A new "seed" brother I met yesterday

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Purgatory
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Date Joined Oct 2008
Total Posts : 25393
   Posted 10/13/2009 9:16 AM (GMT -6)   
You can meet the most interesting people in medical waiting rooms sometime.  At the radiation clinic yesterday, after I had changed into the gown, went out to the patient waiting area to await my turn.  It was empty with the exception of an elderly african-american couple, have seen them there before but we never spoke other than to say hello.
 
The old guy spoke to me and asked why I was there.  Told him about the PC, come to find out he was there too for the same reason.
He was on treatment 9 of 15 being  givein prior to being "seeded".  His PSA was 21, jumped from 5 to 21 in one year!  They said they couldnt do surgery because of his age.  Also, his father and 3 uncles all died of PC.
 
Well, the nurse came and took him away, and I spoke some more with his wife.  She was telling me how tough he was, and was going to beat this cancer.  Then I politely asked his age (as I am terrible and usaully wrong).  She proudly told me he was 82 going on 83.
I was shocked.  I thought perhaps upper 60s.  I said gee, hes a real young looking 80 plus, and I am an old looking 57, lol.
 
They looked like they had been married for 50 plus years easily, but come to find out they were approaching  their 3rd anniversery, almost newlyweds.  And she smiled and told me she wanted her husband to be around for a few more years, as they were both widows previous.  It really touched me.
 
Their oncologist agreed that he was too old for the rigors of surgery, and thought that even at this age, seeding would give him some hope, or at least buy another 5 years or so, and that was good enough for this fine couple.  I know normally a PSA of 21 wouldn't be a good candidate for seeding, but I am assuming at his age and the rest of his health appeared good, that there was no valid reason not to try seeding.
 
This would have to make him the oldest "seeded" brother I have heard of.  I invited them to HW, told them all about us, but unfortunatley, like many of their generation, they don't do computer.
 
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Squirm
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Date Joined Sep 2008
Total Posts : 744
   Posted 10/13/2009 10:16 AM (GMT -6)   
I wonder why his uro didn't seek further investigation when his psa was 5 - esp knowing pca runs in his family...

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/13/2009 10:21 AM (GMT -6)   
Good question, I will ask him or his wife if I see them today. Perhaps they thought it was an enlarged prostate issue at the time?
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 10/13/2009 10:24 AM (GMT -6)   
maybe...but a simple fPSA could have given the likelyhood of one or the other....

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/13/2009 11:00 AM (GMT -6)   
Squirm, the man is a stranger to me, I will see if I can learn more. At his age, I would have thought his choices would be AS or HT. Was just surprised that he was on the "seed" path.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 10/13/2009 11:34 AM (GMT -6)   
I have an uncle that is my Dad's Brother that had seeds for treatment and If I am not mistaken he was 79 or 80 years old at the time. This was 2 years ago.

Other than PC he was in great physical shape.

Last I talked to hime he was doing well.

Jeff T
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/13/2009 11:38 AM (GMT -6)   
Jeff, this man looks to be in great shape, that is one reason I was so surprised at learning his age. His wife was shocked to learn that my operation had failed in its main mission, she didn't know that could happened, and hadn't heard of salvage radiation before.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 10/13/2009 11:49 AM (GMT -6)   
My Uncle is a retired Veterinarian and very knowlegable he made the choice of seeds due to his age.
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 10/13/2009 3:30 PM (GMT -6)   
Thanks David, it would be interesting to know why.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/13/2009 3:50 PM (GMT -6)   
Squirm, I got to talk to the man and his wife again today, only other people waiting with me. He said he had a Gleason 7 (3+4), and the high velocity PSA. Apprearently, was one of those kinds of guys that never went to the doctor unless he absolutely had too. She said the first part of the seeding process would be done later this month, and the second part 2 weeks later. Not sure what she meant by that.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.

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