Hi worried daughter 14, - Sorry about
your Dad's situation and your concern. Following is an article I wrote about
what newly diagnosed men need to find out to establish a basic understanding of their new diagnosis. I hope you find it useful in determining what basic information is needed to understand his present situation.
What EVERY newly diagnosed Prostate Cancer (PCa) patient needs to know!
by John E. Holliday, FACMPE
When embarking on any journey and trying to determine the route you wish to take to your desired destination, you must first determine where you are NOW. Without knowing this basic information, and understanding its relevance, INFORMED decisions cannot be made and the applicable importance of gathered information remains undetermined.
First, ALL new Prostate Cancer patients should determine the basic diagnostic realities of THEIR specific disease and understand its relative significance. In my opinion, EVERY newly diagnosed PCa patient needs to gather the following data, to intelligently START your treatment considerations.
I would suggest you begin by acquiring the following diagnostic results.
(1) What was my last PSA prior to diagnosis and what is it now. (If available, previous PSA readings with dates are helpful). Either get copies or write them down.
(2) What is my complete GLEASON SCORE? (Primary + Secondary Gleason GRADES = Gleason SCORE) ie: (3+3)= 6, (4+3)= 7, etc.
(3) What is the CLINICAL STAGE assigned to my Prostate Cancer? (ie: T1c, T2a, T3b, etc.)
(4) Obtain a copy of the Pathology Report from the Biopsy, which should be available from your Physician. It can contain helpful information, now and in the future. Keep it for your records!
These 4 items, when coupled with your age and ethnicity, will provide the BASIC information necessary to BEGIN to truly understand what the status of your disease is thought to be, at the time of your diagnosis.
If a man has been diagnosed with early stage disease, as approximately 3 out of 4 men presenting today are, there is usually no urgent reason or necessity, to make a hurried, uninformed decision. If you feel rushed, pressured or remain uncertain as to whether you know enough to feel relatively comfortable with your treatment choice, wait until you are. However, there is no reason to unnecessarily prolong the decision making process beyond the reasonable time frame needed to acquire, and to understand, such information. Delays should NOT be the result of unwarranted procrastination.
With this basic information, the educational learning process can begin and more INFORMED decisions are then possible."
If you do not have them now and understand their relative importance, NOW is the time to learn, BEFORE additional treatment. If you wish, I will be happy to try and educate you regarding such necessary information and their importance in making INFORMED decisions. Such decisions are the only kind you should make unless you wish to abdicate the decision making process to your Urologist, as some men do.
It is the patient, however that must live with the results of such decisions and it is better to become more knowledgeable now, before treatment, than to do so after treatment when little can be done to alter the treatment path you chosen.
Although I consider myself a well-informed layman with 30 years of daily involvement in the American Health Care System, I am NOT a Physician. Therefore, I suggest that you feel free to discuss the content of this communication with your professional advisors.
I will be happy to answer specific questions that anyone may have. -
[email protected] (aka) az4peaks