SRT 31 of 39 - Monday

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/16/2009 3:37 PM (GMT -6)   
This far into treatments, you never know what you are going to get.  Today, wasn't so bad, 25 minutes, short for my group, and was able to get up by myself from the table with no severe burning.  Did have some intense nausea though as I left the clinic.
 
Normally see my doctor on Mondays, but that was delayed by her absence till Wed, shame, had a list of new post treatment questions for her.
 
BTW, in the first 6 weeks of treatments, I have lost a total of 17 lbs.  That is low compared to my previous neck/throat radiation treatment 10 years ago, I was averaging about 5 lbs a week loss then, as it destroyed my tastes buds at the time and everything tasted like metal paste.
 
Eight more to go, just doing my one day at a time thinking with this.  I usually start a week fine, and then the toxcity builds during the week.  But I will worry about tommorows, tommorow.
 
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 11/16/2009 3:49 PM (GMT -6)   
Thanks for the report, David. I really appreciate you doing this and allowing me to be part of this journey.

Those rotten little PCa devils are paying a terrible price for messing with you again. Forever may they be fried and gone.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week. 
Feel free to email me at:  sheldonprostate@yahoo.com    


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 11/16/2009 4:05 PM (GMT -6)   
Thanks for the update David. Are you having to buy new clothes due to weight loss on top of all of the other side effects? 17 pounds is a bunch, as I lost 10 after prostate surgery.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 11/16/2009 4:42 PM (GMT -6)   
Glad to see your post. I was going to send you an email if you didn't surface by tonight. Your SRT trip and others' experience with details are very important to all of us facing the same. The weight loss wasn't something I factored into the treatment. I had put on over 15 pounds due to inactivity over the past four months recovering from a broken ankle and started dieting (cutting out nightly cookies) to lose the weight. My SRT will start soon so I'm going back on cookie therapy in preparation.

Thanks for sharing your knowledge and wishing you a smooth week,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3, being referred to radiation next week


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 11/16/2009 4:56 PM (GMT -6)   
David, Your almost there my friend.. We think of you every day.

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
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 11/16/2009 5:04 PM (GMT -6)   
Hey David,

Know the feeling on the weight loss. After diagnosis in February, I lost 15 lbs. on purpose as we changed to a vegetarian diet. Along with the weight loss and the new clothes required, my blood pressure went down from 135/98 to 110/78. That was a nice dividend.

Hope the rest of the week goes well for you and before you konw it the end will be here.

Keep well, Regards,
Bill

Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 11/16/2009 5:18 PM (GMT -6)   
Well David, the end of your RT is now really closed at hand. Most of the cancer cells are now dead and the few remaining ones are just laying around unconscious or begging for mercy. Give them all the final final push into oblivion with those last few sessions. We all know that you can do it. Hope it won't be be to tough.
All the best to you.

Magaboo
Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09, = 0.05; July 09, <0.04


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 11/16/2009 5:25 PM (GMT -6)   
Greetings, David.  Now that you have the Monday session out of the way you are down to one more full week - piece of cake, right!  Trust you are doing well other than the side effects you are experiencing.  Wouldn't hurt me to lose 17 pounds - I jokingly said my prostate must have weighed 13 pounds because that is what I lost the 2 days I was in the hospital.  Oh well.  Thanks for keeping us updated.  David

Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/16/2009 5:46 PM (GMT -6)   
Thanks Sheldon, you always have the right words for me, appreciate it.

Michael, I can easily lose the weight, not real obese or anything, but have some fluff in the middle. Hard diet to be on, rather be fat, lol.

Jake, thanks, glad you are doing well too. I dont view these daily reports as a fishing trip for symphany, I do it because I know others like the details on the day to day procedures, treatments, and troubles. And of course, what has happened to me, or some of my issues and complications certainly don't mean it would happen to you or anyone else. It shows what can happen if nothing else.

PS Jake, my rad. dr. said during these 8 weeks, eat whatever i felt like, plenty of protein and carbs in particular, to build up some strength, because radiation does to a number on one's immune system. When I am hungry in recent times, usually craving proteins in particular.

Jeff, thanks, you are a good friend and I appreciate your care and concerns. PC may be a brutal beast at times, but I will never go down without a fight. Use to fantasize about reaching 100 years old and getting shot by a jealous husband, don't intend for PC to take me down

Bill, thanks too, what you did with your BP is great news, that should make you and your dr's happy. BP hasn't been an issue for me in life so far. For a guy that has been such a cancer magnet, its strange that I dont have BP or cloresteral troubles, not even remotely diabetic prone, virtually never get colds, coughs, sore throats, flus, etc. At 57, still don't need glasses and still have all my teeth, lol. So there are parts of me what work well. I could way wrong, no way to prove this, but I still think my 4 cancers so far in life were all the result of toxic exposures when I was in my early 20s.

Magaboo - thats what I am hoping is going on inside my prostate bed, that the buggers are dying in droves. As much as I hate this radiation in general, and as much as I cant wait for it to end ,if my dr. changed her mind and said I think we need to increase from 39 to 45 treatments, I would probably agree. This is my last big gun going to kill off the cancer, and would be willing to suffer another week if it meant better results. Highly unlikely, cause I am already getting 72 greys, which is quite a bit for a secondary treatment.

David/CPA, yeah in all my cancer events and treatments, past and present, were big weight losers for me, but its not a diet I would want to pass off to anyone else. I have a serious sweet tooth, so probably would have lost more if I didnt like good chocolate so much, lol, hope you are faring well, my fellow acconting brother.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/16/2009 7:39 PM (GMT -6)   
David, glad to hear that today was a bit easier but sorry that the nausea is still plaguing you. You're probably tired of hearing this but the end is in sight. The protein helps your body heal ... our rad onc also said pasta is good because it's easy on the digestive system.

Hang in there. See you tomorrow.

Sephie
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/16/2009 7:43 PM (GMT -6)   
Thanks, Sephie. So looking forward to that first Monday after THanksgiving, when I don't have to go back to the clinic. When you do something everyday for nearly 2 months, good or bad, you kind of get into a routine. This is one routine I will be happy to give up.

Not a big pasta eater, guess the Irish in me favors the Spud instead, lol.

Hope John is doing well.
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 11/16/2009 8:27 PM (GMT -6)   
Looks like you are heading for the home stretch. Hope tomorrow is like today. You are almost there!
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 11/16/2009 8:32 PM (GMT -6)   
Hang in there, pardner. Just a little longer and then you're done. I had No. 13...on Friday the 13th...1/3 of the way there. Too many ones and threes for my liking. Glad the machine didn't blow up. Today was no. 14...sigh.

Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci Jan. 19th, No lymph node involvement, all margins clear.
 8 week PSa <0.01
 Gleason downgraded to (3+4)7
 6 month Psa , 0.1 
 9 month Psa,  0.2  Doubled! Criminy!
 Started RT 10/28...one year since diagnosis.


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 11/16/2009 8:43 PM (GMT -6)   
Hi David,

Eight to go! As the countdown continues each daily increment becomes a larger percentage of the remainder.

I'm still looking forward to the celebration that follows.

Wishing you well,
Bob
Age 70, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Four PSA tests undetectable, latest Oct 30


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/16/2009 8:46 PM (GMT -6)   
Oh you poor man (not liking pasta much) ... I am half Italian (the other half is German) and John is Irish & English. I think he could eat pasta 7 days a week - if it is with my homemade sauce!

John is doing great. He has another PSA test in early December - it will be what it will be but we're hoping for a big, fat zero again!

Be well, Good night, dear friend.

Sephie
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/16/2009 9:08 PM (GMT -6)   
Rob, thanks.

Bob, 13 is my lucky number, born on the 13th. You are coming up behind me, you will get there too. Good luck.

Sephie, hoping and praying your John gets that next zero, that would be more convincing that he's not on my SRT path even more.
Gee, I know I am not the normal one eating, Italian cuisine is probably my least favorite, especially anything in a tomato sauce.
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 11/17/2009 3:41 PM (GMT -6)   
Hi David,
 
Travelling today. On train with wi-fi. Wi-fi a bit slow. Train isn't. Got some whitecaps in my coffee where part of the passenger line uses freight rails... a bit bumpy.
 
You're getting close to the end of your RT. Another 7 after today?
 
Didn't see a post on today's treatment?
 
All the best.
 
Mike
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/17/2009 3:45 PM (GMT -6)   
YEah, thanks Mike, all we have left is Amtrax, not much of a railroad. Yeah, theres a new post for today.
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 11/17/2009 3:50 PM (GMT -6)   
Just saw it...Mike

-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.


Hopeful in MD
Regular Member


Date Joined Apr 2009
Total Posts : 66
   Posted 11/17/2009 8:31 PM (GMT -6)   
Hi David,
 
Glad to learn that you are still tolerating the SRT reasonably well.  I'm looking forward to you post that says you have finished. 
 
At the hyperbaric oxygen chamber (in the wound center of my local hospital) where I spend 2 hrs every day, there is a bell that patients can ring when they are cured or have finished treatments.  I have just finished 44 or 45 sessions and will have to stop at 60.  I won't be cured, but I feel definite benefit from the treatments.
 
So ... will I ring the bell.  You're D.MN right I will!  I hope there is a bell somewhere that you can ring.  Maybe a really loud yell would do the trick if no bell is available.
 
Hang in there.  You are still awesome!  You have my continuing prayers and deep respect.
 
Gene in Md
 
 
 
 
Age 70.
Dx Dec 07. PSA 8.4. DRE confirmed tumor. Three of six positive. Gleason: 6 (3+3). Seeds Iodine 125 Jan 08. PSA's 3.9, 1.7. Rising PSA's: 2.3, 3.4, 3.9, indicating  seeds not working.  April 09 began HT with Lupron 30 MG ea. 4 mos.  Side effects hot flashes, severe fatigue until mid-July. Jun 09 - Onco DRE negative for nodules - hooray!!! Aug 09 - PSA 0.5!!!  Lupron working! Aug. 21 - 2nd Lupron shot.  Aug. 31 - hyperbaric oxygen for rectal bleeding (radiation proctitis).  40 sessions as of Nov. 9.   Nov. 5 sigmoid exam - gastro "oxygen not working." Hyperbaric doc "they are" confirmed by Nov pics compared to Sep. Will continue treatments up to 60, the max nr for one course of treatments. 

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