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My dad has PC - HELP, Im' SO scared...

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bounty
New Member
Joined : Jan 2009
Posts : 10
Posted 1/19/2009 12:25 AM (GMT -7)
Hello!

My dad is 64 years old I was diagnosed PC 2 weeks ago... He has no symptoms.

His PSA is 11 and 8 out of 10 biopsy were positive (Don't know his score)

Now he has to wait for a bone scan, and I'm so very affraid that the cancer has spread... What are the changes that the cancer has spread to the bones at this time?? He has bagpains (But that he has had for 30 years, he is a farmer :o)

PLEASE help, I can't eat, sleep og live :o(

 

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BillyMac
Veteran Member
Joined : Feb 2008
Posts : 1858
Posted 1/19/2009 1:10 AM (GMT -7)
bounty
Sorry to hear the news about your dad. A diagnosis of cancer hits us a the very core of our being and when hearing it we tend to panic. But the wise course of action, most particularly with prostate cancer, is to become knowledgeable about exactly what it is and its various treatments. You will find a great depth of wisdom here and information from patients who have been through every form of treatment and varying degrees of success who are more than happy to help. Early PCa usually has no symptoms so he is not unusual in that respect. It will be helpful if you could include your dad's stats.......PSA you say is 11 and 8/10 positive cores. What was the percentage of PCa in each core and most importantly what was his Gleason score. This booklet:
www.yananow.net/StrangePlace/index.html
is some of the best reading on the web from a newly diagnosed and layman's perspective and will explain what's ahead and what all the terms mean. There are many treatment options and it is terribly important that your dad bases his decisions on a sound knowledge base. Hard as it is do not panic............perhaps reading some of the stories here:
www.yananow.net/Chart-Year.htm#year
may help you see that you can be cured and even if not cured go on in pretty good health for many, many years. Stay with us and you will find your anxiety level will quicky fall away.
Bill
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 1/19/2009 1:55 AM (GMT -7)
Hi bounty,
Welcome to HealingWell. None of us want to be here, but we are glad you found us. You will many like Bill here wanting to help. Bill is right, we need that Gleason score information. His percentage of positive cores is high, but the PSA is in range of a good outcome. Let's get the rest of the info first. Can I ask? Where abouts are you?

Welcome again to what I found to be the best site on the web for prostate cancer support.

Tony
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bounty
New Member
Joined : Jan 2009
Posts : 10
Posted 1/19/2009 2:28 AM (GMT -7)
Thanks!

I'm from Denmark...

Many places on the web says that it is very rare that the cancer has spread to the bones if the PSA is under 20... Anyone knows if that is true?
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BillyMac
Veteran Member
Joined : Feb 2008
Posts : 1858
Posted 1/19/2009 3:12 AM (GMT -7)
bounty,
What you have read is generally correct..............Prostate cancer with a PSA below 20 generally does not show bone metastases, but having said that, nothing is set in stone with this disease. Every person is an individual and their cancer is likewise individual. But please don't assume that even if your dad had spread to the bones then that is the end of the line...........it is not, for the majority of this type of cancer responds well to treatment. Please spend the next couple of days studying, particularly the booklet I posted...........it will help make you feel a little easier and give you a greater understanding. As you can see you have a worldwide source of help at your fingertips (I am in Australia and Tony is in the U.S. and there are many,many members from all round the globe) who will help you get through this.
Bill
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zufus
Veteran Member
Joined : Dec 2008
Posts : 3149
Posted 1/19/2009 5:30 AM (GMT -7)
Please rest from fear and panic, my stats were likely worse than your dads or maybe very comparable. I had clear scans ct and bone, that is not a guarantee but does make you atleast smile some. I am 7 yrs. survivor thus far with decent results considering where I started. Others that have some even higher ominous stats, that are herein at HW forum, are couple years into their journey. There are various levels of this disease, knowing the parameters is important, but all have some type of treatment to use or consider.

****Go and get an actual copy of the pathology report data-asap**** That information is crucial in knowing what you are dealing with. Get all tests and records if you can. In the USA you are legally entitled to get it, in England they don't have to provide it to you, I hope your country is better than that. If no copy, then see doc and you transpose the words for yourself.

Dx-2002 (Total urinary blockage)- bPsa  46.7  12 of 12 biopsies all positive, 75-95% cancer in everyone, Gleason scores found 7,8,9's on both sides about equally too, DRE positive felt something. Treatment: ADT3 drugs+radiations external Neutron/Photon+ADT1-3 drugs continued, switched to DES, psa stabilized(low) for near 2 yrs., went off all drugs about 2 yrs., resumed DES now. Psa currently  .61 and was dropping,(editted Feb.'09- now is .36)

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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25445
Posted 1/19/2009 5:54 AM (GMT -7)
Bounty,

Welcome here, your initial fears and concerns are well known by all that dwell here, and would be very much expected. Glad you found us here. As others have said, when you post the Gleason score and percentages in the cores, it will help us understand your father's starting point. Bone and CT scans should show up clear at this point with his current PSA, but tests still need to be ran. Many here will help you with any information you need, to discuss treatment options, and to be here to help you get through this. Wishing only my best to you and your father.

David in SC
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Doting Daughter
Veteran Member
Joined : Aug 2007
Posts : 1064
Posted 1/19/2009 8:22 AM (GMT -7)
Bounty-
From another daughter whose dad was diagnosed with PC, I understand. It was the most terrifying thing I have had to go through, especially when the path report came back with bad news. However, as Bill and Zufus have said, knowledge is power. Now is the time to research and educate you and your family on this disease and treatment options. You have come to the right spot for support and patient interaction. PC is very curable if caught early and I hope your dad's was. Please keep us posted and feel free to ask away in here.
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sandstorm
Regular Member
Joined : Dec 2008
Posts : 194
Posted 1/19/2009 9:33 AM (GMT -7)
bounty

Welcome to this board and sorry about your Father. By now you can tell that you have certainly come to the right place, from the answers you have already recieved. The fear you have right now is normal and we have all had the same reaction but prostate cancer is not an instant death sentence. It is a very treatable condition. Stay here and study and learn from the stories on this board and remember that information is power. Good luck to you and your Father in his journey down this road and keep us updated on his progress.
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 1/19/2009 1:31 PM (GMT -7)

Hi again, bounty,
PSA is a surragate for disease progression in prostate cancer.  A PSA below 20 opens up more options.  Mine was 19.8 and surgery/radiation/just about anything was still an option for primary treatment.  It may be possible to acheive a curitive state.  Stay positive and stay diligent as well.  Knowledge is very helpful in fighting prostate cancer.  By the way, I did not have any symptoms either.

Denmark? Splendid!  Please note that HealingWell has members from every continent, and a pretty good list of countries, too.  I hope you stay with us.  Time for me to be nosey again, are you a son or a daughter?

Tony

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bounty
New Member
Joined : Jan 2009
Posts : 10
Posted 1/19/2009 2:17 PM (GMT -7)
Thank you!

It is very nice to be here, we need places like this in Denmark...

By the way, I'm his 28 years old doughter (I have 2 older brothers). My boyfriend and I are planning our wedding the 4th April, but I just can't focus on anything but my farthers cancer :o(

I guess it will really help me if the bone scan test is good. He went for the scan today, so we will get the answer in 2 days.

(I hope my english is understandable)

Stine

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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25445
Posted 1/19/2009 2:39 PM (GMT -7)
Your English is fine, glad we can be here for you
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bounty
New Member
Joined : Jan 2009
Posts : 10
Posted 1/19/2009 2:44 PM (GMT -7)
By the way, what IF the bone scan is not clear?? Can you than live 10 years with ir or is it a matter of month?
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Missyj
Regular Member
Joined : Sep 2007
Posts : 87
Posted 1/19/2009 3:02 PM (GMT -7)

Hi Bounty,

My husband's bone scans were not clear - he has multiple bone mets

However, you would not know from looking at him that he has cancer at all. Really, since he was diagnosed over 18 months ago absolutley NOTHING has changed ( I mean from his daily routine, work, general health etc)

OK, the worry is there. Mentally, it is difficult every time he goes for his 3 month check, but even if the worse came to the worse, your dad will have many years of good health.

Add to that the fact that there are many hopeful treatments on the horizon for prostate cancer, I really do believe that things aren't so bad

Our daughters are 17 and 19 and at first, they were like you, very worried. They now take the whole thing in their stride as dad is fine.

I am sure your dad will be too

Regards, Julia

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Doting Daughter
Veteran Member
Joined : Aug 2007
Posts : 1064
Posted 1/19/2009 5:13 PM (GMT -7)
Bounty-
I was 6 months pregnant when my dad was dx. I couldn't understand the timing of everything, because I was so depressed. However, looking back, it was the biggest blessing. Everyone needed something to be happy about and I hope that your wedding will provide joy to your family when everyone needs it most. I am sure it will be a good distraction for your dad. By April 4th, hopefully, he will be cancer free and finished up with whatever treatment he decides on. He will need to be thinking about his toast and father/daughter dance :)
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livinadream
Veteran Member
Joined : Apr 2008
Posts : 1382
Posted 1/19/2009 6:34 PM (GMT -7)
Welcome to the sight Bounty, you have ever reason to be concerned and for me to say not to would be in appropriate. I would encourage to asborb all the knowledge you can. Please keep us informed as to the results of the scan. I would not think it has spread based on what you wrote, but it is cancer. Stay with us and join in.

peace and love
dale
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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25445
Posted 1/19/2009 6:41 PM (GMT -7)
Bounty, I love seeing how much care and concern you have for your father. I have 3 adult age childrent, all living local to me, and throught my entire PC crisis, they have been there for me all the way, while I would never wish cancer on anybody, it has helped knit and tied my family into a single unit. We are all here for one another. I am sure your father knows he's has a loving daughter. My daughter called me from her work just this afternoon, just to check up on her dear Dod. It made my afternoon. Then my youngest son came by after he got off work and visited with me. It means a lot to us parents, trust me.

David in SC
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bounty
New Member
Joined : Jan 2009
Posts : 10
Posted Yesterday 1:14 AM (GMT -7)
Well, I must admit that it is very hard to se your parents sad and affraid... My dad talks like his time is up :o( I know I have to be strong and someway make him believe that he CAN get well... But it is hard when I at the same time am so very sad myself...
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BillyMac
Veteran Member
Joined : Feb 2008
Posts : 1858
Posted Yesterday 3:30 AM (GMT -7)
We all understand how your parents and you feel. Believe me all here felt the same when we first received our diagnosis. It feels as though your world has ended. But, it is not so. As you and your parents come to understand this disease and it's available treatments you will start to relax bit by bit. As difficult as that is to accept at the moment it will happen. Start your dad reading the experiences and successes of others who have had the same diagnosis and he will see that he can still be a healthy farmer for a long time yet.
Bill
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zufus
Veteran Member
Joined : Dec 2008
Posts : 3149
Posted Yesterday 3:39 AM (GMT -7)
Hang tough Bounty alot of warriors and pioneers went this road way before all of us, they helped find and bring better results, treatments, and choices that did not exist 5-10-15 yrs. ago even. Control of PCa (even if no cure in sight) is way better than some people may realize, it can be done and done in different ways or protocols.

There are some mentors on www.yananow.net that have some of the worst high end stats you will probably hear of or see written anywhere, some of them have done what seems impossible, one guy comes to my mind right now....10 yr. survivor with stats that very ominious looking and he is still battling. That gives us others hope. Newer things are in the pipeline, anyone who comes up with better control or cures will be overly rewarded with acolades and money. What the patient needs to be most aware of is how good is your doctor, how much knowledge-experience does he have, and also for patient to be informed and up on what your choices might be, as only you walk the walk, others talk the talk.

You and dad need to look at a book that covers basically all aspects of PCa and in detail of treatments, protocols, drugs, oncology, results etc.

A Primer on Prostate Cancer-The Empowered Patients Guide (Dr. Strum & Donna Pogliano)

It will rock your world for knowledge and getting a grasp on all the PCa jargon, options, etc.

(Hey in your case I will give you a money back guarantee-and I mean it-I could paypal)

 

Z-Bob  (7 yrs. of shooting arrows at this beast- PCa) :-)

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John T
Veteran Member
Joined : Nov 2008
Posts : 4315
Posted Yesterday 12:43 PM (GMT -7)
Bounty,
Most likely both the bone and CT scans will be clear with a low PSA.
Radboud University Medical Center in Nijmegen NL has a scan, Combidex MRI, that can identify small lymph node cancers. have your dad take his time and evaluate all options, PC is not a death sentence and 10 year survival is very good even with those that have had their cancer spread. The gleason scores are very important so as soon as you have them give them to us.
JohnT
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strawberry man
Regular Member
Joined : Dec 2008
Posts : 23
Posted Yesterday 3:55 PM (GMT -7)

Hi Bounty,  wishing you well, it scares us too!  I was very scared when I first found out.  I am now 7 months post surgery and everything is fine with me.  I have a few problems but they are much better than having cancer!  I am cancer free in the post surgery tests that I have taken.  Take care, everything will work out!

Dx 4/21/08 psa 9.7  Age 58

Biopsy results  3 areas of  3+3=6 gleason

Di Vinci surgery 6/3/08

Post op 3 months and 6 months -  all clear

0 psa

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bounty
New Member
Joined : Jan 2009
Posts : 10
Posted Today 3:59 AM (GMT -7)
I hour ago the doctor said that the bonescan is clear - THANK GOD!

Now the doctor told my farther he must decide if he wants radiation therapy or surgery... Which one is safest??
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zufus
Veteran Member
Joined : Dec 2008
Posts : 3149
Posted Today 4:33 AM (GMT -7)

There are more choices than your doctor just mentioned and 'must decide' hopefully were not his exact words, if so smells biased already to me. Should decide or has a decision to make is better words. The condition of prostate cancer can even be tackled by drug therapies and at age 64 is maybe worth atleast a look at it, non-invasive also. There is also cryo, HIFU, various types of radiations to consider (many), various types of surgery methods (many), HDR (removable brachy seeds-short duration use), Dr. Leibowitz ADT3 protocol  (google Dr. Leibowitz and look at this approach too-blows your mind but has results), other drug protocols being used and some are unique but effective.  One size does not fit all in PCa.

But alot of people don't bother looking that hard and go with the tradiational two you mentioned as they are promoted the most and sold the most. Might be the best too, but all have risks, side effects and issues for the patient to consider. Alot roads lead to Rome, same idea for PCa.

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Sephie
Veteran Member
Joined : Jun 2008
Posts : 1804
Posted Today 6:31 AM (GMT -7)
Bounty, so sorry about your dad's diagnosis. But, as many have written, take heart for there is hope. Cancer is a serious illness but it is not the only serious illness...we tend to react very strongly when we hear the word. My husband was diagnosed in February 2008. The urologist called us within 24 hours of the biopsy to tell us the bad news and explained to us over the phone what his situation was: 2 our of 10 cores tested positive with a Gleason score of 6 and 7, making my husband's overall Gleason a 7 (3+4). His PSA at diagnosis was 6.4. Urologist ordered a CT scan followed immediately by a consultation with him to explain the diagnosis further and discuss options. In my husband's case, all options were open to him and we chose surgery.

Please encourage your dad to have hope - a diagnosis of prostate cancer is not the same as a diagnosis, say, of lung cancer, since PCa is usually caught much earlier than most cancers and tends to be a slower growing cancer. Chances are very good that your dad's PCa is treatable and that he has much to look forward to.

Stay with us and keep us posted.
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