I had a similiar experience. I had gone to a Primary care guy for the first time in 14 years (my bad, I know) and he told me about
PSA tests and left it up to me if I wanted one. I figured "why not?", since I was having a colonoscopy and every other test I hadn't had done in a long time. I felt healthy, was on no meds, and figured it would be a base line. We all know where this led, or I wouldn't be here. Psa of 8, and it redone and it was 6.4, time to go to a urologist. My PCP sent me to a guy who had "taken care of my grandfather, he's a very good doctor". Dr. P did a quick DRE and said I needed a biopsy, and it would be "no big deal". He never really explained how they were done, just gave me a pre procedure sheet to follow ands set it up. Since his sheet mentioned no aspirin, etc for a week prior, and a fleet enema right before coming in, I thought I better look into what I was going to be going through. I did my research, and thought that "it's no big deal" was an understatement. I got through it, but Dr. P acted like I was being a sissy when I said I was a little nervous about
what he was going to do. When it was over, I told him it was uncomfortable and I was glad it was over and again, he tried to make me feel like a wimp. This was the beginning of a bad feeling i had about
this guy, not to mention starting to get the feeling he could use a right cross to the mouth.
Dr. P does the biopsy on a Tuesday and tells me he will call with the results on Friday and "not to worry". Friday rolls around and I get no call. So I go through the weekend trying to convince myself that if something was wrong, they surely would have called me. Nobody calls on Monday by noon, so I call them. Of course, the Dr. is busy, but he will call me back. he calls back at 6:30pm while I'm working out, and leaves a message to call him back. I do, and he's not there. I finally get a hold of him the next day around 5pm and he tells me that I have prostate cancer and we need to meet to talk about what we are going to do. This whole delay has really put me off, but we agree to meet three days after. In these 3 days I emerse myself in research on PSa and find this site, where I learn a ton from some veteran members. I go to the meeting with my urologist armed with a lot of knowledge and a great list of questions.
My finacee and I get to the meeting with the urologist and he seems a little put off that I've brought her with me (maybe he wasn't, but it seemed that way). He then pulls out a hand out on prostate cancer and begins to talk to me like I'm 12 years old. I'm finishing sentances for him and he's getting a little peturbed. He can't remember what my PSA score was and when I correct him, he doesn't believe me. I ask for a copy of my path report, and he says one will be in my file, I explain I want one in my hand. He finished his spiel about PSa and then says, "so you see, you don't need a prostate". He then starts in on his wonderful Da Vinci machine and we should schedule the sugery for the week after next. No mention of AS, BT, Radiation, nothing, just ,"we should do the surgery soon". I start asking questions about my G6 score, about BT, about side effects, and finally "how many surgeries ahve you done?". He gives vague and evasive answers. He's freaked out someone is questioning him, and I begin to see his MO. Just cookie cutter everyone through surgery, and hope they don't ask questions. I ask again for a copy of my path report, and he goes to make me one. I look at my fiancee and tell her the meeting is over.
When he came back, and thanksed him for his time and told him I was going to get another opinion, from another urologist, as well as see a radition oncologist and medical oncologist. "You won't be seeing me again, but have my records available on the hospital's online system and send a copy to Dr K (my primary) tomorrow". that's the last thing I ever said to him. My primary got a download of what happened and has apologised over and over. He's set me up with some great people since, and we are cool with each other.
That's how and why I fired my first urologist.
Footnote: i found out later that the CEO of his urology group had embezzed over a million bucks from the practise and was in jail. In the meantime, the practise has bought it's own CT machine and is pushing all kinds of volume through their offices. Looks to me like they are trying to make up lost revenue plain and simple.