Seeking Support

9 years 6 months ago #47083 by Alan
Replied by Alan on topic Seeking Support
I just posted on another thread an article about diversions. Pretty straight forward: my.clevelandclinic.org/health/treatments_and_procedures/hic_Urinary_Reconstruction_and_Diversion.

I am also going to post a file that I thought I had lost. It is almost too involved but, does give you questions to ask:

File Attachment:

File Name: preopquest...orRC.doc
File Size:28 KB

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
Attachments:

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9 years 6 months ago #47081 by codocee
Replied by codocee on topic Seeking Support
Wow, a lot has happened in 24hrs. I have a consul with OHSU Knight Cancer Center in 10 days with the head and chair of the Urology Dept to look at my options. They are out of network for my insurance so I'm hoping the mentioned Usual and Customary fees can be manageable. ANY IDEA ON COST FOR BLADDER REMOVAL AND DIVERSION? PLEASE! I'm worried this could get very expensive but I need to feel I've made the right choice. I guess I'll just try and find as much info as I can and make a decision.

Can anyone please give me their brief thoughts on the various diversions. Pros and cons of each:

Much appreciative of the support here.

Today has been a much better day!

THANKS ALL

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9 years 6 months ago #47078 by sara.anne
Replied by sara.anne on topic Seeking Support
Joe, you MUST have a surgeon who does more than "one about six weeks ago".... One number I have seen thrown around is about 50 a year! It almost seems as if the he is recommending (and it is the simplest) might be the only one he knows how to do.

George gave you some good advice. You need to consider all the options and decide for yourself with the help of your doctor which is the very best for you and for your future.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator

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9 years 6 months ago #47077 by codocee
Replied by codocee on topic Seeking Support
Thank you everyone for your responses. This is giving me hope. If I elect to go to OHSU,this would be my third urologist and final change. I want the best care I can receive and feel the university may provide a team approach, which is what I'm looking for. I know I need to get with it as my diagnosis was confirmed 10 days ago and my urologist is kind of pushing me. I'm not sure if my insurance will allow me to go there,particularly after changing urologist twice now, but I am planning to call today to confirm.

I just feel that the DR is very busy and doesn't have a lot of time to spend with me. The first one referred me to a colleague to do the biop without any pre-op consultation, which concerned me, so I got a referral from my new primary care physician to the second urologist that I'm currently with. He performed the biop and briefly explained options. When I asked how many stoma surgeries he has done, he didn't really give a solid number but I felt this was his personal choice. He did not mention having done any bladder reconstruction, which now after conferring with him, I'd like to explore as well. We did speak of a bladder spare and he said he would have a radiation oncologist contact me yesterday, which he never did. The other issue I felt uncomfortable with was I asked to speak with any current or former patients and he said, "I have one who had removal about six weeks ago". I was hoping he could provide a small list of folks who are in the world, living with there change.

The diagnosis is confirmed, now I want someone who will explain my options and help me make the right choice for me. I need to feel confident in my care and get moving. I have not felt that emotion from the professionals I've seen. Seems more like an adversarial relationship....not good I believe.
Let me be confident in my care and I will take it, hook, line and sinker.

Please help

Joe

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9 years 6 months ago #47076 by GKLINE
Replied by GKLINE on topic Seeking Support
Joe
I was given a couple of choices when I had bc. My cancer had not yet perferated the bladder so I did not have to have any chemo.
They removed my bladder and prostate and I have a neo bladder.
I took a long time to adjust to my "new me" and I still have a few leaking issues. But I am alive and aside from a few inconveniences..... Perfect in my own mind.

There are different procedures to be considered. They should be laid out for you and when the Dr suggests one in particular, Ask him why he chose that one. Like every person is different, so is the way to handle this disease.

What ever way you choose, make sure that you and your Dr are on the same page about aggressivly attacking this disease.

Sincerely
George

Light a man a fire and he is warm for an evening.
Light a man ON fire and he's warm forever.

08/08/08...RC neo bladder
09/09/09...New Hip
=
New Man! [/size]

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9 years 6 months ago #47075 by sara.anne
Replied by sara.anne on topic Seeking Support
Now is the time for you to step back and make some decisions. You say that your urologist wants you to "have a bag." Has he told you WHY he thinks that this is the best option for you?

OHSU has a very good urology department....I would strongly urge you to take the time to schedule a consult there. My urologist (at St. Vincents in Portland) trained at OHSU. He has told me that if it ever comes to bladder removal he would INSIST that I get a second opinion. Whatever decision you make will be one you will live with for a long time.

Best of luck to you!

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator

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