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Issues with ProACT incontinence value
Prostate Cancer | Last Active: Sep 21 11:34am | Replies (27)Comment receiving replies
One of my wife’s best friends is bipolar. They have not spoken since December and they used to speak every day or two. She has been on a depressive streak for at least six months. Normally, she will become manic for a little while normal for a very short time and then back to depression for 3-6 months.
Used to be they called it manic depressive now they call it bipolar. They are the same thing And we’ve seen it get progressively worse over the last 10 years. Two of her brothers have the same thing and her son appears to have it as well.
Now as for recommendations from different doctors. Many doctors do not keep educated about prostate cancer. If you go to a medical oncologist, they specialize in all different types of cancer while a Genito Urinary Oncologist Specializes in prostate cancer and keeps up with all of the latest treatments.
It is likely that when you get poor recommendations from one doctor they are not keeping up. That’s why we recommend going to centers of excellence, You’re not going to find a doctor that’s underestimating what the right treatment should be.
Once your urologist has finished surgery and your cancer comes back, you are not in the right place to discuss future treatment. You need to go to a GU oncologist or a center of excellence so that you can get the latest treatment. Urologist are not trained for advanced prostate cancer Treatment, though Some like to Treat their patients with reoccurrence because it’s very profitable.
I must admit I’ve never heard of “you are never a candidate for radiation”. Yes, if you’ve had radiation in the same area once already, you are not a candidate for having radiation in that spot but you can have radiation somewhere else if metastatic show up.
You don’t need a doctor that tells you you’re going to die from prostate cancer and gives you a date, it is Just guessing. I know so many people that have lived 2 to 3 times as long as the date they’ve been given, even though they had very serious cases initially. Treatment has improved so much that you Need to look for doctors that have expertise in advanced prostate cancer.
Replies to "One of my wife’s best friends is bipolar. They have not spoken since December and they..."
Thanks Jeff for your comprehensive reply including your comments on bipolar ( beside my prostate cancer I’ve been DX as being BP However, I’ve had way more doctors tell me that they think I was misdiagnosed ( an interesting story for another place another time ) I like the way you explained your thoughts about not being a candidate for radiation. That thought fits perfectly into my complaints that since days one NO DOCTOR ever mention “ a stage “ nor have they explained 80% of what I learn here from all of you who politely remind everyone “ we are not doctors “ Frankly I think many of the regulars here SHOULD BE DOCTORS OR TEACHERS OF DOCTORS! To teach doctors how to be human and compassionate!
All of that said, I was looking for an explanation of the text he sent me about “ Only active in androgen receptor mutant patients with LBD mutation. You have ATM mutation only”
No doctor has EVER mentioned “ MUTATION “ ANYTHING! To this “ non doctor “ I can imagine that a “ mutation “ in some shape/form is responsible for my cancer. But I now expect to find an answer here more quickly than I will on the VA oncology clinic.
Today is my date for my monthly LUPRON shot. I don’t always get to see the oncologist assigned to me. I will ask if I can talk with him. I have more compassion for him than he has for me. But as “ my oncologist “ in my set of rules to be HUMAN I’m suppose to treat him with that special CARE. Although I can make him laugh when he least expects it I still don’t think that he sees the connection for treating him with a modicum of specialness that equates to making the glue that binds us different than what it is with others. And I hate sounding petty but he has mentioned numerous times that I’m older than him and I LOOK YOUNGER and I’m “ doing better “ ( no very specific explanation ) he texts me which his staff tells me that he’s never done even with Staff. So I think that my sense of humor has loosened him up some. Specifically was the day I gave him a pep talk saying “ we’re in this together Doc and I put my arm around his shoulders and gave him a hug “ that’s when he gave me an unexpected chuckle that made him choke a little as he swallowed unexpectedly and I patted him on his back as my Grandma used to do to me whenever I choked on something I was drinking saying “ something went down the wrong pipe “ which made him laugh harder.
I’m not sure he remembers that but we’ll see today. I have a doctor joke for him.
All of that said, can you explain him “MUTANT” comment?
Much thanks Jeff!
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I don't think you understand it unless you have it. I used to tell people just get a grip and I was so stupid . I worked on a psyche ward and now I see first hand. It's like that with everything. Love them unconditionally and sooner later something will stick. Pray pray