or "what's the rush?" Show this Post
prag·ma·tism – an approach that assesses the truth of meaning of theories or beliefs in terms of the success of their practical application.
damn – I'm reading these emails I sent to all my friends and family with the update on the results of my biopsies, and I mention in every one of them, that we've got 24 hours to make a decision with respect to "surgery".
And for the life of me, given the incredible knowledge base I have standing next to me and her vast web of resources in the oncology community including some of the very top physicians in their fields – from urology, and surgical oncology to physics, radiology and chemotherapy – why in the world would I, would we, have ever, ever, ever accepted a 24 hour deadline to make such a life-altering decision?
I've asked my wife and she has no recollection of it – but it's there in all my notes… and the only possible reason that makes any sense at all, is given the date was in mid-June, I suspect that in order to fit into my urologist's pre-vacation surgery scheduling – there was some deadline – otherwise I'd have had to possibly wait until the fall… a difference of maybe 3 months? That's all I can come up with… and have no idea if that's the truth or not – and haven't had any contact with the surgeon in over 12 years – so, I'm sure he wouldn't remember either.
whatever the reason – it is one of those things that in retrospect, should NEVER have played a part in our decision-making. There may be specific situations with specific cancers where urgent care may be critical to a positive treatment outcome – but, knowing what is well documented with respect to Prostate Cancer… there is NO possible reason that I can even remotely discern that would justify rushing a decision – even if it meant postponing treatment 3 months or even 3 years!!
there have been a number of studies in different countries with some fairly sizable subject pools where, over a considerable number of years, there was literally no discernable difference in longevity regardless of treatment modality or no treatment AT ALL! Of course those are averages and there could be major differences for specific individuals depending on age and risk level at time of diagnosis.
In my case, I think given 24 hours or 24 weeks, knowing only what we knew then, I would have chosen the same way that I did. With so much greater advancement in treatment, wider-based knowledge of outcomes and side-effects and personal experience… 12 years later – I believe I may have done something totally different!
But… given the deadline, the choices, the moderate aggressiveness of the cancer and the fact that I was only 49 and had 2 young boys still to raise…
we went for………..