What’s in my future

Hello everyone
I just got my psa results. It’s .20 after surgery and radiation. Do you guys know what’s in my future realistically in terms of treatments and survival?
Thanks for your input. I am extremely disappointed as you can all imagine. No need to describe as you all know very well.

Have you talked to an MO?

That sucks. You're asking a number of questions we can only guess at the answers.

Your future is likely going to include HT, maybe some chemo, maybe other things. You'll be stuck managing this thing for life.

for how long? Tough to say and any answer there is largely a guess. We've seen 'em go fast, and have seen people go for decades before dying of something else.

The best thing to do is to focus on the next step - when to start HT. Then ride that for as long as you can. Then you take the next step. In between live all the life you have.

Get to a good MO who knows PC, and make a plan,
Andrew

Good Luck Ak123 we all worry about this sort of thing happening, Please stay with us ......David

Ak, I'm going pretty much through the same scenario. My last psa was 0.2 after surgery and radiation, though it took longer to get there as you can see from my signature. My oncologist told me we should have a conversation on HT when I hit 1.0. I really don't want ADT but it will likely be in my future. For now about all I can do is change my lifestyle to hopefully extend my doubling time. You might look at cashless posts for the diet he is following, but a Mediterranean diet is supposed to be good for slowing the disease. On a positive note, studies have shown that even with two failures the prostate specific survivability is pretty high after 5 or even 10 years. However I'm afraid that we're looking at ADT in our future.

Ak,
I found an article on a trial fro guys who have rising PSA after RP and RT, but have not received any HT yet. It is being run in Baltimore.

https://www.pcf.org/news/proactive-therapy-widening-window-curability/

Good luck,
B.

Brook, I contacted the Baltimore trial and they said I am not eligible becuse patients must have metastic disease in one or two spots and psa must be greater than .5
thanks again for letting me know about it brook

Thanks very much Bob, I just got my .2 psa result last night and I all confused now and basically panicking about it as I never read or taught myself anything about these drugs or when to use them. Should I go back to my RO? should I look for a MO? Or the RO can handle this situation? Or should I wait until psa reaches 1 and then look into this?
The reason I was asking about avodart is that I heard Dr. Myers talks very highly about it for just using it by itself to slow the disease instead of using adt for now?
I was hoping to not start adt now and leave it as my last resort

Thanks again all for your input

Hey Ak

Keep your chin up... remember -- thoughts become actions, actions become habits and habits become your fortune!

(man why did I just think about a twinkie) ...

Anyways ... about the diet, I've been doing a cashlessclay style diet now for a few months... originally I lost about 10 pounds, then I started ADT, and I gained back like 20 ...

Regardless, I feel a lot better ... so I would consider going on his diet idea regardless.

btw, I was reading this report and Pomegranate juice ... perhaps you could see if it slows your PSADT ...

Also, how much radiation did you get? ... have you gotten any scans yet to look for mets?

Is there a chance they missed it, and it's still hanging out in the prostate bed?

Zzarth

Hi zzarth
No, I have not got any scans since I finished RT about a year ago. can imaging scans detect it at .2 psa????
What happens to f they can see it , will they radiate again?
I am on cashless diet. He is a very smart guy. I thought we have to try to avoid any sugar spikes that is why I stay away from any juices. Thanks