Today, I got my One Year PSA. Two readings actually: A 0.03 on the Siemens Centaur using direct chemiluminometric, 06-2006 protocol, and a <0.01 on the Roche Cobas 601 electrochemiluminescence ELISA using 04-2010 protocol.
A year ago my surgery was a few days away. I had no idea how life changing this would be. I was in perfect health, kidding with family, confident that I would be dry and hopping between the sheets like the bunnies in our garden.
Sure, I saw the letter from the Uro telling me what to expect but it also said to expect vomiting, brain damage, psoriasis, nose bleeds and death. Oh puhleeze! That nonsense is for the old guys who are out of shape. The ones who smoked, and never exercised. The overweight tubs who can't move anyway. None of that will happen to me. My BMI is right where it should be. I am in perfect health. I can outrun guys half my age. I will breeze through this.
Well, the only things I breeze through now are pee pads.
As I sit here with an almost full soaker twixt my thighs, contemplating whether or not Trimix is worth the effort, I realize I am lucky. My PSA is low. <0.01. The lab report brought tears to my eyes. Not sure why, but I started singing: "I am I, Don Quixote! The Lord of La Mancha!... "
Why? Fighting windmills - delusional that PC is gone? Or maybe it was just a reaction to an over-ripe piece of goat cheese I had for late lunch.
I know that I have been enriched by this experience. I learned about
cell mutations, cytology, physiology, genetics, drug interactions and an alphabet soup of treatments and protocols. I learned that life is precious and there are truly great men here walking with burdens I cannot fathom.
I'm a technical guy - a physicist/engineer and think I have a reasonable understanding of how the world operates. Who knows, with all the equipment and serendipity flowing in my lab I might come up with a next generation treatment. At the very least I can now cook a hot dog faster than Kobayashi, the Tsunami, can eat them.
Most importantly, the guys I met here have added to my life more than I can say. You know who you are. "I love you, man!" sums it up pretty well. And I say that totally sober!
PCa has made me a better person but I'd be lying if I said I don't miss dry pants and a spontaneous roll in the sack. Don't worry, I will survive!
Humor is GFMPH. (I hope you clicked the links.)
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 3+4=7, 3+3=6. 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."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed. 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 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)
Post Edited (Worried Guy) : 7/17/2010 7:09:28 AM (GMT-6)