toronto star - new non-invasive prostate cancer treatments

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tatt2man
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Date Joined Jan 2010
Total Posts : 2840
   Posted 9/21/2010 5:13 AM (GMT -6)   
-great article on new approach to non-invasive treatment of prostate cancer - great information / promotion of use of da vinci robot - by Sunnybrook hospital and Princess Margaret Hospital in Toronto.
-can't find an internet link to the article - which was a full page spread on one of those fold-on segments wrapped around the regular paper - hope enough people read it.
- lots of focus on MRI's and just going after the tumour not the whole prostate and the resulting side effects
-very exciting part about medical trials using same concept as breast cancer's lumpectomy - just cut out / destroy the tumour and not the entire prostate...
-very encouraging article
-will update when I can get a link.
 
 
here is the link - thanks modelship -it finally showed up -health zone -toronto star -
 
 
 [url]http://www.healthzone.ca/health/yourhealth/men'shealth/article/864233--surgery-for-prostate-cancer-is-becoming-less-disruptive[/url]

Post Edited (tatt2man) : 9/21/2010 3:47:51 PM (GMT-6)


a777
Regular Member


Date Joined Aug 2010
Total Posts : 22
   Posted 9/21/2010 5:22 AM (GMT -6)   
Meh.
We were just there and asked about other treatments like this.
None applicable to us based on our stats so take it all with a grain of salt.
Thanks for the info though.
Age-65
PSA- 9.9
G7 (3+4)
6 of 10 positive (two were 2% at 3+3 so nothing to worry about)
The part to worry about-
left base (conventional type seen in 2/2 cores, involving 50% of submitted tissue, G7 (3+4-pattern 4 accounting for 40% of tumor)
left mid (conventional type seen in 2/2 cores, involving 50% of submitted tissue, G7 (3+4-pattern 4 accounting for 40% of tumor)

tatt2man
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Date Joined Jan 2010
Total Posts : 2840
   Posted 9/21/2010 5:31 AM (GMT -6)   
- and you said it yourself -" the part to worry about "- with your stats - I can see why they said they were not applicable

-you want the best treatment for you and the alternative route was deemed by them not to be the best way to fight your PCa.

-wishing you all the best.

Post Edited (tatt2man) : 9/21/2010 5:36:55 AM (GMT-6)


Ziggy9
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Date Joined Jul 2008
Total Posts : 981
   Posted 9/21/2010 8:35 AM (GMT -6)   
tatt2man said...
-
-very exciting part about medical trials using same concept as breast cancer's lumpectomy - just cut out / destroy the tumour and not the entire prostate...
-very encouraging article
-will update when I can get a link.


Wow imagine that!!! Look at my sig and my treatment two years ago.
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A

2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study

4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal

7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy

2/16/10 12 of 12 Negative Biopsy

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3623
   Posted 9/21/2010 10:16 AM (GMT -6)   
Post surgery, the average prostate gland removed contains 7 distinct tumors. PC is multi-focal..You can't just treat that one little spot unless you are SURE there is only one little spot..

Post Edited (Fairwind) : 9/21/2010 10:54:26 PM (GMT-6)


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 9/21/2010 10:31 AM (GMT -6)   
Fairwind said...
Post surgery, the average prostate gland contains 7 distinct tumors. PC is multi-focal..You can't just treat "that one little spot"...


Gee you know more than many urologists?? Then explain my successful treatment with low PSAs and negative biopsies since. BTW Dr Westmacott who is both a radiologist and a prior urological surgeon of your beloved TUCC not only endorsed my TFT but had worked under Dr Crawford at CU Med and declared him to be one of the top doctors in urology. But you know better eh??

Also prior to TFT a many needle 3D saturation biopsy is mandatory.
 
http://www.onemedplace.com/education/prostatecancer/
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A

2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study

4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal

7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy

2/16/10 12 of 12 Negative Biopsy

Post Edited (Ziggy9) : 9/21/2010 10:51:35 AM (GMT-6)


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4080
   Posted 9/21/2010 11:02 AM (GMT -6)   

Fairwind, the fact that PCa is often multi-focal does not translate to the conclusion that targeted therapy is ineffective.  As ziggy points out, his was conducted after a saturation biopsy which was designed to identify the multi-focal aspects.  Dr. Scholz reminds us that experts who support focal therapy conclude that high quality imaging and/or properly staged biopsies almost always detect secondary tumors that are large enough to be consequential.

Today our most often used treatments for PCa call for total removal or radiation of the prostate without regard to the rest of the prostate that is likely cancer free.  Sort of like early breast cancer treatment that only took the total breast rather than the frequent use of lumpectomy today.  Personnaly, I am encouraged by new treatments that are coming down the pike (like TFT) and am thankful that some in the medical community recognize that quality of life is something to be seriously considered.

Tudpock (Jim)


Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 9/10/10. 6 month PSA 1.4, 1 year PSA at 1.0. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 9/21/2010 11:48 AM (GMT -6)   
ziggy,

your case shows that for some, a targeted approach can and does work, and left you free of all the normal horrible QOL side effects that plague the bulk of us with standard primary treatment methods.

there's still too much of that "one size fits all" mentality going on. Just isn't that way with PC, the least evasisve with the best QOL while still being effective is the ticket. Who wouldn't want that ? I have been through enough hell for 10 men, I only dream that I had been in a situation to avoid all I have endured for nearly 2 years, and still not over yet.

keep making your case, there are always new folks joining the ranks here, a sad truth.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 9/21/2010 12:06 PM (GMT -6)   
Like anything else, if it works for you it's a good treatment, if it doesn't work for you, it's a bad treatment.

Seems like targeted treatments like this and HIFU make sense if they are viewed as sort of an enhanced AS. Zap that nasty tumor that you see on imaging, watch the rest of the prostate closely for trouble, because you don't know if some bad microscopic Ca is still lurking. This approach is logical if the risk of side effects is close to zero. It has to be. If the side effects are not much better than radiation or surgery, you'd be combining the bad side of AS (uncertainty and the need for biopsies/followup) with the bad side of radiation/surgery (risk of ED or incontinence).

Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 9/21/2010 12:26 PM (GMT -6)   
Of course TFT is not for all. In fact the last I heard it's a little under 60% of those with low risk numbers who qualify after the 3 D saturation biospy. Which can be anywhere from 30 to 90 needles depending on the size of the gland. Mine was 45 needles.

This treatment is kind of like where lumpectomies were 10 years ago for breast cancer but I'm sure will become more common over time. In fact the biggest problem I had initially was my insurance paying for the saturation biopsy. Which took an appeal from my doctor to be approved.

Postop I consider this more than enhanced AS it's an actual treatment mine was by way of cryo and lately they are also zapping with a laser. My only side effect is maybe 60% less ejaculating I'd guess. As far as monitoring I am part of a clinical study and have had semiannual PSAs taken and two annual biopsies. I go in for another semiannual check and then it's to move to annual. And if PCa does reappear I still have alll the traditional treatments available as anyone newly dx'd.
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A

2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study

4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal

7/30/08 - Psa: .32
11/10/08 - Psa.62 -
April 2009 12 of 12 Negative Biopsy

2/16/10 12 of 12 Negative Biopsy

Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 9/21/2010 12:39 PM (GMT -6)   
Right. You need followup monitoring and biopsies, and the possibility of traditional treatment if the PCa recurs. That's what I meant by "enhanced AS."

Fairwind
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Date Joined Jul 2010
Total Posts : 3623
   Posted 9/21/2010 1:15 PM (GMT -6)   
Gleason 6 guys can play all the games they want..They can even pretend they don't have cancer and get away with it.. Very few G-6 patients ever die from their disease no matter how they treat it or don't treat it.

But for the rest of us TFT is just not a viable option...

Post Edited (Fairwind) : 9/21/2010 10:46:04 PM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 9/21/2010 2:40 PM (GMT -6)   
fairwind,

you best qualify your wild remarks as your own personal opinion, not "for the rest of us". I don't think TFT is a joke, and many others wouldn't either. It wouldn't have helped in my case, but that doesn't take away from it. One thing we try hard at HW Prostate Cancer, is not to trash another persons's treatment choice. Don't quite understand your hostility to any view but your own. Your entire post above, is very rude and condenscending at best.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7197
   Posted 9/21/2010 2:44 PM (GMT -6)   
FAIRWIND!!!
 
C'MON, I'm surprised at you.
 
We know various treatments are more appropriate for patients with certain stats.
 
Somehow "a joke" doesn't compute
 
Mel

Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 9/21/2010 3:27 PM (GMT -6)   
Fairwind said...
Gleason 6 guys can play all the games they want..They can even pretend they don't have cancer and get away with it.. Very few G-6 patients ever die from their disease no matter how they treat it or don't treat it.

But for the rest of us TFT is a joke...


Yeah you know better than many oncologists and urologists.. give me a f....kn break. I'll let other decide here who or what is a joke...

Sheer quantity of posts over a few months doesn't prove you know any more than any else. Maybe you should try thinking before you continually post, for a change.

Post Edited (Ziggy9) : 9/21/2010 6:22:30 PM (GMT-6)


tatt2man
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Date Joined Jan 2010
Total Posts : 2840
   Posted 9/21/2010 3:43 PM (GMT -6)   
here is the link complete with a pix of a da vinci robot !- thanks modelship -it finally showed up -health zone -toronto star -

www.healthzone.ca/health/yourhealth/men'shealth/article/864233--surgery-for-prostate-cancer-is-becoming-less-disruptive
Age: 55 -gay with spouse, Steve - live in Peteborough, Ontario, Canada
PSA: 10/06/2009 - 3.86
Biopsy: 10/16/2009- 6 of 12 cancerous samples, Gleason 7 (4+3)
Radical Prostatectomy: 11/18/2009
Pathology: pT3a- gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
Post Surgery-PSA: April 8, 2010 - 0.05 -I am in the ZERO CLUB - hooorah!
Next PSA: Sept 23, 2010 -TBA

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4185
   Posted 9/21/2010 3:44 PM (GMT -6)   
There is not "a one size fits everyone" in PC. I'll keep harping the point until I'm blue.
"You have to tailer the treatment to the biological aspects of your individual cancer" In some cases AS is the absolute best treatment when an individual's stats are low. In some cases surgery is the best treatment and in others radiation will have a very significant advantage. In high risk cases a combination therapy inculding HT offers the best chance of survival. Those that advocate "one best treatment" for all are not doing anyone a service. As soon as we realize that all cancers are not the same and that some are indolant and others are very agressive and dangerous we can reduce the amount of both over treatment and under treatment for those that have this disease.
Dr Strum gives the best advice for those wishing the most favorable outcome:
1. Know the biology of your cancer
2. Fit the treatment to your cancer's biology.
3. Choose the BEST artist to perform that treatment.
This is a simple, but powerful strategy in dealing with this disease.

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


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4185
   Posted 9/21/2010 3:45 PM (GMT -6)   
There is not "a one size fits everyone" in PC. I'll keep harping the point until I'm blue.
"You have to tailer the treatment to the biological aspects of your individual cancer" In some cases AS is the absolute best treatment when an individual's stats are low. In some cases surgery is the best treatment and in others radiation will have a very significant advantage. In high risk cases a combination therapy inculding HT offers the best chance of survival. Those that advocate "one best treatment" for all are not doing anyone a service. As soon as we realize that all cancers are not the same and that some are indolant and others are very agressive and dangerous we can reduce the amount of both over treatment and under treatment for those that have this disease.
Dr Strum gives the best advice for those wishing the most favorable outcome:
1. Know the biology of your cancer
2. Fit the treatment to your cancer's biology.
3. Choose the BEST artist to perform that treatment.
This is a simple, but powerful strategy in dealing with this disease.

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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 9/21/2010 4:42 PM (GMT -6)   
fairwind, start fresh by reading one of the most basic rules here, then apologize to ziggy:

4. No posts that attack, insult, "flame", defame, or abuse members or non-members. Respect other members of the community and don’t belittle, make fun off, or insult another member or non-member. Decisions about health and well-being are highly personal, individual choices. "Flaming" and insults, however, will not be tolerated. Agree to disagree. This applies to both the forums and chat.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4080
   Posted 9/21/2010 4:54 PM (GMT -6)   
Bronson, first of all thanks for posting the link. It's been said that the next 5 years will bring more progress in the treatment of PCa than have the last 20.  Not all of the new options will pan out but it is encouraging to think that our younger breathren will have more and better options than we did.
 
Fairwind, this is not the first time you have ridiculed the specific treatment of another member.  Sorry you feel the need to do so..  And, FYI, your comments about about TFT being only for G6 guys are uninformed.  The current TFT clinical trial at Princess Margaret in Toronto does not limit the Gleason to 6.  They obviously have hope that this treatment will pan out for higher G-score patients.  May I respectfully suggest that you do your homework before dismissing something as a "joke".
 
Tudpock (Jim)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 9/21/2010 4:57 PM (GMT -6)   
tud,

the thought that there should be better treatment means/choices in the next few years is actually comforting to me. might not do you or i or any current pc person anygood, but for that next generatio of patients. with two sons of my own, i can only hope they will have safer and less invasive choices if they ever come down with PC in the future.

david
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

a777
Regular Member


Date Joined Aug 2010
Total Posts : 22
   Posted 9/21/2010 5:14 PM (GMT -6)   
admins- can you please add tft to the Prostate Cancer Abbreviations page.
thanks!
Age-65
PSA- 9.9
G7 (3+4)
6 of 10 positive (two were 2% at 3+3 so nothing to worry about)
The part to worry about-
left base (conventional type seen in 2/2 cores, involving 50% of submitted tissue, G7 (3+4-pattern 4 accounting for 40% of tumor)
left mid (conventional type seen in 2/2 cores, involving 50% of submitted tissue, G7 (3+4-pattern 4 accounting for 40% of tumor)

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7197
   Posted 9/21/2010 6:08 PM (GMT -6)   
David:
 
Don't dismiss the lack of benefit to us so quickly. You know, a lot of the treatments are basically trying to establish a holding pattern, especially if surgery and radiation fail.
 
We know HT can keep things on hold for a few months to maybe 10-15 years (if one is lucky).
 
Anyway, I know in the back of my mind is the hope that somehow medical science will come up with something to save my rear end!
 
Like you, I have a greater hope that my son will not have to go through what I am going through, should he get the dreaded dx. He is only 32 (in a month). He will have to start doing PSA tests at age 40, according to my doctors. He also has a 6-year old son. Perhaps when my grandson reaches middle age, PC will be non-existent or definitely curable.
 
Mel

Ziggy9
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Date Joined Jul 2008
Total Posts : 981
   Posted 9/21/2010 6:19 PM (GMT -6)   
Purgatory said...
fairwind, start fresh by reading one of the most basic rules here, then apologize to ziggy:

4. No posts that attack, insult, "flame", defame, or abuse members or non-members. Respect other members of the community and don’t belittle, make fun off, or insult another member or non-member. Decisions about health and well-being are highly personal, individual choices. "Flaming" and insults, however, will not be tolerated. Agree to disagree. This applies to both the forums and chat.

david in sc


Oh I don't require an apology I have very thick skin. The pure arrogance is appalling, hopefully he'll think more before posting in the future.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 9/21/2010 6:30 PM (GMT -6)   
sorry ziggy, i am an old school gentleman, and that's the least he could do. i know he has his own issues and grief too, but no reason to belittle your choices and decisions.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.
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