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Arnon Krongrad, MD
- 50, Male
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I will refrain from saying too much at this stage because I'd like to not bias any other potential replies.
Life expectancy is ALWAYS a very hard projection (I actually studied this using Albertsen's data years back and showed that both doctors a...
Okay ... So with respect to the son, I am not sure that I have a specific recommendation to make, but I would think you would want to explain to him that he has a series of options.
OPTION 1: Do nothing more immediately but (after about 6-8 weeks...
To clarify two more items:
1) The son is 3 days post-op. We do not yet have a post-op PSA.
2) The father is 72 y old. He is 5'6" and 220 lbs. His biopsy showed Gleason 3+4=7 in 5 of 6 regions of the prostate with a dominance on the right (same a...
1. I did a lymphadenectomy. pN0.
2. He had pre-op CT, MRI, and bone scan. All negative. By exam, I thought maybe a subtle cT2a nodule.
3. True.
Assumptions, please confirm:
1. You did NOT do a lymph node dissection on the son at the time of LRP.
2. You did NOT have any imaging studies such as CT or MRI or bone scans done on the son.
3. The son has received no other treatment before or ...
One of my patients is a very fit 42-y old Afro-Caribbean male who had LRP and whose final report was a pT3bN0M0 Gleason 3+4=7. The pathologist called to share that his right seminal vesicle had been practically completely replaced with tumor. Ther...
Profile Information
- Have you been diagnosed with prostate cancer?
- no
- What brings you to the New Prostate Cancer InfoLink social network?
- A commitment to patients and open communication.
- Would you help us grow the network? Would you tell others about it?
- I started it. I'm proud of it. I will tell everyone about it.
- About Me:
- I have been doing prostate surgery for 25 years. For the first 15 I did the open radical prostatectomy. In 1999 I introduced laparoscopic radical prostatectomy to the United States. I have done only the laparoscopic technique (using AESOP or daVinci robot) for the last 10 years. My practice is devoted exclusively to this procedure. We work with patients in other countries and produce patient materials in several languages (see el Cáncer de Próstata, סרטן הערמונית).
In the 1990s I co-authored the original study on selenium in cancer prevention, ran a prostate cancer clinic that included psychiatrist Mike Burke, and did basic laboratory and outcomes research. In 2008, I co-founded The “New” Prostate Cancer InfoLink and its social network with Mike Scott; these were then folded into Prostate Cancer International, a Virginia based not-for-profit corporation that also includes Angela Jenkins. Here are projects in which I also have interest:
1) Mobile Surgery. Patients face economic, geographic, and cultural barriers to treatment choice and quality. I believe that in surgery, quality is determined by the surgeon. Using this premise and the culture of medical service embodied in the house call, I am developing a company that will help patients, payers, and others overcome barriers to surgical choice and quality. Our test case involved a man with prostate cancer and a mobile surgery approach. I believe our model can be adapted to many forms of non-emergency surgery and that it can help patients and payers overcome economic, geographic, and cultural barriers to surgical choice and quality.
2) Surgery for chronic prostatitis. I grew up believing that prostatitis is a nonsurgical disease. One day a man was sent to me with eight years of misery due to severe chronic prostatitis. At the end of his “rope,” he asked me to remove his prostate and I agreed. Waking up from surgery, he said simply: “It feels like someone pulled a golf ball out of my ass.” He is now three years out, perfectly functional, and completely symptom free. I have done more since then and surgery seems to work where all else does not. We have opened a prostatitis surgery clinical trial to better quantify the association of surgery with symptom relief. Inspired by this network, we have now also established a prostatitis social network.
You can reach me privately at “ak” at “laprp” dot “com”
- Website:
- http://www.laprp.com
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Should I have a PSA?
Added by Arnon Krongrad, MD
Arnon Krongrad, MD's Blog
Open Conversation 2009
The speakers were authoritative. The atmosphere was friendly. Some pictures from the event, with video and many more surely to follow.
Getting the paperwork in order
… Continue
Getting the paperwork in order
… Continue
Posted on May 11, 2009 at 11:00am — 4 Comments
On the Road
You'd never know I like to stay home. Recent weeks have brought lots of travel. In addition to the Duke Prostate Symposium, here are highlights from recent weeks that brought two trips to CBN headquarters in Virginia. And a fish-out-of-water fun event explaining prostate cancer to ITFlorida, an organization seeking to make Florida a leader in computer engineering. They may be young, but they have prostates. And computers!
You may recognize some faces from the social network.
… Continue
You may recognize some faces from the social network.
… Continue
Posted on October 9, 2008 at 5:00pm —
Comment Wall (331 comments)
- At 2:43pm on November 19, 2009,
Dr. Jo-an Baldwin Peters said…
- I believe that the after effects of prostate cancer treatments incrrease the lack of honest communication between partners. The PCa survivors are devastated by what they feel the treatments have done to their idea of what constitutes masculinity i.e. getting it up. The partners hide away from discussing the issue/issues because they feel it will add to the trauma that their partners are obviously experiencing
- At 2:30pm on November 5, 2009,
Robert Kartler said… - Hi Arnon, I will ask the hospital to send me a copy of it and then get back to you as soon as I get it.
Thank you very much for your consern .
Robert
- At 11:02am on October 31, 2009,
Maria K Todd, MHA PhD said…
- Thanks,
Happy Halloween - hope you get good treats tonight!
- At 4:08pm on October 27, 2009,
John Farrow said… - Thats my dawg, Flash, he is my best mate when he thinks I have food, in fact like all Labs, he's everybodys best mate if food is around. He never barks lol. only when he is dreaming.
- At 6:34pm on October 6, 2009,
Mike Jarsky said…
- Doctor, thanks for reply. I am just starting to look arounrd this site. Would appreciate if you or others can direct to those who experienced robotic prostatectomy. I am 66 and diagonosed in July 2008 PSA 3.2 but doubled over past 24 months from 1.7. Biopsy showed 8 of 12 needles with some cancer, Gleason 7. From readings it seems I am at a cut off age for surgery or radiation. I am planning surgery as am healthy and surgeon's opinion I am a good candidate. CT and bone scans are normanl. Feedback?
- At 10:08pm on October 2, 2009,
louise duart said…
- A Godwink for sure!!!
Blessings,
Louise
- At 3:09am on October 1, 2009,
Steve Young said…
- Just got through watching it, and even though Dr. Keisch editorializes about the "cost to society" of a treatment for prostate cancer, he confirms my choice when he compares the conformity of proton beam radiation to that of brachytherapy. My only concern now is how well will the position of my prostate be tracked throughout the course of my treatment?
- At 12:44pm on September 20, 2009,
Gary "G-man" Ackerman said… - Hi Doc, If you had not read my update as of yet, I am responding to your query; am I diagnosed, Yes. Have I had treatment, No. Do I need assistance, Yes. I am reading everything I can possibly find on the Internet dealing with Prostate Cancer. There is much to absorb!
G-man
- At 6:58pm on September 15, 2009,
Guillermo Morales said… - Sometimes, I have difficulty on injecting "Bimix" ; I think that I need to improve this technique because I might be getting it in the wrong location. Is there any web site (with pictures) that could tell me how to perfect this technique.
thank you
Guillermo
- At 9:39am on September 13, 2009,
Evans MACHERA said… - Arnold,
What is an infolink card!
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Information provided on this site should not be used for diagnosing or treating any health problem or disease.
The "New" Prostate Cancer InfoLink is not a substitute for professional care. If you have or suspect you may have a health problem, please consult your health care provider.
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