The Good and the Bad

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Regular Member

Date Joined Mar 2006
Total Posts : 355
   Posted 1/12/2009 3:48 PM (GMT -6)   
Ugggh, life is such a roller coaster ...
For those still keeping up with my intermittent posting, my husband's Oncologist confirmed his 0.39 PSA reading - whooo hooo - she shook his hand and congratulated him then she dropped the bomb ...
She's leaving - not just leaving the hospital - leaving the province ... if we could follow her we would but we're in Ontario and she's going to British Columbia :(
I guess the silver lining is that we consider ourselves extremely fortunate that my husband's cancer was found while she was still practicing in our province - she is an absolutely wonderful doctor and I will miss her terribly - Ontario's loss is British Columbia's gain ...
Husband diagnosed in December 2005
PSA of 3.74
Gleason 6
Brachytherapy (91 stranded seeds) April 2006
PSA of 0.39 - November 2008 - whoo hooo!

Elite Member

Date Joined Oct 2008
Total Posts : 25382
   Posted 1/12/2009 3:51 PM (GMT -6)   
Yeah , BC is a little bit far from Ontario. It hurts when you lose a doctor that you have that much faith and confidence in. Is she leaving you in the hands and care of someone hopefully as competent?

David in SC
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery  November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32.  Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08.  After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/9/9 - pre-op, 1/13/9 - corrective operation scheduled at St. Francis
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes.
First PSA Post Surgery  Scheduled now for 2/9/9

Regular Member

Date Joined Mar 2006
Total Posts : 355
   Posted 1/12/2009 3:53 PM (GMT -6)   
I didn't meet the new doctor but my husband obviously did - "hands on" so to speak.  He's been training with her for about a year but this is the first we've seen of him.  I wish we had a direct line of communication with her to use as a "consult" but that just isn't feasible ...
Husband diagnosed in December 2005
PSA of 3.74
Gleason 6
Brachytherapy (91 stranded seeds) April 2006
PSA of 0.39 - November 2008 - whoo hooo!

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 1/12/2009 3:55 PM (GMT -6)   
Great news! Awful news. I know the loss of a good doc. Mine left to return to Texas 3 months after mu surgery and I haven't been totally satisfied with his replacement since. But really glad to see the number confirmed..
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 1/12/2009 4:40 PM (GMT -6)   
Yea!!! Dang it!
At least she worked her magic already and you can reap the benefits of having had her. There are many good doctors, and I am sure you will get another. But best yet, keep 'em bored! Keep a low PSA and all they have to do is let you know things are OK...

Age 46 (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, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
You can visit my Journey at:

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 1/12/2009 4:53 PM (GMT -6)   
JustJulie- can I ask what his nadir psa number was? Nadir meaning his lowest psa number post (after) radiation/brachy seed (or any treatment)? Usually for radiations it can take awhile to reach lowest psa (fyi for others), it is not instant cell death on radiation . The lower the nadir the better, assuming you had a nadir and now is higher some.


Veteran Member

Date Joined Apr 2006
Total Posts : 1732
   Posted 1/12/2009 6:47 PM (GMT -6)   

The one good thing I've discovered about good Physicians is that others will learn from them during their practice at any given location. There is bound to be another pretty close. Congrats on a good check up :>)


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