Prostate Sample

Posted in April 23, 2011 ¬ 7:52 amh.adminNo Comments »

Prostate Sample
What do you recommend for stage one prostate cancer?

My psa two months ago showed 4.4 Last week, a different lab said it was 6.4 resulting in a biopsy. 3 of the 12 samples showed cancer. This is stage One. Any recommendations on best treatment? I am 74 yrs. old and in great health otherwise.
Gleason score is six. Twelve biopsies were taken. Three were positive.

Recommendations for the “Newly Diagnosed” Prostate Cancer Patient

1. Do Not Panic! Many of us have been down this road before, and there is much to learn before you choose the solution “best for you.” You have had this thing longer than you think, and taking the time to do the proper investigation into your options will not hurt. Since you have posted on the Internet, you obviously have the means to do most of the research that you need to do. There is a wealth of knowledge and experience for you to draw on.

2. Do Not Accept the First Recommendation From the Urologist! (Or any other “first” recommendation) Get second, (or more) opinions from experts in other specialties. Depending on your Gleason score, you have time to figure this thing out! Gleason of 6 or less, take your time and be thorough; Gleason 7 and up, you need to do something sooner than later, but remember that it “is not going to kill you tomorrow,” so you still have time to do a good job of fact gathering. Your PSA value enters into this equation also. This is the time to learn and thoroughly examine ALL your options, because whatever you choose, you will live with the consequences the rest of your days.

3. I recommend that you also join “YANA” (You Are Not Alone”)

http://www.yananow.net/

Explore it. (My story is on YANA, under Mentor Experiences/Proton Beam). Study this site carefully; the author, Terry Herbert, is “One of Us.”

4. Consider Proton Beam Radiation Therapy (PBRT), which is only available at five “Centers of Excellence” in the U. S. This is the ONLY treatment (other than “Watchful Waiting” which of course has no side effects) that has the least amount of side effects, with at least comparable results to all other options. Usually you will not hear of this option from other doctors or specialists!

Do not allow the fact that the doctor did not mention it prevent you from considering this option along with the others! At the very least, study the records about PBRT and if possible, visit one of the centers for a consultation.

Disadvantages:
Nine weeks at one of only five centers that offer it.
High cost (Medicare and most insurance does cover it).

Full disclosure: I believe that PBRT results in the best chance for improved “Quality of Life” during and following treatment, and consider myself a “Proton Beam Advocate!”
I completed my PBRT in March of 2007.

5. Get Bob Marckini’s book, “You Can Beat Prostate Cancer …” and read it cover to cover BEFORE you visit your doctor again if possible. There is a wealth of information in this book!
Order from Amazon or from Bob at www.protonbob.com .
This recommendation is very important in terms of learning about prostate cancer.

6. Go here: http://health.groups.yahoo.com/group/protoninfo/

And join my Group to learn more.

Whatever method you choose for your treatment, you should be comfortable with it.
Be happy that you made the choice, based on your personal situation. This is many times better than accepting the recommendation of the diagnosing specialist, then later wondering why you did not do your “due diligence” and make your own decision!
Whatever method you choose, rest assured that the outcome, with experienced surgeons or other specialists, is approximately the same for most modalities. The major differences in the outcomes may be in “quality of life” issues, which may or may not happen in every case.
For me, these were the main drivers in my decision to receive proton beam therapy.