Most of my experiences have been with med students (U of MN) who are looking to pick a “major” so they shadow specialists to see what it is all about. Orthopedics seems to be popular and has happened...
Don't go there, your mind is saying death sentence and the reality is that most men have ordinary prostate cancer that can be treated a number of ways and life marches on. My wife was involved right...
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Excellent, sounds like you are in good hands. Doctor's experience and reputation matters more than organization ratings. Many top tier places have lots of branches which ride on the flagship's...
I had PIRADS 5 and 4 lesions from MRI so Urologist said biopsy is next. The rest is in my signature. Djin pretty much laid it out. One step at a time. However, your mind will want jump ahead to all...
Well, back to the beginning. You have successfully narrowed the choices down so check one item off the list. Now to make sure you find a well regarded surgeon who does a lot of prostate surgeries and...
I think you have got enough opinions from everyone, me included. All decisions are yours to make and being well informed is the first step. I suggest that you review the Johns Hopkins AS guidelines I...
I might add.... https://www.medicalnewstoday.com/articles/326285...
Dr. Scholz wrote “Invasion of the Prostate Snatchers” so he may be a bit biased. He is a good resource and publishes some better documents so don’t ignore his work but understand where he comes from....
Jason - Definitely go ahead with the next visit and see happens. Too much information is a good and bad thing, just depends on ability to reach a mental conclusion that you can live with. I went...
JTC - The standard handout from my URO practice in 2018 was first 2 years @ 3 month interval, next 3 years @ 6 month interval, annually after 5 years. At the 5 year point, my URO said it was my...
Dave - Based on my observations since 2018, I think I am getting convinced that PSA should not be monitored after RT primary therapy for some time, maybe at least a year. PSA, ADT, & RT do not get...
https://www.bbc.com/news/articles/ck77k80nlwro ...
Djin - Another study to put in my file of studies on ART vs. eSRT even though I don't need to consider anymore. In my case in early 2019 once I had all the information, both URO and RO said adjuvant...
NorCal - You are right, seems to be a number of men lately which creeping PSA. You probably just need to read recent posts and you will have your answer? Your PSA is still very low so you are in the...
jamanetwork.com/journals/jamaoncology/fullarticle/2819652 Search around if you want more info and are not part of JAMA....
J - Great work getting your doctors lined up if and when you need them. One thing I don’t fully understand is I have been getting the “standard” test from my PCP for years and URO since treatment and...
Any idea of prostate size and PSA density? BPH issues? Family history? Family life expectancy? The PSA of 9 is problematic since it could be above 10 next time which is not the area one wants to be...
J - I am doing >0.10 PSA testing for the same reason, no need to see it coming after surgery and RT as nothing can be done yet. There a few posts recently from men with a similar recurrence pattern....
The problem now is if you don’t post, we will think something happened to you… Do librarians have other interests or do they just read books at home? Facebook Librarians group?...
Michael had mets which is the definition of spread then had treatment....
PJ - are you following JasonB176 thread below? He is seeing a RO at Lahey as well, also Mass General. You might have some things in common at the same time? Good work pursuing the RO appt, more...
No, not my part of county, DjinTonic goes there I believe and should be able to help. Look up posts by Wings of Eagles, he has been here since 2012 and is one of those amazing cases. Todd1963,...
Sorry to hear about PCa in your extended family. Yes, there are men that have been here a long time with a very poor diagnosis. They will chime in soon and provide some hope. He will need to be...
Have a similar dull ache in left groin since surgery that has never totally gone away or developed into anything. No cause found but I later developed an inguinal hernia on the right side that I had...
I performed the requisite search as you suggested and agree there is little to no information relating CFPS to cancer treatment. It is not hard to understand when doctors do not appear to have any...
Looks like the standard 12 biopsy sampling plus one targeted biopsy, probably based on MRI results. You know what you know, you don’t know what you don’t know which is most of the prostate as the...
I tried to track down the Bill Walton's cause of death after first post and it is not totally clear. Larry Brown quotes the NBA and I could not find anything there confirming it. No matter, he was a...
PJ - This is a pretty well understood concept nowadays. Lupron and some others (LHRH/GnRH Agonists) commonly cause "flare" whereas there are other drugs that work a little differently (LHRH/GnRH...
You have a tough situation no doubt. Keep in mind there are different radiation schemes from low dose/high dose brachytherapy to SBRT beam radiation which are done in 1 to 5 sessions, especially with...
Understood, however, do not underestimate modern radiation treatments. I had surgery followed by radiation and do not have any of the issues you speak of. You might discuss with radiation oncologist...
Jason - Read my response to PJ53 below your post. You are in a grey area and you should visit a radiation oncologist to understand alternative treatment methods, pros and cons for a younger man. The...
Hello PJ - Little quiet here on holiday weekends. I have to ask the obvious question - why not consider radiation treatment? Your description above indicates that surgery is probably the worst option...
Hello - There have been a few threads about this PSA situation (RP followed by RT) this year. Seems that there is no universal answer but “keeping an eye on it” tends to be common and waiting for PSA...
I have a similar story with an iguana that was one of my boys’ pet and a small animal hospital. Same type of proposal into the thousands of dollars. The boys buried him in the backyard. Dogs are...
My urologist did not get into the details quite that far. Lots of discussion about incontinence and ED but I do not recall any discussion about "climacturia". In fact, I do not recall reading about...
The first orgasm some weeks after surgery was like a fire hose which surprised me. My continence was fine so not exactly sure what was going on but missing the prostate check valve is pretty obvious...
You can check my signature for the other way to do things. I was a G7(4+3) going into surgery, came out with a G7(4+3+5 tertiary) and received a G9(4+5) from expert second opinion on pathology. While...
JC - Good plan, sounds like you are getting the max treatment for your high risk situation. Don't worry about surgery. You can actually have surgery after radiation but it is a very difficult...
Nice, a plan is coming together. There are two types of brachytherapy, 1) low dose (LDR) which are many small permanent seeds that are implanted and left in place and 2) high dose (HDR) which is a...
Always felt “smooth jazz” was a bit of a box that David Sanborn was put in like many musicians. He played to the level of people around him and seemed to be able to stretch out when needed....
A RO supervises the beam radiation treatment which is somewhat standardized at the major cancer places (same equipment, protocols,etc). The technicians handle all the actual treatment work since...
JC - Many RO’s seem to be using hypofractionated treatment (roughly twice the dose, half the treatments) so the duration is 20 - 30 sessions which is still a long time but weeks shorter. Your Uro is...
Good plan, I would take the Dr. Mulhall consult offer just to learn more even if T was not a concern. So many facets of PCa to know about once you are in it. An old saying told to me one time “why...
It is somewhat of a moot point around here. Internal medicine doctors are hard to find and geriatric doctors are rare. Most of them are heading towards retirement or not taking new patients....
Not good news, David Sanborn could play, period. Fit nicely between jazz, big band, and rock and I was a fan. Another noted victim of the “good cancer” who will get little press, thanks Vince....
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Prato - I wrestle with the same decision. My current thought is while the anxiety may be high at PSA test time, the relief that one gets knowing that there are 12 months until the next one must be...
Considering your biopsy pathology, the scan results are quite encouraging. I would focus your discussion on ”There is uptake noted in the DVC anteriorly and minimal posterior extracapsular extension...
Well, howdy neighbor. You are well suited for Mayo. They have a couple of clinics starting to sneak into the Metro area if you live south. There is a well known prostate oncologist, Dr. Oliver...