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re: Calling OT docs- prostate cancer

Posted on 2/22/24 at 3:13 pm to
Posted by AwgustaDawg
CSRA
Member since Jan 2023
7280 posts
Posted on 2/22/24 at 3:13 pm to
quote:

If this is the case, I’d focus on more palliative care and make his next year or so more pleasant. A sick late 70s doing any therapy like this will make him live slightly longer at much worse health


A tale of caution - My Dad was diagnosed at 60 and agressively sought treatment. Started with surgery but they found it had spread outside the prostate so they closed him up and did radiation. His was stage 1 3+3 slow growth but it can spread even at that level. He was cancer free (what passes for cancer free with prostate cancer, it probably never actually goes away) for 15 years when he was 75. It was, once again, low grade and non aggressive. Again, he wanted that shite gone. The problem with ALL treatment is there is not really a way to get a second bite of the apple so to speak. Hormone therapy can keep it in check but its going to do what its going to do. Daddy was having none of that...and found a doctor to do cryosurgery...the froze the tumor. This is a horrible practice with very bad results but it is common. He was 75 then and 84 now so he has lived but he has been incontinent, impotent and in excruciating pain for those 9 years because they also destroyed part of his eurethera and it can not be corrected short of having a catheter 24-7 for the rest of his life. He was 75 at the time, diabetic and 100 pounds overweight. Still is 9 years later but those 9 years have been of no quality at all. He would have probably lived those 9 years with the cancer...and certainly would not have had the side effects for 9 years. All cases are different but he regrets being aggressive to this day. At 75 or so most men will die of other causes before they die of prostate cancer and treatment is not pretty in far too many cases.
Posted by jeffsdad
Member since Mar 2007
21497 posts
Posted on 2/22/24 at 3:49 pm to
One big mistake men make is taking "meds" to decrease their PSA. Its true you can take supplements and vitamins and other stuff to artificially reduce your PSA. But, it doesn't reflect whats going on with your prostate. Docs will tell patients to avoid taking "PSA lowering supplements" but patients still do it, thinking they are helping themselves. They are not. PSA is already (compared to other lab results) a very unreliable source of information, the docs really have to weigh a lot of factors. Don't mess with this crap unless the doc prescribes it.
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