Which car should we buy???

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kuls
Regular Member


Date Joined Mar 2010
Total Posts : 57
   Posted 3/15/2010 7:35 AM (GMT -6)   

 As most of you know, my husband was diagnosed with early stage prostate cancer a week and a half ago.  Since then, we've been exploring several treatment options, all with similar survival outcomes, all with some form of complications associated with them.

We were out in the hot tub last night and I said to my husband, "You know, in a sick way, this is a bit like buying a new car.  You shop around and find several different models you like.  Then you start looking at which has the best warrantee, the best comfort level, the best track record as far as reliability, etc.  Ultimately, you end up buying the one that suits you the best at the time, knowing full well that in spite of all your research, you may still end up with a lemon!  Either that or you decide to wait and keep an eye out for a newer, better model".

It's been quite an emotional rollercoaster but we're doing OK, and are really looking forward to heading to Arizona on Thursday.


-Husband's 1st PSA done (age 45) at routine physical  PSA 3.8
-DRE at physical indicated no abnormality other than slightly enlarged
-Consult with urologist Jan. 2010---DRE negative, PSA 3.89
-Biopsy Feb. 10, 2010:  T1c, Gleason 3 + 3, 2/10 cores pos. (5% in one core, <5% on other core) 1% of core volume positive, gland size     38.84


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 3/15/2010 7:42 AM (GMT -6)   
Kuls,
I like the car analogy, but I have never bought a new car that came with a catheter. LOL. Hey have a great time in Arizona. Good time of year to go as the kids are still in school so you can avoid the crowds.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margin slightly involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only, now none
 started ED tx 7/17, slow go
Post op dx of neuropathy
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10
Great family and friends
Michael


kuls
Regular Member


Date Joined Mar 2010
Total Posts : 57
   Posted 3/15/2010 7:48 AM (GMT -6)   
60Michael said...
Kuls,
I like the car analogy, but I have never bought a new car that came with a catheter. LOL.

LOL!!  Maybe the auto makers should start offering that as a "standard feature"!!  Kinda crazy to be laughing about this, but it's better than crying (already done enough of that)!!   :)
-Husband's 1st PSA done (age 45) at routine physical  PSA 3.8
-DRE at physical indicated no abnormality other than slightly enlarged
-Consult with urologist Jan. 2010---DRE negative, PSA 3.89
-Biopsy Feb. 10, 2010:  T1c, Gleason 3 + 3, 2/10 cores pos. (5% in one core, <5% on other core) 1% of core volume positive, gland size     38.84


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 3/15/2010 8:17 AM (GMT -6)   
I don't even want to talk about buying a new vehicleshocked
 
I've been kicking tires from a couple months. I really like my current 2005 SUV but really love the looks of the 2010 Chevy Pickup Truck.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/15/2010 8:25 AM (GMT -6)   
well all new vehicles to have catheterlatic-converters underneath, removes the urine from the exhulst
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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 3/15/2010 8:54 AM (GMT -6)   

If we drove a Ford in the past and we had good results with a Ford, we are likely to buy a Ford again next time.  If we didn't have good results with a Ford in the past, we are likely to buy something other than a Ford next time.

 

The analogy to PC treatments is similar, but can be called the "Uncle Harry" scenario.

With PC as common as it is, most of us found someone relatively close to us who was also treated with PC when we were making our decision; maybe a blood relative, the ficticious "Uncle Harry."

If "Uncle Harry" had good results with seeds, many of us will be influenced to select seeds as a treatment. 

If "Uncle Harry" had good results with surgery, many of us will be influenced to select surgery as a treatment.

If "Uncle Harry" had bad results with surgery, many of us will be influenced to not select surgery as a treatment.

 

Common consumer behavior.  (But doesn't lead to effecient provision of services.)

 

 



Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 3/15/2010 9:10 AM (GMT -6)   
kuls said...

...Either that or you decide to wait and keep an eye out for a newer, better model".

 
 
Your husband has a tiny, microscopic amount of prostate cancer.
 
A "deferal strategy" should certainly be among your considerations..."keeping an eye out for a newer, better model" which may come some years down the road, or he may just keep doing preventative maintenance and keep the old model (through some lifestyle tactic modifications) which could keep his PC in-check.

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4156
   Posted 3/15/2010 9:21 AM (GMT -6)   

...solid advice from Casey, IMHO.

Tudpock


Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 12/09.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 3/15/2010 11:38 AM (GMT -6)   

Pre-surgery I had a cadillac.

Post-surgery, I have a Focus.

 

Mel


63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent!

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in late May.


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 3/15/2010 11:42 AM (GMT -6)   
I think your car has a dent in the bumper right now. I wouldn't be in a big rush to buy a new one yet. Shine er up, use the heck out of it, and make sure you even need to buy as new one.

You really do have some favorable biopsy results.

I wouldn't turn that engine off in AZ. Enjoy, and best of luck.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01


John T
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Date Joined Nov 2008
Total Posts : 4227
   Posted 3/15/2010 1:05 PM (GMT -6)   
I like to test drive a car before I buy it.

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/15/2010 1:33 PM (GMT -6)   
Goodlife, remember you can't polish a turd.
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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 3/15/2010 1:47 PM (GMT -6)   
Purgatory said...
Goodlife, remember you can't polish a turd.

 
Most of us, with the wisdom that education & experience gives, would consider kul's husband's biopsy results to be a "gift."
 
 
 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/15/2010 2:28 PM (GMT -6)   
Casey, lol, the remark was only in reference to literal automobiles, you read way too much into my remark. Nothing to do with anyone's biopsy result.

I liked the "with wisdom and experience" part of your post.  Wasn't me that started the car analogy or the humor associated with it.

I swear you have to be an attorney at heart.

For the record, I drive a 2006 Ford Fusion, new in Oct 2005, it was literally the very first Fusion sold in my area, been a flawless car so far.


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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days

Post Edited (Purgatory) : 3/15/2010 2:33:31 PM (GMT-6)


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 3/15/2010 2:59 PM (GMT -6)   
Purg- liked the catalytic (cath-er-itic convertor joke), they have platinium in them and get stolen too, nobody is going to steal the ones we use. Who is going to repo any of our purchases from PCa??? Hey what about a transplant or new engine...is somebody selling new or rebuilt prostates with any warranty time??? I would like to go for a T-e-s-t-i-c-a-l Drive, asap and then decided on the color and options!!!
Youth is wasted on the Young-(W.C. Fields)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/15/2010 3:02 PM (GMT -6)   
zufus, that was a good one too you just said. i am not good with humor, so i guess my attempt failed to reach the intended audience, not one of my better skill sets.

i would have liked to have seen my prostate before being sliced up for pathology, just so i could say i had seen it. all i ever hear is the it looks like a large walnut.
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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 3/15/2010 3:08 PM (GMT -6)   

David:

 

I would recommend an Arctic Cath

 

Mel


63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent!

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in late May.


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 3/15/2010 3:10 PM (GMT -6)   
kuls, I appologize that your thread has been "hijacked"...
 
Purg, here ya go:  http://upload.wikimedia.org/wikipedia/commons/thumb/c/c4/Prostate_middle_lobe_orig.jpg/398px-Prostate_middle_lobe_orig.jpg    (Doesn't look like much of a walnut to me.)

Post Edited (Casey59) : 3/15/2010 3:13:31 PM (GMT-6)


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 3/15/2010 4:10 PM (GMT -6)   
I guess the thread was picking up hitchhikers

Mel

63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent!

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in late May.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/15/2010 4:15 PM (GMT -6)   
Most people don't find that offensive, live and let live, more like how a real life conversation in a group of people goes off on rabbit trails.

Mel, is the Artic Cath something real, or part of a gag? lol.
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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 3/15/2010 4:30 PM (GMT -6)   
David:
 
It's only real if the cath is VERY COLD.
 
Mel

63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent!

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in late May.


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 3/15/2010 4:41 PM (GMT -6)   
David has an excuse...he's from the (usually) warm south (SC).  No Arctic Cats down there.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/15/2010 4:46 PM (GMT -6)   
Casey, I think I get it now. Im the one that does usually take everything literally, over the years, co-workers have had a field day. The past 5 winters here in western SC netted about 4" snow total. You can't find a sled, coal shovel, or snow blower here to save your life.
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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


kuls
Regular Member


Date Joined Mar 2010
Total Posts : 57
   Posted 3/15/2010 8:40 PM (GMT -6)   
Casey59 said...
kuls, I appologize that your thread has been "hijacked"...
 
LOL!!  NO worries.....it is what it is, and if we can get a few laughs out of it, then so much the better!!!  smilewinkgrin smile
-Husband's 1st PSA done (age 45) at routine physical  PSA 3.8
-DRE at physical indicated no abnormality other than slightly enlarged
-Consult with urologist Jan. 2010---DRE negative, PSA 3.89
-Biopsy Feb. 10, 2010:  T1c, Gleason 3 + 3, 2/10 cores pos. (5% in one core, <5% on other core) 1% of core volume positive, gland size     38.84


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 3/15/2010 10:13 PM (GMT -6)   
As usual, I'm late being on the west coast.

A car with a catheter option sounds good to me. No more having to stop to pee, just drive straight through, like that astronaut lady.

By the way, speaking literally, it is possible to polish a turd. Saw this done on Mythbusters. It was said to be a old Japanese art. Came out very shiny, very impressive. Doubt if there's much money in it though.
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10 still undetectable (<0.01)!

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