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when to start ADT for SBRT treatment of 4+3

Prostate Cancer | Last Active: 1 day ago | Replies (13)

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@laojia

Thank you, Scott, for sharing and kind encouragement. When it come to seeking treatment from a large University medical center (in my case, it is UCSF). It is very daunting to book consultation, tests, etc. Long waiting time is very frustrating when you might have a deadly disease. I found a urologist on line when I had an elevated psa, but after meeting him I didn't like his communication style as well as the fact that he even did not perform the DRE. So I went UCSF to book fusion biopsy and other tests and consultation with urology oncologist and radiation doc. Everything is 2 weeks to a month waiting. There's only one doctor there inserting spaceoar, the waiting time is more than a month....

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Replies to "Thank you, Scott, for sharing and kind encouragement. When it come to seeking treatment from a..."

I had the majority of key treatments at UCSF, even though I can walk to Stanford, and my RO is the best. SpaceOar is controversial. Some institutions, like Mayo, tend to recommend for everyone. I like to review and evaluate every aspect of treatment, dependently and independently, of the institution as they all have biases and directed protocols. We discussed SpaceOar and I agreed not to have it as there are some risks. I have no regrets now. Overall, UCSF was easy to work with, friendly and the Valet Parking at Mt. Zion is unbeatable.

I'm presuming you had a Decipher Grid, post biopsy. My treatments were split between the Stanford and UCSF and I still see technicians and Drs. from both.