Thursday, December 20, 2007

Brachy Chronicles 2

A video showing the various stages of and treatments for prostate cancer can be bracing as well as teensily unnerving. Regardless, decisions must be made.

Early detection makes decisions somewhat easier. There's always the most invasive option--removal of the entire gland. Early detection, at least in the present context (location, location, location), gives the far less radical choices of freezing the gland or "nukeing" it.

In the end, the possible side effects really make the difference: with the freezing procedure, there's a possible side effect of losing bowel control. The radiation might cause some bladder control problems. Now there's a balancing act...temporarily walking around with a sensation of wetness, or...what?...pastiness? Hmmm. Urine or feces? Number 1 or Number 2?

Decisions Decisions Decisions. What to do? What to do? What to do?

Your chain, Dear Gentle Reader(s), is being pulled. Not for a second is any option other than nuking the little scamp considered.

There will be a "mapping" session via sonogram. Then there will be the procedure itself, the insertion of radiation seeds--the size of a grain of rice--via a small incision, and Voila!, the deed is done and the patient is back home the same day. A picnic in the park (albeit with an ant bite of some significance).

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