Prostate Cancer and The Amazing daVinci System

Chuck Gallagher - The Ethics Expert

Unlike normal blogs dealing with Choices, Ethics, and Consequences – my topics as a professional motivational speaker – it seemed appropriate today to speak of my complete recovery from prostate cancer hoping that it might help others who are faced with decisions on prostate cancer treatment.

Discovering I had prostate cancer at the age of 47 was almost an accident and certainly not something that in any way I expected. I had no symptoms – none whatsoever. In layman’s terms, everything seemed to work fine. So the discovery of prostate cancer was quite accidental. It seems I had gone to my doctor simply requesting a pill (propecia – a drug to reduce hair loss). She required I have a blood test, as this drug would have an effect on my PSA. Frankly, all that was greek to me…as I didn’t know what PSA was and had never had it checked. I hated needles – had always said I was allergic to them – hence I avoided being stuck as much as I could. But on this day in November 2004 I decided to take the plunge – have my blood checked – and get the prescription.

Two days later I got a call while out of town saying that all the lab work was fine except that my PSA was a bit elevated – it was 4.58 and for someone my age that was high. My doctor referred me to a Urologist. The appointment was set.

Of course I had some concern, but after all, all the plumbing seem to work fine and I had no symptoms, so surely there was no problem. The Urologist’s exam was routine – in fact he said he thought I had nothing to worry about as he felt nothing abnormal. But, to be on the safe side he schedule a biopsy. Being fearful of needles (and a biopsy is the ultimate needle) I asked if it would hurt. His response, “Most men don’t really feel a thing.” That was a lie! Looking back, I would have asked for good drugs as that was the most painful experience I can recall.

Several days following the biopsy I received the results. Prostate Cancer! I had a Gleason score of 6 and 30% of one side of my prostate was cancerous. My heart sank as I received the news. How could I, a 47 year old healthy male, with no other medical issues have prostate cancer? And, how amazing that it was caught by a simple test that my well versed female doctor required. Looking back, her diligence saved my life.

What next?

My local doctor wanted to schedule surgery immediately. He said I had four options: (1) Radical prostotectemy (traditional surgery); (2) Radiation; (3) Hormone therapy and/or (4) Watch and wait. Again, he recommended surgery. My immediate question was how many of the surgeries that he was suggesting did he do weekly or monthly. The number was low. In the back of my mind I thought, “Hum, maybe I need someone who isn’t so surgery happy and who does this delicate removal frequently.” I was like learning to play golf – I would prefer to learn from someone who plays daily than learn from a weekend hacker. Maybe that analogy seems harsh, but after all the decision made would have lasting and profound effects.

Following the meeting with the Urologist, and after telling my family (who thought I was joking), I spent some time in research. First thing I found – based on my diagnosis – I had time to consider carefully my options. Not that nothing should be done, but I didn’t have to rush into any hasty decisions. Prostate cancer generally is slow in it’s progression. CAUTION – do not use my experience as a crutch to avoid treatment (I witnessed my father-in-law die from complications from prostate cancer), rather, seek competent medical help in making your treatment decisions.

Options Considered:

Watch and wait. Well for several months I did just that. I researched – changed my diet – considered the possibility that I could reverse what existed and even reduce the cancer. I began a regiment of daily intake of cottage cheese and flax seed oil. For a short time I actually saw a decrease in my PSA; however, that was short lived. What I did learn was that diet was important – not only for general well being – but an effective tool in promoting a cancer free body. This was valuable time in that it gave me the opportunity to consider all my options.

Radiation Therapy. Not really an option for me. While I talked with a man in his late 60’s to early 70’s who had outstanding results using focused radiation (proton therapy I think it was called), the reality is – once you opt for radiation and the tissue is destroyed, if prostate cancer returns, it cannot be surgically removed. Hence the best advice I received was, in my case, this would not be a practical option. By the way information on proton treatment can be found at http://www.protons.com or at http://www.llu.edu. The people I talked with who had used this treatment were extremely pleased with the level of care they received and the overall outcome.

High Intensity Focused Ultrasound (HIFU). In my search for the right treatment, I spent much time in considering this alternative. There were three practical objectives I wished to accomplish with whatever treatment I selected: (1) Cancer elimination, (2) Minimal issues with incontinence (preferably none) and (3) minimal issues with erectile function (again, preferably none). Based on my Gleason score and prostate cancer diagnosis, it seemed that this treatment would be viable. For research information visit http://www.ushifu.com. As part of my consideration I met with Dr. George Suarez, Medical Director for USHifu. He reviewed my medical background and was kind in taking the time to discuss with me my options using this new prostate cancer treatment. Dr. Suarez took the time to explain all my options and how, if I elected, HIFU could be effective while meeting my three objectives. My only resistance was, at the time, it was not an option yet approved by the FDA in the United States, hence I would have to seek the treatment outside the scope of my medical insurance outside of the country. While I gave this serious consideration, I ultimately decided to go another route.

Radical Prostatectomy. All of the possibilities above, brought me back to the original suggestion – SURGERY. The issue I had was what kind and who would perform it. Since I had the time to research I discovered (through the wonder of the Internet) this, then, new procedure called a robotic-assisted radical prostatectomy. Hum…seemed that needed more study. Of course, at the time, Johns Hopkins Brady Urological Institute was recognized as one of the best in the world for prostate cancer research and study. After careful consideration I contacted Johns Hopkins inquiring about this seemingly new procedure – using the daVinci Surgical System. http://www.urology.jhu.edu/MIS/daVinci/ The folks at Johns Hopkins could not have been more caring and helpful as I sought all my treatment options. Of course, they reviewed my file carefully and spent all the time I wanted and needed to evaluate my options. Dr. Li-Ming Su was my surgeon and my hat is off to him and his skill and patience. In the end, one thing was clear – all other options being equal – surgical removal was still the “gold standard” in the fight against prostate cancer. Likewise, it appeared that this robotic assisted laparoscopic radical prostatectomy would meet my three objectives.

The surgery went fine – of course I don’t remember a thing – so all I can base it on what the Doctor’s report. Initially the report indicated that the cancer was contained in the prostate and the removal should yield me “cancer free.” Of course this was to be confirmed later from lab reports. The first several days following surgery were not pleasant, but tolerable. Within three days, I boarded a plane and flew home to North Carolina – travel was not a big issue. The most discomforting thing following surgery was the catheter – which remained in for three weeks.

Outcome. Within four weeks following surgery I boarded a plane to Dallas, TX to begin a new job. My energy level was back and I had minimal incontinence isses with subsided within another three weeks. Within seven weeks of surgery incontinence was not an issue. Erectile function returned within three months (with the aid of medication) and returned to full function (without medication) within twelve months.

Now it’s been two years since surgery and all three objective have been achieved. Life is normal. I am cancer free. My sincere thanks to all who were there for me as I sought out the treatment that was right for me. I would not have the opportunity to function as a motivational speaker today if it were not for the skill and help of the fine folks at Johns Hopkins. While printing such personal items for all to read may seem (to some) out there! I feel that, perhaps, others who find themselves diagnosed with prostate cancer may learn from my experience. If you find this helpful, but still need to talk – please visit my web site: http://www.chuckgallagher.com and contact me through that portal. I’ll be happy to talk with you via e-mail or phone.

Chuck Gallagher is an international speaker and author who shares his life experience in a way that is meaningful for his audiences. For information on Chuck’s presentations or how to subscribe to his free ezine…visit http://www.chuckgallagher.com

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12 Responses to Prostate Cancer and The Amazing daVinci System

  1. Nick Stevens says:

    Hi Chuck

    Pleased to hear that you have had a good outcome with your surgical treatment. We help guys get HIFU tretament here in the UK and out of around 650 men treated so far we have had 93% of patients with a successful outcome at 2 years. Less than 1% have incontinence problems and about 60% have full erectile function.

    We are working with a new technique for guys such as yourself with only half the prostate affected. It is called focal therapy, and involves just treating the pieces of cancer rather than the whole prostate. It is a day treatment and has a very quick recovery with, so far, remarkably good results – hardly any side effects at all !!!!

    If you want to know more, let me know.
    Best wishes.
    Nick

  2. I seriously considered HIFU. Had insurance covered it in the US that is likely the route I would have chosen. As it turns out, I am happy with the result using the daVinci method of surgery.

  3. David says:

    In my research on Prostate Cancer treatment I found the laparoscopic surgeon I keep linking to. This method seems like the best in my opinion to getting up and around again in no time. As a person that is at high risk I find it reassuring to know treatments like this are out there for the future.

  4. I am a;ways very happy to hear of a good outcome, regrdless of the choice of treatment. I am flattered with the comments of”kind enough to take the time to explain all alternatives.” And that is how it should be. As a doctor, it is our moral obligation to give patients as much information as possible, and it should ALWAYS AND ULTIMATELY be their choice/decision to make. HIFU is but one of many alternatives for the treatment of localized prostate cancer, and hopefully will be approved in the U.S. someday.

    George M. Suarez, M.D.
    Medical Director, USHIFU

  5. Dr. Suarez – my best to you and glad to see your comment. For the readers, I would like to add, that HIFU was a serious consideration on my part. As part of my exploration, I talked with five former patients of Dr. Suarez and his team and all had raving reports. The prime issue for me was insurance coverage which ultimately lead me to the daVinci method. However, I too hope that it is approved in the US soon as I think that treatment has huge advantages. Again, Dr. Suarez my best to you and thank you for the time you invested in me. It will always be remembered.

  6. […] Prostate cancer, unlike most cancers, can generally be detected through a simple blood test. While that isn’t fool proof, a PSA test required by my doctor, saved my life. If Ross could speak to us today, I am confident that he would shout from his Harley – get tested NOW! While the rule of thumb is that you should have the test certainly by age 50 – I contend that you should start in your early 40’s. Mine was diagnosed at age 47. Prostate cancer is curable if caught early enough. If you have been diagnosed with prostate cancer, consider reading one of my early blogs related to treatment options – a link is attached: prostate cancer blog […]

  7. Hi, Chuck,

    I just wanted to touch base with you to let you know my new book on robotic surgery will soon be in print. It will also offer ways to overcome pain, stress, and treatment side effects like impotence and incontinence.

    While the main print run will be available by mid-October (2008), I’d like to send you a copy from an initial first edition run two weeks from now – around September 20th.

    As you may recall, the book is called “Conquer Prostate Cancer: How Medicine, Faith, Love and Sex Can Renew Your Life.” Just let me me know by private e-mail where I might send you a personal copy. Perhaps we can discuss it once you’ve had a chance to read it.

    Meantime you might want to take a preliminary look at an overview of the book and related matters on my new blog site http://www.ConquerProstateCancer.com.

    All the best in your ongoing endeavors.

    Ed Weinsberg
    (Rabbi) Ed Weinsberg, Ed.D., D.D.

  8. Darren Ritch says:

    Hello Chuck,

    I first wanted to thank you for your article. When I was diagnosed at age 41 with prostate cancer back in May I went to the Internet to search for information on people diagnosed in their early forties. I did not find a lot of information, but I did find you web site and was inspired by your story. I had my robotic surgery on June 30th and am now cancer free. Becuase I couldn’t find a lot of information out there I decided to blog my entire exprience so that others might benefit. I also am using it as a platform to educate men my age on the importance of proactive screening (DRE) during their annual physicals. My blog address is http://www.darrenritch.blogspot.com

    I also did an article with a local magazine to extend that awareness which can be read at http://www.ocalamagazine.com , click on “this months features” and scroll down to “Pulse”.

    Thanks again for sharing your information. I used it in my research for treatments and am very happy with my outcome 10 weeks later.

    Darren Ritch

  9. conferences and seminars through out the year to ensure they have the most recent urologic information for their patients. They also incorporate vitamins and nutritional supplements into their recommended patient care.

  10. Haltom says:

    good work thanks….

  11. […] #split {}#single {}#splitalign {margin-left: auto; margin-right: auto;}#singlealign {margin-left: auto; margin-right: auto;}.linkboxtext {line-height: 1.4em;}.linkboxcontainer {padding: 7px 7px 7px 7px;background-color:#eeeeee;border-color:#000000;border-width:0px; border-style:solid;}.linkboxdisplay {padding: 7px 7px 7px 7px;}.linkboxdisplay td {text-align: center;}.linkboxdisplay a:link {text-decoration: none;}.linkboxdisplay a:hover {text-decoration: underline;} function opensplitdropdown() { document.getElementById('splittablelinks').style.display = ''; document.getElementById('splitmouse').style.display = 'none'; var titleincell = document.getElementById('titleincell').value; if (titleincell == 'yes') {document.getElementById('splittitletext').style.display = 'none';} } function closesplitdropdown() { document.getElementById('splittablelinks').style.display = 'none'; document.getElementById('splitmouse').style.display = ''; var titleincell = document.getElementById('titleincell').value; if (titleincell == 'yes') {document.getElementById('splittitletext').style.display = '';} } Concerns prior to scheduled Prostate Cancer Biopsy and I am hoping someone (perferrably a urologist) can?“How Accurate are Prostate Cancer Biopsies?” featuring Dr. Tewari (ProstateCancerMD)Prostate Cancer PsaProstate Cancer: Still checking my progress with PSA testsProstate Cancer and The Amazing daVinci System […]

  12. […] An intensive diet and lifestyle program can slow or possibly stop the growth of early prostate cancer. http://www.foxnews.com A new study shows that diet may play a significant role in stopping, or even reversing, early prostate cancer. Exercising more frequently, even in moderation, may also go a long way in retarding the disease. The study findings apply only to men with early prostate cancer. This means that under a microscope the cancer cells do not appear aggressive. It also means that the prostate cancer had not spread outside the prostate. No man should ever rely on lifestyle changes alone to treat prostate cancer without first talking to their doctor. Study: Prostate Screening Saves Lives No. 1 Cancer Prostate cancer is the most common cancer in men in the US, according to the American Cancer Society. It is the second deadliest cancer in men, behind lung cancer. Most prostate cancers occur in men over 65. Past research has indicated that men who eat high-fat diets may be more likely to develop prostate cancer. This study provides important new information for men with prostate cancer and all men who hope to prevent it, says Peter Carroll, chairman of the department of urology at the University of California, San Francisco, in a news release. Researchers studied 93 men whose biopsies had shown they had early prostate cancer. The participants were divided into two groups. All of them agreed to forgo any conventional prostate cancer treatment. Prostate cancer is often a … Mouse here for Related LinksProstate Cancer and The Amazing daVinci System […]

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