Consultation-With Cardiologist & Urologist.

[Guest guest]

Hi Guys:

Just been observing questions and answers lately but yesterday I went

to see my Urologist as it was for my " active survellence (sp).

My PSA has more than doubled over the past three years, or maybe

more.

The lowest was a 2.2. When it got to 4.2 biopsy's was taken with a

one core cancer cell with a 5% involvement. Six months later another

biop was taken and it was a 20% involvement with a Gleason of

4+3.That is what it was on the previous biop.I was diagnoised about

four years ago, or maybe a little less. I have been on " active

survellience " for over two years, going on three. My Urologist, and

Cardiologist knows I never wanted surgery, as I was in denial and

thought I could live long enough before the cancer matasizied.

I felt very confortable speaking with my Doctor yesterday. He told me

that if I have relvalations about what we talked about, and I want

you to be comfortable with what I have mentioned. No, he did not

say " , here is what you should do " . THE DECISION IS YOURS " .

I know that you do not want surgery. I will say this however; the one

core cancer cell is in curable stage, and with your PSA rising, which

has more than doubled it maybe time for treatment, in so many words.

He knows that i have read, and read about this condition. He was

shocked when I mentioned the de'Vince (sp) procedure. I even told him

what stage I was in, and told him to ask me another question. LOL

In my mind I was in total denial. I actually thought I could out last

this cancer, and live to a ripe old age. And maybe I could have, and

he admitted that is a good statement. But do I want to take this

chance. Just remember if you are not comfortable with this possible

surgery, forget it.

Wednesday I have to have some stress testing, and a nuculur(sp)

fusion done, along with scanning, pictures, and just to make sure my

heart can stand a four hour procedure.

They are worried about my Antrial Fibulation, my past problems with

surgeries, my accute anxiety & depression. He does not want me

uptight. The four hours being put out is my main concern.

Jon, as you know I did not want to have surgery. And trying not to be

selfish, if I had no family, no grandkids, I would ride this out. I

will be 67 on Feb. 28th.

Sorry for venting like I did, but just wanted you to know what is

about to happen to me. Who knows, I may get off the operating table

before they give me the " twilight shot " ..lol

Thanks for your time. Rody_o i.e. BOB

[Guest guest]

(snip re: not wanting surgery)

> Sorry for venting like I did, but just wanted you to know what is

> about to happen to me. Who knows, I may get off the operating table

> before they give me the " twilight shot " ..lol

And who is the PCa God who said that surgery is the only option?

I say it isn't. And I'm far from godlike.

This situation might very well advance to a critical stage. Or not. No

urologist (who is likely only a surgeon) will be able to judge.

I recommend referral to the encyclopedic and authoritative website of

the Prostate Cancer Research Institute (PCRI) at

http://prostate-cancer.org/index.html and starting with the education

section at http://prostate-cancer.org/education/education.html

The choice can be made only once, and there is no " do-over, " only

salvage treatment (tx). Salvage!

So we patients should study, learn, take charge, and select that tx

which we believe will give us the greatest likelihood of a good outcome.

And nothing is guaranteed. Nothing.

Regards,

Steve J

" As a physician, I am painfully aware that most of the decisions we make

with

regard to prostate cancer are made with inadequate data. "

-- L. " Snuffy " Myers, MD

Medical oncologist. PCa survivor.

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> Thanks for your time. Rody_o i.e. BOB

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