IMRT-ONE to GO-Good talk with the Doc today

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Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 1/14/2010 7:57 PM (GMT -6)   
That's right sports fans, can you believe it, tomorrow is my 35th and final IG/IMRT treatment. Gonna be a great day in the land of Oz.

Thursday is my normal day to meet with the doc and we had a very good conversation. Talked about the Positional Incontinence issues and he didn't bat an eye at the term PI. His explanation is that while they are not radiating the bladder, there is minor irritation of the bladder neck and the last sphincter that I have. This irritation cause signals to the brain not unlike the signals that we get when the bladder is full and the brain tells us that it's time to go. He was confident that this should settle down in the next couple of weeks.

He scheduled my post treatment PSA test for 6 weeks from today. Many of you have seen me post that whatever the outcome I wasn't sure that I would do any more PSA tests after that because at this point in my life I am not really open to HT therapy.

He said I would not be the first to say that HT was not in their future, however he made a very strong case for continued PSA tests.

If (big if) I started to see a rise in PSA that indicated the cancer was becoming active, tests could be done to find out where it was. By knowing that it was becoming active in a bone for instance, I could have that spot treated with radiation and prevent spontaneous bone breakage in my future. By actively monitoring any progressive activity I could decide to battle it while maintaining a quality of life for the future. It would sure mess up the travel plans we have if I had a spot growing on my spine which suddenly caused a spine injury while loading the RV for a much anticipated trip.

So while I don't really see me changing my mind about HT, I will in fact have the recommended PSA tests in the future. He made a lot of sense about the benefits of it.

Okay there you have it. TOMORROW IS THE 35TH AND FINAL. YEEHAW!

I'll post the celebration and details of the big party and bell ringing ceremony after the treatment tomorrow.

Sonny
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)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/14/2010 8:04 PM (GMT -6)   
Sonny, so happy you are down to that last one, long time coming, but you are just about there. My wife went with me on my last one, the only time she went, and they showed her the machine and console.

What your dr. said about continuing the PSA tests beyond what you and I have spoken about makes a certain sense. I might consider that after I know a little more about where I stand in a few months. Still haven't changed my mind on the HT path either, and interestingly, when I met with my uro/surgeon Monday, I mentioned that to him in passing, and he said that he wasn't surprised, and it wasn't the first time patients of his felt that way.

Good luck on that last zap, and give my best to Lynn.

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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 1/14/2010 8:06 PM (GMT -6)   
Glad you got through it O.K., Sonny. I finished mine 3 weeks ago and feel great. If only we didn't have all this snow on the ground. I'd sure like to get back on the golf course. The doc was right about the bladder business, but this too shall pass. Groan.
Bob
 AGE:58
 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.


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 1/14/2010 8:17 PM (GMT -6)   
David, Lynn asked if I wanted her to go with me for the last one. I told her I love her and appreciate the offer, but trying to get her up at 5:30am to make a 7:30am appt is more than I want to take on the morning of my last day. She seemed relieved that she could stay in bed. Anyway that would be about 5 hours before her normal rising time. No real good could come from that in my day. LOL

Bob, thanks for the words man. Glad to see that things are looking up for you. Here is the said part though. You can't wait to go golfing and I live on the #9 tee box of one of the most played courses in the US and haven't been out there in four years. Man have I got my priorities screwed up or what? Best of luck with the weather. Dress warm, break out the orange or lime green balls and give em a whack.

Sonny
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)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/14/2010 8:25 PM (GMT -6)   
Sonny, I don't blame Lynn, my wife happened to be on a day off when I had my last one, and wanted to come, and it was at 200 PM if I remember. Hope she is doing better and recouping from her RT.
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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 1/14/2010 8:40 PM (GMT -6)   
David, she's doing fine, she is just most definitely NOT a morning person. I could not make enough coffee that would make this a pleasurable experience for either of us. I mean think about it. She gives up 5 hours of sleep to hear me ring a bell 3 times. Where is the equality and justice in that equation? LOL

Sonny
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 : 4106
   Posted 1/14/2010 10:58 PM (GMT -6)   
Sonny So happy your on the last zap. I know your a happy man.

Will be talking to you.

Your PC Brother

Jeff T
Cajun Country
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.
15 months out injections Caveject (success)


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 1/14/2010 11:38 PM (GMT -6)   
Congrats Sonny! I'll be on a Tomo blaster for the first time this Tuesday. Glad to hear it went as well as it did for you. I'm encouraged by your experience.

Take care,
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,
01/05/10 psa still .3, radiation setup done with tats, 35 sessions follow

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