Found a new urologist

[janekane (imported)]

I have previously mentioned my having a genetic condition, now identified as attenuated familial adenomatous polyposis, a condition that tends to result in terminal cancer before producing any clinical symptoms. I have undergone multiple surgical procedures intended to maximize my pre-terminal-cancer-onset life span. One such surgery was my bilateral orchiectomy, back in 1986.

I have sought out effective cancer-risk-minimizing care, and have flitted around the country in pursuit of such care, Mayo Clinic, Rochester, Creighton University, multiple facilities in Wisconsin, Illinois and Massachusetts, and elsewhere.

A few years ago, the gastroenterologist I had been seeing seemed to have run out of any useful ability to communicate with me, and I found another "recognized expert" far from my home who seemed able to communicate with me usefully.

However, I had a concern that my prior gastroenterologist had rejected, and the far from my home expert also rejected.

Well, I figure I understand the relevant biology and pertinent risks better than any physician I have yet met, being formidably well trained in the ways of biology as an aspect of my becoming a bioengineer.

So, in a city near where I live, I came upon a gastroenterologist who, on meeting together, appeared willing and able to hold a sustained medical dialogue with me.

A flexible sigmoidoscope procedure was scheduled and done. My new, small-town gastroenterologist studied the "thing" that concerned me and decided it belonged in the care of a pathologist.

Pathologist report on the "thing," is, "tubulovillous adenoma."

Experts apparently mistaken.

Small-town gastroenterologist apparently not mistaken,

Tubulovillous adenomas are dreadfully adept at generating carcinoma metastases, once they hang around enough to become cancerous.

Tubulovillous adenomas are not cancer, but cancer precursors.

No cancer yet. Yippie!

Small town gastroenterologist decided to do a quick prostate examination, observed something suspicious, arranged for a urologist appointment and a PSA test. PSA low normal range.

Small town urlogist familiar with men castrated for testicular cancer and their prostates.

Small town urologist finds prostate normal, no lesions or other issues, for someone who has been at castrate testosterone levels for more than 26 years.

Sometimes the small town folks do as well as, or better than, some big town folks.

[Hash (imported)]

Well that's awesome, wonderful, great, magnificent! Wish you the best as your life continues!