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Re: Interesting example of Rick K.(USA)-'Leibowitz protocol'~14 yrs.+

I don't disagree with what you mentioned, but his psa was high at 11.0 which is a factor in that mix. Plus his PCa did seem to return, but about 13 yrs. later and now resuming ADT3 for 2nd round. Based on what happened in his case, I might presume it was good he did not do watchful waiting/surveilance.

But I agree that watchful waiting/surveilance is useful and sane in some cases(my brother is 5 yrs. at such now), and I supported you and did so years ago and still do, because that is a persons choice and option, maybe when one should change over from doing such is the hardest part to determine. What I think is more insane is surgery on indolent PCa patients whom want it all out(who doesn't) and don't realize at any stage there is no guarantees..we see some very low stats patients with recurrance...just hope they realized up front the 'no guarantee' and real side effects issues that can be permanent or devestating.

My own opinion: Question everything on PCa is always in the patients best interests, just because someone is a doc, does not mean they are an expert in the whole disease(let's include Leibowitz too). Ask about your lymphnode sampling or removal(s) prior to surgery and listen closely and compare to others and then see what Dr. Walsh would do. That might start a further educational process. I don't profess to know anything, I do see many reasons to question plenty.

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