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ADT vs. Estradiol

Prostate Cancer | Last Active: Jul 6, 2025 | Replies (18)

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Profile picture for kujhawk1978 @kujhawk1978

Violates several of my rules...

I inform myself as completely as possible and take the time I needed in making a treatment decision, I always know that no matter the outcome of a particular choice, I made the best possible decision. That knowledge that I have thought my decisions through carefully is what is really important—and may be more important than the decision itself.

I am in charge. Not my doctor. They need to be consulted, and their training, education, experience, opinions and ideas should carry weight as I make my decisions. But I never forget it is my life, my today, and my future. I have made the best possible, fully educated decisions that makes sense for me, with the focus on long life.

Rules for my medical team ...

Know your stuff. As part of my medical team, you must have a thorough knowledge of my cancer and of the latest developments in research and be ready to formulate a plan of attack. If what I ask about based on my research is not familiar with you, then admit it, say you will look into it and discuss on my next consult. Better yet, you will call me!

Do your homework. I expect you to have reviewed my medical records prior to my appointment, talked with other doctors I have seen that day.... You’ve looked at my x-rays; you have my pathology report, labs. I can tell when you're looking at my clinical data from tests for the first time !

Respect my point of view. Listen to all sides thoughtfully before reaching a conclusion. With patience and finesse, I’m sure you can help me to feel confident about the plan you and I have shaped for me.

Don’t close your mind to new hypotheses and don’t ignore clues that might lead you toward the best results. Rid yourself of the temptation to make your day easier by delivering perfunctory care.

6. Follow up on promises and follow through on tasks. I can tell you with absolute certainty that there is no greater disappointment than realizing that you cannot rely on your doctor.

7. Please talk to me. I need your advice, comfort, and expertise; I am scared and discouraged—are you willing to take a seat, look me in the face, and answer my questions?

And yes, the front desk is key, sets the tone, pleasant, efficient on check in and scheduling on the way out...a kind word, smile...and don't call me "honey." You have my records, I am ok with you calling me by my first name or Mr. ____

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Replies to "Violates several of my rules... I inform myself as completely as possible and take the time..."

As much as I like your attitude, Kevin, and agree with you on most points, I differ with respect to who is in charge.
If one cares to, one can doctor shop until they hear exactly what they want to hear. But in reality, if you want to be treated at a top institute like Sloan you have to follow their protocol, not yours.
Of course, you are free to leave and find another equally ranked cancer care hospital, but where we live that might involve a small airplane or a 4 hr car ride.
Estrogen/estradiol is just not that widespread in the US - don’t ask me why - but it’s effective and inexpensive - oh wait, maybe that’s why!!
Phil

I must say I totally agree with your attitude and clarity. So many times we accept a doctor’s recommendation and do not question it. I’ve been a patient at the Mayo Clinic for 9 years. Went through pancreatic cancer in 2020 and beat it. Had a TAVR vale implanted prior to my Whipple procedure. I’ve consulted with Oncologists, Cardiologists, Urologists, Radiologists and countless Nurse Practitioners and nurses. If I feel uncomfortable with whoever I’m consulting, I let them know and request another specialist. I’m going through prostate cancer right now and requested and received a replacement for my Radiation Oncologist.
I found comfort in reading your comment and believe that first and foremost is my belief in my Lord and Savior Jesus Christ. I surrender to his divine will daily and put my trust in him. Thank you for your words and may God Bless you.