← Return to 11 anniversaries since diagnosis of stage 4 prostate cancer

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@retireddoc

I with you on that! I am a retired Radiologist so I know more than the basics and know the Imaging side inside and out. I can read and understand the literature pretty well. But, prostate cancer and its current state-of-the-art treatment is very complicated. I know maybe a tenth of what my experienced MO at Johns Hopkins knows about prostate cancer and its treatment. I believe in being informed and a co-decision maker (it's our life), but when some laypersons start believing they know more than knowledgeable, experienced MO/RO/Urologists at a COE, they are off the reservation. Articles that came out even a few years ago may be outdated. Find a physician you trust, ask questions, decide how aggressive you want the treatment to be but let the treating doctor drive the bus. My opinion, anyway.

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Replies to "I with you on that! I am a retired Radiologist so I know more than the..."

Indeed. Your prescription may or may not be change over time with treatment. These studies are either a snapshot more or less, or has limited 'parameters' which may not be applicable.
What is annoying, and even dangerous is that a person who had read a few articles and assume the air of authority. Worse, when other people bring up more recent studies that is in discordant with his, then trouble starts.
Anyway, I am getting long winded.

Well put. The patient chooses the destination, but the oncologist drives the bus.

That said, I don't think it's a bad thing that we patients are sharing info here. It's clear from posts that not everyone is getting the same quality of care — some of us are lucky enough to be under the care multidisciplinary teams at big research centres following the latest best practices, while others have a single small-town urologist who might or might not have kept up to date on developments over the past 5–10 years.

Knowing what questions to ask helps level the playing field a bit