Saturday, February 7, 2009

Nuculeur infusion of heart.?

301>Facing Postate Surgery but had to get my risk factors due to some heart problems, and dietbetics. It was a six hour test to determing if my heart, inside the heart has any blockage. The Urologist is worried about my Anti-Fibulation, and being put under for maybe four hours. My Cardiologist is trying to get my risk factors before surgery as my Urologist had to have.


My prostate cancer has not spread away from the gland, but if it does it is all over. Now I am curable.





My question is if they give me a 50-50 chance of recovering from the surgery would you have it done. In my mind if it is 50-50 I will not have the prostate removed and just wait for the pain, we talking about real pain when the cancer enters the pelvis (bone) area. No morphine drip will ease the pain....
Reply:Have you considered radium seed implantation into the prostate. If your cardiologist is concerned about the surgery there are radiation methods that can treat the prostate. Check with a radiation therapist/oncologist.
Reply:your dilemma is something modern medicine continues to struggle with even today.





prostate cancer is relatively slow growing so for someone elderly and with other coexisting medical problems (such as heart disease), it%26#039;s more likely that the patient will die before he develops clinically significant symptoms from his prostate cancer. it sounds harsh, but why do major surgery (remember that a prostatectomy is fairly major surgery) when the patient will probably be dead in a few years anyway?





also keep in mind that prostatectomy is not without risks. some men would rather be dead than impotent, which is one potential risk of the surgery.





you%26#039;re right that in the end stages, if the cancer metastasizes, it can be quite painful, but again, that%26#039;s where you%26#039;ve got to play the odds. are you more likely to die of other causes before then anyway? if so, i agree with you- i wouldn%26#039;t have the surgery.





btw- i think the heart condition you%26#039;re referring to is atrial fibrillation, and the test you%26#039;re getting is called a myocardial perfusion scan. and you%26#039;re right- that test will determine if you have blockages in your coronary arteries or if you%26#039;re at risk to have a heart attack.

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