Just an update. I had seen him way back when my PSA went form 0.02 to 0.06. I saw him again today to go over my discussion with the Ford doctor and see what he thought. Again, he is very pleasant/personable and I think is very knowledgeable, but how do I really know? He is certainly experienced.
He did state that it obviously looks like radiation is in my future. Whether I have it now (PSA at 0.13) or wait until it is 0.20 is not crucial. That's what Ford said, too, although one mindset of mine says to do it right now before it's too late. However, he says my original plan is fine. That plan is to do another PSA on 2/15. Unless I get a very pleasant surprise we will do the SRT. He said I do not have to schedule it now. He made a note on my file that as soon as I call with the results and directions to proceed, they will schedule me to get started the following week at the latest.
I asked how many GY I would be getting. He said 68.4 total (1.8 per day; 38 days). I will probably experience zero side effects for the first 3-4 weeks. Then I will probably have a lot of urinary urgency. I will have to go like...very soon or even...right now... or else. That will diminish after the SRT and should go away. I have hemmroids that generally don't bother me (maybe once a year and they bleed maybe once every 4-5 years). He says they will probably get very irritated and will bleed. Again, supposedly that will get better. Also, I was thrilled to hear that I will not need a catheter as part of the set-up. There will be a dye/barium contrast put in my rectum through a tube. It will be uncomfortable, but not nearly as bad as a barium enema. They don't put much in, just enough to see where everything is. There is no preparation needed for the set-up or for the treatments other than drinking some water and he said it would just be a glass of water. It didn't sound like much. I do have constipation problems. He said that would NOT be a problem.
The machine used is the Varian Trilogy RapidArc.
So, I guess we have a plan.
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. 9/21/10--0.06; 1/4/11-0.13 CRAP!