Hello all
well we had our appt with the new urologist today. it was a real treat to be in the presence of a 'real' doctor esp after our experience with the last 2 drs. He talked to us about his opinion of the treatment that bob has received so far and listened to our questions especially about the symptoms bob is having.
he is of the opinion that the type of biopsy bob had last month is not at all adequate for the level of his psa reading (13.8), oh and we actually got to see the pathology report today and only 4 core samples were taken, not 6. so bob will be having TRUS and needle biopsy of 10 cores on April 17 (so his total will be 14 cores, given the 4 done previously). he said bob's risk of it being cancer is 40% but I think it is more like 50%. if cancer is ruled out he will undertake tests and treatment to determine why bob is having all of these symptoms.
oh and he did a DRE as well and he said bob's prostate is irregular, one side being larger than the other (although the actual prostate size seems small), neither of the previous doctors mentioned anything like this. He also said bob's psa score is actually significantly higher than 13.8 because typically Asian men (yes bob is chinese) have a psa score that is lower than the general population (we both learnt something new!).
we really liked this doctor and feel confident that finally we have found the type of doctor and care that we want. this doctor is active in research at the university here, has studied new ways to extend remission time for prostate cancer survivors and is the Chair of the Urology Surgical Tumor Group at Vancouver General Hospital. we both feel quite a bit of relief that he is bob's new specialist.
bob seems calm and ready to wait out the 5 weeks before the biopsy and the 10 days it takes to get the results (by the way this doctor will phone bob as soon as he receives the results, and will make a followup appt at that time, pretty good service)
I am ok right now but i am fearful that the anxiety will build as the wait rolls forward, had a little cry already today and trying to focus on the possibility that it won't be cancer but i am not confident that i am going to cope as well as bob given that i am in the middle of a depressive episode at present. bob may call my psychiatrist to see if he can prescribe medication to help with this possible anxiety. i am thankful that we are a good team and can comfort each other but I would be lying if i said that i wasn't scared.
how did all of you cope with all of this waiting? it has already been 8 weeks and now we have another 6-7 weeks of waiting ahead of us. i am feeling a little sorry for us right now.
thanks to all of you for being here for both of us,
deb and bob