Watchful waiting did not work.

I was diagnosed with prostate cancer in Feb 2009, PSA was 10. Went to a Uro and because I had a fear of needle tracking he sent me for an MRIS instead. He said take 150 Casodex every day and a TRUS every 6 months and if nothing changed to just do Watchful Waiting.

Well I found out he had 3 malpractice suits so I changed Dr.

New Dr. insisted on a biopsy. Well 12 core biopsy showed 11 cores of 10 (yes 10) and 1 core of 5 plus 4. !00% of cores.

So now I have a real problem. Surgery is out as they said they are not sure they could get everything.

Next is radiation or hormone treatments.

Any advice for one stupid, stupid, man.

Thank you.

 

Welcome. Sorry to hear about your situation.
Your doctor let you down. Don't blame yourself.
What country are you from?
In all likelihood you had very significant cancer in 2009.
What is your PSA now? What is your age?
You should be looking at radiation with hormone therapy added.
Good luck to you.

Mike, Welcome to our forum and it is not too late to fight this crap. Dreamerboy is right on with his post and what he said I hope others like you read.

You are in a good state for PC treatment, Florida has some world class prostate cancer treatment centers. You need to meet with your current URO and then get referred to one of these clinics as you are most likely facing RT and HT in the immediate future. You need a clinic that has both RT and Medical oncologists on staff. Have you any scans yet to find if and of the PC has metastasized out side of the prostate area? I would think this is the next step.  Good luck and I am not an expert but it sure sounds like that original doc has his 4th malpractice suit in his future. We are all here to help you as you begin this journey.

Terry

Welcome to Healingwell.

If it were me I would head to a major cancer center like Cleveland Clinic, MD Anderson, or Mayo type place, wherever you live, and have a one stop shop kind of treatment where you can see multiple disciplines and have a coordinated effort.

You will need to throw the book at this one. Some may still do surgery to debulk, and then HT, radiation, and probably chemo.

Lots of doctors have malpractice suits, so that may not be indicative of a bad doctor. We can only hope he made his recommendation for a reason. The important thing now is to concentrate on getting immediate treatment.

I think you may well see a reasonable effect from a combination of RT and HT and from something you said in your first post back in 2009 I calculate that you are now about 73/74 years old, (knowing your age may help others with their advice, but rememebr we are just guys at a Forum and not medically qualified).
Alf

I would find an oncologist that specializes in prostate cancer and consult with them. If they're not local, I would even travel if possible. (Or phone consult.) I think you probably should go as aggressive as you can, with some combo of BT, external beam radiation and HT.

And like others said, don't beat yourself up. The medical world can be a tough one to navigate with all sorts of ways to trip up. Focus your energies on moving forward and beating this beast. I think you can do it. Good luck and keep us posted.

Michael

Hello Mike, welcome back to the forum. Sorry you have to be here but glad you remembered us.

Several commenters have suggested that you look for a cancer center that specializes in prostate cancer and has both radiation oncologists and medical oncologists on their staff. That is good advice, I think. But in the meanwhile with the doctor you already have you can start treating your disease to get it slowed down while you shop for doctors. It's a fairly safe bet that any doctors you wind up going to will want you on hormones as soon as possible, probably with some sort of radiation treatment in the near future. A number of studies have shown that, for aggressive and/or advanced cancer, radiation treatment is more effective if combined with concurrent androgen deprivation therapy. It would be a good idea to talk to your urologist about starting the hormones soon.

You might want to make yourself a signature with some of your stats. (Click the "My Profile" link at the upper left of this page.) That will save you from having to answer the same questions over again when you make a new post. You'll want to include your age, your biopsy results, you PSA history, your treatment history (ie. the Casodex), any scans you have done and any scheduled treatments coming up.

Good Luck. Keep us posted. Let us know if we can help.

Mike,
I am sorry you have to be here and that your doctor did not appropriately follow-up. But, as others have said, you need a forward-thinking, aggressive action plan. I agree with the idea of starting ADT, soon. Any doctor you consult with will make that recommendation, at a minimum.

You can see my signature and stats. I threw everything, including the kitchen sink at my cancer.

Southern Comfort