Howdy sports fans,
Thought it might be time to update on the continuation of my journey through the PCa jungle.
Met with the Medical Oncologist today after the referral from my Rad Oncologist.
Lynn and I both went to see what he had to say. Kinda knew before hand, but needed to make it official.
He is a real nice guy and seemed to be very informed. Then the conversation took a turn and he became very foul-mouthed.
Started using words like, Lupron and Casodex. Really put me off. LOL
With three rising PSA tests following surgery and then 2 more rises after radiation, I didn't need a medical degree to know what the next recommendation would be. Just didn't want to hear it. I have been pretty vocal here about
my reluctance to do HT. I told Lynn recently that the Dr. would have to tell me that I would not outlive her before I would seriously consider it.
He wants to do another PSA test 30 days from the last one and then another two weeks following. He wants to get a read on the velocity of the rise. So I'll follow his lead on that and do the next two PSA tests. In addition he wants to do a more current bone scan. The last one I had done was in July 09 when I was diagnosed.
Wants to do it a little differently though. Rather than the standard Scan with the radioactive dye he wants to do a Sodium Fluoride PET Scan. He said there is a nation wide shortage of the radioactive stuff and the SF Pet Scan is a hundred times more sensitive and accurate anyway. He said the only drawback is the Insurance Companies reluctance to approve it because of the expense. He said they have been having some success though because of the shortage. We scheduled it and will wait to see what the Insurance company has to say.
So the game plan is 2 more PSA tests. A SF Pet Scan and a torso MRI. Then we will see what's next. Really don't want to do the HT thing and hope the PSA tests and scans will allow that to not be part of my vocabulary for a while.
Looks like I am becoming the poster child for continued use of all that is available to fight PCa. Surgery, Radiation, new fangaled scans and HT. What the hell is next?
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
Gleason Score (3+4) 7 in all positive cores
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy
2/24/10 FIRST POST RAD PSA 1.1---CARRRP --waiting for the next test.
Post Edited (Sonny3) : 4/12/2010 9:22:09 PM (GMT-6)