New Job is no longer in Play

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/29/2010 2:36 PM (GMT -6)   
Finally had a long conversation with what would have been my new boss today.  I sprent the time going over my situation, since thth.e tentative starting date was coming up fast at July 5th.  As expected, he retracted the original offer, and will see if any of his other candidates are still available for the position.  What wasn't expected, is he would like to hire me on a consulting basis long term in an auditing capacity.  This could e worked around my health situation and much of the work could be done from home.  We have agreed to meet soon to hash out possible details of such an arrangements.  This is more than I would have expected under the circumstances.
 
With this next op coming up this Friday, and knowing I would be coming home with two, not one, new caths, knew there would be no way I would be in shape to start next Monday.  Still in considerable pain and discomfort.
 
Not the solution I was hoping for, but I have to get well enough first, no point fooling myself about my condition.
 
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


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 6/29/2010 2:43 PM (GMT -6)   
David,
We are all cheering you on. Sorry to hear that the full time position won't work out but there is the opportunity you mention of the consulting. Best wishes to you on the surgery, the recovery and the job situation.

Larry
Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Involved
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0
Six month PSA - 0
Ten month PSA - 0


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 6/29/2010 2:43 PM (GMT -6)   
David...all things considered...I think this might actually be one of the bright points. Your guarding angel may well be at work here even though it doesn't seem like it. Someone is watching over your shoulder and making sure you don't over do things and get completely well.

Maybe not what you wanted to hear, but maybe what you need.

Hope I didn't offend you.

Take care brother...hold you head up high.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009     .06
                   6 month Apr 2009     .06
                   9 month Jul  2009     .08
                 12 month Oct 2009     .09 
                 18 month April 2010   .19


erbob
Regular Member


Date Joined Jan 2010
Total Posts : 281
   Posted 6/29/2010 2:43 PM (GMT -6)   
David, that is great to hear about the possible consulting job. I sure hope things work out for you to your satisfaction. Remember, there are a lot of us in your corner.
You are also remembered in my prayers and thoughts!
Bob, located in Southern Colorado

Age 73 Retired Railroader.
Dx Jan 2010, Volume 51.345
Gleason 3+4=7, second opinion 4+3=7 (Don't know which to believe)
PSA
2.6 4/96.......... 3.7 4/07
1.9 5/97.......... 3.2 1/08
2.3 4/98.......... 6.1 4/09
2.2 10/99......... 5.3 5/09
2.4 8/00......... 5.3 8/09
2.3 6/01......... 6.9 10/09
2.9 2/03......... 7.3 12/09
3.6 4/04......... 6.1 1/10
3.0 5/05......... 5.0 3/10
4.7 4/06......... 0.7 5/10 (Lupron/Bicalutamide)
Volume study at CPCC (Westmont, IL) Feb 15, 2010 = 55.7cc
On Feb 15, 2010 put on 90 days of Bicalutamide
Got LHRH Lupron shot on Feb 29,2010
Another Volume study May 24, 2010 = in mid-40cc
BRACHYTHERAPY received May 26, 2010
Received 80 I-125 (Iodine seeds)
Activity per seed (mCi) 0.373
Total activity implanted (mCi)29.80
Measured exposure @ 3 feet (mR/hr) 0.06
Received the Brachytherapy at the Chicago Prostate Cancer Center from Dr. Brian Moran
Walked in the facilty and just a few hours later walked right out.
No after effects other than just a little sore from the needle sticks but NOT serious
enough to take ANY meds for pain.
PSA to be taken in three months (Aug 2010).


JoeFL
Regular Member


Date Joined Oct 2009
Total Posts : 420
   Posted 6/29/2010 3:01 PM (GMT -6)   
David,
 
I've been retired for a little over a year and have done three consulting jobs, mostly from home. Might be a good thing for you as opposed in going back to the full time rat race. My only problem is keeping our three cats out of the office....they like to walk on the keyboard. Hope it works out for you...you deserve it. Regards,
 
Joe 

Age -67 PSA - 4.5

Biopsy  (9/4/09) - Positive in 5 of 8 cores. In those 5 cores, 5 of 11 samples were positive. Gleason 3+3=6. Stage – T1C  Ct and Bone scans negative.

 

BT performed on 12/11/09. 84 seeds of Palladium 103. Surgery at 7:30 - Home at 12:30 same day with no catheter. Blood in urine for a week. Side effects as expected -  some burning, frequency, urgency.   Resumed daily  1 ½ mile walk after 3 days. 

 

BT followed with 25 IGRT treatments beginning Feb 15 (4500 Gy's). After third week, experienced some fatigue. Now 2 months from last rad treatment - energy level has returned. Burning gone and urgency is much improved.

 

First post treatment PSA (6/1/10) - 0.1

 


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 6/29/2010 3:01 PM (GMT -6)   
You are right David, get yourself well first and then explore job possibilities. Will be thinking of you this Friday and hopefully all will go well.
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


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 6/29/2010 3:12 PM (GMT -6)   
David - when one door closes someone opens a window.. or something like that ... sorry about the CFO job - but hoorah for the consulting job - much better suited to the fluctuations regarding health and other matters -

and please note -
YOU MUST HAVE KNOCKED HIS SOCKS OFF IN YOUR ORIGINAL INTERVIEW by having him offer you the LONG term consulting job - wow !

among the clutter, you can find gems ... and you are one of them ...

congrats.

accounts payable 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 - May 25 - 1 pad during day - 1 pad at night for security (barely needed at all) - stress incontinence at work - lifting trees and shrubs...
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 -
............


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/29/2010 3:32 PM (GMT -6)   
David, while it is a G.D. shame the job can't be, I side with those above who think this is likely the best thing and with a consulting possibility open could turn into a real win.

I also think Bronson nailed it when he said you must have really knocked this guy's socks off in the interview!

Good on you, David.

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 
 
  


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 6/29/2010 4:06 PM (GMT -6)   
David,
Considering what you will be going through, I can't see how you could have possibly done it. Taking care of your health is priority number one. I hope your surgery goes well and your recovery is complete with no more catheters in your future. The auditing job sounds promising and is something you can do from home. I hope all works well for you.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 5 months
2 months PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 6/29/2010 4:27 PM (GMT -6)   
Hey there David,
I was sorry to read that the radiation aftermath has prevented you taking up a good job and obviously one you were looking forward to. But of course health is number one. It is encouraging to know that they value you enough to want you to do consulting work ......... at least, even if they take on someone else now, they know you are available in the future and you have an ongoing opportunity to demonstrate your skills and abilities. Had you tried to do a challenging job while in such pain and distraction it may have undermined a hard won reputation. I am looking forward to the doc saying he can see signs of some healing going on.
Take care,
Bill

RCS
Veteran Member


Date Joined Dec 2009
Total Posts : 1247
   Posted 6/29/2010 4:48 PM (GMT -6)   
David,
 
You are right ... get well first.
 
FYI, I've been consulting/contracting for 3+ years ... wish I would have done it earlier.
 
Best wishes.
PSA 2007 - 2.8
PSA 11/24/2008 - 7.6
Pc Dx 2/11/09; age at Dx 62
RLP 4/20/09
Biopsy -  Invasive moderately differentiated prostatic andenocarconoma; G 3+3=6; PT2C; No evidence of Seminal Vesicle or Extraprostatic Involvement; Margins clear; Tumor identified in sections from prostatic apex.
70 gram prostate.
Immediately continent after removal of cath.
ED - Trimix works well; viagra @ 60%
PSA - 7/31/09 <0.06
PSA - 12/1/09 <0.06
PSA - 3/29/10 <0.06
 
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/29/2010 5:20 PM (GMT -6)   
Thanks for all my friends and brothers above.

It hurst my ego as much as anything else. I have worked hard all my life, and been making money one way or the other since I was 6. Not wanting to retire or not work. PC is a M/F, and I hate how it has taken so much from me. Excuse my outburst.

Since I posted this, another firm wants me to interview for a job closer to home on Thursday. So perhaps I must still have some value in the world of Accounting and Finance.

I know I could have it so much worse, trust me, but PC still can get the best of us down, and I still can't imagine even a single day without dealing with severe pain to some degree. There has to be better days ahead for me, as I feel I have done my time in purgatory.

All of your support is deeply and sincerely appreciate.

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


Drums
Regular Member


Date Joined Mar 2010
Total Posts : 134
   Posted 6/29/2010 6:44 PM (GMT -6)   
David,
Like Joe said, consulting would at least give you the opportunity to better manage your schedule and work from home. There can be a lot of flexibility on the consulting side of things.
Bill
Age 52 at diagnosis, father died of PCa
 
PSA: 10/16/09 - 2.8; 1/11/10 - 3.8
Biopsy 11/25/09, 11 core samples - HG PIN on right side
Biopsy 2/17/10, 11 core samples - left side, adenocarcinoma, Gleason 6, one core at 5%
Notified of dx on 3/12/10 (27th wedding anniversary) via phone by the nurse! (dropped this Uro!)
MRI 3/17/10 and bone scan, 3/23/10, indicate: gland volume is 27mL, PCa is confined to prostate, seminal vesicles and vas deferens are unremarkable.
 
RALP conducted 19 May 2010 by Dr. Lee at U. Penn Presbyterian
Pathology report on 10 Jun 2010: Gleason 6; gland involvement by carcinoma < 2%; tumor in peripheral zone on BOTH sides; no capsular, extracapsular extension, lymph node, or seminal vesical involvement; and no positive margins.
 
Incontinence: first four days after catheter removal - only1-3 pads/day (but urethra was inflammed); 2d week (after inflammation) - 8-10 pads/day (sometimes more!); 3d week - 4-6 pads; 4th and 5th weeks - 3-4 pads. Of course, all this depends on how much I stand and it gets worse later in the day.
 
ED: started the pump the 4th week after the catheter removal. Four sets, twice a day per instructions. Not as fun as it sounded.


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 6/29/2010 6:48 PM (GMT -6)   
Hi David,
 
Sorry to hear about the job. But as you say your health should be number one priority. Sounds like the guy would have been good to work for based on his willingness to work with you as a consultant. I am doing that with my former employer at this time. Helps pay the med bills.
 
Best of luck to you with the latest op.
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Two years on Lupron completed 01/2010.
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 were full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones
PSA 05/10 .42 Rising a little as the lupron wears off. Last lupron shot 01/10.
PSA 06/10 .322 Maybe the .42 reported in May was in error?


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 6/29/2010 6:52 PM (GMT -6)   
Dear David,
 
I know how much you want to work, so this is an unhappy circumstance for you, but there is a silver lining.  The guy must be most impressed with you to offer other employment.  And maybe another opportunity!?  One way, or another it seems to me that you will eventually get your wish to get back to work. 
 
Best,
 
Bill
I first came here in fall of 2006.  Did radiation.  Am fine.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/29/2010 7:33 PM (GMT -6)   
Thanks, guys. And Bill, its all I want to do. I hate most of the financial burden being on my wife's back, but fortunate that as a nurse, she makes a pretty good living. Still hard when your combined income has been reduced by 60% or more the past 2 years. But we are getting by.

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


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6946
   Posted 6/29/2010 7:44 PM (GMT -6)   
I'm not on the board much the last few days days - hope things continue to sort themselves out for you. With not even a real part of the issues you have, I find a day in the office to be a challenge, so have been hoping for the best for you, but not sure what that will be.

Keep hanging in there.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/29/2010 7:56 PM (GMT -6)   
Thanks, 142. As they say here in the south, life just keeps getting gooder and gooder.
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


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 6/29/2010 11:03 PM (GMT -6)   
David: I was not surprised at the news. We had talked about just that not too long ago. The guy must be very impressed with your knowledge to want to use you for cousult.

I think that is a good move for you buddy.

Hang in there.

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%


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 6/29/2010 11:38 PM (GMT -6)   
Hi David,

You have a right to be very disappointed about the original job. After all, you're human like the rest of us! tongue

I think it is a very strong statement about your worth that you were made the original offer, that the same company still wants you as a consultant, and a second company is already knocking at the door.

I have a feeling that the puzzle pieces will fit together soon!

Hang in there, friend.

Barry
Surgery: Da Vinci; July 31, 2007; 54 on surgery day;
Pathology: PSA: 4.3; Gleason: 3+3=6; T2a; Confined to Prostate;
Post RP PSAs: 09/'07 <0.04; 12/'07 <0.04; 03/'08 <0.04;
06/'08 <0.04; 12/'08 <0.04; 06/'09 =0.06; 09/'09 <0.04; 12/'09 =0.05;
3/'10 <0.04; Latest PSA 6/'10 <0.01


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/30/2010 7:19 AM (GMT -6)   
Jeff, I hope so, there are definitely parts of our PC journey that we don't have control over.

Barry, I was never good at picture puzzles, lol, seriously.
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


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 6/30/2010 1:41 PM (GMT -6)   
I hope the surgery goes well. It is great news on the jobs (consulting and the one closer to home). I believe you can concentrate on getting well (again...) and know there are jobs out there when you are ready. I will be thinking of you and hoping everything works out this time.
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/30/2010 2:21 PM (GMT -6)   
rob, cant agree on part of that, jobs for guys my age are scarce as hens teeth, but right now, kind of a mute point, got to get better first
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


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7203
   Posted 6/30/2010 4:33 PM (GMT -6)   

David:

 

Good luck with your upcoming surgery.

Sadly, the loss of the original job offer was kind of handwriting on the wall. But how nice to land the consulting work (or possibility thereof).

You are one heck of a person and obviously they know you would be a great employee.

You know, I knew about cancer in the abstract until I HAD to become intimate with it. This darn disease impacts every aspect of our being. The biggest challenge is to somehow forge a life that accomodates the beast and is yet worth living. Fortunately, most of us manage to find the way, but it takes time. You are definitely an inspiration to me on how to handle things with class!

 

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! Uh...OH. As of about 3/16/10 problems with constant urgency although no pads needed--feels like an infection but none showing in urine.

Update: since late March all is well in that area. I would say 99.9% continent (a spurt here and there, maybe 5 spurts per week). As of 6/22/10, I would say I am 100% continent, but I do have (controllable) significant urgency.

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

Second post-op PSA on 6/21/10--0.02--Not too bad!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/30/2010 5:15 PM (GMT -6)   
Mel, thanks for the kind words, but I assure you, I am mortal as the next man. PC is a life change for most of us, even if we survive it. And since most guys think by logic, we have picked the wrong disease to mess with, and PC defies normal medical logic a lot of the time.

Yes, I knew in my heart all along, that if someone finally called my bluff about a job, I would not be well enough to actually do it. My brain is ok with it and wanted it badly, but the rest of me is still in a pitifuly state considering my primary treatment, surgery, was in October of 2008.

I would never have contemplated, that in June of 2010, that I would still be in such a physical fix. I two days, I will be hosting my new caths, #18 and #19 at the same time. I would have never dreamed that I could endure so many bladder spasms and not give up all hope. Never have been on prescription pain meds for such a period of time in my life. (Don't worry, not a druggie, only take what I need when I need it, and my doctor monitors my use closely, but he knows proper pain management is half the batter when you are in a prolonged situation like this).

This might sound silly, but do you know what I miss most of all? Is to be able to take a long hot soaking bath in the bath tub, or our lovely hot spa.
You can't do that with an indwelling cath, or swim at all, or ride a bike or motorcycle, etc. Perhaps small things, but still, things I formerly enjoyed doing.

I have been wearing or carrying a urine bag around for so long now, it doesnt even embarass me anymore for someone to see it hooked to me. Sure, I could plug it off sometimes to hide it, but all that would do is cause a lot of back pressure in the cath and cause even more pain, so why bother.

This weeks op, is going to more of a needed inspection trip, not a fix, and I know this ahead of time. So while I don't mind being put under, again, I am a bit depressed knowing that this isn't going to change my situation.

I am more convinced then before, that I will require a complex operation to give me back any cath free normalcy to my life.

I have said this before, and don't want it taken out of context, but I still mostly wish I had never consented to the SRT. I knew in my heart that it would mess up all the progress that had been done prior, i.e. healing from my initial open surgery. Now, all my lower regions feel like mush. This was something my uro/surgeon feared too, as he has seen a lot of damage done from strong radiation treatments. I admire him for sticking by me, his constant looking for a solution, and his dedication to keeping me as pain free as possible, and never ever losing patience with me, as he continues to help me month after month. I always have his fullest attention, and he is very much in tune with my suffering. Can't ask much more than that with a doctor. He has a large practice, largest in my region, and he is dealing with hundreds upon hundreds of patients, yet he acts like I am his only one when we meet.

Not ready to give up hope, just a bit discouraged, because it was a good job opportunity for me at my age, one that might not pass by me again even when and if I get well one day. I will turn 58 on the 13th, yet I feel like I am an 80 year old man. Shouldn't be that way.

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

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