RE: Active surveillance takes place of watchful waiting

[Guest guest]

Thought those who find

this concept interesting might like to read an excerpt from an article written

a little over ten years ago by Tom , one of the first " Watchful

Waiters " to out himself. This follow up to his original article was

published in May 1996 in FORTUNE magazine and may be read at http://tinyurl.com/qoour

<SNIP> Though

trained in radical prostatectomy at s Hopkins by Walsh, who is

widely regarded as the best in the business, Jarow contends that the men most

likely to be cured--those with the small, low-grade tumors that surgeons like

and that PSA tests now pick up in abundance--may not need curing since they'll

probably live to die of something else. On the other hand, he says, men who

most need to be cured--those with large, advanced tumors--probably can't be

cured, since their cancer is likely already out of the barn.

Since I wrote the

article, it appears that more doctors currently accept watchful waiting as a

legitimate option in the case of small, low- to moderate-grade prostate tumors,

even in " young " men such as myself (I'm 65). A team from the Mayo

Clinic, for example, has defined as " clinically insignificant " most

prostate tumors unlikely to grow larger than 20 cubic centimeters in the

projected lifetime of the patient. <SNIP>

I contacted Tom some

years back since I was following the same path as he was and he was still going

strong - and still WW!

All the best

Terry Herbert

in Melbourne

Australia

Diagnosed ‘96: Age

54: Stage T2b: PSA 7.2: Gleason 3+3=6: No treatment. June '04: TURP. Aug '06

PSA 27.4

My site is at

www.prostatecancerwatchfulwaiting.co.za

It is a

tragedy of the world that no one knows what he doesn’t know, and the less

a man knows, the more sure he is that he knows everything. Joyce

Carey

From: ProstateCancerSupport

[mailto:ProstateCancerSupport ]

On Behalf Of Kathy Meade

Sent: 13 August 2006 06:41 AM

To: PROSTATE@...; ProstateCancerSupport ;

circle@...

Cc: Fred Gersh

Subject: Active surveillance takes place of watchful

waiting

Prostate cancer: Active surveillance takes place of

watchful waiting

By SUSAN BRINK

LOS ANGELES TIMES

It was, many physicians would say, the right thing for a man of

53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was

5.3,'' says Cano, a film producer from Newport

Beach, Calif. ''They

say anything over 4 is noteworthy.''

The

noteworthy result, followed by a positive biopsy, sent Cano pinballing from

surgeon to radiologist and back with what he believes, three years later, was an

exaggerated sense of urgency.

He

may be right. Researchers - and a few doctors - are beginning to agree: Even

many younger men with prostate cancer can afford to wait.

''Most

of the time, I tell men that they may need treatment, but they're not going to

die,'' says Mark Scholz, a Los Angeles

oncologist, specializing in prostate cancer. ''A lot of men with low-grade

cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy

Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact

your legislators. Ask them to fully fund cancer research.

You may say I'm a

dreamer, but I'm not the only one, I hope someday you will join us, and the

world will live as one. -- Lennon

[Guest guest]

Our dr.s never gave us options. At psa 5, 6 or 7 options were never brought up or discussed by our drs. I guess they just took it upon themselves to do the "watchful waiting". Did anyone else experince this? dee

Reply-To: ProstateCancerSupport To: <ProstateCancerSupport >Subject: RE: Active surveillance takes place of watchful waitingDate: Sun, 13 Aug 2006 11:25:39 +1000

Thought those who find this concept interesting might like to read an excerpt from an article written a little over ten years ago by Tom , one of the first "Watchful Waiters" to out himself. This follow up to his original article was published in May 1996 in FORTUNE magazine and may be read at http://tinyurl.com/qoour

<SNIP> Though trained in radical prostatectomy at s Hopkins by Walsh, who is widely regarded as the best in the business, Jarow contends that the men most likely to be cured--those with the small, low-grade tumors that surgeons like and that PSA tests now pick up in abundance--may not need curing since they'll probably live to die of something else. On the other hand, he says, men who most need to be cured--those with large, advanced tumors--probably can't be cured, since their cancer is likely already out of the barn.

Since I wrote the article, it appears that more doctors currently accept watchful waiting as a legitimate option in the case of small, low- to moderate-grade prostate tumors, even in "young" men such as myself (I'm 65). A team from the Mayo Clinic, for example, has defined as "clinically insignificant" most prostate tumors unlikely to grow larger than 20 cubic centimeters in the projected lifetime of the patient. <SNIP>

I contacted Tom some years back since I was following the same path as he was and he was still going strong - and still WW!

All the best

Terry Herbert

in Melbourne Australia

Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason 3+3=6: No treatment. June '04: TURP. Aug '06 PSA 27.4

My site is at www.prostatecancerwatchfulwaiting.co.za

It is a tragedy of the world that no one knows what he doesn’t know, and the less a man knows, the more sure he is that he knows everything. Joyce Carey

From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Kathy MeadeSent: 13 August 2006 06:41 AMTo: PROSTATELISTSERV (DOT) ACOR.ORG; ProstateCancerSupport ; circleprostatepointers (DOT) orgCc: Fred GershSubject: Active surveillance takes place of watchful waiting

Prostate cancer: Active surveillance takes place of watchful waiting

By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.''

The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency.

He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait.

''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

Kind of reminds me of musical chairs, where you wait for the music to stop and hope you get a chair. Only someone doesn't get a chair. And if you are that one, it makes a big difference. What determines when the ww is over and something else needs to be done? dee

Reply-To: ProstateCancerSupport To: ,<ProstateCancerSupport >,Subject: Active surveillance takes place of watchful waitingDate: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of watchful waiting

By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.''

The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency.

He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait.

''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

Dee you ask a good question: <snip> What determines when the ww

is over and something else needs to be done? <snip> to which there

is no clear answer. Generally speaking what will trigger action is a continuous

rise in PSA numbers.

Every man who is diagnosed with prostate

cancer has to, at some stage undertake what is called Watchful Waiting. There are

those, like me (and Tom in the piece I forwarded), who choose not to

have conventional treatment, but to start the WW process from day one. The men

who choose conventional treatment, on the other hand, start their WW from the

time that they have their chosen procedure. I say that because there are no

guarantees of cure with this disease, no matter what choices are made and

therefore every man must monitor his PSA after treatment for signs of what is

known as BCF or bio chemical failure – i.e. his PSA increases.

All the best,

Terry Herbert in Melbourne, Australia

Diagnosed ‘96: Age

54: Stage T2b: PSA 7.2: Gleason 3+3=6: No treatment. August '06 PSA 27.4

My site is at www.yananow.net

As a

physician, I am painfully aware that most of the decisions we make with regard

to prostate cancer are made with inadequate data: Dr

“Snuffy” Myers.

From: ProstateCancerSupport

[mailto:ProstateCancerSupport ]

On Behalf Of dee banks

Sent: 13 August 2006 12:06 PM

To: ProstateCancerSupport

Subject: RE: Active surveillance takes place of watchful

waiting

Kind of reminds me of musical chairs, where you wait

for the music to stop and hope you get a chair. Only someone doesn't

get a chair. And if you are that one, it makes a big

difference. What determines when the ww is over and something else needs

to be done? dee

From: " Kathy Meade " <kmeadelistaec225>

Reply-To: ProstateCancerSupport

To: <PROSTATELISTSERV (DOT) ACOR.ORG>,<ProstateCancerSupport >,<circleprostatepointers (DOT) org>

CC: " Fred Gersh " <fmgersh>

Subject: Active surveillance takes place of

watchful waiting

Date: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of

watchful waiting

By SUSAN BRINK

LOS ANGELES TIMES

It was, many physicians would say, the right thing for a man of 53 to do. So

Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says

Cano, a film producer from Newport

Beach, Calif. ''They

say anything over 4 is noteworthy.''

The

noteworthy result, followed by a positive biopsy, sent Cano pinballing from

surgeon to radiologist and back with what he believes, three years later, was

an exaggerated sense of urgency.

He

may be right. Researchers - and a few doctors - are beginning to agree: Even

many younger men with prostate cancer can afford to wait.

''Most

of the time, I tell men that they may need treatment, but they're not going to

die,'' says Mark Scholz, a Los Angeles

oncologist, specializing in prostate cancer. ''A lot of men with low-grade

cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy

Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact

your legislators. Ask them to fully fund cancer research.

You may say I'm a

dreamer, but I'm not the only one, I hope someday you will join us, and the

world will live as one. -- Lennon

[Guest guest]

Hi All,

Watchful Waiting is a viable alternative for many men with low

grade prostate cancer. But we cannot always be sure of the

beast. I have a chapter in Chapter 7 of my book , A Revolutionary

Approach to Prostate Cancer. (You can read the book for FREE.

See instructions below my signature.)

Here is a quote from Chapter 7:

"Waiting Too Long One of the early advocates of watchful waiting was Dr. Willet E. Whitmore of the Memorial Sloan­Kettering Cancer Center. He and Dr. Jewett developed the A B C D staging system for prostate cancer. Dr. Whitmore coined the phrase "Is cure necessary for those in whom it is possible and is cure possible in those for whom it is necessary?"

Dr. Whitmore was stricken with prostate cancer himself. He chose to watch and wait. He later died of prostate cancer. Shortly before he died, it was reported that he said he regretted the fact that he had waited too long before actively treating his disease.

There is definitely a window of opportunity for cure. We have several tools that can help recognize that window. But none of them are absolute."

I wish you all the bestAubrey Pilgrim, DC (Ret.)Author of A Revolutionary Approach to Prostate Cancer-Read the original book for free at:

http://www.prostatepointers.org/prostate/lay/apilgrim

Our dr.s never gave us options. At psa 5, 6 or 7 options were never brought up or discussed by our drs. I guess they just took it upon themselves to do the "watchful waiting". Did anyone else experince this? dee

[Guest guest]

Dee,

Unfortunately there is much information that we do not have about PCa. Each man has to learn as much as he can about the disease. He needs to make the decision that is best for him.

I knew that this article would bring a comment from Terry. This has been his "treatment" of choice but it isn't appropriate for all men. This and other lists can help. Going to a support group can help. Reading a variety of books can help. Talking to several doctors can help.

Sorry that there is no easy answer. I think we all wished there was.

Kathy

Active surveillance takes place of watchful waitingDate: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of watchful waiting By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.'' The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency. He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait. ''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

I am somewhat angry at my husband's dr. He did not explain about any other options. We did not know he took it upon himself to "ww". We believed in him, that he was honest with us. Obviously he was not. He withheld information from us which would have allowed us to be part of my husband's medical decisions. We did not know that there were other options besides his ww that we could have considered.

Reply-To: ProstateCancerSupport To: <ProstateCancerSupport >Subject: RE: Active surveillance takes place of watchful waitingDate: Sun, 13 Aug 2006 12:27:31 +1000

Dee you ask a good question: <snip> What determines when the ww is over and something else needs to be done? <snip> to which there is no clear answer. Generally speaking what will trigger action is a continuous rise in PSA numbers.

Every man who is diagnosed with prostate cancer has to, at some stage undertake what is called Watchful Waiting. There are those, like me (and Tom in the piece I forwarded), who choose not to have conventional treatment, but to start the WW process from day one. The men who choose conventional treatment, on the other hand, start their WW from the time that they have their chosen procedure. I say that because there are no guarantees of cure with this disease, no matter what choices are made and therefore every man must monitor his PSA after treatment for signs of what is known as BCF or bio chemical failure – i.e. his PSA increases.

All the best,

Terry Herbert in Melbourne, Australia

Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason 3+3=6: No treatment. August '06 PSA 27.4

My site is at www.yananow.net

As a physician, I am painfully aware that most of the decisions we make with regard to prostate cancer are made with inadequate data: Dr “Snuffy” Myers.

From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of dee banksSent: 13 August 2006 12:06 PMTo: ProstateCancerSupport Subject: RE: Active surveillance takes place of watchful waiting

Kind of reminds me of musical chairs, where you wait for the music to stop and hope you get a chair. Only someone doesn't get a chair. And if you are that one, it makes a big difference. What determines when the ww is over and something else needs to be done? dee

From: "Kathy Meade" <kmeadelistaec225>Reply-To: ProstateCancerSupport To: <PROSTATELISTSERV (DOT) ACOR.ORG>,<ProstateCancerSupport >,<circleprostatepointers (DOT) org>CC: "Fred Gersh" <fmgersh>Subject: Active surveillance takes place of watchful waitingDate: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of watchful waiting

By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.''

The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency.

He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait.

''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

We had expected the dr to explain our options. Since ww was the path he chose, we assumed that was the only option. Our mistake. This was at a prestigious hospital. Because he did not explain options, it has cost us.

Reply-To: ProstateCancerSupport To: <ProstateCancerSupport >Subject: RE: Active surveillance takes place of watchful waitingDate: Sun, 13 Aug 2006 10:35:34 -0400

Dee,

Unfortunately there is much information that we do not have about PCa. Each man has to learn as much as he can about the disease. He needs to make the decision that is best for him.

I knew that this article would bring a comment from Terry. This has been his "treatment" of choice but it isn't appropriate for all men. This and other lists can help. Going to a support group can help. Reading a variety of books can help. Talking to several doctors can help.

Sorry that there is no easy answer. I think we all wished there was.

Kathy

Active surveillance takes place of watchful waitingDate: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of watchful waiting

By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.''

The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency.

He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait.

''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

You are justified to be angry. Was he a family particitioner? Where was he located? I know of several people in the US who have been successful winning malpractice suits based on missed diagnosis. At a minimum you might want to think about what you can do to change the situation so that other families do not experience what you are experiencing. How old is your husband? Sorry I do not remember if you already gave this information.

Kathy

Active surveillance takes place of watchful waitingDate: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of watchful waiting

By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.''

The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency.

He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait.

''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

My husband had at least 1 psa every year. The dr that treated him were urologist/oncologists. He is 62 years old. We are devasted. We trusted them and they withheld information. They denied us the opportunity to be involved in the decisions. Now it is too late.

Reply-To: ProstateCancerSupport To: <ProstateCancerSupport >Subject: RE: Active surveillance takes place of watchful waitingDate: Sun, 13 Aug 2006 11:17:17 -0400

You are justified to be angry. Was he a family particitioner? Where was he located? I know of several people in the US who have been successful winning malpractice suits based on missed diagnosis. At a minimum you might want to think about what you can do to change the situation so that other families do not experience what you are experiencing. How old is your husband? Sorry I do not remember if you already gave this information.

Kathy

Active surveillance takes place of watchful waitingDate: Sat, 12 Aug 2006 16:41:05 -0400

Prostate cancer: Active surveillance takes place of watchful waiting

By SUSAN BRINKLOS ANGELES TIMESIt was, many physicians would say, the right thing for a man of 53 to do. So Larry Cano had a prostate-specific antigen, or PSA, test. ''It was 5.3,'' says Cano, a film producer from Newport Beach, Calif. ''They say anything over 4 is noteworthy.''

The noteworthy result, followed by a positive biopsy, sent Cano pinballing from surgeon to radiologist and back with what he believes, three years later, was an exaggerated sense of urgency.

He may be right. Researchers - and a few doctors - are beginning to agree: Even many younger men with prostate cancer can afford to wait.

''Most of the time, I tell men that they may need treatment, but they're not going to die,'' says Mark Scholz, a Los Angeles oncologist, specializing in prostate cancer. ''A lot of men with low-grade cancer may not need treatment for five to 10 years.''

http://www.capecodonline.com/cctimes/health/prostate10.htm

Kathy Meade

Arlington Educational Consulting

http://www.vapcacoalition.org/

http://www.naspcc.org/

phone

fax

Contact your legislators. Ask them to fully fund cancer research.

You may say I'm a dreamer, but I'm not the only one, I hope someday you will join us, and the world will live as one. -- Lennon

[Guest guest]

We pray for that. But, the stress it has added to our lives is almost unbearable. I have never liked not having some kind of idea what is going to happen in my life. I used to budget my household a year in advance. And it is easier said than done to tell people you shouldn't do this or that, or look on the bright side.

My husband has advanced prostate cancer. He got a psa every year (at least once). Why wasn't his caught sooner. This didn't happen overnight. dee

Reply-To: ProstateCancerSupport To: <ProstateCancerSupport >Subject: RE: Active surveillance takes place of watchful waitingDate: Mon, 14 Aug 2006 00:24:51 -0400

This is highly unusual. The complaint heard most often is thaturologists are too fast to treat. Where in the world are you located?This is not the normal standard of care in the US. May be for otherareas of the world. In some countries they have used watchful waiting asthe standard assuming that most PCa is slow growing. Even with a more advanced cancer, your husband with proper treatmentwith hormones or some of the new novel treatments can live a very longlife. Kathy-----Original Message-----From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of dee banksSent: Sunday, August 13, 2006 10:55 PMTo: ProstateCancerSupport Subject: RE: Active surveillance takes place ofwatchful waitingMy husband had at least 1 psa every year. The dr that treated him wereurologist/oncologists. He is 62 years old. We are devasted. Wetrusted them and they withheld information. They denied us theopportunity to be involved in the decisions. Now it is too late._,___