Dr Appts & Treatment Options

So now that I know I have an aggressive prostate cancer, I need some professional help on treatment options.  I currently have Kaiser insurance until December 1st.  So I have to go to those doctor appointments but I have decided to pay out of pocket for some additional consultations from some local experts. I have decided to see doctors at UCLA. They have an Integrated Cancer Program that is one of the best in the country.  I have also decided to see a medical oncologist who does not practice radiation or surgery, but just looks out for me and my cancer treatment.  I am lucky that one of the best practices in the nation, Prostate Oncology Specialists, is an hour away in Marina Del Ray.  As I see each doctor over the next few weeks, I will list their recommended treatment plans.  In the end, I have to go with the treatment I can live with as they all have nasty side effects.   I will make my decision by Mid-November after the last doctor appointment.

October 16th – Dr. Kenneth Lodin : Kaiser, Radiation Oncology

Treatment Plan:  38 treatments of Image-guided radiation therapy (IGRT) and 6 months of Hormone Therapy (HT) with Lupron.

October 20th – Dr. Kenneth Dale Faber : Kaiser, Urology

Treatment Plan: Robotic Assisted Radical Prostatectomy (RALP)

November 3rd – Dr. Karim Chamie : UCLA, Urology Oncology

Treatment Plan: Robotic Assisted Radical Prostatectomy (RALP)

November 3rd – Dr. Christopher King : UCLA, Radiation Oncology

Treatment Plan:

Option 1: 45 Treatments of Low Dose Image-Guided Radiation Therapy (IGRT) and Hormone Therapy with Lupron and Casodex.

Option 2: 5 Treatments of High Dose Stereotactic Body Radiation Therapy (SBRT) with Hormone Therapy with Lupron and Casodex.

Option 3:  Combined High Dose Radiation (HDR) Brachyatherapy and External Beam Radiation Therapy (EBRT) with Hormone Therapy with Lupron and Casodex. (This program is called the Triple Play for cancer treatment)

November 10th – Dr. Richard Lam : Prostate Oncology Specialist, Medical Oncologist

Treatment Plan: We discussed all available treatment plans in the context of my high risk tumor.  In Dr. Lam’s opinion the chances of needing radiation after surgery is fairly high with my tumor location in the apex of the transition zone.  With a curative process in mind we agreed that the best treatment plan would be the Triple Play of: HDR Brachyatherapy, a short course of EBRT and Hormone Therapy with Lurpon and Casodex.  A possible additional short course of Chemo and or additional Hormone Thereapy with other drugs such as Zytiga or Xanti because of my age.

So I have reflected on all of this and have made up my mind on the best treatment plan.