Do any MOs handle cases remotely? Do I even need one right away?

[watertender]

Thinking of firing my current MO, in all fairness he has told me each of the 2 times I have seen him that he is not up on prostate cancer meds & treatment. Asked him about getting a Decipher test done, he did not know what it was and told me usually the urologist orders the gene tests. Half the time I am there he is searching through the NCCN guidelines when I ask a question, not instilling alot of confidence yet.

I am doing fine now I think, just had brachy and have started EBRT, taking ORGOVYX but wondering if a 2nd gen ADT should be added as suggested by the radiation oncologist who did the brachy. I am Gleason 9 with extra prosthetic extension, supposedly localized from the regular scans done. Kind of at a loss,small town not alot of choices. Should I just find a good urologist or do any MO's work with folks remotely? Anyone working with a MO that way? I had hoped the local radiation oncologist who is doing the EBRT could handle but he said he doesn't get involved in the drug side of things.

Maybe a decent primary care doctor but right now I have a PA who is a great guy just don't know if he would want to handle this or have the knowledge. Guess I'm just venting at the moment back from a very discouraging visit with my MO. Thanks for listening.

[TrashPanda72]

I know that Winship Cancer Institute will work with your doctor locally to provide your oncology care. Even though I live relatively close (about 45 mins away from my Oncology Team), they offered to let me stay closer to home and work with my regular doctor…

[watertender in reply to TrashPanda72]

Thanks for the suggestion.

[Hidden]

Your MO doesn't sound very useful in treating your prostate cancer. Maybe you'd be better off with a good urologist who has extensive experience treating men with prostate cancer. That's where I am at. Primary care doctor or PA? Nah, you need better care than that.

[watertender in reply to Hidden]

That is kind of what I am thinking. I was so hopeful too! Oh well the search continues.

[Jancapper]

Hi Watertender, I do not even have a MO yet. I just received my brachytherapy boost this past Wednesday. I have been on ADT (6 mo. Lupron + Casodex 50 mg daily) since September 06. My initial PSA was 14.5 and T was never baselined. Just before brachytherapy, my PSA dropped to 0.34 and T is 15. Next week I will start my simulation for 25 sessions of IMRT, same as what you had. If our PSA drops and stays low, do we even need a MO or are you just planning things for later on down the road?