One problem is that hormonal therapies have a life span then cease to be effective. ADT can kill 99% of the prostate cancer cells thru starvation but many of the cells remaining are resistant and...
Feedsack - You may want to investigate the Medicare Advantage plan rules further. Take a look at the attached link: https://www.medicare.gov/sign-up-change-plans/joining-a-health-or-drug-plan My...
Good morning - Your husband should seek out more comprehensive care based on what you have explained so far. The Mayo Clinic and the University of Arizona Cancer Center in Tucson (maybe branch in...
We are seeing a lot of the baseball greats passing now that we have reached that age and it sad to see 2021 starting out this way. Hank Aaron was the best of the best....
Some quick thoughts, you should start getting copies of all your records now as you proceed on this journey. It may take a couple of calls, email, and/or filling out release forms to get everything...
John - Do what you need to do now then take your time with the suspected prostate cancer situation. Ask your URO about the transperineal biopsy procedure to reduce infection risk. You probably can...
... and I thought it was a new Star Wars episode.......
NJ Fred - Radiation scrambles the DNA of the cancer so that cell reproduction is not successful. While it may kill some cells initially, it takes a while for this process to end and stabilize. Your...
I sometimes respond to posts when I see that they were posted in the morning and no one responded that evening or the next day. Most of the time I can’t offer much but know how the poster feels when...
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Since your Dad is relatively young at 74, it might be worthwhile to let his PSA go up a little more and see if a high powered scan can find something, maybe a lymph node or something in local area...
No expert on AS so just a thought. Have you had a transperineal biopsy yet? The risk of infection is less and it can sample areas that the conventional biopsy misses which may provide more peace of...
Bassman- My doctor’s printed instructions were 10 reps @ 5 sec hold, 4 times per day before and after surgery, increase to 12 reps and/or 10 second hold after a couple of weeks. It suggest around...
This research is also a step toward applying precision medicine to early detection. Had to laugh, Are you white, black, or Asian? This is precision medicine?...
Did you mean prostatectomy I hope? Can not speak specifically to surgery after radiation but I remember waking up many times at night at the slightest twinge "down there" for the first few weeks...
I think I would take a shot at calling next week to see if you can get a more sympathetic scheduler. Four months is a ways out there but you have been doing this for a while so you can hang in there....
Couple of not so good items for the world today Johnson & Johnson (JNJ) expects to release results from its vaccine trial in about two weeks, but manufacturing issues will delay distribution of the...
I was reading that some doctors at Cleveland Clinic have been doing some robotic surgery with the perineal method with good results. They seem to think that it works well with the right equipment....
Radical perineal prostatectomy (RPP) Radical retropubic prostatectomy (RRP) Both are conventional open surgeries that access the prostate from different places. RRP is from the front like hernias,...
John - Sounds somewhat similar to the practice I go to in the Twin Cities. I am sure there are some good urologists there that are pretty knowledgeable. I think the concern I would have is that you...
Not as simple as it should be. Oncologist is the generic term for doctors who deal with cancer. There are sub specialties within oncology such as Radiation Oncologist (RO), Surgical Oncologist,...
Had a few scans this last year, no problems and almost like normal. The machinery does not touch you so they seem to just clean or replace touch surface items. Really seemed like before Covid only...
Nothing is too weird when it comes PCa. I should caution that you do not practice stopping the stream when peeing. It is just a test so you can focus on the feeling and pelvic muscle being activated....
FYI from MN DOH through 1/9/21 Doses promised from CDC: 541,000 Doses shipped to MN providers: 329,000 Doses shipped for CDC long term care: 101,000 [b]Total doses promised from CDC: Number of doses...
Hello Doxa - Looks like a long run and your husband is still <0.10. I am thinking keeping an eye on it for a while would not hurt as it may or may not increase at the same rate and some people...
The only Kegel item I remember prior to surgery is to stop your urination mid-stream and remember that muscle, that is the one you are trying to train. Just tried to remember to do them when I was in...
Not sure how it is now but there was a 4-6 week lead time for surgery in a hospital when mine was done in 2018 with surgeons who do them every week. I recently had robotic hernia surgery which had a...
“The vaccine provides immunity to Covid 19” is how it is described by the medical community. They did not say it provides a force field that repels the virus or one has “diplomatic immunity”. The...
If you click on your name on a post, a summary will come up and show your last 50 posts where you maybe can find your history. You can also search for theswan and various threads will come up to sort...
Glen - If I could ask a favor, would you please prepare a short signature in your profile that describes the basics of your PCa situation like others here. I can not even remember what your pathology...
Sister - I will just reiterate that a second pathology opinion from J Hopkins, having a genomic test such as Decipher done on an exhumed cancer sample, plus his 3 month PSA are the key items for...
Nice, just went to 6 month testing also, feels like a win unlike the MN and MI pro teams....
Stephen - I am about a year ahead of you with similar stats although my PSA was < 0.10 and I had ART vs. SRT. You are much younger so it probably affects you more as a guess on my part but everyone...
GoBucks - You will have a new adventure with Medicare drug coverage. It works differently and there are no coupons so other avenues must be looked at when medications get more expensive....
I had a MRI prior to a MRI guided biopsy as my initial diagnosis after rising PSA and positive DRE and it was paid for by Medicare. However, that does not seem to happen very often and seems to be...
Yes, you are the “front man” and by this point, you should know more than your URO, RO, GP about what comes next since you know the entire story, lived it, studied it, and talked with multiple...
Glen - I previous mentioned that my 93 year old father was circumcised at 85 due to continuing problems he was having that sound similar to what you experienced. You may have a potential problem that...
MichMan - I have similar situation to you. In “our” situation (surgery + radiation) and in my humble opinion, we do not benefit a whole lot from constant PSA testing since we are not going to do a...
My URO's practice is on the opposite end of this, URO visit at 3 months post-op (after 1st PSA) then 12 months, 24 months, 36.... Catheter out day at 10 days was with a technician and nurse. PSA's...
I assume your references to surgery describe brachytherapy and not actual prostate surgery. It appears that you might be rushing things a bit as the conventional recurrence criteria is for your PSA...
Djin - It is just an outlier until you hear differently. Put the next PSA test on your calendar and keep doing what you were doing before you were interrupted....
My immunocompromised wife advised me that her doctor indicated that I might get the vaccine at the same time as her since we live together. I suspect that there is no end to this daisy chain of who...
Glen - You are having a streak of bad luck here. It does not seem that the radiation treatments would directly cause these problems and it may just be a series of odd coincidences that has led to...
Must be something other than Medicare as I have seen no significant difference in reimbursement between office and video visits on the EOB’s based on three video visits and a handful more office...
Don't do this to me, Niekro reminded me of Hoyt Wilhelm who was the master of the knuckleball. I recall watching him with the White Sox and the catcher using a mitt the size of a garbage can lid and...
You’re in a big college town so UT might be a good place to start looking or doctors affiliated with the university....
That summary is an oversimplification from what I have heard. My wife’s oncologist at the University said that health care workers involved with Covid will go first followed by other medical people...
My cardiologist had simple advice, we cannot "fix" the existing arterial calcification problems but we hopefully can keep them from becoming worse and reduce the risk of any future issues. The only...
My cardiologist said the same thing, BP < 130/80 and LDL < 50. Lower is better. Eat right, exercise, minimal alcohol, etc....
Some quick observations: Your 3.66 PSA is high for a 54 year old man, 4.0 criteria is for older men. Your PSA had a significant jump with no other cause noted like infection, etc. Your prostate...