@handera Thanks for the reply and question: I didn't get my Decipher Score until after my RP surgery. When I asked about it, my urologist said that he had tried to order it, but my "insurance company" denied payment coverage for it. I had both my wife's PPO plan AND I was on a Medicare Advantage Plan. I quickly called my Medicare Advantage Plan and they instantly said: "yes, you are fully covered for the test...there is no pre-authorization required. I was PISSED OFF at my urologist. I was completing a divorce so I was no longer on my wife's PPO plan (I was/am retired), so I couldn't check her plan, but I directly asked my urologist: "WHY didn't you check with Medicare?" He literally didn't answer, but instead answer with: "We know everything we need to know now that we have the surgical pathology report." I said "no we don't...I know nothing of my genetic make up and any genetic markers that make me predisposed for a worse or better outcome. I demanded that he order the Decipher test. My score was dead on in the middle at .50 "Intermediate Risk", but...my genetic profile was such that I have very low probability of death in 5, 10, or 15 years. The worse risk is like 7% at 15 years. I actually see him "tomorrow" and we're going to have a "chat." He is an incredibly nice guy and competent surgeon, but he is a bit dismissive and cavalier when considering his patient's opinions...or at least "my" opinions. He has never been fond or tolerant of my more educated and pointed questions (I was in health care for 40 years). And...
I regret to say that I have no idea what PSA Density is, nor high PSA velocity. That is not even in Dr. Walsh's book that I recall. Please explain what they are and what they mean. Thanks