Welcome mrfred, new poster

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James C.
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Date Joined Aug 2007
Total Posts : 4463
   Posted 1/24/2010 2:58 PM (GMT -6)   
Welcome to HW. I'm giving you your own thread. In another thread mrfred said:

Hello -- I am very pleased to find this forum. I think my situation is rather similar to thefras, above. I am 55 yrs old, no family history of PC, and I had my yearly physical last Tuesday (19 Jan). My PSA was 5.7, which is quite a spike from the normal range of 0.7-0.9 over recent years. I have no symptoms other than some frequency urges and start/stop of urination especially at night and early morning, and the DRE at my physical was clear. I see the urologist this coming Tuesday. I have a couple of questions beyond the extremely helpful information from this forum and from the article (and website) that JohnT recommended. (1) Where can I read about the abbreviations and shorthand that you all use in your signatures? (2) James C. says no DRE right before a PSA test. Why is that? FWIW, my family physician did do a DRE very shortly before the PSA test blood draw. Thanks very much, you all -Fred (my forum name is 'mrfred', in honor of my grandfather after whom I was named and who was called 'Mr. Fred' by all who knew him but 'grandpa' by me. He was a farmer in Kentucky and died in 1970 of colorectal cancer. I am on a five-year colonoscopy schedule -- #2 is this coming May, because they found one polyp when I was 50. I'm not at family risk for the colon cancer, because that is immediate generation only, but I sure as hell am staying on top of it because I remember what he went through.)\

p.s. woops -- I just found the 'abbreivations' thread, so you all can ignore that question. thanks.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 1/24/2010 3:02 PM (GMT -6)   
mrfred, getting a DRE just before a blood test can/will/may release an abnormal amount of PSA material into the blood stream, resulting in an inaccurate testing of the PSA level. Any blood test taken AFTER a DRE is suspect and indicates the need for another one, doen in a better situation, ie: no DRE, sex, biking, etc. I am surprised that you doctor would not know that, maybe he/she was rushed and didn't think. At your Urologist consult, mention to them that your blood was drawn just after a DRE. They need to take this into account. How about making a signature file with the pertinent details of your Journey so far. Control Panel/Edit Profile/Signature, fill in the space and save. Thanks.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4123
   Posted 1/24/2010 3:14 PM (GMT -6)   
MrFred. Welcome James C was exactly on point. Do keep us posted.

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.
15 months out injections Caveject (success)

Veteran Member

Date Joined Sep 2009
Total Posts : 664
   Posted 1/24/2010 5:43 PM (GMT -6)   

Mr. Fred;

Best of luck to you. You are correct in doing research on your own. I hope that you find HW helpful. I’ll comment on the DRE/PSA question. Don’t worry about it. Your PSA demands additional evaluation. It is amazing how such comments of PSA release from a wide variety of stimuli is still factored…blended…made up…inserted… into this conversation …it just behooves me. In the lack of scientific proof don’t waste your time contemplating it. There is no question. If a person has an elevated age specific PSA it needs to be evaluated. I'd be hopping up and down to get my biopsy done with your history and results. Good Luck


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