Recovery Depression

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goinlong
New Member


Date Joined Mar 2008
Total Posts : 15
   Posted 5/29/2008 7:20 AM (GMT -6)   
I had a very successful DaVinci surgery 4 weeks ago.  Everything has gone better than expected.  I was walking several miles at a time during my second week.  After 3 weeks,  no more leaking!  I do have soreness in the nads and the rectum.  I returned to work half time after three weeks and then full time after 4 weeks (as of last 2 days ago).  I have been experiencing "unexplained" sadness which may even be a bit of depression.  Has anyone else experienced this?  Is this unusual?  If you've experienced how did you deal with it and how long did it last?

Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 5/29/2008 7:39 AM (GMT -6)   
goinglong,

I experienced the same thing and tried, unsuccessfully, to deal with it for months. Finally ended up seeing a physician who started anti-depressant, now feel fine, no more gloom or doom, and has restored my energy levels to normal. He told me that approx 50% of cancer pts, regardless of success with tx develop depression. Don't wait, talk to your MD. Good Luck

Randy
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 5/29/2008 8:38 AM (GMT -6)   
What you're feeling is completely normal and very common. It is common after most major surgeries, not just something like PCa.  In fact, if you read the saga of
of one of the writers for www.Askmen.com, he talks quite plainly about feeling overwhelmed by everyday issues a few months after prostate surgery. It is simple clinical depression.  This kind of depression has an organic root and is an imbalance in chemistry. this can be caused by hormonal changes, anesthesia and simple shock to your body.
 
I have always said, every doctor should hand a patient the card of a qualified therapist when a diagnosis of cancer is made. A therapist is just another tool to help you through the events and decisions.
 
Go to your family doctor. Tell him how you are feeling. He will most likely prescribe a mild anitdepressant.  Many AD's can cause impotence, so be sure to ask your doc for one which does not.
 
I had never needed AD's until a couple months after surgery. Yep, I felt like such a loser going in to ask for them....as if I weren't working on it hard enough. Now I realize how even that feeling was part of the depression - It just wasn't worth it.
 
I'm on 150 mg of Wellbutrin and things are much better. I'll be off them in a few months as things settle down.  Don't waste another day. Call your GP and get on with healing.
and take care of yourself.
Paul
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.
 
 


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 5/29/2008 10:04 AM (GMT -6)   
Paul,
I felt the same way about feeling bad about asking/taking anti-depressant meds. But I feel so much better now. I think mine started a few weeks following surgery, after the elation of being cancer free wore off, I was left with 24/7 worry and fear. Glad someone else here has had the same experience. Thanks for the post.
Randy
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix


GMH in SC
New Member


Date Joined May 2008
Total Posts : 7
   Posted 5/29/2008 12:02 PM (GMT -6)   

I have never taken antidepressants in my life and always felt I was a pretty even-keel guy.  I have experienced some incredible personal traumas and tragedies, and in my line of work deal frequently with death and tragedies.  But after surgery, which totally removed my cancer, I have had quite a few "down" days.

I recently called my doctor's office regarding some problems I was having.  I received a call back from the physician's assistant and told him I was bleeding quite a bit from the wound site; was having some incontinence issues; and that my wife (who, incidentally is an RN) had suggested it might be helpful if I have something to help me with anxiety - at least for a short while.  His response?  "Well, if we take care of the first two, the last one will take care of itself."  End of discussion.

Actually, neither of the first two issues have been resolved, but I am doing some better emotionally.  Of course, the initial onset was totally unexpected, so how can I be certain it will not happen again?  One good thing though, my experience has made me  want to be absolutely certain that I don't become mechanical when I am dealing with families and individuals in death and crises in my work.  No matter how much you see or experience each person if different and need to be treated with respect and sincere concern.


Age - 44
Biopsy - 3-31-08
Gleason 3+3  PSA 4.95
Radical Perineal Prostatectomy - 5-07-08 at the Medical University of South Carolina - Dr. Thomas Keane
Pathology - 40% of prostate was cancerous


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 5/29/2008 12:19 PM (GMT -6)   
GMH,
I also deal with sickness and dying on a daily basis (work in a hospital clinically) and have always thought of anti-depressant meds an something I would never need, until this came along. I just thought it was sadness over the illness, but it persisted. There is a difference between the two, and I hope your MD will listen to you and appropriately tx your issues. Hopefully you won't need anything for it, but I can say from personal experience, my outlook and energy is certainly much better with tx. I hope I will not need long term tx but am willing to do so if needed. There is absolutely nothing to be ashamed of, depression is a part of this disease for some, not for others, as it has changed our lives forever. Good Luck.
Randy
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 5/29/2008 6:10 PM (GMT -6)   
Hi goingalong

There are a lot emotions associated with this disease. Finding out you have PC is a real blow. All kinds of emotions fill your thoughts. However, after a couple of weeks dealing with what to do about it, I felt a real calm come of me and knew things were going to be alright no matter what was going to happen. I credit this to having a wonderful support system in place with family, friends, a good job and a wonderful wife who has supported me and helped me regain my health. People however are different in how they deal with this and if you or anyone else is having trouble dealing with it, seeking professional help would be the thing to do.

Mika

Mika
age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
wear one for insurance now
ED still a problem
last PSA undetectable
 


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/29/2008 7:52 PM (GMT -6)   
I experienced slight depression -- mostly from having to deal with pads all the time. Since I had an enlarged prostate, going easily was actually quite an improvement over my previous condition. But then I thought, "Which is worse, having to deal with pads for some time or having to deal with cancer and maybe dying much younger than I should?" After I sorted that out, I cheered up.

Also, right at the four-week mark was when I finally started seeing improvement in my overall physical shape, my leakage and my mental state. It's small steps that you take that make you feel better about yourself. It will be seven weeks post surgery for me tomorrow and I'm awaiting my the results of my first PSA test, but I'm not really anxious about it because I know I got that "thing" out of me.
Age 59 - diagnosed in Jan. 08 after biopsy
da Vinci Robotic Prostatectomy 4/11/08 - both nerves spared
Catheter removed 4/25/08
Prostate Pathology:
Gleason Grade 6 (3+3)
Apex: neg
Base: positive (tumor present at right and left base)
Peripheral Margins: neg
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day

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