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urologist and radiation oncologist aren't on the same page

Posted by bluegill @bluegill, Jan 23 4:25pm

Urologist: There's a bit of cancer still there in the prostate, but all I need to do is to stay on ADT for the rest of my life, and I'll be fine. Maybe even for 20 years!

Radiation oncologist: (based on same PSMA results) my cancer is back, and we need to deal with it aggressively and soon! I need an MRI and then seed implants. For people like me, ADT would work for only a year or two, then the cancer would come roaring back.

(1st diagnosed 4 years ago, Gleason 9, PSA of 28. Radiation + 3 years ADT. Went off ADT last year and PSA shot up. Now back on Eligard.)

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docwatson | @docwatson | Jan 28 8:42am
In reply to @nikolai57 "Definitely get a third opinion. My particulars were different to yours, but my situation was similar..." + (show)
Profile picture for nikolai57 @nikolai57

Definitely get a third opinion. My particulars were different to yours, but my situation was similar in that my urosurgeon disagreed with my RO and MO. I got a third opinion at MSKCC, and felt confident going with the recommendation I got there, which was a tweak of the MO’s recommendation. I recently finished my therapy, and so far so good. Although my treatments have been local, my doc at MSKCC has also been following me, and I feel better knowing that if there is a recurrence, I already have a doc there who knows the whole history.

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If you can find one, get a third opinion from a prostate oncologist (hard to find) who is agnostic to treatment options.

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