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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: 11 hours ago | Replies (317)

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@jc76

Your statement is correct, but I hope it is not misunderstood to imply that treatment decisions are simply whatever an individual doctor and patient decide, when in reality there is an important framework that guides those decisions.

I agree that treatment decisions should be individualized in partnership with one's medical team. At the same time, those decisions should ideally be made within the framework of evidence-based guidelines such as those from the NCCN, AUA/ASTRO/etc. These guidelines don't dictate a single treatment for every patient, but they do identify which options are supported by the best available evidence for patients with similar disease characteristics. Individualization is then about choosing the most appropriate guideline-supported option based on the patient's overall health, comorbidities, tumor biology, quality-of-life priorities, and personal preferences—not simply on what another patient chose or what someone heard in a podcast.

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Replies to "@jc76 Your statement is correct, but I hope it is not misunderstood to imply that treatment..."

@soli
What my intent was be careful making decisions on your health care from post from others on citing research, seminar, podcast and what to do or not do.

We are not medical professionals but even if we were we do not know a persons full medical or mental health history nor have we examined the individual if we were.

My heart failure doctor just put me on Jardiance. I said why are you recommending that isn't that a drug for diabetes?

He answer that is the original intent (diabetes) but research is showing that it can help remodel the heart. So it comes down to having and experienced, caring, and up to date medical provider. I did research on the drugs and he was right on.

I post my direct experience with a drug, or supplement and why my doctor put me on it with caveat we are not all the same and what may work for me will not for you and vice versa that is for you and your doctors to decide not what I heard on a podcast or seminar as being appropriate for another on MCC.

What we should encourage is talk to your doctors about this research you have been told about and to check with your doctors if applicable and helpful to you. But, not I heard this on a seminar, or podcast and you should to or not do something regarding our mental or physical health.

Recently I mentioned taking Jardiance for heart failure. I posted my Heart Failure specialist at Mayo (who has been treating me for over 20 years) explained the research and that he thought with my specific condition and status of heart failure it could possibly help.