I inherited my dads funky prostate, so i have seen many urologists starting in my 30s.
At first, i realized they were kind of goofy docs. I did some research and realized all they had as tools were antibiotics and their finger.
Time went on. My stepdad died of PCa. I saw more of them. And i saw what they did to my stepdad, and the decisions they made with their heads. Now i conclude they not just funny/goofy, they are kind of dangerous. I realize that anyone that spends too much time with a urologist has a good chance of being DEAD. PSA had come out. I read articles. I started plotting my PSA on a graph.
Then my dad dies of PCa. I see the absolutely F’d up decisions they make for him. I am very cautious of these guys now.
Then me. I get PCa. I quickly study my ass off. In like 3 months i seem to know more than the docs i am seeing. This petrifies me, as im not that smart. And when you are in a room with your doc, HE needs to be the smartest guy in the room!
They routinely quoted me made up statistics designed to get me to proceed in the direction they wanted, which was a LESS CURATIVE route for me.
My PCa experience felt like 2 years of hand-to-hand combat. It was horrible. I still did not get my preferred treatment plan. It was so intense, it was hard to keep my head thinking straight. The pressure. I eventually partially capitulated to the one urologist. Hopefully i survive these stupid greedy men.
I noticed 3 things that make them terrible doctors.
-greed for the money to keep their practice running. Keep you in-house
-most of them want to be the 1000 prostatectomy man, or urolift man. So they want you, even if your survival odds are better down the street.
-Training. Medical Schools are corrupt now just like all of our systems. The docs are not taught all sides of things.
I actually found them good at their “proceedure”, but really bad at risk/reward or strategic planning for patient survival. The schools don’t teach them to think, or to find the truth of a situation. They are taught to follow orders, follow protocols, follow what your software flow chart says. Or else.
PLUS:
Now i sit on the prostate cancer forums and watch. I see man after man after man... offered misguided treatment. And now their cancer has returned, and they come to the forum asking what happened.
Specifically, as im sure you are wondering, they were High Risk category patients. High Risk should NEVER be advised to go the RP route as it is at best a 50/50 shot at cure.
But, those urologist surgeons, in the year 2024, have no reservations advising a poor terrified guy to go that way.