Twenty-one months: From surgery to failure of SRT

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/26/2011 7:55 PM (GMT -6)   
Been thinking a lot about that fact recently.  It only took 21 months from the time of my open Surgery, to BCR, then SRT, then its failure.  It's hard to be optimistic at this point for me.  Those curative cards are one way trips as we all know.  There must be a lot more to this notion of PC types/strands/variants.  On paper, I am a Gleason 7, and T2C.  But from my curative failures so fast, there has to be something else going on here.  There are guys with my number that never have BCR, let alone go through SRT and have it fail so fast.  Makes me wonder what else I could have done, but then realistically, I did what was advised at the time.
 
We have guys right here, with T3 staging, and/or Gleason 8/9's, that have done so much better than my situation.  My long time theory is being a advocate of the "Rapid PSA Velocity in the year before dx" is very darning, some reports indicated that you can have 5 to 10 times the odds of dying from PC, regardless of treatment.  It's hard for me to think this isn't true, in my case.
 
I wonder if it is some aggresive variant at work, and if so, what good would it do to know that at this point?
 
Not a pity party, it is what it is, in the bigger picture of my life, I understand what all this means.  Just trying to get a handle on this new stage I am at.  I don't like any of the choices or advice at this point, I am convinced  (self-convinced, I admit), that HT would be another failed attempt at the price of even more bad side effects and quality of life issues, and all in vain.  What reason would I have to believe that HT could do anything but possibly slow down things a bit?  I have not read anything so far that would be real convincing to the contrary.
 
I have tried to think outside the box, and come up empty handed.  Still seeking a good medical oncologist, but what is he/she going to offer other than what has been talked about here and discussed a hundred times.
 
We tell everyone to move on with their lives, and every day is a blessing, etc, and to get PC out of your mind, but how does one do that, when nothing has worked thus far, and everything I have tried has come with a horrible host of side effects, pain and suffering?
 
David in SC

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 3/26/2011 8:30 PM (GMT -6)   
David:
I am so sorry with all the cards that you have been dealt with since your diagnosis of prostate cancer and the previous cancers and treatments.

It must feel very lonely (even surrounded by friends and supporters) when as you put it "... come up empty handed ...".

But, as we also say on occasion here at HW is, there is always hope.

I know from your previous postings about HT and your dislike of it, you may be dismissing what may (in regulated treatment geared to you) a version of HT may be of minimal disruption to your quality of life. And this approach may be of benefit to you and others.

If I sound like a broken record, I am sorry. I am just offering a window ... to see the same scene but from a different point of view...

hugs to you and Peggy,

Bronson and Steve
.........................

Post Edited (tatt2man) : 3/26/2011 7:41:20 PM (GMT-6)


proscapt
Veteran Member


Date Joined Aug 2010
Total Posts : 644
   Posted 3/26/2011 8:49 PM (GMT -6)   
Purg - I am so sorry for you for all that you have been through and being on the bad end of all the statistical likelihoods to date. But here's the thing... what do you have to lose by trying HT? If it doesn't seem to be working, or if it's kinda working a little, but the side effects are too much to take, you don't have to stay on it. It's not irreversible, unlike surgery and radiation. Everyone's cancer is different, and no one knows how responsive your cancer will be to HT unless you try it.

You can flip coin 7 times and have it come up tails each time, but the 8th flip still has a 50/50 chance of coming up heads.

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 3/26/2011 9:04 PM (GMT -6)   
Hello David,
 
Sounds like you are having a down night tonight. Like you my prospects at the time of diagnosis were not that good and everything I read said 5 to 8 years. Odds of cure were less than 18%. But 18% is better than nothing. I also play the lottery. It does no good to second guess our actions in the light of new information or developments. Best we can do is deal with the situation as it is.
 
I know you are not a fan of HT but some of the guys who are doing well on this site are doing well because of HT. It is not a cure and all it can do is stall things. I did it for two years and was told on my last visit that I may have to go back. The report was not good. Do not want to but will if it is the best option. It is tolerable though a bit uncomfortable. Luckily I did not have the depression that some report but the rest of the side effects gang showed up. Besides, if it is too much just stop after the first round. Effects will go away and you are no worse off than before.
 
David, I hope this is just a mood tonight and that you feel more hopeful in the morning.
 
Best to you,
Don

mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 377
   Posted 3/26/2011 9:33 PM (GMT -6)   
I am ashamed to actually be giving you any advice since my end result from prostate ca appears to be (only)  permanent ED with trimix, which has depressed me since I expected so much better an outcome from davinci surgery. Nonetheless I certainly would do HT if I were you, you seem to have so much to live for with your wife and family, I don't have anywhere the family support and friends you have so you are blessed with that. I am one of those low T guys anyway, T=230, way below the norm for my age. I have very limited sex drive, so if they drop your T level to 0 your sex drive may drop too and maybe some hot flashes, and weight gain, but then you've lost a lot of weight right? Id certainly tolerate those things (already don't have the sex drive) if I even thought it would extend my life a few months, just my opinion.........
My age= 52 when this all happened.
DRE=negative,
PSA went from 1.9 to 2.85 in one year, biopsy ordered,
Second biopsy on 08/14/08 found 2/12 cores positive for CA on R side, 1 core=5%CA, other core=25% CA, Gleason score= 6 both cores,
Bilateral nerve sparing robotic surgery on 09/11/08, pathological stage T2A,
No signs of spread, organ confined,
6 0's in a row, still use trimix for ED

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/26/2011 9:37 PM (GMT -6)   
thanks, don - pro - and bronson

i try to be positive for everyone elses pc case, because it helps keep the thoughts off my own. yeah, a bit bummed, been raining all day here (always depresses me on cloudy days, could never live in seattle or places like that), plus took my wife and daugther to airport this morning as they are visiting relatives in St. Petersburg, FL for a full week. This is the longest my wife and I have been apart since this whole PC mess started, and the longest time I will have to deal with my stoma device on my own.

i have thought the same thought, could try ht, and if it proves to be too problematic for me, then of course i could stop it. if i had had ED as the result of the surgery or srt, i could have accepted that, because it would have been expected, but i didnt and i dont. so i cant get my mind set on doing the chemical castration thing of my own free will. at my age, sex is not number one in my priorities, but still somewhat important. i would not choose death at the expense of having sex.

i hate being out of work for over 2 years now, and none of my doctors will certify me fit to work. i was at the peak of my "game" when all this hit me, and had no intention of being forced out of the work force at age 56 (at dx), my wife, good woman that she is, has never complained even one time about that part. but makes me feel like crap, because i have always been the sole provider or main provider for most of our nearly 37 years of marriage.

i was not prepared for PC to knock me down this hard, caught me off guard, and there is only "x" i can do about my situation.

again, not looking for a hanky or a pity-pat, just trying to deal with what i guess will be my new reality. it would also help if social security would stop jerking me around after all this time, i paid into the system for 43 years, and still havent gotten the first disability check yet, got a good lawyer now, but i shouldnt have to go through that. my lawsuit, is as slow as molasses, typical with legal matters, and even my VA agent orange disability has been lingering for nearly 2 years, a lot of us navy guys have a harder time getting approved, because of minute technicalities.

six month after this urinary bypass surgery, i am barely physically funciontial for short periods of time, and thats after 5 months of being very compliant at out patient physical therapy.

i will stop while i am ahead, i know there are guys much worse off than me. just trying to see some positive trend at some point, thus far, that has not happened. sorry if i am venting.

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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7078
   Posted 3/26/2011 10:11 PM (GMT -6)   
David - I wrote a long post, but didn't send it - we will just have to talk about Ht at GFMPH weekend. It's a long story.
 
Hang in there.

Northfoot
Regular Member


Date Joined Mar 2011
Total Posts : 81
   Posted 3/26/2011 10:31 PM (GMT -6)   
David,
I’m new to posting here, as you can see. After reading many blogs over the past three years, I wanted to join this one, as the members seem the most helpful. I had RP at Johns Hopkins 1/22/08 with a 2.66 psa and a Gleason 4+5 with ECE and 1 positive margin. Psa post op below 0.05 until June 2010, when it went to 0.06. hovered between there and 0.05 until 1/11, when it went to 0.08. Started salvage radiation 1/19/11 and finished 3/15/11 with 70 Gy. Little in side effects. First post radiation psa next week (very soon after, but my urologist wanted me to get it.) I know next stop if or when this fails is HT also, and what it means in quality of life and that it is not curative. Nevertheless, I once thought I would never accept my receiving salvage radiation, but I did. I tell myself that I will not accept submitting to HT, but I know I want to live longer (I am 55), so if the time comes, I will reluctantly submit to it. What I am trying to say is that although your psa is low enough that I think you could defer the hormone therapy for a while, don’t write it off and be fatalistic. Previous failures do not equate with future lack of long-term suppression of the cancer by hormone therapy. I know that it is so easy to just think “why bother if all this is for nothing.” I’ve felt the same way, although I haven’t gone through the problems you have. But you have been a morale booster for others, and I just want you to know that others feel the same for you, and for all who go through this nightmare.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/26/2011 10:44 PM (GMT -6)   
Northfoot,

Welcome to HW Prostate Cancer, sounds like you have been on quite a PC journey as well. There's a thin line between being truly fatalistic and being a realist, sometimes hard to tell the two apart. I am glad that you have decided to join us, its a good community here, comprised of both men and women. What part of the country are you located? Appreciate your sentiments.

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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/26/2011 10:47 PM (GMT -6)   
mspt - your advice is as welcomed as the next guy, nothing to be ashamed of. we all suffer to various degrees with our pc journeys, some are better than others, and some are worse, no one gets a free ride in my opinion.

142 - thanks for the thought process with the long post, appreciate that.

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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

Northfoot
Regular Member


Date Joined Mar 2011
Total Posts : 81
   Posted 3/26/2011 10:53 PM (GMT -6)   
David (I don't think I could address anyone as Purgatory),
In answer to your question, I am from Pennsylvania.

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 3/26/2011 11:00 PM (GMT -6)   
Sounds to me like your quitting, what about your family. It is what it is. So its all for naught! What if the situation was reversed and it was someone you loved with cancer or someone on this forum and they did this. Snap out of it!. Get some counseling. This Has nothing to do with HT. Of course HT will fail everyone knows that. Don't take it but get some help. You owe that to your family and by god , us. I'm mad and if the rest of y'all don't like it. TOUGH!!!
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 3/26/2011 11:01 PM (GMT -6)   
PS, if nothing else change that god awful tag!
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 3/26/2011 11:10 PM (GMT -6)   
North foot,

Interested in your SRT at less than .1. I am approaching same point. Could you drop me an e-mail so we could chat a little about it ?

It's in my sig.

Thanks,

Goodlife

Sorry David, not hijacking your thread. Wish there was something anyone could say to change your frame of mind. Life has been rough, no doubt, and most likely won't turn to sunshine and roses. But most likely you can have many years of decent life if you so choose.

Many men here go through many of the same emotions, and ask the same question, is it worth it ? It will be whatever you make if it, along with your wife and family. You still have much to offer as a husband and father, and if you get creative with your writing skills, have enough life experience to write fir many years. Hang out a shingle and start David's Tax Service. A man of your skills and talents can find many fulfilling things to do.

I hope you accept this post from a fellow PC guy who also asks, is it worth it ? Even if it's not, I have resolved to fight this sucker with every bullet in my gun.
I want to see my kids get married, see my grandkids grow up, and have a chance to enjoy life a little more. As a gleason 9 with a rising PSA, will I get to do it all, maybe not. But hot flashes or not, I am fighting all the way.

Goodlife

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/26/2011 11:22 PM (GMT -6)   
northfoot - since you are new, been using the purgatory name for many years on the net, has nothing to do with my pc or anything else medical.

logo - your compassion is overwhelming. hope you never work on a suicide hot line.
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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 3/26/2011 11:38 PM (GMT -6)   
Oh Hush!!!
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 3/27/2011 12:03 AM (GMT -6)   
Hi David your sense of humour is still there, guess you are going through a hard time at the moment, you may have a few decisions to make in the future, but I am sure when the time comes you will make the right ones. I spent many years in the same frame of mind, when an industrial accident ended my career, I managed to get over it eventually, but it took a long time, your hurdles at times must seem like a truck load of bricks have fallen on you. I admire the spirit with which you have faced the trauma you have gone through, and the setbacks you have overcome.

Wondering if indeed you can "hang out a shingle" or work from home maybe? this will give you a purpose, what got me going was volunteer work as a radio operator with the sea rescue, this lifted me out of the depressed state I was in, hang in there my friend!

Regards Mal.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 3/27/2011 9:12 AM (GMT -6)   
David:
 
I hear you loud and clear as we seem to be following a very similar path.
 
Feel free to rant. I know many of my posts here in March have been on the whining side. When we have a quick-rising PSA it certainly does cut to the quick. I would rather whine and rant here on HW than fall apart in real life.
 
Regarding HT, as you and I agree, we will cross that bridge when we get to it. I fully expect to get there, probably in the Fall, based on the way things are going. I have turned into a whiney pessimist! Now that's a miserable combination!
 
David, my bet is that when it finally comes down to it, you will do it. I don't mean to be flippant, but what choice do we have? As others have said, you can discontinue the HT if your worst fears about it are realized. I understand that HT can work from 0 months to quite a few years. I share your worry that with a quick PSADT HT won't work for long, but I'm not sure if that is even true. I think it depends on which PC cells are doing the bulk of the doubling (hormone sensitive or hormone refractory). Anyway, I can argue forever that you should do HT but ultimately, it's your decision.
 
I find this is a very lonely disease. There are such deep emotions that are hard to communicate, especially when recurrence happens.
 
Good luck, David, and rant/whine/scream here on HW as much as you want. You have been wonderfully supportive to others, but we all need support.
 
Mel
 

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 3/27/2011 10:05 AM (GMT -6)   
Good Morning, David.
 
Just thinking of you this morning and hopeing yesterday's gloom has lifted a bit today.
 
Don

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/27/2011 10:21 AM (GMT -6)   
Sunday Morning

don - thank you, i am trying, really am, trying to snap out of this heavy all-encompassing fog in my mind. Hard for me to do, as its another rainy, dark and cloudy day. Doesn't help to be in a big empty house. Trying to think of some "busy" work to get me motivated here.

mel - as i have said before, i take more from there than i give, we all need help and support at time, or we wouldnt be here, even those guys that think they are so macho and tough. i dont see any of them leaving either.

you are right, cancer can be a lonely disease, even if you have good support and family, etc. Because when it comes down to it, its your life and your body, and you know the cancer is there, mutating cells and doubling all the time.

mal, thanks, i think its that very trauma that is keeping me in the dumps, not always easy to just "get over it" as some would say.
i keep trying and trying, but so far, my efforts have been in vain. i think my reaction at times is very normal.

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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4271
   Posted 3/27/2011 11:27 AM (GMT -6)   
David, sorry you are having such a tough time but - honestly - it's understandable.
 
Maybe it will help if you focus on getting to a good medical oncologist and try to get some perspective on YOUR future.  As you have noted many times, we are not docs on this forum and each patient's situation is different.  What you have learned here is helpful, of course, but maybe when you get the real story about your case you will have a more positive outlook.
 
Best regards,
 
Tudpock (Jim)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/27/2011 12:02 PM (GMT -6)   
Tud,

I am actively seeking a good medical oncologist. I have been given several good leads, of which I am in the process of checking out.

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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

proscapt
Veteran Member


Date Joined Aug 2010
Total Posts : 644
   Posted 3/27/2011 1:22 PM (GMT -6)   
Purg -

You've mentioned several times in your posts the frustration of not being able to work in a career you're good at and have come to love, so it leads me to think that if you could find something constructive to engage in that's within your physical limitations it might be great for you -- and great for whatever organization gets to benefit from your skills and experience.

The combination of not being professionally connected, and family being out of town, can be very difficult.

There are many organizations now, some smaller companies, startups etc. that have gotten used to working with professsional staff on a remote and virtual basis. There are many that would love to have someone of your skills but can't afford them full time, but they would benefit from part time. There are many great non-profits that would love to get someone with your skills on their board or a board committee, or as a senior, professionally-engaged volunteer. There are organizations that help in "matching roles" connecting people to opportunitities.

So even though your docs won't certify you as being fit to return to work in a conventional capacity that doesn't mean you can't find a challenging and rewarding role where you can contribute and stay professionally sharp for as many hours a week as your physical condition allows. You don't have to take "no" for an answer. Be creative. It might make a big difference in your mood and outlook to get back in the game in whatever way is appropriate.

Again, good luck

Post Edited (proscapt) : 3/27/2011 12:32:25 PM (GMT-6)


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 3/27/2011 3:13 PM (GMT -6)   
David,

I can't give any medical advice. But I can offer something few members on this site can. I still have enough oxy-acetylene and tracer rounds to blow at least 100 of your used stoma bags to kingdom come. Any time you're ready, buddy. I'm sure your brother would approve.

Up here, the snow is almost gone so I can finally open the barn door again. When I went inside I found the remains of your catheter bags. I had to smile. (I really should clean up more often.)

Jeff (The almost dry, but clearly brain damaged one.)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/27/2011 6:30 PM (GMT -6)   
Thanks for the input, pro.

Worried Jeff - you are a nut case. I produce one stoma bag a week, and a large night cath bag every 2 weeks in my current set up, plus one "device" a week, if nothing goes wrong during a 7 day period.

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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,
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