Twas the night before davinci.

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Kmac
Regular Member


Date Joined Mar 2010
Total Posts : 58
   Posted 5/16/2010 6:35 AM (GMT -6)   
Well time has crept up and tomorrow morning dad has his surgery. I'm sharing a hotel room with my parents and feel like a child again. Everyone is in good spirits but nervous and anxious. I have been struggling to hold back tears and we haven't even made it to the hospital yet!

Tomorrow is going to be rough but I know he has chosen the right treatment option and is in good hands. After the surgery....

How long does it take for the pathology results to come back from analysis of the removed prostate?

How much extra info about the extent of the cancer will the surgeon know straight after surgery?

And what sorts of questions should we ask... Ie is there any extensions in margins, lobes etc?

Thanks,
Kylie

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/16/2010 6:42 AM (GMT -6)   
Kylie, your Dad should do fine. The doctor may say something like " It looks like we got it all, or looks like it hadn't spread", but truth is, they won't know until the post surgical path. report is back, which usually will take a week or so. The path report determines the result, not the surgeons OR observations...The path report normally will contain info, in detail, on each of the sliced samples of the gland. Good luck, we'll all be thinking about him- and you- tomorrow.
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 5/16/2010 6:53 AM (GMT -6)   
Kmac - wishing you, your Dad and family all the best...
hugs,
BRONSON
.................
Age: 54 - gay - with common-law spouse of 13 years, Steve - 60
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: Feb 2010- 3-5 pads/1-2 clothes changes/day- March 3, 2010 - week 14 after surgery -finally seeing improvement - March 29- incontinence better - 1-2 pads a day - one pad at night
location: Peteborough, Ontario, Canada
Post Surgery-PSA: - April 8, 2010 - 0.05 - I am in the ZERO CLUB - hooorah!
Next PSA - October 8, 2010 - TBA -
............


60Michael
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Date Joined Jan 2009
Total Posts : 2222
   Posted 5/16/2010 7:12 AM (GMT -6)   
Kmac,
Glad that you are there for your parents. JamesC is right about what the Dr can tell you with certainity or not prior to the path report being done. Keep us posted and the best to your family.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5 on 11/28/10
Starting IMRT on 1/18/10, Completed 39 tx at 70 gys on 3/12/10
6 week Post IMRT PSA .44 a drop from .5 but maybe more
Great family and friends
Michael


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 5/16/2010 7:16 AM (GMT -6)   
Kmac, sounds like you're all in good spirits. Being nervous is perfectly normal before any surgery - you'll get through it just fine (though you might like you've added a few years to your age when all is said and done).

Our surgeon called us 4 days after the surgery to tell us the path report. When we went in to have the catheter and staples removed (9 days after surgery), we were given a print out of the path report. My husband set up a looseleaf binder where he put everything related to his diagnosis: PSA history, biopsy report, copy of the sonogram from the biopsy, the surgeon's diagrams showing where the cancer was found on biopsy, his surgical path report, and the bone scan. Hate that binder but it's good that we have everything in one place.

Good luck tomorrow, and may your dad come through with flying colors! We'll be waiting for you here.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0. Next PSA in 6 months. Thank you God!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 5/16/2010 8:22 AM (GMT -6)   
Kylie,

Good luck to your dad, you, and your entire family. Sure you will all do fine, and I will be glad to read when he is safely on the other side, the recovery side.

Feeling uptight and nervous the night before is most normal, so don't let that get to 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, 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, 4/8 .04, next one:  July
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, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 5/16/2010 8:25 AM (GMT -6)   
Will be thinking of you guys in the morning. My path report came in 7 days.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 5/16/2010 9:51 AM (GMT -6)   
Hey kmac,
I got my path report the day I got the catheter yanked out removed, about 10 days later. The Uro will know about invasions, margins and extensions immediately after the surgery but will not get the official Gleason score until the next day or so.
You can ask about the margins.
Make sure your dad knows how to kegel before the surgery. It will help.
Good luck to all of you.
Jeff (the leaking one)
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 6=3+3. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23. Did I waste 9 months? Mtg 5/22.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.

Post Edited (Worried Guy) : 5/16/2010 4:55:54 PM (GMT-6)


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/16/2010 10:12 AM (GMT -6)   
Good luck on the surgery!
Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


Tim-from-Maine
Regular Member


Date Joined Apr 2010
Total Posts : 83
   Posted 5/16/2010 11:03 AM (GMT -6)   
We'll be thinking about you all tomorrow. Keep us posted on progress.

My URO was tellling me the Path results one week after surgery.
PSA Feb 09 - 9
Dx age 62 - March 2009 - Gleason 7
Surgery - da-vinci RP on April 29, 2009 Gleason upgraded to 9
Started VEGAN diet June 2009
3 month PSA - <.04
6 month PSA <.04
9 month PSA .05
12 Month PSA  .16
SRT began May 3, 2010 - will do about 41 treatments
 
 


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 5/16/2010 11:20 AM (GMT -6)   
Kmac,
I hope all goes well.

My path report came back a little later, 10 days I think it was. I don't even remember the conversation with the doctor the evening after surgery. My mom was there, and the synopsis was just how the surgery had gone, he had taken more tissue than originally expected (explaining why it took longer), just high level stuff.
There will not be much else to tell about the cancer until the path report comes back.

The most important things to deal with will be any questions you have about the catheter, how to deal with the catheter bags, treatment of the incisions, physical limitations, what to expect (swelling, pain), medications (especially pain), and when to call the doc if needed. Hopefully they will have a packet of tips and guidelines (I've seen some members tell of post-surgery information kits, but I did not get one).

We will be waiting for news on the other side, and as everyone has said, ask any questions. We will try to help where we can.

DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 5/16/2010 12:45 PM (GMT -6)   
Kmac,

I thought it was great that my wife was there with me, and I'm sure your dad appreciates you too. You and your mom can help him "race" up and down the hall with the IV pole, and just generally keep him company. People vary a lot with pain--some say they have essentially none, others mostly have no more than a tolerable amount. Either way, it's quite OK to help make sure your dad has all the pain meds he needs.

Best regards,

DJ
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)!


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 5/16/2010 12:46 PM (GMT -6)   
Kmac, you, your partents, and especially your dad are in my thoughts and prayers today. It's about 2 p.m. Sunday here in the North American central time zone. Monday morning has long come and gone down under. I trust all has gone well and we'll be looking for a report when you can.

My pathology was back in 7/10 days as I recall.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02
PSA on April 9 less than 0.02 
 
  


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 5/16/2010 4:00 PM (GMT -6)   
Kylie,
Well Monday morning is here and at 8 o'clock I guess your dad is being preped for surgery right now. The doc , as others suggested will probably give you and your mum a verbal report on how he thought things went straight after surgery. The full microscopic report is usually available to the doc within a couple of days but it is normal for him to go through it with your father at their next consultation (usually when the cath is removed at about 1 week). It is a time of apprehension and confusion and he may miss some of what the doc says. Make sure he has a copy of the pathologists report when you leave his office so he can go through it later. He will probably be out of it and maybe uncomfortable the first day but recovery is normally very speedy. They should have him up and about the day after surgery. He may have gas and they may wait for this to clear and his bowels to begin working again before they release him. The snake (catheter) is a novel experience but it also should be gone in a week. Its removal is not painful but rather a very unusual if uncomfortable process and is fleeting. All will go well and I wish him a speedy recovery. He is a fortunate man to have you both at his side.
Bill
Biopsy
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment: [/color]
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct '07 <0.1 undetectable
PSA Jan '08 <0.1 undetectable
PSA April '08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August '08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September '08 <0.01 (new lab)
PSA February 09 <0.01
PSA August '09 (2 year mark), <0.01
PSA December '09 <0.01 PSA May '10 <0.01


www.yananow.net/Mentors/BillM2.htm


Never underestimate old people ............ you don't get to be old by being stupid.

Post Edited (BillyMac) : 5/16/2010 7:56:23 PM (GMT-6)


Kmac
Regular Member


Date Joined Mar 2010
Total Posts : 58
   Posted 5/18/2010 3:20 AM (GMT -6)   
Thanks very much everyone who posted with well wishes and kind thoughts. The surgery was early Monday morning and we brought dad back to the hotel tonight. He is pretty grumpy tonight but understandably as he is in quite a bit of pain with his bloated stomach and the catheter. His wounds from the robot are oozing a wee bit but I guess that is normal. I think he is just frustrated as he felt ok yesterday and was making jokes with the nurses.

The surgeon said things went well but I didn't get a chance to talk to him. Path results come in next Thursday so we will be hoping for the best then.
On a positive note, I counted roughly 45 phone calls over the past few days from dads friends just to see how he is. Gotta love country town support :)

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 5/18/2010 4:45 AM (GMT -6)   
Hey Kylie,

I'm glad to hear that things are going as expected. Now that he is on the other side I have a bit of advice that I'd like to share.

I decided I was not going to make, nor did I want, constant phone calls. I wanted to sleep during the day without being bothered by the phone ringing whenever anyone else had the time or the curiosity. Instead I made a small email distribution list and sent out an update about once or twice per week. I'd highly recommend that.
There are some embarrassing aspects to the recovery process that other people do not need to know. Your dad needs to be able to trust that you will not say some things outside of the family. He deserves some privacy. He should not have to hide from you or your mom. Do not violate that trust. Ever!
"Gee, he looks like a wreck. He was carrying his pee bucket with him and his catheter tube leaked all down his legs." That kind of talk is out.

For example , when people ask me how I am doing I say: "Great! I am on the top side of the grass." I don't say "I am wearing pee pads and have to stick myself with trimix to get an erection." Saying "It's personal." raises more questions. Deflection works.
I say things like "Boy! If this is the good cancer, I'd hate to see what the bad cancer is like." Or "I wonder how our parents did it." My wife said the same things.

Your dad does not need the burden of answering 45 calls and emails - unless he wants to and enjoys it.
Up until the time the catheter comes out, he will not be so embarrassed. But after that, privacy is very important. Start respecting that and setting limits now. Once the genie is out of the bottle you can't put it back in.

A nosy (female) neighbor would try to pry more details than I cared to share, so I just jokingly said: "I am training to be a woman. Don't they all wear one kind of pad or another from the time they are 11 until they die?" That shut it down in a nice way.

Here's another trick:
"Hey, Jack how are you doing?" "Great. This thing was a little more uncomfortable than I thought. Hey, since you are on the phone I could use some help doing XYZ. When can you come over to help?" That will separate the men from the boys.

These are tough times for your Dad and people really do mean well. It's just that everyone does not have the right to know all the details all the time.
Only a select few friends and family (And HW guys) know my true status. That works for me and might work for your Dad, too.
Good luck to all of you,
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 6=3+3. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23. Did I waste 9 months? Mtg 5/22.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.

Post Edited (Worried Guy) : 5/18/2010 8:36:09 AM (GMT-6)


Kmac
Regular Member


Date Joined Mar 2010
Total Posts : 58
   Posted 5/18/2010 5:26 AM (GMT -6)   
Thanks a lot for the advice Jeff :) I really appreciate your honesty.
Dad comes from a very tight knit community where he has a lot of very close friends whom he has shared a lot with. Mum and I have taken most of the calls and taken messages. He is getting a kick out of hearing the local news from home and having the support. He is also laughing with his mates about the tube in his old fella and other stories like how he accidentally flashed a nurse.

Australians are very open people and often we use humour as a way of dealing with tough times. I am very respectful of his privacy and will do whatever it takes to make him as comfortable as possible. I'm also aware though as is dad that he now can help others by making them aware of early prevention by sharing his experiences with his mates.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 5/18/2010 6:40 AM (GMT -6)   
Hi Kylie,
I'm glad I could help. You probably noticed I tend to kid about everything here too.
Humor helps.

I don't want my friends to discuss or even know about my sex life or whether or not my bits are working. It is not their business. (Heck, your Dad probably doesn't even want you to know! :-) )

I found that as long as the catheter was in it was easy to be open and make jokes about the whole business. After it was withdrawn and problems persisted, I valued my privacy more and more and always tried to look as "normal" as possible.
Sadly, I am incontinent but if anyone asks "How's it going?" I just say, kidding around of course: "Man I haven't peed like this in more than 50 years! I'm so proud! Want to watch?" I don't tell them I'm doing it in diapers/ pee pads- And probably even peed while I was talking to them.

I tend to turn the converstion around and ask the guys about their PSA. I tell them "Mine was 23 and I never felt a thing. Get yours checked."
I usually end the conversations with "I am one lucky guy."
Your Dad is too.
Slap some shrimp on the barbie and enjoy.
Jeff

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 5/18/2010 7:27 AM (GMT -6)   
Kylie,
Pass on my best wishes to your dad from another country boy who met DaVinci. And welcome to all of you to our "other side".
Jeff passed on a lot of wisdom I would agree with 110%. Not much else to add without writing a book.
We are here if you need to ask a question or simply vent.

deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 246
   Posted 5/18/2010 7:04 PM (GMT -6)   
Kylie sounds like worriedguy fill you in on a few ideas there great to use
Best wishes to you and your family
DEERHUNTER
dx age 57 01/06 open RP 4/06 psa in 01/06 8.1  surgery path report Gleason 3+4=7 poorly differentiated  tumor was 90%involved in both lobes surgical margins postive. in the right apex and right radial margins tumor grade G3  perineural invasion present high grade of PIN found  T2c NX MX PSA 0706  .01 10/06 .02 01/07 .03 04/07 .04  06/07 .05  07/07 .08 07/07 bone scans pelvic ct neg. 08/07 proscintic scan neg.9/07 psa.10 net with rad onc. wanted to do SRT but i did not do it 10/07  saw a new dr at Emory University [my old dr urg. suggested second opinion ]  bone scans negs ct scans pelvics neg. biopies of the bladder and adrinal glands neg.another proscintic scan neg.12/07 Psa .11 clinial trial Emory injected with protons to try and find the cancer cells no luck 3/08 psa .17 06/08 psa .23 psa 09/08 psa .32 12/08 psa .39 3/09 psa .39 6/09 psa .43  meet with medical onc. he said  i might have waited to long to start SRT 7/09 psa .50  another bone scan ct scan all neg.MRI neg. meet rad. psa the last of 7/09was .55 onc. 7/09 started casdex 50mg 1 day for 30 days 2 shots of lupron started rad treament 10/09 40 treatments 75 gm 12 shots each time all aroud pelvic finished 12/09  psa .07 and psa 01/10.05 next dr visit 03/10 wait and see 3/10 psa.05

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