I just came back from my visit to the Uro. Nothing exciting.
Seems with cryo, a failure is defined as psa nadir +2; meaning that my 0.7 is nowhere near failure yet (my nadir +2 would = psa of 2.2). Ok, it was pointed out that if I felt uncomfortable with that, we could do a biopsy and all the other good stuff much sooner. We therefore agreed that when the psa hits 1.1 we will go all out. I asked whether a salvage cryo, if warranted by the tests, would be covered by insurance (even though all of the major insurance companies and Medicare specifically say its not covered). The answer was what I liked..."don't rely on what they say...I've been able to get coverage on salvage cryo most of the time because there is solid evidence that it works."
And here's what I really liked...my Uro (who knows PCa as well as any cancer oncologist), supports alternative therapy....likes the pomegranite and highly suggested the Ornish diet.
BTW: I requested a copy of my pre-cryo pathological report. Turns out I was not a Gleason 9 but was on the poorer side of a Gleason 7 (4+3)...still bad but not as bad as I thought.
What a journey!
Age -57; Diagnosed 10/05 PSA 13.4 GS 9 Organ confined (T2B)
Cryoablation 4/06 Allegheny Hosp-Dr Ralph Miller (Cohen/Miller)
Post Cryo Nadir 8/06 0.2
Rising steadily to 0.7 4/09 :-(
Steady at 0.7 (7/09) (Pomegranate???)
Looking to take next steps soon
Hoping to qualify for salvage cryo or radiation