery sometime after a TURP, there is a much greater likelihood of some form of permanent incontinence. Please research this just in case you decide on surgery if it is finally determined that radiation is not an option (I hope this is not the case).
68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area], Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07. First PSA test 7/19/07 (3 months after treatment) was 2.1 or a 70% reduction in my PSA before treatment (this was better than the average expectation of a 50% reduction in PSA at this juncture, according to my radiation oncologist).
Post Edited (pcdave) : 8/1/2007 7:54:13 AM (GMT-6)