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Advanced grade IV prostate cancer, bone metastasis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   My 61 year old father has been diagnosed with Advanced Level IV Prostate Cancer. He has been healthy in the past beyond arthritic knees. His PSA score was 60 the first test; the 2nd test was 4 (before any treatment). He did not tell me of his condition until 5 months after his diagnosis, and because of this, I am afraid to ask him straight-forward questions. His cancer has spread to the lymph nodes and there is evidence of bone metastases. I don't know how scared I should be. Does he has months or years to live?
Doctor :   hi
User :   hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
User :   ok
Doctor :   if the cancer has spread to the bones due to metastasis, life span wil be less
User :   why?
Doctor :   you can expect few months time. is he on any chemo/radio therapy?
User :   hormone therapy
Doctor :   metastasis to bones and the advanced level IV cancer is very hard to treat and stop the progression more
User :   he voluntarily went to the doctor for a PSA test with no symptoms
Doctor :   prostrate cancer can be asymptomatic or very minimally symptomatic. if the patient delays and keeps ignoring symptoms, it can go on to a advanced level before it is diagnosed
User :   why can't the bone metastasis be treated?
Doctor :   was a whole body PET scan done for him to look for all the metastasis?
User :   good question--I will have to ask
Doctor :   if the bone metastasis is less, the progression can be controlled with combined radio and chemotherapy
Doctor :   but if it is more, nothing can be done
Doctor :   bones are hard to permeate, medications do not reach there
User :   his dr. has mentioned nothing about radio or chemo
Doctor :   and the cancer cells can spread more
User :   only hormone therapy
Doctor :   you need to discuss his problem with a Oncologist
User :   is this because it is beyond radio and chemo?
User :   Ok...i don't know how to go about getting a consult
Doctor :   i would suggest you to take an opinion from our panel oncologist by providing all his recent reports after he got diagnosed with cancer
Doctor :   i will provide you the link to consult them. you can communicate with them via e-mail or phone call
Doctor :   as per your need
User :   thank you
Doctor :   WWW.WWWW.WW
User :   thank you for your time
Doctor :   WWW.WWWW.WW
Doctor :   this link will help you to decide which oncologist you would like to speak to
Doctor :   WWW.WWWW.WW
Doctor :   you can go through this link in your free time to learn more about prostate cancer.
User :   thank you... I guess I thought that I could speak with an oncologist with my original purchase
Doctor :   no, it is not like that since they are specialists, trhey have different consultation charges
Doctor :   *they
Doctor :   if you choose phone answer from the specialist, the specialist calls you up, you need not spend on the phone call
Doctor :   and you have option to clear all your queries for any length of time
Doctor :   I will see if you can speak to them at a discounted rate of 20%
User :   ok
Doctor :   once you request for the specialist opinion, I will request one of the CRM team members to get in touch with you to help you avail this discount
Doctor :   please confirm your contact details
Doctor :   you can send all the reports copies of your father at YYYY@YYYY
Doctor :   and we will forward these to the specialist along with your query at no extra cost.
Doctor :   ask your father about PET scan for whole body and the IHC (immunohisto chemistry) tests if done
User :   thank you!
User :   I will
Doctor :   they will provide answer to what is the current status of cancer and what we can expect the outcome to be
Doctor :   with the chemotherapy and possible radiotherapy approach
User :   ok
Doctor :   since the treatment of prostate cancer includes surgery, chemotherapy, radiation therapy, immunotherapy, and vaccine therapy, we have to what best can be done at the current status of your father's condition
Doctor :   based on his reports
Doctor :   have you followed what I have said?
User :   yes
Doctor :   please confirm your contact details for our CRM team to be able to contact you.
User :   e-mail: YYYY@YYYY
Doctor :   is there anything else I can help you with?
User :   I think this is all..thank you for your help tonight
Doctor :   thanks for consulting me. bye for now.
User :   bye
Doctor :   do get back to me if you have further queries
Doctor :   take care. bye.
User :   good night
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