Sonny - IMRT treatment 1

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Veteran Member

Date Joined Aug 2009
Total Posts : 2448
   Posted 11/30/2009 4:41 PM (GMT -6)   
Well today marked the beginning of my next journey down the PCa pathway.

The Radiation folks called this morning to tell me the machine was down and my treatments would have to start tomorrow. Told them that was fine with me. I have the next 8 weeks blocked at 1:20pm anyway. The told me I would only be there 7 weeks plus the 2 days missed because Christmas and New Years fall on a Friday. Said my schedule called for 35 treatments.

So I took my wife in for her treatment at 1:20pm today and was in the waiting area with her when the tech came out and told me the machine was up and running. She said I could go ahead and start today if I wanted to. Told her yep, let's get started.

So from time of dropping shorts to time of pulling them back up was 27 minutes total. The first two slides through the machine were for alignment and one pass through for the radiation. The machine they use does a CT scan to make sure the alignment is correct and then another pass delivers the radiation. I don't know how others have received IMRT, but this seemed like a pretty slick operation to me. So I guess my tattoos were well placed, because they never had to reposition my body at all.

If all goes this smoothly, I will only post on Friday's for the week's treatments. The tech said that I would not start seeing any side effects until about 2 weeks. Said that usually they only see a slight burning during urination and possibly some loose stool. I think I could live with that.

All in all, everything went well.

Sonny yeah
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 11/30/2009 5:13 PM (GMT -6)   
Sonny, What great news. I am so pleased that everything went so well. Know that you and Linn are in our thoughts every day.

Your Brother in PC

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.

Regular Member

Date Joined Jul 2009
Total Posts : 384
   Posted 11/30/2009 5:29 PM (GMT -6)   
Will be keeping you in my thoughts and prayers for both of you as you start this journey.

Larry in TN
Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
First post Surgery PSA - 0

Regular Member

Date Joined Mar 2007
Total Posts : 460
   Posted 11/30/2009 5:33 PM (GMT -6)   
Glad to hear your first reatment went so well.  You and your wife are in our thoughts.
Jerry and MJ 
Age 70
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive 12% of sample,
Gleason Score 4+4 =8  Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Post Gleason report  4+4 = 8 Lymph nodes on both sides negative
margins Negative  Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/19/08 dry no more pads
12/2/08 first PSA <0.1
 3/6/09 6 Month PSA 0.0
6/3/09 9 month  PSA 0.1
7/14/09  PSA still 0.1
10/15/09 PSA 0.3
10/26/09 surgery to remove 3 clips in bladder neck that formed stones and caused burning and pressure for 9 months. 
11/16/09 PSA 0.3

Regular Member

Date Joined Aug 2009
Total Posts : 288
   Posted 11/30/2009 5:39 PM (GMT -6)   
Sonny, glad to hear you had a good start! Sure hope your weekly updates are reporting non-events.

Our best to you and others,
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, seeing radiation oncologist 12/09/09 ... odd call from GP, annual bloodwork shows triglycerides over 400 despite being on a statin

Veteran Member

Date Joined Jan 2009
Total Posts : 2243
   Posted 11/30/2009 5:40 PM (GMT -6)   
That is good to hear Sonny and glad that you were able to get started without a delay. Thanks for keeping us posted, and know you and your wife will be in our prayers and thoughts. I might not be far behind you.
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

Regular Member

Date Joined Jul 2008
Total Posts : 150
   Posted 11/30/2009 5:50 PM (GMT -6)   
Hi Sonny,
Glad you had an uneventful start to your SRT. I had the IGRT and had Cat Scans before every treatment also. 27 minutes drawers to drawers is good, sounds like you have an experienced team! You and your wife will be in my thoughts and prayers. Now Git-R

Age 54
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....
FINISHED 01/14/09 YEA!
1st PSA after Salvage RT <0.04..... Another YEA!

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 11/30/2009 6:06 PM (GMT -6)   
Glad you got started. I feel better knowing that. 35 treatments is better than 39, so that's good. The answer they told you on side effects is pretty standard, in reality, you may or may not feel any, or you may feel them sooner. Hoping other than the nuisance of having to be there every day, that it goes smooth for you.

I hope that Lynn's will be bearable over time as well, much more delicate area to radiate.

1 down, 34 to go, you got to start some where, brother, good for you.

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

Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 11/30/2009 9:04 PM (GMT -6)   


   Great to hear Sonny, for the both of ya''ve got a great attitude bro, I'll be looking for your weekly updates as well. None of us know what the future holds or how our own journey will turn....but know we're with with you and yours.....good luck brother.

  age: 53 @ Dx, Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  6.23.09 1yr Post-op PSA Still a zero..
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."

Regular Member

Date Joined Sep 2009
Total Posts : 187
   Posted 11/30/2009 10:02 PM (GMT -6)   
Sounds like a very good start, Sonny! glad you are in the treatment to clean up the leftover Pc cells. I think those cells stand no chance under the RT.

always like to read your post, very positive and sounds fun.

Hope you wife and you both are going to get a easy, smooth RT together.

Best wishes,


Veteran Member

Date Joined Oct 2006
Total Posts : 1211
   Posted 12/1/2009 12:10 AM (GMT -6)   
Hi Sonny,
Just wanted to join the gang in wishing you well in the next step of your journey. I had my RT about a year ago and had only slight side effects. I hope your RT will go smoothly as well without any of the problems that David (Purgatory) had to endure.
All the best to you and keep us up to date.

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

Post Edited (Magaboo) : 12/1/2009 10:18:39 AM (GMT-7)

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 12/1/2009 7:22 AM (GMT -6)   
Greetings, Sonny.  Glad you were able to get started - 35 will pass by before you know it.  All the best to you and Lynn.  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

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 12/1/2009 4:27 PM (GMT -6)   
Great news Sonny. It sounds that things started on the right track. I hope it continues to be that way.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1

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