Devastated by support group meeting: I'm doing everything wrong

Posted by fritzo @fritzo, 1 day ago

Just absolutely devastated last night during a PC support group meeting. I thought I'd share with the support group (via zoom) that my RP surgery is in four days and was hoping I might get a few words of encouragement before the big day. Instead, this support group session was an informational meeting on Focal Therapy from an expert.

To me, what followed was 90 minutes of medical information with the slant that RP surgery is absolutely a terrible thing to do as first treatment if you can do Focal and that people should start with Focal therapy and not suffer the barbaric side effects of surgery (I'm informed, I know what they are).

I was a zoom participant and my audio was turned off and I never had the chance to say, "Hey guys, I'm doing surgery in few days and now you've got me convinced that everything I'm doing is wrong." I was despondent because I thought I had my mind made up and now experts were saying that was not the right thing to do.

It was a rough night.

Let me explain: This meeting turned out to be entirely a presentation by a director of a Focal Therapy program where they offer five different focal therapies. His program was loaded with fantastic information.

But, one of his key messages that I was taking away is that Focal Therapy for those that qualify is that you don't have to unnecessarily suffer the indignities of impotence and incontinence if you choose focal therapies...or at least much less risk. They assess your case and then pick the most appropriate focal therapy. Later, down the road, if your PSA starts going up, you still have the full option of RP. But, another key theme is that you really want to avoid RP because of the horrific side effects. So, explore this new, modern approach that is the forefront of treatment that is Focal Therapy.

At the end of the session, the moderator saw I was waving my arms (my audio was muted from the feed during the entire session) and leaned in to see that I wasn't waving goodbye...I was upset. He could kind of hear me. At first, the discussion was like if you're not 100 percent confident with your decision, then contact your doctor and get more info and if not confident, cancel the surgery....even it it's as late as rolling in the operating room.

However, he very graciously got my phone number and called me directly, which I'm super appreciative. We were able to talk more. At first, it was an assessment of whether I would be a candidate for Focal Therapy (contained to one lobe of the Prostate, no spread). So, yeah, I probably could be a candidate. But, then I think he realized that an entire session on Focal and how glorious it is with no opportunity for "support" from the group for those at a surgery turning point could have left me "conflicted' just days before my surgery.

I reached out to a PC buddy who was really helpful. He shared his journey and some of his thought. The turned out to be a real lifeline.

I'm still conflicted, but thinking I'm going forward with my surgery. Holy smokes, that was not what I needed from a "support" group days before surgery to be convinced that I'm doing the absolutely wrong thing.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for dinu @dinu

@fritzo ,

sorry to hear about your experience. Regarding support groups I suggest you look at the AnCan.org. They have weekly meetings based on risk factors and they always give priority to new guys.

Best of luck with your treatment!

Stay strong and be positive!

Dinu

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@dinu I am 100 percent signing up for AnCan- thank you!

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Profile picture for fritzo @fritzo

@thmssllvn Yeah, that looks super promising. I am going to a major center and my surgeon does an anterior fascia sparing, Fascial-preserving approach. It's multi-port, so sadly, won't have the same day escape...but it's supposed to really help with continence issues.

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@fritzo
When is your surgery?

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Profile picture for dinu @dinu

@fritzo ,

sorry to hear about your experience. Regarding support groups I suggest you look at the AnCan.org. They have weekly meetings based on risk factors and they always give priority to new guys.

Best of luck with your treatment!

Stay strong and be positive!

Dinu

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@dinu Looking at their website, I see this is one of their principles: "AnCan does not mix education with support – some people want to listen to a presentation, others need support. Mix the two and there is not enough time for either – and guarantied unhappy customers!"

Yeah, I was looking for support and what I got was 90 minutes of education with no opportunity to ask questions. They are so right about an unhappy customer!

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Profile picture for heavyphil @heavyphil

@fritzo Yeah man, that must have really knocked you for a loop…like being wheeled into the OR and seeing that your surgeon has been replaced by a guy wearing a Smithfield Ham apron…😳
Look, Focal can be good, but is it good for you? There are so many variables that can take you out of that sweet spot where it will be totally successful - as if any treatment can do that.
I would go over all your pre-op testing, biopsy, Decipher score, etc. to see if Focal might even be viable for you.
No amount of cheerleading from anyone - including us - is going to erase all doubt in your mind.
I have always said that the most important thing is to be totally on board with your choice of treatment because regret cuts deeper than any scalpel.
Phil

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@heavyphil Dang-you got the gift of hammering points in one whack!
• Ham handed surgeons-no thank you-that would be terrifying! Bad joke back atcha: Why did the ham go to the doctor. It wanted to be cured. (ouch, sorry)
•Regret cutting deeper than any scapel - dang, so true, I talked with a fellow yesterday who has lived with 16 years of regret and anger. Definitely hurting.

I'm in a better place now. But, dang, I think in this case they forgot just how fragile /stressed people can be when they pull the rug out from under you when you think you might have it figured out and surgery is imminent.

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Profile picture for VancouverIslandHiker @vancouverislandhiker

Gosh that 'support group' session muddied the waters for you . Sorry to hear of that! You likely did a ton of research and we're very confident with your given situation the operation fit rather well. From my research, depending on your particular situation, no one modality is by far better than another modality. I had the operation and I don't think I would change anything about that. I was 57 so I recovered rather quickly. However, the recovery takes a month or two. May I make a suggestion? There is a group called the reluctant brotherhood. They have meetings based on your Prostate situation. They are also starting a YouTube channel and a Spotify podcast. They have people from all over the United States and Canada and sometimes even Europeans drop in. You get a full menu of speakers and different attitudes on procedures, etc. Here is their web page https://thereluctantbrotherhood.org . I am more than sure you are on the right track , for yourself . We are here to support you ! Let us know how things workout Sir !

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@vancouverislandhiker Thank you for that. It really does help in a big way. Some positivity after that experience is so needed.

Reluctant brotherhood-aptly named. I am totally checking that out-thank you!!

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Profile picture for wheel1 @wheel1

@jcf58
23 years ago I entered a clinical trial at UCLA on a personalized vaccine developed for my cancer, non-hodgkins lymphoma. It was randomized which gave me concern, and you have to go through all the tests like having surgery to pull a lymph node out for the possibility of the vaccine, giving yourself self 3 daily injections for six months after your possible vaccine shot by the doctor each month. Extra bone marrow biopsies during treatment, still getting the standard of care of 6 months of chemo before the trial. Two years I relapsed, was unblinded and found out I did get the personalized vaccine. I was back to just a standard of care monoclonal antibody infusion this time for treatment. Several more years passed and ultimately the clinical trial was determined a failure as most are, but my oncologist was and still is that I have now had a miraculous 18 year remission. He said their is no way to ever know now, but subsequently the vaccine might have had some synergy with the later monoclonal antibody. He was intrigued. Then three years the prostate got me, and I also looked again into clinical trials.

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@wheel1 All I can say is that you are a warrior. That is amazing about your 18 year remission. Not the same, but my wife has diagnosed 26 years ago with a serious lung disease (PH). They told her to make her plans. She's still hanging in there and now there dramatically more amazing treatments for PH then way back when (basically three then, Flolan, lung transplant or a few rare responders to CCBs, which she was).

I guess the task is to stick around long enough that we can take advantage of the new technology. Safe travels on your journey!

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Profile picture for wheel1 @wheel1

@fritzo
When is your surgery?

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@wheel1 In three days-so time has run out unless I want to go radical and cancel. But, it's a major center and the surgeon is incredibly experienced and leads the fellowship program, so I'm confident in his skills.

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Profile picture for fritzo @fritzo

@wheel1 In three days-so time has run out unless I want to go radical and cancel. But, it's a major center and the surgeon is incredibly experienced and leads the fellowship program, so I'm confident in his skills.

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@fritzo
It sounds like your surgeon is still ahead of the game with this surgical approach similar to the goals of Retzius sparing technique. It is unfortunate so many surgeons are old schooled. I still hear about open prostatectomies. I first started sharing about the new technique I was getting prepared for close to two years ago and it had been around but most knew nothing about it. Your surgeon seems also intent upon minimizing side effects from the surgery and is up to date on newer techniques. I think you will be find and hope you update quickly after your surgery. Best of luck

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Profile picture for fritzo @fritzo

@wheel1 All I can say is that you are a warrior. That is amazing about your 18 year remission. Not the same, but my wife has diagnosed 26 years ago with a serious lung disease (PH). They told her to make her plans. She's still hanging in there and now there dramatically more amazing treatments for PH then way back when (basically three then, Flolan, lung transplant or a few rare responders to CCBs, which she was).

I guess the task is to stick around long enough that we can take advantage of the new technology. Safe travels on your journey!

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@fritzo
I am so happy to hear of your wife. I am sure that you were quite frightened as I would be, way more for your spouse than you could ever be for yourself. It is so true to keep the ball rolling as new treatments continually reach the opportunity for all of us to continue to just keep the ball rolling.

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