Second Opinion — Vellumwise series cover

Second Opinion

One doctor recommends surgery; another suggests active surveillance. Gordon, a retired engineer who trusts numbers, must decide with incomplete evidence, and live with the decision whichever way the next two years go.

Planned · not started yet

I want to read this

Health & medicine Hard choices Living with uncertainty Competing advice Hospital or clinic Tense Reflective

The premise

One doctor recommends surgery; another suggests active surveillance. Gordon, a retired engineer who trusts numbers, must decide with incomplete evidence, and live with the decision whichever way the next two years go.

The protagonist

Gordon Achterhof-Bryce — 61-year-old diagnosed with early prostate cancer

The council

Every council member is an original fictional character. None represents, quotes or is endorsed by a real person.

Mr Robert Ashdown

urological surgeon

Direct; prefers definitive treatment

Dr Leona Fairbanks-Oyelaran

clinical oncologist

Calm; comfortable with surveillance

Dr Emil Strandberg

decision-aid researcher

Neutral; helps Gordon weigh his own values

How the story moves

The decision and two years of consequences; Gordon’s choice is tested by a rising test result.

What readers take away

  • PSA testing and its limits
  • Cancer grading and staging
  • Active surveillance
  • Surgery and radiotherapy options
  • Risks of side effects
  • Absolute versus relative risk
  • Questions to ask clinicians
  • Living with uncertainty
  • Understand MRI and biopsy in diagnosis
  • Use a decision aid for treatment choice
  • Plan for continence and sexual-function support
  • Prepare questions for a multidisciplinary team

The books

  1. 1The test Planned
  2. 2The options Planned
  3. 3The decision Planned
  4. 4Two years on Planned

Book titles are working titles and may change before publication. No book is on sale until the complete series is finished, checked and released.