It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Prostate Message Board

  • Husband Just Diagnosed with Prostate Cancer

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 08-07-2013, 11:54 AM   #1
    burrgold
    Newbie
    (female)
     
    burrgold's Avatar
     
    Join Date: Aug 2013
    Location: Savannah, GA, USA
    Posts: 3
    burrgold HB User
    Husband Just Diagnosed with Prostate Cancer

    Hello,
    My 63-year-old husband was diagnosed with prostate cancer this morning--a week after his biopsy.

      Because of the mass, the urologist does not recommend the wait and watch approach. And he recommends Da Vinci surgery over radiation because: 1) They'll be able to examine the lymph nodes and surrounding tissue. 2) It's difficult to do the surgery after a person has had radiation therapy.

      Overall, my husband has been in good health and is fairly active. We're leaning toward the surgery but, when questioned, the urologist did admit he's biased toward surgery. He also offered a referral to a oncology radiologist.

      We have crap insurance but could use what's left of another policy to have him treated in Madison, Wisconsin instead of where we now live--Savannah, Georgia. We've been extremely underwhelmed by the overall quality of care in this area.

      We've read through the various treatment options but we're still reeling from the diagnosis. We'd definitely appreciate any advice. From past experience with another family member, I know y'all have the kind of insight we need.

      Thank you.

       
      Sponsors Lightbulb
         
      Old 08-07-2013, 03:02 PM   #2
      burrgold
      Newbie
      (female)
       
      burrgold's Avatar
       
      Join Date: Aug 2013
      Location: Savannah, GA, USA
      Posts: 3
      burrgold HB User
      Re: Husband Just Diagnosed with Prostate Cancer

      Quote:
      Originally Posted by IJ Coleman View Post
      Could you explain the deal with your other health insurance policy? From my personal experience, coverage policies completely change when you move to another state. Is this a policy left over from a previous residence? From my experience, it helps to check that other policy twice.
      It's an oddball situation--Jeff retired from the state and converted unused sick days into insurance benefits. Because retirees who move out of state are placed in the high-risk (!) pool, it ended up being too expensive to use it in Savannah. So, we banked it for later use. You're very right, though, and we would double-check with the state insurance before making firm decisions.

      Last edited by burrgold; 08-08-2013 at 07:36 AM. Reason: privacy

       
      Old 08-08-2013, 01:16 AM   #3
      Baptista
      Veteran
      (male)
       
      Join Date: Aug 2010
      Location: Albufeira, Portugal
      Posts: 459
      Baptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB UserBaptista HB User
      Re: Husband Just Diagnosed with Prostate Cancer

      Quote:
      Originally Posted by burrgold View Post
      Hello,
      My 63-year-old husband was diagnosed with prostate cancer this morning--a week after his biopsy.

        Because of the mass, the urologist does not recommend the wait and watch approach. And he recommends Da Vinci surgery over radiation because: 1) They'll be able to examine the lymph nodes and surrounding tissue. 2) It's difficult to do the surgery after a person has had radiation therapy.

        Overall, my husband has been in good health and is fairly active. We're leaning toward the surgery but, when questioned, the urologist did admit he's biased toward surgery. He also offered a referral to a oncology radiologist.

        We have crap insurance but could use what's left of another policy to have him treated in Madison, Wisconsin instead of where we now live--Savannah, Georgia. We've been extremely underwhelmed by the overall quality of care in this area.

        We've read through the various treatment options but we're still reeling from the diagnosis. We'd definitely appreciate any advice. From past experience with another family member, I know y'all have the kind of insight we need.

        Thank you.
        I am sorry for the diagnosis of your husband.
        I do understand your wish to get rid of the cancer the soonest but I would recommend you to get second opinions from other specialists before committing with just one recommendation.
        I do understand the biased opinion of his doctor. His comments seems not be totally correct. Robot surgeries are not good to dissect lymph nodes. In fact the majority of robo-doctors do not dissect LN or limit the "work" to a few number closer to the gland that can be reached by the robot arm.
        To such extent, open surgeries are preferred or the robo-doctor stops the robot arm for instants to get to the lymphs with their hands, rendering out the benefits of a robot operation (less invasive operation).
        Another consideration over the benefits of open over robot is that incontinence is more prevalent in robot operations than in open procedures.

        I agree that surgery after radiotherapy is difficult, however, one should decide on a treatment with the success as its motto. Why should you decide on a initial treatment while thinking on its failure?
        Radiation (RT) is typically used as salvage treatment after surgery (RP) failure, but RT is as efficient as RP to treat the cancer equally as the main therapy, from the start.

        The judgement in deciding the type of a therapy should be based on proper diagnosis (not just biopsy), its side effects and the willingness and trust one puts on a treatment more over the other.
        RP is not proper for cancer cases with extra capsular extensions (out of the prostate). RT is the only therapy that could provide cure.

        The extent of the disease is the most important factor in the decision process and that can be diagnosed better through image studies done in higher resolution machines (3-tesla MRI) and with the latest contrast agents. Typical CT and Bone scans are not proper tools to diagnose the status of a PCa case. They generate many false negatives. C11 choline or acetate PET/MRI image studies or the F18-FACBC PET are better to look for extra capsular extensions. Colour Doppler done by experts can also provide details of possible spread out of the prostate.

        The Gleason score 6 (pattern 3) is for low aggressive cancer. That should give enough time to your husband to research and recheck all the info at his disposal before committing to a therapy. Do things coordinately and timely.

        Best wishes and luck in his journey.

        Baptista

         
        The Following User Says Thank You to Baptista For This Useful Post:
        burrgold (08-08-2013)
        Old 08-08-2013, 07:39 AM   #4
        burrgold
        Newbie
        (female)
         
        burrgold's Avatar
         
        Join Date: Aug 2013
        Location: Savannah, GA, USA
        Posts: 3
        burrgold HB User
        Re: Husband Just Diagnosed with Prostate Cancer

        Thank you for the great information, Baptista. This is exactly the kind of information we need. --Much more to consider.

         
        Closed Thread

        Tags
        radiation therapy, surgery



        Thread Tools Search this Thread
        Search this Thread:

        Advanced Search

        Posting Rules
        You may not post new threads
        You may not post replies
        You may not post attachments
        You may not edit your posts

        BB code is On
        Smilies are On
        [IMG] code is Off
        HTML code is Off
        Trackbacks are Off
        Pingbacks are Off
        Refbacks are Off




        Sign Up Today!

        Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

        I want my free account

        All times are GMT -7. The time now is 03:15 PM.





        © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
        Do not copy or redistribute in any form!