Stopped by the lab after work and handed the phlebotomist my script from the doctor. As she's studying it with a puzzled look on her face, I told her that my doctor wanted the post prostatectomy PSA test, not the standard PSA test. She said yes, but the code for the standard PSA test is what is on the script. Then I pointed out to her that in the comments section at the bottom of the form, they had typed in "post prostatectomy PSA" because they did not know, nor could they find, the proper code. So, I'm getting my blood drawn, trying to think about other things but I noticed it was taking longer than normal. She finally finishes and much to my surprise, she is holding two vials. I asked why she took two vials and her reply was that the way the doctors office wrote the script indicates that the doctor wanted both tests, standard and post prostatectomy PSA. I don't know if they use different assay methods for the two tests, but it will sure be interesting to see if the two results are in agreement.
Dx: in 6/2005 age 49, PSA 4.1, 2/10 cores pos, G6, T1c
bone scan: negative
daVinci RRP 8/2005, Hartford Hospital, Dr. Wagner
Upgrade G7 (3+4), pT2c, NX,MX, neg. margins, perineural invasion present, tumor invades capsule but not through it.
PSA <0.1 until 4th yr post surgery, then 7/2009 0.1, 10/2009 0.2, 1/2010 0.2, 2/2010 0.14, 4/2010 0.16,
8/2010 0.25 (oh darn it!).