Orig. scheduled for rp on 2/20/09 at 3pm. After spending 7hrs in the pre op area was informed they couldn't fit me in. Surgeon kept me overnight to Saturday but released me with apologies explaining he was unable to get a team together. Returned 0n 2/24,after a second bowel prep, what fun! Surgery was completed. Turned out the surgeon was leaving on a trip for two weeks. I was left in the post op care of residents. At that point I felt I became a number rather than a patient. One resident said I was dehydrated and promptly pumped fluids in me until I swelled up, another said I was not dehydrated. They kept me over an extra night due to my pelvic drains filling up with a straw colored fluid that appeared to be urine. When the physicians assistant saw that he said I might have a leak at the connection. At that point I questioned my sanity on agreeing to come back. The #1 hospital, not so sure.
pt3a-organ confined throughout
summary margins positive millimeters in length (0.1),right, apex, posterior, focal
note indicates apical margin on the specimen focally positive, however, all additional tissues taken from this area are negative for tumor, indicating that the true surigical margin is "most likely negative"
lymph nodes negative
seminal vesicle negative
First two psa results May & Sept undetectable
The surgeon is telling me not to be shocked if the cancer returns in 2/3 years
Main question: Can one or two of you well informed friends out there make some sense of my path report? Organ confined but positive margins?