Thanks for the great forum, I've read and learned a lot. You all are amazing.
I may be early joining this forum but I decided to jump in anyway, i hope i don't annoy or offend.
My head is spinning so i'll just start my rambling now. Thanks for any feed back.
First, I have not been diagnosed with PCa.
My questions for the group revolve around a referral for a biopsy i've been issued due to high PSA tests in the last 3 mo. Sorry if i'm jumping the gun, i'll attempt to keep my ?s related to the biopsy process since that is the only real thing looming/imminent. I'll have to play the hand i'm dealt from that procedure but i'll attempt to not cross bridges i'm not to yet (its hard, i'm freaked out)....
I'm 45 yo. Married and father of an 11 yo and 8 yo. I'm in excellent physical condition and very active. I've been experiencing diminished urinary performance for a number of years but always chalked it up to nerves or dehydration or poor sleep habits or..... My father had PCa at 55 yo and had successful surgery. Unfortunately, he passed at 57 from a different disease. I miss him a lot.
3 mo. ago i discovered a small amount of blood in my semen during some alone time I had while the wife and kids were away on a trip. I scheduled a doctor's appt. for the next day. I'm a Kaiser Perm member (most of my ?s relate to KP.... see below).
My doctor performed a DRE and ordered a urine (negative) and PSA test that I took that same day.
My PSA was 3.83 and was referred to a Uro with KP.
The Uro ordered another PSA due to my last test being after a DRE and w/in 48 hours of an ejaculation. That PSA reading was 2.84. Since, i've had another PSA and recorded a 2.90. My Uro has recommended a biopsy he hopes to have performed in the next few weeks.
During this saga, i've been in the process of changing health insurance from my wife's company plan on KP to a Healthcare.gov plan on KP (my wife has gone back to school so that life event allowed for a special enrollment period). I've been working with Healthcare.gov folks and, initially, have chosen to stay on a KP plan due to its lower cost (we are now getting by on my salary alone since my wife's move back to school....).
My questions revolve around KP. I live in Portland, OR and can still change my insurance to a Providence plan or a OHSU (Oregon Health Science Univ.) plan but I only have until Feb. 8 to make the jump, after that i'm locked into the KP plan. OHSU has the Knight Cancer Treatment Center and Providence has fine doctors and state of the art cancer treatment teams. I'm not badmouthing KP but i have options today, by mid Feb. i won't.... Forgive my health insurance and provider ignorance, i never go to the doctors and ignore most details related to insurance and differentiating factors from provider to provider...... Those days are over.
My questions (sorry so long winded):
Would you seek a second opinion re: the biopsy referral?
Would you seek additional PSA testing from a different provider before submitting to a biopsy?
What is the consensus of the group re: KP knowing what you know about
PCa biopsies, PCa treatment, my other options and my story?
What do you wish someone had told you about
/prepared you for re: P biopsies that you didn't know before yours?
EDIT: Forgot to mention, the DRE I received was described as the following: "Felt ok, slightly enlarged but no abnormal lesions or areas that were concerning." As this was my first DRE since my late 20s, I don't know what to make of that but thought i'd mention it for sake of discussion....
I could probably come up with a lot more ?s but i'll spare you all and leave it at that.
Thanks in advance for any help, I wouldn't blame you if you stopped reading 3 pages ago....
Best to you all.
Post Edited (beaverduck) : 1/12/2019 10:50:43 AM (GMT-7)