Speaking of Jokes

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Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 8/8/2010 12:15 PM (GMT -6)   
The trend about the comic strip reminded me of another old joke. While it's not PC specific, it deals with the same anatomy.
A guy goes to his urologist, complaining of prostatitis type symptoms.
The doctor says the he needs to have a semen sample. He allows the patient to submit one himself. He gives him a cup and tells him to use one of the 3 rooms on the right.
He enters the first room and finds another patient ********** in the cup. When asked, the guy in the room indicates same problem.
He goes to the second room and finds a guy with a gorgeous nurse performing oral sex on him. When asked, the guy responds: "Same problem, much better insurance!"
(I assume the third room was vacant)

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!

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 8/8/2010 3:32 PM (GMT -6)   
A post-surgical leaker was driving cross country when he realized he could go no farther, so reluctantly, he pulled to the side of the road and stepped into the woods to seek relief. Unfortunately, the county sheriff was conducting a training exercise in exactly those woods. The sufferer had barely begun his business when he was pounced upon by three eager deputies and hauled off to the county courthouse charged with indecent exposure.

As the poor fellow sat on a bench in the hall waiting for his turn in the courtroom he was approached by a stranger wearing a suit who asked what his story was. After relating the tale, the stranger identified himself as both an attorney and someone whom had undergone prostate surgery. The attorney said as a fellow PC sufferer he knew exactly how to defend such a case and would represent the leaker for a nominal fee of $50. The man agreed and when his case was called the lawyer motioned to him to stay seated and went into the courtroom to speak to the judge. A few minutes later he was called into the courtroom. The judge eyed him and issued and order: “Drop your trousers, your shorts too.”

The man blushed mightily but complied. The judge looked to the lawyer and said: “You’re right, case dismissed.”

Later, back in the courthouse corridor, the man asked the attorney what had happened and why the case was dismissed so quickly. “Aaah,” sighed the lawyer, “I told you I have had a prostectomy too. I knew we would have no trouble if we showed that this case called for an application of the doctrine ‘de minimis non curat lex!’”*

*The law is not concerned with small things.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day
9 mo. PSA 0.00 -- 1 light pad/day ED remains
12 mo. PSA 0.00 -- still one light pad and ED
16 mo PSA 0.00 -- light pad just for security, ED still an issue
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