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Veteran Member

Date Joined May 2009
Total Posts : 725
   Posted 5/19/2011 6:37 PM (GMT -6)   
So I got up, walked 9 holes of golf, then saw my urologist for a second opinion on my slight PSA rise to 0.05. I have a lot of respect for him as a surgeon and also for his oncology training. He wants to retest in three months.

As I was talking with him, I felt tired and weary, partly from the golf, partly from dehydration, partly from PSA anxiety, and began feeling shortness of breath. The more I talked the worse my breathing, and he thought I might be having a heart attack, so he referred me to the ER. I almost refused to go, and told him my heart was fine. But he insisted, and off I went.

Six hours, three nurses, an EKG, and X-ray, and a chest CAT scan with contrast later I'm told everything looks fine and they don't know why I have shortness of breath. I tell the doc it's probably a combination of dehydration and anxiety, but he wants me to follow up with my primary care guy.

I'm not complaining. I'm glad my urologist was careful, and glad to know that at least I don't have to worry about a ticker problem. Next time I play golf before an appt I will drink gallons of water, and maybe take a tranquilizer before the appointment. And I would never, ever, recommend ultrasensitive testing to anyone after surgery, unless you were high risk and considering adjuvant radiation.

Regular Member

Date Joined Feb 2010
Total Posts : 264
   Posted 5/19/2011 6:44 PM (GMT -6)   
Sooooo...........How'd you shoot?
Hope you feel better!
Age 47
PSA 10/09=4.60
Biopsy 12/09
Left side benign
Rt side 3of 4 cores positive, 70%
Initial Gleason 3+4
DaVinci surgery 2/16/10
Catheter removed 2/27/10
Gleason 4+3
Tumor quantitation=10%
Pos margins right side
Staging T2C PNX PMX
Post surgery PSA 5/10 <.05, 8/10 .12, 9/10 .12, 12/10 .16, 1/11 .15,
02/11 .17
03//11 .19
Started SRT 4/28/11

Veteran Member

Date Joined May 2009
Total Posts : 725
   Posted 5/19/2011 6:56 PM (GMT -6)   
Finally broke 80. Gotta go play the back 9 now :)

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 5/19/2011 7:10 PM (GMT -6)   
anxiety attack? sounds like it. Have you ever had them before?
40 years old - Diagnosed at 40
Robotic Surgery Mount Sinai with Dr. Samadi Jan, 2011
complete urinary control and good erections with and without meds
Prostate was small, 34 grams.
Final Gleason score 7 (3+4)
Less than 5% of slides involved tumor
Tumor measured 5 mm in greatest dimension and was located in the right lobe near the apex.
Tumor was confined to prostate.
The apical, basal, pseudocapsular and soft tissue resection margins were free of tumor.
Seminal vesicles were free of tumor.
Right pelvic node - benign fibroadiopse tissue. no lymph node is identified.
Left pelvic node - one small lymph node, negative for tumor (0/1)

AJCC stage: pT2 NO MX

Veteran Member

Date Joined Nov 2009
Total Posts : 7187
   Posted 5/19/2011 9:40 PM (GMT -6)   
I suspect it's just nerves/tension just from dealing with this PC.
I had a routine follow-up appointment with my urologist yesterday. The main thrust of the conversation was my request that she work with Dr. Scholz as needed. Fortunately, she is more than happy to work with him.
Still, just talking about this situation, I could feel myself tensing up tremendously.

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 5/19/2011 10:01 PM (GMT -6)   
I was thinking anxiety or panic attack, with the stress, and all. Glad you are ok though, and had good help
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

Veteran Member

Date Joined May 2009
Total Posts : 725
   Posted 5/20/2011 5:46 AM (GMT -6)   
Thanks guys, I think it was just nerves. Been dealing with a lot lately, including my mother's health, the death of a good friend from pancreatitis, travel plans, and oh yeah, prostate cancer :). Was talking with a friend who is struggling with a different kind of cancer and they told me they had the exact same thing happen, and were sent to the ER to check out their heart.
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 and 19 month detectable .05.
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