Now that you have received "MANY" good and valid comments I will add my personal experience view. My PSA was lower than yours, highest test was 6.47, but my GS was considered unfavorable low risk at...
With a GS 3+4 and a PSA under 10.0 you should also look closely at various RT. All options are on the table for you except AS. Roger...
Glad you got the <. Every time I have my PSA checked through my PCP the nurse will call me with the results. Usually a different nurse each time. Invariably I am told that my PSA is within "normal"...
Please Please pay attention to the preceding comments. NO GUARANTEES so you must study and decide. Roger...
Add in Swedish, Virginia Mason and the University of Washington, Seatlle....
Some further info concerning your DX would be helpful. PSA level, GS score, DRE results. To say that you want no incontinence or impotence tells me you need to really do some serious research. We all...
Congratulations....
As always appreciated. Roger...
Mumbo: The 2 points taken for a turned jack is taken just before the first card is played thus it fits nicely in the "pegging" cycle. Check with the American Cribbage Conference website. Halbert: Yes...
Purgatory: Always glad to read your posts. Thinking of you ofgten and wishing the best. Roger...
MUMBO: The two points for the cut jack is not counted in the hand as you peg it immediately not when you count your hand. There is pegging and then there is counting. four 5's in the hand with a jack...
Paxton glad to see that you backed up that downward movement with another decline. Roger...
Very good indeed. Roger...
As a cribbage grand master and the best hand in cribbage is three fives and a jack in your hand with the fourth five turning on the cut that matches the suit of the jack in your hand. Point value of...
Right with you guys. Best decision I have ever made, going with SBRT. Dr.Meier and staff were great and the TX was exactly as advertised. It would seem, from an emotional standpoint, that I am very...
Yes I know of whom you speak. I'll go elsewhere and ask him. Roger...
PAX: Are there any "clinical studies" that have shown slower and bouncier downward trends are better? I am curious of course because my trend has been precipitous to say the least. At 15 months post...
Bounces do occur. I am just 16 months out so can not speak from personal experience but from what I have learned you are doing OK at this point. It sucks to say but you need to wait for the next 1 or...
Probably the supplement you are taking has "PYGEUM" in it. Most of the Prostate health formulas do. I take Pygeum in its pure form daily. It was recommended by my Uro to help with frequency and flow...
Joe: You have a number of options. Already you have received good advice. The only thing I would say that should not be on the table for you is surgery. Some men are good candidates for surgery given...
Prato: Good luck with the T numbers. Great om the PSA Roger...
I am a SBRT guy so can not directly speak to your issues. That said I do have "intermittent" pain in my rectum that sometimes moves up through the perineum and even into the penis. These are very...
I am somewhat limited in total PCa knowledge being a new kid on the block but................. Given the 4+4, if that is born out by a 2nd, It would appear to me that a single therapy would be a bit...
Really happy to see the trend continuing. Roger...
Larry: I am a firm believer in testing at a location you like. Close to home or far away. Numbers are numbers but comfort is comfort. Of course we also need to have that baseline and continue testing...
Great numbers and sorry to hear about the other stuff. Roger...
Dr. Meier of Swedish in Seattle is 12 years into this TX. Roger...
For pain you can use Phenazopypyridine or Aleve both available over the counter....
That's the only place I have gone since completing TX. My RO didn't even suggest anything other than that. I just have my PCP fax the PSA results over to my RO. Roger...
As mentioned above. Cyberknife is not the TX but the delivery device. The TX is SBRT. A highly accurate form of EBRT thus allowing higher dosage with fewer treatment sessions. Roger...
Well whatever lab or analysis system was used the number ( I just received it 2 minutes ago ) came back as 0.30 so the decline continues. Roger...
I still have my baseline from the VA which is where I have been tested for 12 years. Started a new PCP about 2 years ago so that started the LabCorp baseline which is now changed to Quest. I am not...
I am 15 months out from SBRT. My PSA numbers have been steadily dropping. For various reasons I have been tested by two different labs. I keep the numbers separate and do not really compare. I just...
Good for you...great number...
Joe if you aren't getting the "bedside manner" you want/need from the PCP or Uro then consider your options? Even if the worst is true you have the time to do many things before you treat. New PSA...
To suggest further testing of the PSA and even a biopsy is one thing but to tell someone that it is 99% sure you have cancer is another. Which school of fortune telling did the Uro attend. Roger...
I will just jump in on top of the pile. A second opinion and forget this urologist. There are too many things that could drive that PSA without it being PCa. Roger...
Halbert always great to see those numbers or should I say "lack of" numbers. Congrats for sure. I'll have a virtual Pendleton on the rocks and as your'e virtually buying make it a double. Roger...
My VA Uro is a great guy I really like him but I wouldn't let him treat me for PCa. I will let him prescribe my Flowmax or Finesteride when needed though....
Thx guys for the comments. Garyi: I get my primary care through the choice program from an outside provider. I still have my Uro at the VA though and so I get a PSA at the VA for the Uro and outside...
Thx Andrew. From looking at your signature, then do you consider your nadir to be 0.3 until/if it goes lower?...
Just had my 15 month PSA test at one of my two labs. Each 3 month Post SBRT is 2.03---2.20---1.03---0.64--- and today 0.28 I am of course very happy. Lab#2 will be next week. Just FMI: Are various...
There are several RT options. Best if you can talk to several specialists. They are not all the same. IMRT---IGRT---EBRT---SBRT Note that some SBRT clinics will not treat an "unfavorable GS7" but in...
Mindfulness is a great practice and bears continuing. As Andrew said it comes down to how comfortable you are. I don't think waiting, given your numbers, would be significant as far as future TX...
Look at my post from 2/1/2019...
Larry: I am sorry that I can't help with advice or info but I just wanted to wish you well. Roger...
SS there was a < sign in front of the .06 My uro told me it was a good sign if when yhou really needed to pee you could indeed postpone for awhile....
See my sig. I was an unfavorable intermediate risk with a GS 7 that was 4+3 So far really good. SE's only slightly worse than my baseline as I had a very large (66cc) prostate. I still can get usable...
Personally I would be a bit worried about AS. Certainly get the 2nd opinion. Really consider SBRT as it can do a good job on the "irregular" pattern that RP has trouble with. Roger...
Who knows what will come in 10-20-30 years but we do know what comes along right now as SE's SBRT is a GREAT option. I am almost 71 and was 69 when I had SBRT. Yes, I have a few minor SE's but all of...