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How long were you on Orgovyx, Xtandi, Talzenna? Fatigue unbearable
Prostate Cancer | Last Active: Aug 6 7:49pm | Replies (65)Comment receiving replies
If your case requires you to be on those drugs, you should not be working with a urologist. urologists Love to make the money from giving you the shots.
You really need to get connected to a center of excellence or a Genito urinary oncologist. They are the oncologist who specialize in prostate cancer. Medical oncologist can’t do that because they cover all different types of cancer. I am not familiar with Mary Bird Perkins, but they appear to be a good first choice Since they have a prostate cancer canter.
They can guide your cancer to whatever treatment and doctors you need. They should be able to answer all of your questions.
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I agree. I would probably need a referral byy urologist and I'm not sure about that. I go for my injection on 9/24 so I'll ask for about seeing an oncologist. Thanks again and I hope you have a good day
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❝Urologists love to make the money from giving you the shots.❞
+1 for the recommendation to see a cancer specialist (urologic, radiation, or medical oncologist, as the case may be).
Even in the U.S. though, urologists likely aren't all profit-motivated. They might not be paid per injection, especially if they're on salary as part of a hospital, medical center, or HMO rather than in private practice.
Across the border here in Ontario, OHIP pays family doctors by "roster" — the number of patients registered with them — rather than per visit, so there's no profit motive to overtreat. I think the oncologists at the Regional Cancer Centre are salaried as well, and the hospitals themselves get a fixed stipend based on the population they serve, rather than a per-visit fee.
At least in big cities, outpatients can get sent to "infusion centres" for injections of Firmagon, Lupron, etc. rather than having them in a doctor's office. My case was unusual, since I was initially in a wheelchair and it was winter, so Home Care trained my spouse to give me my monthly Firmagon injections at home, which she continued to do for over 2 years, until Orgovyx became available in Canada. I've never heard of anyone else getting ADT injections at home administered by a family member.