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Who should be in charge


Popeye

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I was wondering what thoughts may be out there as to what doctors should be in charge of treatment for those with advanced PCA. In my short experience so far it appears that urologists and radiologists are the two main directors of a mans treatment. My question for you people is should a medical oncologist be consulted also.

Lee aka Popeye

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My recommendation is it is good to consult a medical oncologist if you are being treated for advanced PC over a longer time span (say more than 6-12 months) and particularly if that includes hormone treatment. If the hormone treatment extends further it is also wise to consult an endocrinologist and have bone density checks to control the risk of osteoporosis. I am not as familiar with radiation oncologists but my impression is that while some urologists are very good, longer term advanced PC treatment is not their specialty and medical oncologists are best. I understand there have been shortages of medical oncologists and that may be a constraint, particularly in remoter areas.

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I agree with Tony. My urologist referred me to a medical oncologist once I started back on Hormone Treatment and I have been under his direction ever since. The Medical oncologist seems more across all the available options for treatment at the advanced stage PC and can recommend refer to the Radiation Oncologist or other specialist when necessary.

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Thanks Tony and Gordon for your replies. I will be in Brisbane soon having further treatment and as I am likely to be treated long term (I hope so) for advanced PCA I will be making enquiries from the urologist and radiologist as to seeing a medical urologist. many thanks for your opinions in this matter.

Regards

Lee aka Popeye

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I concur fully with Tony'srecommendations and Gordon's, particularly about seeing an Endroconologist. My case is slightly differant however, as I was diagnosed with Advanced Metastic prostate Cancer and have not seen my Urologist since Jan 2010.Willonly go back to see him if i develop urinary Tract/ flow problems. I now longer see a radiation oncologist as I am unable to have any more radiotherapy for another view years at the earliest. I now see a Medical Oncologist every 6wks prior to my Zometa infusion, alternating with an Oncology Physician. All the best.

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