First, turns out you don't need to drink water before the set up. I was told by the scheduling staff to come an hour before my appointment time, but ended up just sitting there waiting.
When they took me in, they put me on the machine, lined me up using the laser beams and my tatoos and straped me down using the mold they made during the simulation.
I have two parts to my treatment plan. First, they will radiate my pelvic area with 45 gray then just the prostate bed with additional 27 to make it 72. The first part involves 9 angles. They have to take pictures from every angle and compare it with the original scan and the plan. So, it took about
45 minutes. I dosed off a few times. Pretty boring. Everything lined up perfectly, so I am ready to go on Monday. Next week I will have four treatments. Wed is a maintenace day for my machine. I will lose two or three days to maintenance over the course of my treatments. They told me to call them an hour prior to appointed time to see if they are running pm time, then drink 16 oz of water. Pretty easy. The whole thing should take 15 min.
So, overall - nothing to write home about
Father died from poorly differentiated PCa @ 78 - normal PSA and DRE
5 biopsies over 4 years negative while PSA going from 3.8 to 28
Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8
Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere+Avastin)
PSA prior to treatment on 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60
RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins
PSA undetectable for 8 months, then 2/6/2009-0.10, 4/26/2009-0.17, 5/22/2009-0.20, 6/11/2009-0.27
Salvage IMRT + 6 Months ADT: Casodex started 6/12/2009, Lupron 6/22/2009, PSA 6/25/2009-0.1, T=516, 7/23/2009-<0.05, T<10, IMRT to start mid-Aug