SRT 33 of 39 - Wednesday.

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/18/2009 2:54 PM (GMT -6)   
Todays was a 45 minute affair.  Back to alignment issues.  I went in very sore from the burning at my SP exit hole from yesterday, so I didn't expect todays to be easy.  And it wasn't.  If you like my fractions, today made 11/13th completion, 6 more to go.
 
Met with my rad. onclogist today.  She is already planning my post radiation time.  She is reccomending to leave the SP catheter in place until early January.  She said that even when the radiation stops the end of next week, it will continue to burn and cause swelling for 3 to 5 weeks after.  She will talk to my urologist and suggest that he waits for any attempt at dialtion of my bladder neck till mabe mid-January.
 
She still wants to do her first post radiation PSA one month to the day after the last zap.  She did that since I don't have a prostate, there never will be a radiation bounce.  She at no time should my PSA ever rise, no matter how slightly, if the SRT works.  She said if it did, then it would not be a good thing.  Kind of knew this, but she's a straight shooter.
 
She said she will probably do 3 month PSA's for at least 2 years out from the last treatment. 
 
She examined me closely, and still puzzled why I have so much burning pain with both my penis and the SP catheter site.  She thinks it isnt the result of "scattering" but the result of hyper-sensitivity to radiation.  She said she has some patients that have to abort radiation because of side effects, but they are the rare ones.
 
Six to go, fellow veterens, this boy is getting short.  My mind is starting to accept that this part of my journey is nearing an end.
 
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 11/18/2009 3:16 PM (GMT -6)   
Hang in there, we will all be cheering you on and with you all the way to the finish line.

Our best,
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/18/2009 4:05 PM (GMT -6)   
Still plugging away, Jake, thanks
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 11/18/2009 5:37 PM (GMT -6)   
David, I am getting excited about you finishing this. I know your must be that much more pleased to know your almost there.

Your Brother in PC
Jeff
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.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/18/2009 6:46 PM (GMT -6)   
Jeff, my flesh is still hurting and weak, but my mind is getting into the knowledge that I near the end of this path. Still have other issues to deal with beyond the end of radiation, but will worry about those when the time comes.
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 11/18/2009 7:34 PM (GMT -6)   
Hi David,

The end is near and I'm happy to hear that you can see it. I'm cheering for you.

Best wishes 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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/18/2009 8:54 PM (GMT -6)   
Thank you, Bob, can hear you from here
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 11/19/2009 6:07 AM (GMT -6)   
Hi David,


It sounds like you are getting the straight goods from the docs. Hang in there buddy. We are all approaching the finish line in step with you and will be there for the finale.



Keep well,

Regards,

Bill

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/19/2009 9:50 AM (GMT -6)   
Bill, the more time I spend with my radiation dr., the more confidence I have in her. Her kindness and empahty are only matched by her degree of knowledge.
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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

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