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rcroller
Regular Member


Date Joined May 2011
Total Posts : 326
   Posted 6/11/2011 6:39 AM (GMT -6)   
Now that my "thinking" brain has returned, I am trying to better educate myself in PCa. I know, a bit backwards after making a rather impulsive initial Tx decision, but just couldn't handle the information overload combined with the emotional state I found myself in earlier.   I have now read Patrick Walsh's book "Surviving Prostate Cancer"; Stephen Strum's "A Primer on Prostate Cancer" and Snuffy Myers "Beating Prostate Cancer, HT and Diet"; plus many of the articles posted on HW.  Just wondered if anyone could suggest any others that are particular favorites or considered a "must read" in the world of PCa?...particularly interested in BCR, SRT & HT at this point in my journey, but all suggestions welcomed. Thank you.
-Bob
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
5/18/11 open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, PNI+, SVI-, Left margin <0.1mm from inked margin
6/1/11 Cath removed, Incontinence-No, ED-Yes.

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 6/11/2011 8:13 AM (GMT -6)   
Some of the PCa forums that are among the better ones to see what goes on in patients in real time: PPML (listserv.org)-PCa, www.hrpca.org  (yahoo groups), P2P via www.prostate-pointers.org , www.yananow.net   (experiences, info, forum also), www.pcainaz.org   and more.

You could read various Journal abstracts, prepare for your brain to melt, which is a minor side effect of enjoying those readings.

Other people can direct you to specific books, you already got a great doseage of PCa information. If you are not convinced how wild and crazy PCa actual is and how what we are told is only part of the puzzle and what is currently missing from most any books, enjoy these:

www.yananow.net/24Variants.pdf  
www.webpathology.com/case.asp?case=23   (variants with names and photos)

Molecular Pathology (here is what is not well known but you should know as to why you have PCa to begin with): www.prostapath.org/download/prognostic-predictive-markers.pdf  (Dr. Bonkhoff and Strum collaborations)

www.nature.com/modpathol/journal/v21/n2s/full/modpathol200811a.html  (Dr. Rubin)
www.paactusa.org  (newsletter- last month Molecular pathology Dr. Chinn)
 
After you look over the missing links pathology info, the variants that are still being found and defined....then comprehend our twilight zone and how definitive all this is in any particular patient.  Yep, never controversial and one drug fits all  (LOL). yeah

Post Edited (zufus) : 6/11/2011 8:19:31 AM (GMT-6)


rcroller
Regular Member


Date Joined May 2011
Total Posts : 326
   Posted 6/11/2011 3:25 PM (GMT -6)   
Thanks, Zufus. Those links will keep me busy. Also went to the bookstore this afternoon and picked up Chodak's "Winning the Battle Against PC". They had a pretty good assortment on PC. Chodak's book was a 2011 copyright so I figured at least it would be as current as possible. Any other suggested reading would be welcomed.
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
5/18/11 open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, PNI+, SVI-, Left margin <0.1mm from inked margin
6/1/11 Cath removed, Incontinence-No, ED-Yes.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/11/2011 4:45 PM (GMT -6)   
Bob, sounds like you are already off to a good well rounded selection of PC related books.
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

Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 6/11/2011 4:54 PM (GMT -6)   
Good ideas. I just got my PCRI Insights newsletter today--it's a great resource. Patients get free subscriptions for the asking, but I think they also give your name to the Life Extension Foundation, because I get their mailings now too. Inside the front cover it says that LEF pays for the printing and mailing of PCRI Insights. I'm fine with the extra mail, because the PCRI Newsletter itself is so well-done. This month features a graphic comparison of the long term outcomes of various treatment choices in terms of cancer control and quality life. There's also a piece on Cabozantinib, a look at IMRT/IGRT, and more.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) Jan-Mar 2007
PSA 9/2007 and thereafter <0.1
pcabefore50.blogspot.com

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 6/11/2011 9:18 PM (GMT -6)   
Bob:
 
The problem with the diet books is the information gets outdated very quickly. That's true in general with PC, but my concern is that supposedly XXX is good for you infighting PC but then you read just the opposite years later.
 
What is the copyright for the Myers book. He is such a giant in the field. I've been tempted to get it, but I've also heard that he has changed some views over the last few years (it may pertain to intermittant HT, I'm not sure).
 
Mel

Casey59
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Date Joined Sep 2009
Total Posts : 3172
   Posted 6/11/2011 10:21 PM (GMT -6)   

Here's an outstanding recommendation:  Anticancer:  A New Way of Life, by David Servan-Schreiber, M.D., Ph.D.

Lot's of learnings to be gathered and adopted by reading this book for living longer & more healthy lives.

 

In one of my favorite stories the author tells reveals much about how people have their heads in the sand about diet, exercise, and other lifestyle modifications/integrative therapies.  [underlining added by me for emphasis]  It starts by the author telling about some of the lifestyle modification programs:

...By participating in certain programs...patients try to take charge of their cancer, to learn to live in greater harmony with their bodies and their past, to seek peace of mind through yoga and meditation, to choose foods that fight cancer while avoiding those that promote its development.  Their case histories show that they live two or three times longer than the average person with the same cancer at the same stage of development.

An oncologist friend at the University of Pittsburgh, whom I told about these figures, objected:  "These aren't ordinary patients.  They're better educated, more motivated, and in better health.  The fact that they live longer doesn't prove anything."  But that is precisely the point:  If patients are better informed about their disease, if they look after body and mind, and if they are given what they need to improve their health, then they can mobilize the body's vital functions to fight cancer.  They live better and for longer.

 

I highly recommend this book.



rcroller
Regular Member


Date Joined May 2011
Total Posts : 326
   Posted 6/12/2011 5:47 AM (GMT -6)   
Ohiostate and Purgatory: Thanks, I'm doing my best to get educated now that I am over the initial shock and better able to process information. I was not only shocked by my diagniosis but by my reaction to it. I am usually a very rational guy but not this time. I was admittedly caught up in pure emotion, over-reacted, and allowed it to drive my initial treatment decisions despite forum members warnings to the contrary. I'll never know if there was a better choice for my case but must play the ball where it now lies, hence my newfound desire to get smart about PCa and make the life changes I have control over.

Galileo: Thanks for the recommendation on the newsletter. I looked up their website and have requested to be added to their newsletter distribution. Nothing like information hot off the press. Thanks again for that suggestion.

Compiler: The Meyers book copyright date is 2007. This was one potential problem I noticed when looking through various books at the bookstore. Many of them are several years old and I suspected that the older the date, the less likely the info would be current or valid. Walsh's 2nd edition is also 2007, but I got it because it was regarded as the PCa bible, so to speak. Myers book does have a couple of chapters on Hormone Threrapy, one as Adjunct and the other on Intermittant. Has the research on these approaches now changed? The two things I did take from this book were the Mediterranean Diet and use of dietary suppliments including Lycopene, Selenium, Vitamin E, Vitamin D3, and Fish Oil in the recommended quantities of each. Since I loaded up at the drug store and grocery store and plan to implement these changes immediately, I am hoping this information hasn't changed, is now considered outdated or invalid? I don't have the final word on my cancer, but I can control what I ingest so it makes sense to do what I can. Just hope I am working off reliable information.

Casey59: Thanks for that recommendation. I will definitely pick that one up. As I mentioned above, I want to do all that I can that's within my control to enhance my chances of obtaining the best possible outcome. Thanks.
-Bob
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
5/18/11 open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, PNI+, SVI-, Left margin <0.1mm from inked margin
6/1/11 Cath removed, Incontinence-No, ED-Yes.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 6/12/2011 9:18 AM (GMT -6)   
RC:
 
I can relate very well to your emotions. I have always been a relaxed individual. Except for maybe 6 months after surgery, when my PSA was not rising alarmingly, I have not been the same person. The SRT made me deal with this crap every day and lately I have been dealing with some kind of upper resiratory problem and fatigue that may or may not be due to the SRT. My point is this is a major change. If you start getting a string of zeroes you will settle down.
 
The questions you asked are the ones I asked. I know diet-wise, I used to take grounb flaxseed every day and in fact it was recommended even when I had my pre-surgery consultations. Since then, it is a no-no. Regarding fish oil, you now want the ones containing the omega-3's, but NOT the omerga-6's, so check your labels. D3 is still a big one. I am not doing anything on supplements right  now. I will be seeing Dr. Scholz in 4 weeks and I plan to get the latest recommendations at that time and immediately institute dietary changes. Of course, I'll report back here.
 
 
 
Mel
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .Biopsy 11/30/09. Gleason 4+3. 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- yes.. PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. 9/21/10--0.06; 1/4/11-0.13,3/1/11--0.27. SRT completed 5/13/11

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 6/12/2011 9:30 AM (GMT -6)   
Bob,
 
Yes, the Walsh book is becoming dated even in the 2nd Edition. I saw notes about a year ago that they were planning a 3rd, that would be available as an e-book, but have never seen anything more about it.
 
Dr Scardino's Prostate Book was redone last year (2010 copyright), and is a good alternative to Walsh's book (slightly less detailed, but covers the same material).
 
 

rcroller
Regular Member


Date Joined May 2011
Total Posts : 326
   Posted 6/12/2011 11:07 AM (GMT -6)   
Mel: Thanks. I had read that Flax was out and have been taking it for years in lieu of Fish Oil (figures!). Also understand that only the Omega 3s are good, not the 6. Meyers book explained that pretty well. When you said, "D3 is still a big one.", I'm assuming you meant still recognized as a good one to take? I hope things smooth out for you now that you are a month post-SRT and trust the side efects will begin to lessen soon. Very cool that you will be seeing Dr. Scholz and will be very interested to read your update on his recommendations for you.

142: Thanks, I actually read Scardino's 2010 Prostate Book while in the bookstore on two separate occassions. It was pretty basic, an easy read, and answered some questions I had at the time. Walsh's book did seem to go deeper albeit older.
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
5/18/11 open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, PNI+, SVI-, Left margin <0.1mm from inked margin
6/1/11 Cath removed, Incontinence-No, ED-Yes.

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4156
   Posted 6/12/2011 11:58 AM (GMT -6)   
Bob, while it's a bit controversial on this site, "Invasion of the Prostate Snatchers" by Blum/Scholz is an easy read and provides a different perspective.  Even if you don't agree with it, reading it will allow you to join in the fun when it gets discussed...LOL!
 
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 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1305643

rcroller
Regular Member


Date Joined May 2011
Total Posts : 326
   Posted 6/12/2011 12:12 PM (GMT -6)   
Thanks, Jim. I would like to read anything and everything that will give me the most well rounded knowledge base possible. Will add that one to the list, and thanks for the suggestion!
-Bob
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
5/18/11 open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, PNI+, SVI-, Left margin <0.1mm from inked margin
6/1/11 Cath removed, Incontinence-No, ED-Yes.

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/12/2011 12:37 PM (GMT -6)   
Bob, this advice may be as popular as a skunk at a Kentucky wedding, but I feel compelled to speak up.

And, while I may preach at you below, understand that I understand, this is your life and whatever YOU decide to do is the right thing for you to do. Nevertheless, with respect, and friendship, I offer up the following from my vantage point in life.

You said in one of your above posts: " I was not only shocked by my diagniosis but by my reaction to it. I am usually a very rational guy but not this time. I was admittedly caught up in pure emotion, over-reacted, and allowed it to drive my initial treatment decisions despite forum members warnings to the contrary. I'll never know if there was a better choice for my case but must play the ball where it now lies, hence my newfound desire to get smart about PCa and make the life changes I have control over."

I think you're at it again --- the pure emotion, over-reacting, thing.

First, given your pathology before surgery, surgery was a reasonable, rational, and prudent thing to choose. Doesn't mean some other treatment, in the long run, might not have been just as good, or marginally better, and doesn't mean another treatment wouldn't have been marginally worse. Just means the decision you made (while it might have been emotion driven) was a good one. Period. Full stop. Done. Over with. Can't be changed. And it wasn't a mistake.

Second, great Jumping Geeehova Bob, you've read more books and done more background on PCa than 99% of men who are Dxed with PCa ever do. What in the name of Sam Hill (as my father used to say) are you doing wanting to be more educated about PCa now?

Third, you're barely off the table, and if you think your head space is back to normal after the emotional roller coaster you've been on (to quote my dad again) you've got another think coming! No one comes through what you've come through and is emotionally stable so few weeks after such life altering surgery.

Bob, what you have to do now is learn to cope with the fact the die has been cast, and you may never, yes NEVER, be forced to deal with your PCa again. This is the central issue you have to face up to, not learning more about PCa.

The ONLY thing that matters now is ongoing PSA monitoring --- and you've not had your first. If, as, and when, that PSA isn't zero will be the time to learn and consider next steps. And if that were to ever happen chances are what you learn today will either be forgotten, or wrong and/or wrong and superseded by new, better information.

Your challenge now isn't to learn more about PCa. Your challenge now is to put it behind you, find some place on some shelf to put it. Acknowledge that it's there, but it's time to move on with your life. The train is in the station, Bob. Time to get off.

If I speak these words harshly, and dogmatically, it is only because I had to go through the process I'm now saying you have to follow. I speak stridently in the hope that I can save you some of the mental anguish I had to cope with in working to move on with my life.

I finish by repeating what I started with. This is your life. Whatever you decide to do with it is the best for you. While on this matter I think right now, in this place, with what I know about you, and speaking from my own experience, I know what is best for you, I also acknowlege that I may be wrong --- it has happened before.

With great best wishes for your future whatever path you may choose, and apologies for my arrogance in believing I know better than you what is best for you, I remain your not so humble servant,

Sheldon AKA Sleepless (who hopes Bob, and all, will accept these thoughts with the goodwill they are intended to convey)
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02
  

Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 6/12/2011 1:05 PM (GMT -6)   

Bob,
Having already given one reply in this thread, I wouldn't normally chime back in at this point...but I think that Sheldon went to lengths to make a good point which was also on my mind for my response. It may not have been clear that our messages were so closely linked, so I'll make an additional comment.

Prostate cancer is among the more common and less lethal malignancies, yielding a large population of survivors. There is very little to indicate that you won't be among the many other long-term PC survivors here who will eventually die of something else.

It is for this very reason that the "Anticancer" book I recommended will be a good library addition for you. [I know that you already replied that you were going to get it, but this additional comment/reply also becomes a legacy for others to read & follow-up on later...part of the strength of the internet.]

Diet and exercise have been scientifically shown to help fight (even reverse, in some cases) biopsy-verified cases of PC. So, while you can be taking steps to fight off possible PC progression, you can simultaneously be fighting to improve your overall health in fighting other cancers, improving your cardiac/vascular systems, improving your quality of life and achieving longevity.

With some more reading further to this point, here's a free online article which I also recommend that will motivate just about anyone: "How Prostate Cancer Can Extend Your Life."

Also, here's a free online guide from the Prostate Cancer Foundation which talks about smart choices for prostate cancer patients, titled "Nutrition, Exercise and Prostate Cancer." I have previously shared this passage from the PCF guidebook with others who have really appreciated it, and it might also resonate with you:

...Yet, for many men, the diagnosis and treatment
of cancer brings to their attention the need to
change their diet and exercise behaviors. While
the primary focus of the prostate cancer survivor
is to live a life free of cancer, more men are
beginning to realize that a healthy diet and
regular exercise can be an important step toward
preventing other diseases that commonly occur
with aging, including heart disease and diabetes.
Exciting new data suggest that this same approach
may also slow prostate cancer growth. This
guide takes the best published evidence from
population studies, basic science, and limited
human studies, and puts them together in ways
that make practical sense — with the overall goal
of helping you achieve “thrivership” not just
survivorship.

What is thrivership? The Merriam-Webster
dictionary defines thriver as one who progresses
toward a goal despite circumstances, and flourishes.
The diagnosis of prostate cancer can lead you in
one of two directions. Some will react to this
diagnosis with a sense of resignation and fatalism.
This view can lead to helplessness — waiting for the
other shoe of cancer recurrence or progression to
drop. On the other hand, thrivership puts you in the
driver’s seat — making you as vital to your care and
treatment as any doctor or nurse. You may have had
prostate cancer, but now you are in charge of your
life, adopting new healthy habits and enjoying each
day to its fullest. As a prostate cancer thriver, you can
use the latest knowledge about nutrition and
exercise to improve your overall health and quality
of life. Your diagnosis of prostate cancer can be the
beginning of a healthier lifestyle.


I support Sheldon's suggested notion of also "getting on with life"...a healthy life!

best wishes...

Post Edited (Casey59) : 6/12/2011 1:11:28 PM (GMT-6)


rcroller
Regular Member


Date Joined May 2011
Total Posts : 326
   Posted 6/12/2011 3:35 PM (GMT -6)   
Sheldon and Casey: A sincere thanks for the words of wisdom. I certainly don't take any offense, absolutely appreciate the good points you have made, and know your intentions are nothing but the best. I have no data to support my "perceived need" to learn more (as if I will need to do more Tx than I have done already) and maybe I will be able to just put this in past, as you have indicated. I must admit that the pT3a, EPE, and close margin have fueled this thinking that I'm not done yet, but you are absolutley right in that I have no data to support that position...it is looking at the glass half empty...period. Clearly, my emotions still have hold of me and are still influencing my actions and thinking(as much as I would like to believe that I am over it). It must be obvious to you guys so thanks for pointing that out. My wife thanks you too because she has been telling me the same thing in so many words but I've not been listening to her(I've learned how not to do that over the past 15 years. lol). Thanks again...I do appreciate the advice!
-Bob
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
5/18/11 open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, PNI+, SVI-, Left margin <0.1mm from inked margin
6/1/11 Cath removed, Incontinence-No, ED-Yes.

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/12/2011 4:40 PM (GMT -6)   
Bob, I had not expect this.

I am in awe of your ability to listen and consider. I can so totally identify with where you are and what's driving you that I assume you and I are the same, and I have to tell you I'd have a far harder time than you're having in listening to advice that said you weren't in the same place I was. (Hope that convoluted sentence made some sense --- long and short of it is you're a better man than I am in the self-awareness/maturity department.)

I don't think it's so much a question of the glass being half empty (again to be putting you in my shoes) but more that you have just been through negative stress wise perhaps the worst time you'll ever experience in your life. All energy, shrewdness, wisdom, focus has been razor sharp and intensly beamed in on just one thing, PCa --- learning, analyzing, seeking, deciding --- and nothing has ever been more critical in your life to get right. Suddenly, poof, it's gone! Over. Kaput.

Changing gears because now you're in a different place isn't easy. I salute you.

You may not be done yet. I may not be done yet. But what we might face is just that: might. Skin cancer, heart disease, car smashes, are all 'might' risks in life. After being to the edge with PCa it is difficult to put the PCa 'might' into perspective with the other 'mights' in our lives.

I wish you well.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02
  
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