On 2007-06-29, chasjac <chjacobson@[EMAIL PROTECTED]
> wrote:
> Hello, BSD guy:
>
> Hello, BSD guy:
>
> The Crohn's started when you were a kid? Damn, but you've had it
> rough.
>
Undoubtedly must have PO'd someone in the worst way in a former life...
> Anyway, welcome to the group. I cannot comment on the intestinal
> part, but offhand, your numbers look good for either surgery or
> radiation.
>
> It's not a surprise that your urologist leans towards surgery. You
> should consult with a radiation oncologist about radiation
> treatments. There are several men here who have had good results with
> radiation.
>
Both my dad and a friend at work had radiation with good outcome.
Lack of a rectum rules out seeds or freezing for me. Crohn's may rule
out radiation, need to speak with a radiation oncologist about that.
> If your uro has not mentioned laparoscopic and/or robotic surgery, you
> might want to check it out. I assume at least part of the issue with
> another surgical procedure is the scarring, and the laparoscope would
> mitigate against that. Less blood loss, too.
>
The biggest issue with laparoscopic surgery (old fa****oned or robotic)
is whether they can deal with all of the scarring and adhesions left
over from previous surgery. That's probably the biggest question I've
got for them.
> Whatever route you go, be sure to shop for a really good surgeon or
> rad onc. The more experience they have, the lower the chances you'll
> deal with side effects later.
>
Ideally, I'd find someone who has performed the procedure on hundreds
of patients in my situation. Very unlikely to happen but I'd like to
find someone who has done this surgery on at least one or two other
patients with a long history of abdominal surgery.
> If you haven't already, you should start reading up in prostate
> cancer. Good sources are:
>
> The Prostate Book, by Peter Scardino and Judith Kelman
> Prostate Cancer for Dummies, by Paul Lange and Christine Adamec
> A Primer on Prostate Caner, by Stephen Strum and Donna Pagliano
> The Prostate, By Patrick Walsh and Janet Worthington
>
> And please keep us posted on how it all goes.
>
> --charlie
>
I'm going to see my urologist in NYC on Tuesday to get his take on the
situation. Also going to see Dr. Samadi later in July. He just moved
from Columbia-Presbyterian to Mt. Sinai. Got his name from a
colleague at work because my colleague's wife has a nurse frend who
works with a local physician who had his PC surgery performed by
Dr. Samadi. Complicated six degrees of separation thing. Anyway, I
filled out the form on his web page and figured his office might get
back to me in a week. Don't know if my friend had already greased the
skids or whether this is just the way he works, but Dr. Samadi called
my house about five minutes later and left a message. He also sent an
email asking me to call his cell. Twenty minutes after sending in the
form, I was speaking with him on the phone. Will let you know how it
all works out.
--
BSD guy
|
