Wait and see???

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ace06
Regular Member


Date Joined May 2008
Total Posts : 28
   Posted 5/22/2008 11:32 AM (GMT -6)   
I received a call from my GP 2 days ago telling me that I had an appointment yesterday for my 6 month physical. I guess I forgot because I had a post-op appointment with my surgeon in a different town yesterday. My last physical, PSA was a 4.5, previous was 3.8. GP said that it was not anything to be concerned about, we will check it again in 6 months---. Due for a 6 months check from the GP and I already had my prostate removed with cancer in both lobes (3+4—7). I went to a urologist after my last physical. My question is why all of this ”wait and see” (procrastination I think). I suppose my age (73) was a factor. I wonder if we have already adopted the universal health care attitude of fittest first. Im fit but old.  I think one possibility may be ignorance. It could certainly have short-circuited my goal to live to 100. At any rate it reinforced something I already knew- take care of yourself, be aggressive and depend on God 
Age 73
PSA 4.1 in Nov 07. 4.5 in March 08 after antibotics
Biopsy 2 Pos out of 12, 1- 70%, 1<5%
Preop Pathology 3+3 contained no postop yet
robotic surgery May 5th 08
Doing good except very wet


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2291
   Posted 5/22/2008 2:21 PM (GMT -6)   
I think your post brings up an interesting and relevant question about healthcare.  It does seem that many primary care physicians aren't as assertive in pursuing prostate cancer beyond 'watchful waiting' after a cutoff age of 70.
 
As you say, you are fit and there is no reason why PC should not be diligently monitored, followed up, and treated.  We have other over-70 members here who have been assertive about their own medical care, which I think we must be at any age.
 
And at younger ages, I think that PSA testing should begin for all at age 40, as recommended by some prostate cancer experts.  Then if the value is higher than expected, it should be monitored every year.  If low, testing can be done every 5 years until 50, when annual testing should be established. Those with a history of prostate cancer in their family--father, brothers--or African ethnicity should be tested annually
beginning at age 40.
 
My two pennyworth on the subject....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  


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 5/22/2008 4:17 PM (GMT -6)   

To me faith in God is the key. If it weren't for my faith and belief in a better tomorrow I would have had trouble coping. I remember waking up from my surgery and the doctor telling me that it had spread to the lymph nodes and it was not operable, I was at peace because I knew God had another purpose for me.

Age may be a factor for the healthcare community but in Gods eyes you are special and deserved to be loved and cared for just as much as anyone else.

Glad your faith is strong

 

peace and love

Dale


My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
 


Gordy
Veteran Member


Date Joined Jun 2005
Total Posts : 528
   Posted 5/22/2008 4:21 PM (GMT -6)   
dale-

I'm confused. Are you saying ace06 will be taken care of by God and not to worry about what the doctors do or not do for him?

-Les
1/2005 Dx PSA 26.5 Gleason 7 (4+3) @Age 61
1/2005 Start Casodex and Zoladex
PSA drops to <0.01
7/2005-8/2005 5 weeks of IMRT and then HDR brachy
1/2007 Rad Oncologist orders CT scan of pelvis
because of complaints of pain in both thighs
MRI confirms pain not caused by cancer BUT
1/2007 CT scan of pelvis picks up a nodule at bottom of left lung
5/2007 CT scan of lungs shows 1/2007 nodule has grown and
there are numerous nodules on both lungs.
6/2007 Thoracic surgeon removes wedge of left lung for biopsy
6/2007 Path report says 95% chance of metastatic PCa, but she's
never seen cells like this before.
8/2007 2nd opinion at M.D. Anderson in Houston.
They confirm: mutated PCa, very rare, but seen there 2 or
3 times. Recommendation: have CT scans every 6 weeks
and watch for change. At that point start chemo and will
survive for 22 - 24 months thereafter.
PSA still undetectable, but get Lupron shot to bring T down from 27
2/2008 Trip to Houston – PSA now 0.5 and nodules larger. Lupron shot.


ace06
Regular Member


Date Joined May 2008
Total Posts : 28
   Posted 5/22/2008 5:13 PM (GMT -6)   
Not to put words in his mouth but,
I think dale concurs with me. Do what you can, find the best doctors you can but, God is in control. Only God can heal.


Age 73
PSA 4.1 in Nov 07. 4.5 in March 08 after antibotics
Biopsy 2 Pos out of 12, 1- 70%, 1<5%
Preop Pathology 3+3 contained no postop yet
robotic surgery May 5th 08
Doing good except very wet

Post Edited (ace06) : 5/22/2008 5:16:28 PM (GMT-6)


Gordy
Veteran Member


Date Joined Jun 2005
Total Posts : 528
   Posted 5/22/2008 5:51 PM (GMT -6)   
I see.

Thank you.

-Les
1/2005 Dx PSA 26.5 Gleason 7 (4+3) @Age 61
1/2005 Start Casodex and Zoladex
PSA drops to <0.01
7/2005-8/2005 5 weeks of IMRT and then HDR brachy
1/2007 Rad Oncologist orders CT scan of pelvis
because of complaints of pain in both thighs
MRI confirms pain not caused by cancer BUT
1/2007 CT scan of pelvis picks up a nodule at bottom of left lung
5/2007 CT scan of lungs shows 1/2007 nodule has grown and
there are numerous nodules on both lungs.
6/2007 Thoracic surgeon removes wedge of left lung for biopsy
6/2007 Path report says 95% chance of metastatic PCa, but she's
never seen cells like this before.
8/2007 2nd opinion at M.D. Anderson in Houston.
They confirm: mutated PCa, very rare, but seen there 2 or
3 times. Recommendation: have CT scans every 6 weeks
and watch for change. At that point start chemo and will
survive for 22 - 24 months thereafter.
PSA still undetectable, but get Lupron shot to bring T down from 27
2/2008 Trip to Houston – PSA now 0.5 and nodules larger. Lupron shot.

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