First Post treatment PSA / Cheerleaders Needed

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Regular Member

Date Joined Jul 2006
Total Posts : 165
   Posted 5/15/2008 8:04 AM (GMT -6)   
Hi friends,

Well, my first big day after IG/IMRT is Tuesday, that's when I get my first PSA since completing radiation treatment.

So far my health has been just OK. The side effects with peppers is under control and my flow control is fine. I do need to come off the Hytrin and have cut back to just two a week. I just don’t know about stopping it all together. I talked with my RO Tuesday and he said “just stop taking the Hytrin”. I asked what about blood pressure and stopping Hytrin and he didn’t know the answer, as to if Hytrin would change or if it does control BP in any way. I found out that it does and is also used as a BP med. I have started to check my BP and have notices that since I have started taken only two pills a week my BP has gone up to 136/87 avg... I have been having headaches and will be seeing neurosurgery in June about the skull hot spot and if a biopsy is needed. My oncologist was going to go with just doing bone scans every six months but without a diagnosis my insurance might not pay, don't you just love HMO’s. Also, I did had a great time at the “Week end of Hope” which was very emotional, I used a lot of Kleenex at the closing, it was a good thing that I meet up with some coupes for my “Man to Man’ group that help me by checking how I was doing throughout the weekend. I’m looking forward to going back next year and hope to meet some fine folks from HealingWell.


Jim, 54,~Jim-N1BRP. My Journey
Diagnosed: 12Nov. '07, Age 54

Treatment Started : 31 Jan 08

Completed 31 Mar 08

42 treatments 1.8 Gy M-F for a total of 75.6 Gy.

Prostate Biopsy: 18Sept '06, - 10 sample all negative, Prostate size 36.3 cc

Prostate Biopsy : 12Nov '07, Biopsy - 14 sample 2 positive, one Gleason 6 at 5 %,
other Gleason 6 at 15%- Stage T1C -Prostate size 40.2 cc

Bone Scan: 12Dec '07, - Hot Spot on Brain
Family history: Father and two uncles  die from PCa

Other: GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma

Meds, Hytrin, BusPIRone, Trazodone, Tramadol HCl, Omeprazole, Plavix, Albuterol, Multi Vitamin  Mens

PSA's                   fPSA

1.2    Oct  05

3.61  Jul    06    

2.6    Sept 06          19%  

2.6    Apr 07             3% Oh NO


James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 5/15/2008 8:15 AM (GMT -6)   
Jim, glad to hear from you and that your still fighting... Emotional support from groups are really important in healing, and I am glad you was able to meet with those folks. Keep on keeping on...
James C.

Regular Member

Date Joined Sep 2007
Total Posts : 292
   Posted 5/15/2008 8:47 AM (GMT -6)   
Jim, I took hytrin to control my blood pressure back in the late 1980's, it also had a diretic in it. You may need another drug to help contol the BP, and I'll bet the headaches will go. away. You have a great attitude, keep positive and fighting, we'll keep you in our prayers. I'm going to my first relay for life next month and walk in the survivior lap.
PSA 10 June 2007
Biopsy July 2, 15 of 16 samples positive
prostate weighed 40 grams
Di Venci 10/09/07, four hours on table, 3 in recovery
Total time in Hospital: 29 hours
Record for Dr. Lance, 70% of prostate had cancer, but NO spread, clean margins,Clean nodes,
First PSA at 5 weeks, UNDETECTABLE!
Catheter out at seven days, dry from hour one!
Second PSA 19 weeks post op, UNDETECTABLE 2/11/2008
Third PSA 5/12/08, six months post op, UNDETECTABLE
The Lord has truly Blessed me.

Doting Daughter
Veteran Member

Date Joined Aug 2007
Total Posts : 1064
   Posted 5/15/2008 8:51 AM (GMT -6)   
Jim, Jim he's our man! He can do it, yes he can!!! (I was a soccer player, not a cheerleader, can you tell tongue )
Just wanted to send well wishes your way and let you know that we are cheering for you! (I might not make it onto the SeaGals this year, but it's the thought right!? )
It seems like June is a long time to wait for your appointment. Have you tried calling an on call Dr in your neurologist's office or perhaps your IM or family practice dr to discuss your medications? I would definitely check with them about your meds, especially the hytrin. I imagine that you would have headaches if you were to stop cold turkey or even reduce the dose too quickly.
Glad your trip was so amazing! Keep us posted and keep the faith!!


DX July 15, 2007
Age 62 (now 63)
PSA 5.5
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7, T3a N1 M0
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node
Bone Scan/CT Negative (Sept. 10, 2007)
Post Surgery Gleason- 4+3=7
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07
Lupron beg. Dec 03, 2007 2 yr
Radiation March 03-April 22, 2008- 8 weeks 5x a week
Praying for a cured dad. First PSA 3 months!

Post Edited (Doting Daughter) : 5/15/2008 11:41:33 AM (GMT-6)

Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 2274
   Posted 5/15/2008 10:28 AM (GMT -6)   
Here are three cheers from my section of the grandstands, Jim
\0/ \0/ \0/    You are doing the right thing and as difficult as it can be, keeping a hope-full perspective.  Take care and hang in there...Tim
Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (5%) 
Open surgery June 2006 
Cancer confined to prostate (1 pea-sized area) 
T2a  Gleason 5 (3+2)  PSA < 0.1  

Regular Member

Date Joined Jul 2006
Total Posts : 165
   Posted 5/15/2008 4:38 PM (GMT -6)   
Doting Daughter said...

It seems like June is a long time to wait for your appointment. Have you tried calling an on call Dr in your neurologist's office or perhaps your IM or family practice dr to discuss your medications? I would definitely check with them about


I chould have had an appointment on the 28th but my wife has an appointment with her heart doctor that day.
I get my neurology services though the V.A. I had to see my neurologist before I was able to get the appointment with my neurosurgeon, by sheer luck I was able to get a same day appointment with the neurologist. This is almost never done or heard of in any V.A. health care system. The rest of my health care is by TriCare Prime which also can be a pain in the you know what. I was very likely that I got an OK for IG/IMRT as primary treatment as it isn’t a covered service by the plan.

Veteran Member

Date Joined Feb 2007
Total Posts : 1219
   Posted 5/15/2008 5:29 PM (GMT -6)   
Here's more support coming at ya - and I know you do the same for everyone else here.
It seems anyone whose been through cancer is in need of some emotional healing, too. You've taken the steps to do that, which I admire.

I'll be looking for your result, Jim, and holding good thoughts for you,
Husband Diagnosed 11/17/05 Age: 63 PSA: 7.96 No Symptoms
2/09/06: LRP - Post Pathology - Gleason 4+3 Stage T2b NO MX
3 mo. PSA: 11.8 Stage T3a
6 mo. PSA: 18.8 Stage IV Systemic w/ distant lymph node involvement
Start HT - Lupron 3 mo. shots
12/06/06: PSA 0.8
03/07/07: PSA 0.3
PSA - Undetectable since 6/07/07

Link to journey:

Veteran Member

Date Joined Feb 2008
Total Posts : 1858
   Posted 5/15/2008 5:54 PM (GMT -6)   
Well we're cheering for you on the other side of the globe as well. Sounds like you're a real fighter Jim. You certainly have my best wishes and support.
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.1 undetectable

Mike A
Regular Member

Date Joined Feb 2007
Total Posts : 213
   Posted 5/16/2008 5:59 AM (GMT -6)   
Wishing you all the best. Keep up the good fight, and I know you'll get the results you want! I'll be thinking of you on Tuesday!
June 2005 - Age 53 PSA 4.8 at regular physical October 2005 - After several rounds of anti-biotics, PSA 5.2 at Urlogist November 2005 - Biopsy negative July 2006 - PSA 5.9 at regular Physical October 2006 - After several more rounds of anti-biotics PSA 8.1 November 2006 - Second biopsy - Positive December 2006 - Gleason (3+4=7), Tumor T1c, CT Scan and Bone Scan Negative
January 2, 2007 Robotic Prostatectomy, University of Rochester Medical Center - Tumor confined but larger than thought, only one nerve able to be spared. Margins clear. February 2007 - Three to fo ur pads a day, no erection with viagara. April 2007 - First Post-Surgical PSA 0.02. Down to one pad a day.July, 2007 - Six Month Post-op: PSA 0.04 No change in ED. October, 2007 - Nine Month Post-op: PSA back down to 0.02!Almost totally dry! Only slight improvement in ED - Will try injections if not improved by next appointment. January 2008: One Year Post-OP PSA 0.02 still dripping, but improving. Tried 500 dose of MUSE for ED, no luck. Will try 1000.

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 5/16/2008 9:55 AM (GMT -6)   
Hi Jim,
You do great. You can count on us being here for you as well. I'll be praying for you, too.

Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
Prostate Cancer Forum Moderator

Regular Member

Date Joined Jul 2006
Total Posts : 165
   Posted 5/17/2008 9:30 AM (GMT -6)   
Just want to thank all the fine members here for all the well wishes and prays coming my way.
It was also so good to see all the gooses flying around this week. :-)
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