Lots of time putting together a Decision-Making Matrix. So much good information but I'm starting to lose track of it all and I for sure don't want to make ...Read more
Lots of time putting together a Decision-Making Matrix. So much good information but I'm starting to lose track of it all and I for sure don't want to make the wonderful docs, nurses, coordinators, staff crazy reasking. Feeling pressure to make the right decisions.
Richard Munson Hopefully you wrote everything down. I bring a list of questions with me and in large print. No glass ... Read more
Richard Munson Hopefully you wrote everything down. I bring a list of questions with me and in large print. No glasses required. I am about to meet my doctor to discuss my active surveillance program for my prostate cancer. I will listen but also comment based on what i have read and listened to from other patients i know and respect. I don’t just say yes. In his eyes it means, a 3 month psa test, a digital exam, a yearly mri and biopsy. I could just say go ahead, but i will question another biopsy if the prior tests show no spread of the cancer. So far my latest psa was the same as the last one. So thats good. The pressure you feel is justified but being armed with the facts makes it easier.
Fidel Martínez Ruiz Liz and Richard. Yes really it´s a nuisance the pressure and watching, but there´s no choice. In m ... Read more
Fidel Martínez Ruiz Liz and Richard. Yes really it´s a nuisance the pressure and watching, but there´s no choice. In my case, my PSA change from 4 to 6, and was "waiting and seeing", but COVID came and I was 6 months without monitoring and then PSA grew up to 11, and I was obliged into surgery after RNM which gave a pi rads of 5, then the biopsia confirmed cancer. Fortunately, I had surgery and it had not spread. Now, I keep doing reviews, this year is the last one.
Richard Munson Fidel, glad you had surgery when you did. My psa has hovered around 4.9 including last week which is ... Read more
Richard Munson Fidel, glad you had surgery when you did. My psa has hovered around 4.9 including last week which is not a bad reading. so my next test will be the annual mri. Depending what it shows a decision will be made on whether i get another biopsy. They are very invasive. Another factor is i am 83. The cancer i have is a slow growing variety for now. Things can change of course. The ultimate decision is mine but i try not to make my health choices based on emotion but on facts.
Fidel Martínez Ruiz Richard, I agree with you. Growth slows as you get older, but you have to keep monitoring it. I had i ... Read more
Fidel Martínez Ruiz Richard, I agree with you. Growth slows as you get older, but you have to keep monitoring it. I had it at 73, and with a PSA of 11, I had no choice.
Fidel Martínez Ruiz Monitoring with NMR imaging may be sufficient because it gives a clue as to where the tumor is locate ... Read more
Fidel Martínez Ruiz Monitoring with NMR imaging may be sufficient because it gives a clue as to where the tumor is located, making a biopsy unnecessary, under medical supervision🤝
Robert Miller And what is the decision you need to make? The message doesn't say anything about it. Maybe it's in y ... Read more
Robert Miller And what is the decision you need to make? The message doesn't say anything about it. Maybe it's in your profile but it would be good to have it in your message.
Fidel Martínez Ruiz Yes, Robert, I followed the doctor´s recommendations, analyzing previously of course. For me, ... Read more
Fidel Martínez Ruiz Yes, Robert, I followed the doctor´s recommendations, analyzing previously of course. For me, the results of NMR and the Gleason index from biopsy were decisive in indergoing surgery. My Gleason was 7(4+3), which is already quite dangereouse.
Fidel Martínez Ruiz As for the decision-making, I think one need to look for information from any ways as far as one ... Read more
Fidel Martínez Ruiz As for the decision-making, I think one need to look for information from any ways as far as one can do and then choose a doctor you trust and followtheir recommendations.
Richard Munson My 7 was 3+4 which was why i chose the surveillance for now