|
|
Signup to Pray |
You must log in.
|
|
Pray for Me |
You must log in.
|
|
Online Bible |
Exodus 25:31 And thou shalt make a candlestick [of] pure gold: [of] beaten work shall the candlestick be made: his shaft, and his branches, his bowls, his knops, and his flowers, shall be of the sa
_VIEW_CONTEXT |
|
|
|
 |
Posted by: Jerry Gaffney on Tuesday, May 28, 2002 - 01:03 AM
|
 |
 |
While there was some evidence of residual bladder tumor along the left lateral wall, it was certainly dramatically less than I would have guessed from previous evaluation. THIS HAS BEEN AN ONGOING SOURCE OF AMAZEMENT TO ME.
Eastside Urology Associates P.S.
Dr. David V. Wahl
To whom it may concern:
This letter briefly summarizes my participation in Reverend Maser's care since I first saw him in April of 1993.
Reverend Maser presented with a history of a urinary tract infection that developed in October of 1992. He also was noted to have blood in the urine and initially was treated with Cotrim therapy. An IVP was obtained in evaluation of the urinary tract infection. The IVP was quite unusual in the sense that it showed bilateral hydroureteral nephrosis indicating bilateral ureteral obstruction, thought to be secondary to an enlarged prostate with bladder neck obstruction. His initial kidney function was fairly reasonable with a BUN of 16 and a creatinine of 1.3.
He was taken to the operating room in April of 1993 for transurethral resection of his prostate. At the time of this evaluation, he was found to have not only prostate obstruction, but a large, invasive, transitional cell tumor of the bladder along the left lateral wall of the bladder with involvement of both ereterovesical junctions. In retrospect, this appeared to be the etiology of his distal ureterovesical obstruction. An attempt was made unsuccessfully to place double-J stents at the time of his transurethral resection of the prostate and transurethral resection of bladder tumor. Subsequent bilateral percuteneous nephrostomy tubes in for a while, bilateral antegrade uteral stents were placed and subsequently these were exchanged for double-J stents.
Over his clinical course, he has elected to choose follow up, refusing to accept definitive therapy, which would be the standard of care for management of an aggressive, large, invasive, transitional cell tumor of the bladder, RELYING ONLY ON THE POWER OF PRAYER FOR HIS OVERALL LONG-TERM HEALTH. Initially I was more than slightly skeptical, BUT AS TIME HAS GONE ON, HE HAS PROVEN THAT HE FEELS WELL OUTSIDE ANY NORMS OF FOLLOWUP UP THAT I WOULD EXPECT, FOR A MAN WITH THIS PARTICULAR DISEASE. He has had his double-J stents left indwelling without being exchanged for as long as two years without any calcium buildup on the stents. this is quite unusual since we normally exchange these stents within three to six months. I performed cystoscopy in the office in December of 1995 because I COULDN'T BELIEVE THAT HIS STENTS DID NOT SHOW ANY CALCIUM BUILD-UP BY X-RAY. While there was some evidence of residual bladder tumor along the left lateral wall, it was certainly dramatically less than I could have guessed from previous evaluation. THIS HAS BEEN AN ONGOING SOURCE OF AMAZEMENT TO ME.
I always have enjoyed seeing Reverend Maser in follow up because of his enthusiasm for life and HIS PROFOUND BELIEF IN THE POWER OF PRAYER. He makes a strong witness and I am more than slightly pleased with his clinical outcome. Obviously, it still gives me anxiety attacks and goes against any and all advice that I would generally recommend to patients based on this particular type of tumor. He is now almost four years out from his original diagnosis and continues to do well, both from the point-of-view of his transitional cell tumor, as well as his double-J stents. I gave up long ago trying to convince him to have definitive therapy and have followed him with an amazed expression each and every time he returns to the office with his personal testimony and witness to Christ.
Sincerely,
David V.. Wahl. M.D.
January 16, 1997
ANOTHER LETTER
From: Eastside Urology Associates
David V. Wahl MD
To: Tom Wilson MD
Bothell Medical Clinic
RE: Maser, Edward C.
Dear Tom: This is just to keep you informed of the ongoing clinical miracle of Reverend Maser who, as you know was diagnosed in 1993 with invasive bladder cancer and bilateral urethral obstruction, at that time, bilateral double-J stents were placed and the tumor was incompletely excised. A recommendation was made for radical cystectomy and neobladder. However, as you know, this was not done and he has had indwelling stents over the years. To my absolute amazement, follow-up cystoscopy has demonstrated a progressive resolution of the remaining bladder tumor that was left at the time of his original procedure. In face, by today's flexible cystoscopy, he no longer has cancer in the bladder. The bladder mucosa overall appears completely healthy. There is no calculus buildup on the double-J stents.
Since the bladder cancer has completely resolved, I have recommended that we consider removal of his double-J stents. I think there is a fair probability the he no longer has bilateral urethral obstruction. I have no explanation for this clinical course other than, literally, "a miracle."
He again witnessed to me on the powers of faith and basically I am becoming a convert.
Sincerely David V. Wahl, MD
|
|
 |
 |
|
 |
|
|