Many treatments have irreversible consequences, so it is important to pick the best treatment first. It is commonly understood in medical circles that long-term survival is improved by receiving optimal treatment up front. The first treatment is your best shot at eradicating the cancer.
Important information is contained in your medical records. You have every right to obtain and keep your records. Some offices may charge a small fee for providing you with the records. There is no universal format for charts, and some offices keep more complete records than others. It may be necessary to request the information from more than one doctor’s office to compile all the necessary information. You don’t need a complete understanding of everything in the chart. However, there are certain specific items you need to look for:
PROSTATE SPECIFIC ANTIGEN (PSA) CHRONOLOGY:
Construct a chronological history of every PSA measurement that has ever been taken and the date that it was performed. The PSA results can be found in your Lab Reports. The testosterone level is also found in this section of the chart.
RADIOLOGY REPORTS (IMAGING STUDIES):
The radiology reports will be found in the Radiology section of the chart. Look for the Impression section of the report where the doctor who wrote the report summarizes the essential aspects of the scan results.
The biopsy report will be in the Pathology section of the chart. For each of the biopsy cores that contain cancer, you should make note of the Gleason score and the percentage of the core that contains cancer.
Taking Control of Your Health
Having your medical records is an essential of self-empowerment. As you gather information about your medical history you will gain a deeper understanding of your disease process and be able to participate more intelligently in treatment selection.
Peter Scholz is the Creative Director of the Prostate Cancer Research Institute (PCRI). He received his B.A. in english literature from the University of California, Los Angeles. In addition to branding, design, and media production for the organization, his interests at PCRI are in simplifying, curating, and presenting prostate cancer information in ways that are understandable and accessible to patients.