PSA tests for Vets over age 70 at VA

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erbob
Regular Member


Date Joined Jan 2010
Total Posts : 281
   Posted 5/11/2011 4:41 PM (GMT -6)   
Checked with our VA clinic about getting another PSA test since I received the seeds, Brachytherapy almost one year ago. Although I feel "as fit as a fiddle" and my regular family type Doc indicated that I should have 10 to 15 more GOOD years left in me, the VA does not even give PSA tests to the Vets over age 70, or so I was told anyhow. Made me feel like they don't give a good hoot about us older guys. I'm only going on 75 and thought they'd give the PSA test at least once a year. Anyone else of us older chaps been confronted with their refusal like mine??
The Brachytherapy procedure, for ME, has never produced any side effects such as ED, incontinence or peeing problems. Only libido loss that I did experience was temporary and was due to getting my PC diagnosis and then that one Lupron shot received about 15 months ago. Don't produce much sperm any more but that's really not too important at age 74 1/2...
Bob, located in Southern Colorado
Retired railroader
Born 1936
Dx Jan 2010, Volume 51.345
Gleason 3+4=7, second opinion 4+3=7 (Don't know which to believe)
Brachytherapy May 26, 2010 at Chicago Prostate Cancer Center, Westmont, IL
No catheters after the procedure.
First PSA three months after seeds 0.12
Second PSA six months after seeds 0.24
Third PSA ten months after seeds 0.281
Doing just fine.

Post Edited (erbob) : 5/11/2011 3:45:39 PM (GMT-6)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/11/2011 5:11 PM (GMT -6)   
erbob,
It sounds like you spoke to someone who thought you are looking to be screened as opposed to having the tests for follow up care. These are two largely different groups of patients. You might want to escalate that...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3888
   Posted 5/11/2011 5:14 PM (GMT -6)   
Your family doc should be able to get SOMEONE to cover an annual PSA test for you..You must be seeing an oncologist every six months, VA or otherwise, that person should be able to do it too...

reachout
Veteran Member


Date Joined May 2009
Total Posts : 739
   Posted 5/11/2011 5:23 PM (GMT -6)   
I'm only 66 but the VA gives me PSA tests as follow up with no problems. They only do the ultrasensitive though.
Age: 66
PSA: 7 tests over 2 years bounced around from 2.6 to 5.6
Biopsy 8 of 12 positive, Gleason 3+4, T2a
DaVinci August 2009, pathology Gleason 4+3, neg margins, T2c
Continent right away, ED
Viagra, Cialis did't work, Trimix works well
Post-surgery PSA:
3, month: undetectable <.1; 6 month: undetectable <.014 (ultrasensitive); 9, 12, 15 month: undetectable <.1; 18 month detectable .05

erbob
Regular Member


Date Joined Jan 2010
Total Posts : 281
   Posted 5/11/2011 7:22 PM (GMT -6)   
The person whom I contacted about the PSA test is THE person who draws the blood for the lab tests.
She was/is very well aware that my PSA tests are for followup's for my PC treatment procedure. Now I am starting to wonder if Medicare will normally pick up the costs for PSA lab tests for us Seniors. Anyone know this??
Bob, located in Southern Colorado
Retired railroader
Born 1936
Dx Jan 2010, Volume 51.345
Gleason 3+4=7, second opinion 4+3=7 (Don't know which to believe)
Brachytherapy May 26, 2010 at Chicago Prostate Cancer Center, Westmont, IL
No catheters after the procedure.
First PSA three months after seeds 0.12
Second PSA six months after seeds 0.24
Third PSA ten months after seeds 0.281
Doing just fine.

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/11/2011 7:40 PM (GMT -6)   
Bob,
You want to go over that person, multiple steps if necessary. I have a few 70+ seniors in my UsTOO group still being tested at the VA. This gal is misunderstanding the protocol. The VA announced that they are not doing PSA screening for men over 70. They did not say they were stopping monitoring intermediate/high risk cases still need to be monitored at age 70.

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

erbob
Regular Member


Date Joined Jan 2010
Total Posts : 281
   Posted 5/11/2011 8:00 PM (GMT -6)   
Thanks Tony. I believe I'll just go down to the clinic and talk to her face-to-face. She implied that I'll need to make an appointment to see the clinic Doc when the results are returned to her. I will not let this go easily!!
Bob, located in Southern Colorado
Retired railroader
Born 1936
Dx Jan 2010, Volume 51.345
Gleason 3+4=7, second opinion 4+3=7 (Don't know which to believe)
Brachytherapy May 26, 2010 at Chicago Prostate Cancer Center, Westmont, IL
No catheters after the procedure.
First PSA three months after seeds 0.12
Second PSA six months after seeds 0.24
Third PSA ten months after seeds 0.281
Doing just fine.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 5/11/2011 8:09 PM (GMT -6)   
Bob, I only wish I were doing as well as you at your age. You got 16 years up on me.
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 margin
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, 4/11 3.81
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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