Vince: That's what keeps me in Barcelona -- well, that and my quality of life is so much better than anywhere I could live in the USA. Although, I would still move back to San Francisco where I spent 1966 to 1980 fucking my brains out. During an extended stay at my ranch in Nevada, I made an appointment with a pleasant, but very old, 'Mericuhn physician who graduated Stanford Medical school probably in the 1950s. He's the best point man one can find out in the wild and woolly if you need authorization for a prescription refill or break a bone. He talked me into having the usual blood workup (although I was visiting just to get a refill on my emergency stash of Valium).
$345 later (in just lab costs) he noted that everything was fine, except my PSA was almost 4.1 (it can go as high as 10 and you can still be prostate cancer free, but not too often). He told me to have it rechecked when I returned to Spain. I did. Total cost: 0. But the PSA had risen to 4.4? Anyway, high enough in a short period of time to be of concern. I had picked out a urologist from doing some on-line research. In Spain, it's common to find satisfaction ratings for the quality of care a physician provides. The guy I picked turned out to be very compassionate. Like me, he packs an unusually large tool. So, I immediately felt at ease knowing that someone who understands the problems of packing a long johnson would be advising me.
He stuck his fingers up my butt and remarked than my prostate gland felt "unusually small." He had me have both a PET and MRI, another scan with me juiced up with radioactive dye, and then a prostate biopsy. Of the 24 or so samples of my little man walnut, 18 of them were positive. But the cancer was still confined to just my prostate. He gave me a shot that stopped my body's production of testosterone for about 6 months and told me first of all, not take his advice regarding how to proceed with eradicating the cancer. He told me to read up on it. As long as my body didn't produce testosterone the cancer would not grow.
I talked with a urologist in Reno, NV, two urologists in Twin Falls, another urologist in Salt Lake City -- all highly recommended by 'Mericuhn physicians I respect. None of them were as impressive as my urologist in Spain. And ALL of the 'Mericuhn docs acted as if I had asked if I could fuck them until they bled when I inquired what their costs for various procedures would be. However, they were all so excited that that I had prostate cancer they probably would have been happy to have cut out my prostate gland with a Swiss Army knife on their office desks and charged me $70,000. All of them, by the way, recommended major surgery. All of them except my doc in Barcelona.
When I returned to Spain I asked my original urologist about brachytherapy, a rather successful procedure for folks like me with Stage 1 cancer. And then I asked if he would be willing to take me on as a patient and do the procedure. Fortunately, he was kind enough to take me on as a patient with Spanish residency. He didn't have to. He is a private urologist with a private practice. However, he also teaches part of each year at Hospital Austral, about 50 kilometers outside of Buenos Aires. So, if I wanted him to do the procedure, I'd have to fly to Buenos Aires. No problem. My husband is a porteño with an Italian passport. And his family has a guest house where we stay when we visit.
I actually had the procedure done at the urologist's clinic in down town Buenos Aires. Cost of the procedure: 0. Cost of all pre and post lab costs, including follow up: 0. Cost for his house calls -- remember them? -- : 0. The round-trip plane ticket from Barcelona to Buenos Aires: 0 (Delta Skymiles).
On the 16th of this month I go for my last PSA in test 4 years and major and followup blood work. I'm rather confident that I'll still be cancer-free. In fact, after 5 years I should not have to worry about having a PSA test. The procedure my Spanish urologist performed left me intact. I still have a prostate. I can still get it up (without erection enhancing pills). And for the last two years I've actually been producing a substantial amount of real sperm in my ejaculate.
None of this would be possible if I had gone under the knife in the USA. If I had listened to the "specialists" in the USA, I'd most likely be heavily invested in adult diapers by now.
Last summer I had to spend several months in Nevada. Again, I visited my go-to point doc in Elko. I asked him why 'Mericuhn docs are so gung ho about prostate surgery when it isn't necessary. His answer: money.