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The arbitrary economics of life and death

Prostate Cancer | Last Active: Apr 16 3:21pm | Replies (30)
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@hanscasteels

Proven science applies to statistics. I am not a statistic. Proven science dictates that the treatment plan I am on works in 85% of patients. Where does this leave the narrative of tailored approaches for each particular tumor? Dogma is applied because it affords industrialized care. Do I benefit from it? I really don't know, because the local dogma police doesn't allow me to discuss options or strategies. All for the sake of Dogma, you understand... So I do not buy your argument

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Replies to "Proven science applies to statistics. I am not a statistic. Proven science dictates that the treatment..."
heavyphil | @heavyphil | Apr 16 3:21pm

So what is the preferred treatment for your 15% of the PCa population in a perfect world?
Please tell me what I’m missing, because aside from the impression I get that your doctors are unfeeling, uncaring troglodytes, your treatment to my layman’s eye seems world class.
You didn’t have a PSMA, but that changes nothing since you’re on Firmagon - and your PSA dropped massively; you are obviously androgen sensitive.
You did not have genetic testing, but again, what could have been found that would change your treatment?? At least 3 members on this forum have had genetic testing revealing BRCA mutations; have any of them NOT had ADT?
None of your treatment has been rendered for the sake of Dogma; it’s been rendered for the sake of correct protocol, taking into consideration your poor risk profile for surgery.
As to the continuation of ADT for 18 months, that is still up to YOU, and your decision to make, no matter how mean and nasty your doctor speaks to you.
Phil

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