Joining the BC Club: Episode 2

12 years 5 months ago #40030 by mamatrausch
Replied by mamatrausch on topic Joining the BC Club: Episode 2
I agree!!! Find a new Doctor!!! You deserve to be kept informed!!
I find myself struggling to communicate with my Dr also. When you dont feel informed enough by the Doctors to make choices about your own treatment path it is maddening!!!
Julie
PS I love a good cold swim in Lake Michigan!!!

T1/G3-CIS 10-01-2010
10-27-2010-Indiana Pouch

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12 years 5 months ago #40029 by GKLINE
Replied by GKLINE on topic Joining the BC Club: Episode 2
Isn't this a little late for a scarey Haloween tale?

I'm with them...... fine a new Dr.

You deserve it!

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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12 years 5 months ago #40011 by DougG
Replied by DougG on topic Joining the BC Club: Episode 2
RBMC,

Hope you got to a new doctor by Episode 3. The doc in episodes 1 and 2 is rather scary. Very well documented. Thanks for sharing.

Anita
Forum Moderator
Caregiver

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12 years 5 months ago - 12 years 5 months ago #39999 by pemquid
Replied by pemquid on topic Joining the BC Club: Episode 2
I'd definitely get another urologist if I were you, as soon as possible. Or, at the very least, a second opinion. The usual procedure is to do cystoscopy in the office to see what's there (if anything), and then schedule another appointment for tumor removal. It's unconscionable if the doctor didn't tell you right away after the surgery what was found; however, as Mike said in his post, due to anesthesia you might not remember exactly what is said to you immediately after you're out of the procedure, and you should have someone with you who can remember. Of course the pathology report to confirm the grade and stage comes later, and you would definitely need to meet with the doctor for followup conversation then.

I had my first tumor removal in outpatient surgery, and didn't have to go home with a catheter or bag. I might have had a catheter in briefly after the procedure, while in recovery, but with that "amnesia" anesthetic, I can't remember! The second time around, when I had a recurrence with 2 very tiny tumors, my urologist offered me the option of having the TURBT done in his office, without being put to sleep. They did give me an oral sedative to take, and local anesthesia gel was put in the bladder. My husband was allowed to stay with me, and we got to watch the whole thing on the monitor.

Looking forward to your further chapters. You're a great writer!

Ann

Small TA Grade 1, May-06; recur (2 tiny), same, June-08; TURBTs both times. BCG begun July-08, dosage to 1/3rd May-10, completed treatment December-11. All clear since 2008.

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12 years 5 months ago #39994 by mmc
Replied by mmc on topic Joining the BC Club: Episode 2
I'm with doc, your doctor sucks!!!!

You say you've been lurking a long while so you have to have seen the part (posted in about 8 million places) about getting to a bladder cancer specialist once you've been diagnosed by your local urologist.

After the first diagnosis of bladder cancer from a TURBT, a follow-up TURBT should be performed 6-12 weeks after the first.
The doctor should be talking to you about what the diagnosis means, the stage and grade of the cancer and the treatment plan.

Noninvasive (T0) low grade bladder cancer is often treated with the "watchful waiting" approach. That is, it grows so slow that they just keep you coming in every 3 months (and after a while changing that to 6 months) for another cystoscope. Often, that is just done in the office and if they find something they then schedule for the surgery (TURBT) to remove the tumor.

The urologist is supposed to be talking to you though. You should really check to see if maybe he actually was and you don't remember. Many types of relaxants and anesthesia cause amnesia during a period before and after surgery. Some people are more affected by that than others. Could be he talked to you for 10 minutes but you don't remember. You should ask about that. You should also bring a notepad to your appointments and ask questions and write down answers.

However, I highly recommend getting to a top bladder cancer doctor to have your treatment plan confirmed/changed as the case may be.

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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12 years 5 months ago - 12 years 5 months ago #39985 by dieseldoc
Replied by dieseldoc on topic Joining the BC Club: Episode 2
Sounds to me like your doctor sucks, to be blunt. If I were you I would be finding a good uro with some bed side manners. You don't have to be knocked out to be checked. If he finds something then do the surgery. I don't think I have heard of any thing like this.

T1,NO,MO battling bladder cancer since 2005

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