Early-stage prostate cancer patient chooses proton therapy over surveillance

Guidance from a patient care coordinator helped him resolve insurance issues

In 2020, shortly before he retired from a career working in information technology (IT), David Green's lifestyle included lifting weights, playing golf, doing house and yard work and hanging out with his lifelong friends.

It also included taking good preventive care of his health, which was crucial when at his yearly physical, he discovered his prostate-specific antigen (PSA) numbers had escalated.

A biopsy showed localized prostate cancer, a diagnosis that weighed heavily on Green, who worried about how this might impact his busy life. The Arlington, Wash. resident reached out to family and friends regarding his diagnosis and began to research treatment options. 

David Green, prostate cancer patient
David Green of Arlington, Wash. Photo by Stefan Muehleis / Fred Hutch News Service

He initially decided to put off treatment, preferring to monitor the early-stage cancer for a while, but the worry nagged at him and he decided he had to take action sooner. His urologist recommended surgery or standard radiation, but Green balked at the idea of a surgical option because his online research highlighted potential side effects.

He decided he’d be doing himself an injustice if he didn’t get a second opinion at a cancer center, so he made an appointment with Emily Weg, MD, at Fred Hutch Cancer Center – Proton Therapy.

“Right away I knew I was in right place,” Green said. “Dr. Weg is awesome. She’s my rock star. She is comfortable, confident. She shows how much she cares and I just knew I wanted to work with her.”

Weg provided Green with detailed information about proton therapy for prostate cancer and his own research confirmed it was the option he wanted to pursue. Protons could more precisely target the cancer in the prostate; this type of radiation also minimized or sidestepped side effects such as incontinence or sexual dysfunction.

There was only one problem: Green’s medical insurance declined coverage for proton therapy.

Enter Candice Day-Darby, a Fred Hutch patient care coordinator lead whose job is to ensure care is coordinated, appointments are scheduled efficiently and financial clearance is obtained. Because Green was close to retirement, Day-Darby suggested he delay his treatment — with Weg's approval — until Medicare coverage could begin. 

“Candice is the best,” Green said. “She stayed in touch and was so helpful, got me information and did research for me. She got me set up with the right supplemental Medicare plan and everything. It was beyond excellent customer care. Plus, I got a whole summer to play golf before treatment started.” 

David Green playing golf
Green enjoys a good golf game. Photo courtesy of David Green

“David was always willing to hear my recommendations,” said Day-Darby. “It was wonderful to work with someone so understanding. We found a Medicare plan that would work for all his health care needs. When it’s time for another routine follow up visit with us, I always enjoy giving him a ring to check in.”

For Green, treatment felt easy and fast.

“Changing clothes took longer than the treatment itself,” he said, adding that he experienced no side effects at all — and “never missed a beat.”

He was able to continue lifting weights, barbecuing with family and friends and playing golf. Now, when he hears about others being diagnosed with prostate cancer, he recommends they look into proton therapy whenever possible.

“The staff and doctors are such remarkable people. They really care about the patients,” he said.

Green continues to live an active life post-proton therapy and is considering a move to warmer climates, along with his snowbird friends. Wherever he ends up, he said, his plans include barbecues, bonfires and cold beers with friends.    

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Are you interested in reprinting or republishing this story? Be our guest! We want to help connect people with the information they need. We just ask that you link back to the original article, preserve the author’s byline and refrain from making edits that alter the original context. Questions? Email us at communications@fredhutch.org

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