Hi Melody,

I wish I could help you with the "wording" of your response should the doc strongly advise a biopsy and you and Alan wish to refuse. YES, you (rather Alan) has every right to refuse if he desires that option.

I know exactly what you mean about the "wording". I am in a similar position wishing to refuse a medication prescribed for me that has too many "complications" for my liking but the doctor is insisting it is absolutely necessary. (Also, cancer potential related.) I attempted to state my reluctance during the office visit when the drug prescription was being written. I seem to lose all "tact" and come across as not trusting his medical expertise. THAT was NOT my opinion. I DO trust his judgment in his specialty and if I did not have so many "other" conditions, I would probably have little concern about taking the med. BUT, reading the literature on it, it will affect my other medications for other illnesses and conditions and I am not as sure as the doc that the med is really as necessary as he feels it is under my overall health.

Sometimes I think "specialists" get tunnel vision and do not put as much emphasis upon conditions and illnesses that are outside of their specialty expertise.

I guess I would suggest to you, that you state your feelings to the urologist in the same manner you expressed it to us, here.

It is sad that patients have to be concerned with the "ego" of the physician and not want to "step on their toes". Yes, they have more medical training and knowledge than the lay person, but ultimately, it is the decision of the patient, after being well informed. Sometimes docs just want to cover all bases and be sure they have not left something unchecked.

Bottom line, tactful communication is NOT in my treasure chest. I hope someone with those skills will respond.

I think your post is well stated and I would state it just that way if confronted with the need for a response.

Best wishes to you and Alan.