HT and osteoporosis

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Sancarlos
Regular Member


Date Joined Feb 2010
Total Posts : 242
   Posted 6/19/2010 10:18 PM (GMT -6)   
One of the side effects of HT is osteoporosis. How long after beginning HT should one wait before having a bone density test? My radiation oncologist has indicated that he plans to have a bone density test done in August at the time of my next scheduled visit, at which point I will have been on HT for about a year. But I already have some muscular skeletal aches and pains that suggest I may have the symptoms of osteoporosis, even though I have been taking a high daily dosage of both calcium and vitamin D . Is it reasonable for me to request that the bone density test be given earlier than scheduled?

Sancarlos

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 6/19/2010 10:42 PM (GMT -6)   
Bone density test should have been given before you started HT in order to get a baseline. Regular bone density tests should be done during HT and compared to the base line to see if you are losing mass. If you don't have a baseline then how can you tell what the effect of HT is having.
This is the problem with radiologists and urologists treating patients with HT. You would be much better served having HT through a medial oncologist that knows what he is doing.

JT

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


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 6/20/2010 7:29 AM (GMT -6)   
Exactly as John mentioned a good onco-doc can get you a markers of bone breakdown lab tests like: Pyrilinks-D (Dpd) or Metra (Dpd). Which can indicate effects of PCa on a patient. Radiologically a bone mineral density with quantitative CT scanning (QCT) is used which may show things. Others things can be done for bone density tests, too. When detriorated enough it is dibilitating for a patient.

Bisphosphonate compounds used for bone issues: Fosamax, Actonel, Aredia (IV)*, and of course Zometa (IV)*. Zometa is considered probably the most powerful and is alot more potent than Fosamax, of course cost is hugely different as is delivery into the patients system.  Zometa & Aredia is an IV situation *= you could have Acute Phase Response seen within 24-36 hours after the first IV done, could be:  fever, chills, bone and muscle aches, malaise and occassional kidney injury (wow is that mentioned to patients hopefully).

Almost like it is a (LOL) a communist plot, many patients could instead have taken DES, estradiol patches or emcyt and if you read about them very carefully, they help or atleast maintain bone issue intergrity and memory...where as the profittable LHRH drugs (Lupron, Zoladex et al) they rob the patient of bone density and memory loss and muscle mass, etc. Almost like they want you to become their zombie and hooked on their drug protocol and maybe for life. Have you noticed the poster 'child' patient of PCa in the docs offices...call it truth in advertising they are showing a puggy older guy of whom if you didn't look like that when you came in (I didn't)...you soon will be(started to look like that on ADT3)...so accept the plurality of your poster looking like that one and I think that is why they don't show a poster of Charles Atlas or Hulk Hogan (LOL).

But how nasty of me to mention such, this is why you should question everything and all the time. I am not saying the above drugs are your only choices, there are many others not widely known and even some onco-docs might not know them well enough to prescribe them. I just wish more patients knew all their possible choices and had more of a say in what they would like done unto them as treatments, and heaven forbid maybe in their best intrest$. The options you have (perhaps) is hire and fire till you get the type of doc you wanted and not the 'Soup ****' type like on Seinfeld's tv show. Even doctor Strum says do not be afraid to 'drop the doc' if he is not working with you to satisfy your wishes, desires or work with you. In the words of Johnny Cockeran if the doc don't fit, maybe you should quit. (well paraphrased, we seen the glove in the DRE's segment and hey, it got personal after that). Laugh-laugh! :-)

(www.pcri.org


Youth is wasted on the Young-(W.C. Fields)

Post Edited (zufus) : 6/20/2010 6:54:24 AM (GMT-6)


Sancarlos
Regular Member


Date Joined Feb 2010
Total Posts : 242
   Posted 6/20/2010 9:12 AM (GMT -6)   
Thanks for responses form John T and Zufuls.

Regarding bone density measurement I should have mentioned that I had normal results on bone density tests in 2004 and 2009. The last test was done just a month before I was diagnosed with pc and the report was provided both to the radiation oncologist who first treated me and performed the seed implant surgery, and to the current medical oncologist who guided my IMRT treatment on Novalis.

As to the point about maintaining a skeptical attitude I certainly plan to do that. Indeed, skepticism is one of the most essential characteristics of my psychological profile. And that is why, as a former academic, I tend to value the opinion of researchers who have studied the literature, or carried out primary research, and published the results. There are many lay treatments that suggest a favorable outcome but when one examines the literature there are few if any controlled studies that support the conclusion of the proponents of these treatments.

Sancarlos
Age 66
PC diagnosed 7/2009
Stage: T2c
Gleason: 9 (4 + 5), 6 of 6 cores positive
Bone, CAT and MIR scans negative

Treatment: brachytherapy (103 palladium), 100 gy, 11.15.2010 + hormone therapy (lupron) + IMRT on Novalis (February-March, 2010), 45 gy.

PSA at time of diagnosis: 11.9
PSA 10/2009, 5.0
PSA 12/2009, 0.56
PSA 5/2010, 0.15


Navyman
Regular Member


Date Joined Nov 2009
Total Posts : 22
   Posted 6/20/2010 11:37 AM (GMT -6)   
I received HT, Lupron then Trelstar, for two years in conjunction with EBRT. I had no baseline Dexascan to go by but one done 9 months after starting HT showed significant loss of density. My urologist started me on oral Fosamax at that time.

But a few months later I fractured a vertabra which required a spinal fusion. Because of the rapid loss of bone density I reluctantly agreed to IV Reclast which is more potent than Fosamax but also has a higher risk of osteonecrosis. It seems that every treatment in this journey involves trade-offs of risks-benefits.

Each of us must make our own decisions about treatment options but, from my experience, I would recommend aggressively pursuing your questions about osteoporosis and beginning some form of treatment .
72 years old, healthy and active, single.
Diagnosed 9/05/07 PSA 18.09
Biopsy 12 cores all positive, Gleason 4+4=8 Stage T2
11/07 Began 24 month HT Lupron Depot and Casodex
1/08 3d Conformal 36 sessions followed by IMRT 7 sessions
(hospitals first IMRT patient)
PSA: all followup tests continue to be undetectable
8/09 Final Lupron shot
8/09 Severe osteoporosis from HT leading to need for spinal fusion
10/09 Levitra, Cialis at highest doses gave 60% erection
11/09 Edex at highest dose gave 75% erection with aching
12/09 Cialis daily 5mg + Trimix gives 75% erection with no aching
1/10 Adding VED hoping to increase blood flow
4/10 VED gives 95% of pre-treatment size; return of nocturnal erections
6/10 New Trimix formulation to see if I can get better response


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/20/2010 3:18 PM (GMT -6)   
Navyman,

Good post, but the things you are talking about, i.e. quality of life trade offs, etc, are exactly why myself, and several others here, are leary about going down the HT path. From comparing stories from those that are on HT, or have been on HT, the side effects seem to be many, and the severity can vary greatly betweein patients reporting in here. For those advanced cases where there is no other option on the table, then the attitude toward HT carries a different weight. If HT can do that much bone damage, it would seem like that's a strong risk factor for pursuing HT in the first place. Not questioning your choice, decisions, or doctor's advice, just looking at HT in general from the outside. I wish you well in your journey.

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 - 31 days, 5/24 put in Cath #17


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/20/2010 3:22 PM (GMT -6)   
zufus,

all kidding aside, have you considered putting together a non-fiction book, or at least a guide, based on your research of "alternatives" in treatments that you have worked so hard to discover and share. If what you have learned, especially from a non-doctor perspective, were put into some kind of systematic or logical order, I think it would be a big help to anyone with advanced and difficult cases, for those that don't have unlimited financial resources or insurance, and without the normal expected biases coming from the conventional medical community.

if you don't consider yourself a writer, or don't have the time to do the "doing it" part, I would even be willing to ghost write for you. You could be doing a great service to the PC community at the patient level. at least think about please, I am being quite serious.

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 - 31 days, 5/24 put in Cath #17


deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 250
   Posted 6/20/2010 7:48 PM (GMT -6)   
Hay fellows I just went to Doc 6 months after ht rad told the rad onc- my his were sore and it was hard to get up and down at times he said and i quote will you are getting older you may have some arthrisis in you hipps we'll schedulen a bone density test and go from there. Fellows i did'nt have any problems before I started ht and rad didn't know the effects of this treatment at the time
Appointment was 6-17-10 at Emory the ocs don'ttell you everything so I don't know how much I lost i bone mass but I do know I lost some muscle mass for sure
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 5/14/10  family doc done blood work at my request her lab psa .01  


Navyman
Regular Member


Date Joined Nov 2009
Total Posts : 22
   Posted 6/20/2010 9:34 PM (GMT -6)   
Purgatory,

I agree that going done the HT path should be a considered and informed decision. But, as you alluded to, for some of us with advanced aggressive Pca there are not a lot of viable options. I chose what I, my urologist and radiation oncologist felt gave me the best chance for a long term remission and possibly cure. I also consulted with the specialists at The James Cancer Center at Ohio State University who concurred with the treatment plan.

I now am at 27 months post EBRT/HT and thankfully am still a member of the 0 Club. Other than the osteoporosis and commonly shared ED (which is gradually responding to meds) I am living a full and enjoyable life. I use common sense but now sky dive, zip line, play paintball, swim and whatever else I feel like. My 72 years are far more limiting than the side effects of the treatment.

I have followed your journey with admiration for your courage and wonder at your strength in enduring your many setbacks. My problems pale in comparison to what you and others I have known through the years have had to deal with.
72 years old, healthy and active, single.
Diagnosed 9/05/07 PSA 18.09
Biopsy 12 cores all positive, Gleason 4+4=8 Stage T2
11/07 Began 24 month HT Lupron Depot and Casodex
1/08 3d Conformal 36 sessions followed by IMRT 7 sessions
(hospitals first IMRT patient)
PSA: all followup tests continue to be undetectable
8/09 Final Lupron shot
8/09 Severe osteoporosis from HT leading to need for spinal fusion
10/09 Levitra, Cialis at highest doses gave 60% erection
11/09 Edex at highest dose gave 75% erection with aching
12/09 Cialis daily 5mg + Trimix gives 75% erection with no aching
1/10 Adding VED hoping to increase blood flow
4/10 VED gives 95% of pre-treatment size; return of nocturnal erections
6/10 New Trimix formulation to see if I can get better response


Sancarlos
Regular Member


Date Joined Feb 2010
Total Posts : 242
   Posted 6/20/2010 9:44 PM (GMT -6)   
Purgatory said...
Navyman,

Good post, but the things you are talking about, i.e. quality of life trade offs, etc, are exactly why myself, and several others here, are leary about going down the HT path. From comparing stories from those that are on HT, or have been on HT, the side effects seem to be many, and the severity can vary greatly betweein patients reporting in here. For those advanced cases where there is no other option on the table, then the attitude toward HT carries a different weight. If HT can do that much bone damage, it would seem like that's a strong risk factor for pursuing HT in the first place. Not questioning your choice, decisions, or doctor's advice, just looking at HT in general from the outside. I wish you well in your journey.

David in SC


David,

First, greetings from another Greenville, SC resident.

With the high risk PC I have there never was much doubt but that HT would be involved in the treatment. The Partin table indicate that the chance of Gleason 9 and stage T2c being organ confined is less than 10% so I figure we better hit it with everything available to have any chance of a cure. How long I stay on HT, and what modality of it, will be determined by future conversations with my medical oncologist and by how serious the side effects become. For now the side effects are tolerable. My hope is that I will be able to stay on HT for about another year, then go off and evaluate where I am. I get tired but still have enough energy to do about 50 miles per week on the bike and work out at the gym two to three times a week. And I have actually lost some weight since I began the HT by keeping the exercise schedule and watching my diet so I don't think it is fact inevitable that one has to gain a lot of weight while on HT.

Sancarlos
Age 66
PC diagnosed 7/2009
Stage: T2c
Gleason: 9 (4 + 5), 6 of 6 cores positive
Bone, CAT and MIR scans negative

Treatment: brachytherapy (103 palladium), 100 gy, 11.15.2010 + hormone therapy (lupron) + IMRT on Novalis (February-March, 2010), 45 gy.

PSA at time of diagnosis: 11.9
PSA 10/2009, 5.0
PSA 12/2009, 0.56
PSA 5/2010, 0.15


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 6/20/2010 9:59 PM (GMT -6)   
As a G9 also, I am always waiting for the other shoe to drop, and be heading down the SRT path, and most likely HT if that is not successful.

If my PSA is rising, and I want to see my family for a few more years, and see my grand kids grow up, really, what choice do I have ? Surgery had its risks, radiation has its risks, and HT has its risks.

I will do whatever I have to do to keep on going if my quality of life can be maintained. If loss of bone density means a decent quality of life for a few more months or years, I would be a fool to hesitate. If its memory loss, I may not remember any way.

I appreciate you guys and your honesty. I am also glad to hear of your successes. It continues to give me hope. Thanks for sharing your story, and good luck on your journey.
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
1 year psa (364 days) .01


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 6/21/2010 3:43 PM (GMT -6)   
SanCarlos- appreciate your sincere reply just want to warn you that this realm of PCa is as Robert Young coined " A Jungle" it does not have rules, not definitive, not easily deciphered from any angle including academics. Alot of smart guys have done alot of analyzing in the past and some things are made better known, but it is full of inconsistencies, exceptions, variations, biases, even agendas. If the docs were totally honest to the patients they would mention the overall lack of perfect assessments and mention that there is alot of 'gamble' in about any protocol. You would love what Dr. Strum has to say about PCa, read his book 'A Primer on Prostate Cancer-The Empowered Patients Guide' then you will be empowered when talking with your doc and know if smoke is being blown your way.
Youth is wasted on the Young-(W.C. Fields)


Sancarlos
Regular Member


Date Joined Feb 2010
Total Posts : 242
   Posted 6/21/2010 6:20 PM (GMT -6)   
Zufus,

The section on hormone therapy in Dr. Strum's book is especially interesting. In fact, it was something I read in A Primer on Prostate Cancer that lead me to ask the question that began this thread.

I certainly understand the inconsistencies, exceptions, variations, biases, and agendas involved in trying to make sense of the protocol of treatment of prostate cancer. And PC is also a very big business, whether the money goes to the traditional field or to those pushing new protocols.

Sancarlos








zufus said...
SanCarlos- appreciate your sincere reply just want to warn you that this realm of PCa is as Robert Young coined " A Jungle" it does not have rules, not definitive, not easily deciphered from any angle including academics. Alot of smart guys have done alot of analyzing in the past and some things are made better known, but it is full of inconsistencies, exceptions, variations, biases, even agendas. If the docs were totally honest to the patients they would mention the overall lack of perfect assessments and mention that there is alot of 'gamble' in about any protocol. You would love what Dr. Strum has to say about PCa, read his book 'A Primer on Prostate Cancer-The Empowered Patients Guide' then you will be empowered when talking with your doc and know if smoke is being blown your way.

Age 66
PC diagnosed 7/2009
Stage: T2c
Gleason: 9 (4 + 5), 6 of 6 cores positive
Bone, CAT and MIR scans negative

Treatment: brachytherapy (103 palladium), 100 gy, 11.15.2010 + hormone therapy (lupron) + IMRT on Novalis (February-March, 2010), 45 gy.

PSA at time of diagnosis: 11.9
PSA 10/2009, 5.0
PSA 12/2009, 0.56
PSA 5/2010, 0.15


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/21/2010 9:31 PM (GMT -6)   
sancarlos, welcome. appreciate your remarks and you own journey. wow, not sure anyone else at HW is that close to me. actually live in easley, but you know how close that is to G-ville. Perhaps we could meet and hook up sometime for lunch or something. If you don't mind, who is your medical oncologist in the area? Dr. Larry Gluck is mine, from the past. And Dr. Wilcox is my radiation oncologist. I have most of my ops and so forth strictly through St. Francis by choice.

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 - 31 days, 5/24 put in Cath #17


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/21/2010 9:33 PM (GMT -6)   
p.s. to navyman:

i didnt realize your age before, you are doing great with your treatments. and do you really skydive at your age, i took that literally, lol. are you retired navy, or just did a stint like i did when young. i am the son of a lifer, and did one tour during viet-nam myself mostly with VP-17.

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 - 31 days, 5/24 put in Cath #17

New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, September 24, 2018 12:23 AM (GMT -6)
There are a total of 3,005,987 posts in 329,290 threads.
View Active Threads


Who's Online
This forum has 161816 registered members. Please welcome our newest member, nagawarrior.
220 Guest(s), 2 Registered Member(s) are currently online.  Details
dbrookenz, sebreg