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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2004

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New to Group-Just had seed implants

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Doug - 12 Aug 2004 20:35 GMT
I'm new to posting here but have been reading posts since just after my
seed implants on July 14, 2004. I had 94 Pallidum 103 seeds implanted.  
Just some background. I'm 56, PSA was 4.4, increased from 3.5 15 months
prior. Had biopsy and one of 8 showed about 22% cancer. Gleason was 6
(3+3) and Stage T1c. Since the implants I've had almost none of the
urinary side affects, just one extra trip to the bathroom most nights,
pretty minor really.

One thing I have had since the implants is the feeling of needing to
have a BM almost all the time. At first I was constipated but have been
taking stool softeners and am no longer constipated but still feeling as
if I have a golf ball in there. The nurse at the doctor's office says
it's from my prostate swelling and putting pressure on my rectum. That
sounds reasonable but just curios if anyone else is having this. It's
not painful more annoying than anything else but wish it would go away.

I want to thank everyone for this valuable resource, it's great knowing
this group it out there.

Doug
Larry - 12 Aug 2004 20:56 GMT
Hi Doug,
Congratulations on your relatively minor side affects. I had 110 PD-103
seeds implanted June 10. My peeing situation is considerably worse. I need
two Flowmax a day and I still have some discomfort and frequency. If I skip
a pill, I really pay the price. It becomes very uncomfortable to start and
just dribbles out until I get tired of standing there then go through the
same thing again 30 minutes later. Not bad as long as I stay with the
two-a-day's, though. My bowels haven't been much of a problem. The only time
I feel any sort of discomfort down there is when I sit on a hard or lightly
padded surface. Then, it feels like I'm sitting on a large marble.

May you continue to do well,
Larry

> I'm new to posting here but have been reading posts since just after my
> seed implants on July 14, 2004. I had 94 Pallidum 103 seeds implanted.
[quoted text clipped - 16 lines]
>
> Doug
Alan Meyer - 13 Aug 2004 02:43 GMT
> Hi Doug,
> ... The only time
[quoted text clipped - 8 lines]
> > sounds reasonable but just curios if anyone else is having this. It's
> > not painful more annoying than anything else but wish it would go away.

I did not have any special urgency to move my
bowels, but I did, and still do to some extent, have
the golf ball feeling.  I bought a doughnut cushion at
a drug store and sat on it at work and while in my car.
It helped a lot.  Now, seven months later, I no longer
seem to need it.

I recall someone else posting something on this
newsgroup about a similar feeling.  I suspect it's
not common, but not rare either.

   Alan
Tom C - 13 Aug 2004 10:36 GMT
Doug,

I had Pd103 seeds implanted on 6/2/04, the swelling, urinary retention
and/or urgency seemed to peak at about the one month point then began to
improve.I'm on Cardura instead of Flowmax and like Larry, if I miss a dose I
regret it. I've been very happy with the minimal side effects I've
experienced. At this time about 95% of the radiation has been expended and
I'm looking forward to PSA testing, but that will have to wait a bit as I'm
still on Lupron.
Wish you the best.

Tom

> > Hi Doug,
> > ... The only time
[quoted text clipped - 22 lines]
>
>     Alan
Larry - 13 Aug 2004 12:54 GMT
Hi Tom,
I've been meaning to ask. Why no PSA tests because you're still on Lupron?
I'm still on Zoladex and I just had mine taken. I'm sure they believed there
was some value in that.
Larry

> Doug,
>
[quoted text clipped - 8 lines]
>
> Tom
Alan Meyer - 13 Aug 2004 18:39 GMT
> Hi Tom,
> I've been meaning to ask. Why no PSA tests because you're still on Lupron?
> I'm still on Zoladex and I just had mine taken. I'm sure they believed there
> was some value in that.
> Larry

My doctors took PSA readings while I was on Lupron too
but the results were misleading because Lupron or
Zoladex suppresses PSA output.  After radiation my PSA
was undectable at one month and again at 3 months.
However at six months it read 0.8.

According to my doctor, the .8 reading was "normal and
expected".  The two undetectables were caused by the
Lupron.

I'm hoping that, over time, my PSA will decline.  From
what I've read, it takes an average of 20 months and
sometimes 36 months or more for PSA to settle down
to its "nadir" value after radiation.  PSA can bounce
around after radiation.  However they say that if it goes
up three times in a row, then we're in trouble.

If, while still on Zoladex, your PSA goes up, then you
have a real problem.  However if it stays very low, you
don't know that you don't have a problem because the
Zoladex will mask it.  So testing PSA while still on
Zoladex doesn't give you as much information as it
will after the Zoladex wears off.

PSA production lags testosterone return.  So even
when your testosterone comes back, it might still
be a month or more before the PSA readings arrive
at the non-Zoladex levels.

   Alan
Larry - 13 Aug 2004 19:46 GMT
Thanks for the clarification. When I stop my Zoladex, I can expect an
up-tick.
It's a question of when. My urologist and oncologist suggest two years but
I'm lobbying for one year.
Whenever I question two years, there is no definitive answer. I understand
every aspect of my treatments from the initial HT to the EBRT's to the
seeds. But the logic for the duration of the HT is not clear.

Larry
> > Hi Tom,
> > I've been meaning to ask. Why no PSA tests because you're still on
[quoted text clipped - 34 lines]
>
>     Alan
Alan Meyer - 14 Aug 2004 16:13 GMT
> It's a question of when. My urologist and oncologist suggest two years but
> I'm lobbying for one year.
> Whenever I question two years, there is no definitive answer. I understand
> every aspect of my treatments from the initial HT to the EBRT's to the
> seeds. But the logic for the duration of the HT is not clear.

I've searched for information about this in the past.
I took HT and had dangerously elevated liver enzymes
that caused me to come off after 4 months worth.

I found one clinical trial that said the only benefit is
before and during treatment, not after.  I found another
that said two years.

I think the problem is that there is not yet enough
data to know.  The science is not yet fully developed
and the statistical studies have the usual problems
of all of these statistical studies - one measures
apples and another measures oranges, so you
can't tell for sure what to conclude.

There is a good website run by HT experts at:
http://www.prostate-cancer.org/education/education.html

If you find the answers there, or anywhere, please post
the citations for the rest of us.

   Alan
Tom C - 14 Aug 2004 03:29 GMT
Larry,
I just went for another Lupron shot this morning and asked the same
question. My Dr. said  that any PSA testing while under the influence of an
androgen blockade (lupron / zoladex) would not yield a valid result of the
brachytherapy and at this time would probably show something like .2ng/ml.
The .2 would be terrific if it was not influenced by the medication that is
scheduled to end in a  couple of months. As I've said before, I'm anxious to
stop the lupron and begin follow-up testing. I have extreme confidence in
the team of professionals that provided my treatment and do not hesitate to
question anyone, but I also respect  their judgment and advice.

Whew!! another hot flash, just love this damned Lupron ;))

Tom

> Hi Tom,
> I've been meaning to ask. Why no PSA tests because you're still on Lupron?
[quoted text clipped - 16 lines]
> >
> > Tom
Larry - 14 Aug 2004 15:00 GMT
Thanks for the comments Tom,
Have your tried Soy Isoflavones for the hot flashes?  Your comment reminded
me of a movie "Strange Brew". It has a scene where the two lead characters
get a hold of the shock therapy machine and enjoy shocking each other.
Cracks me up <g>

Larry

> Larry,
> I just went for another Lupron shot this morning and asked the same
[quoted text clipped - 10 lines]
>
> Tom
pj - 13 Aug 2004 12:40 GMT
(snip)no longer constipated but still feeling as
> > > if I have a golf ball in there. The nurse at the doctor's office says
> > > it's from my prostate swelling and putting pressure on my rectum. (snip)

I had 85 Iodine 125 seeds done on 3/30, much the same sensation, about
4 weeks ago started getting very bad diarrhea, MD's solved that with a
combination of Imodium and Metamucil.
It's such a minor side effect in comparrison to what you read about in
this group, hard to complain very loudly.
Beverley - 13 Aug 2004 14:32 GMT
Yep, a swollen prostate is a pain in the butt! But it will go away, the
swelling will subside and all the problems will be a distant memory and
hopefully the cancer will be gone, too.
Bev

> I'm new to posting here but have been reading posts since just after my
> seed implants on July 14, 2004. I had 94 Pallidum 103 seeds implanted.
[quoted text clipped - 16 lines]
>
> Doug
Ron Carter - 13 Aug 2004 16:07 GMT
I know exactly what you're talking about, Doug.  I had 83 Pd 103 seeds
implanted on May 7.  I was expecting urinary problems and had a few,
but the bowel urgency came as a surprise.  I was having bowel
movements 3-4 times a day and also experiencing very hard stools
despite the fact that I get a LOT of fiber.  I mentioned this to my
oncologist but didn't get a good explanation.  He seemed a bit
surprised, in fact.  He suggested that I take Metamucil.  I did, and
the problem has been subsiding significantly.  Whether that's a result
of the Metamucil or simply a factor of time, I'm not sure.  Anyway, I
expect you, too, will find the problem lessening in the coming weeks.

I had two fairly significant periods of urinary problems--one after
about 3 weeks and another at the 2-month mark.  Urinary flow became
not so much a "flow" but rather a slow dripping, and I thought I was
going to have to be catheterized.  I took lots of Ibuprofen and
started taking saw palmetto to try to reduce swelling.  Again, the
problem diminished, and at 3 months post-seeding, I am pretty much
back to normal in all respects.

Ron Carter  

> I'm new to posting here but have been reading posts since just after my
> seed implants on July 14, 2004. I had 94 Pallidum 103 seeds implanted.  
[quoted text clipped - 16 lines]
>
> Doug
Larry - 13 Aug 2004 17:04 GMT
Ron,
Thank you very much for your comments.
I raced downstairs and took a Saw Palmetto. I used to take it regularly
before my problems started but stopped prior to the EBRT's. Didn't want any
outside interference. Also, I weaned myself off of the Naproxin that I had
been on since the seeds. That might be a contributing factor also, but I
hate being on anti-inflammatories for an extended period due to the
potential side affects they can cause. I've been hoping Turmeric as an
anti-inflammatory would be sufficient. Anyway, it's reassuring that you had
very similar problems and got over them.
Larry

> I know exactly what you're talking about, Doug.  I had 83 Pd 103 seeds
> implanted on May 7.  I was expecting urinary problems and had a few,
[quoted text clipped - 37 lines]
> >
> > Doug
Alan Meyer - 13 Aug 2004 18:44 GMT
> ... Also, I weaned myself off of the Naproxin that I had
> been on since the seeds. That might be a contributing factor also, but I
> hate being on anti-inflammatories for an extended period due to the
> potential side affects they can cause. ...

Having seen my mother die of Alzheimer's disease,
I've been taking ibuprofen or other non-steroidal
anti-inflammatories every day.  There's evidence that
even low doses will greatly reduce your chance of
getting Alzheimer's disease - but only if you start
taking them long before the symptoms of AD
develop.

They say the best way to die is a massive heart attack
and that cancer is a terrible way to go.  But I can say
that having seen both cancer and Alzheimer's, I'm not
at all sure I wouldn't rather die of cancer.

   Alan
Larry - 13 Aug 2004 19:50 GMT
I take Gingko Biloba. Same idea but healthier in the opinion of those who
are into herbal alternatives - i.e. me <g>
Thanks,
Larry

> Having seen my mother die of Alzheimer's disease,
> I've been taking ibuprofen or other non-steroidal
[quoted text clipped - 5 lines]
>
>>     Alan
Steve Kramer - 16 Aug 2004 00:41 GMT
My father died of Prostate Cancer.  My father-in-law is close to death with
Alzheimers.  Both are taking about the same amount of time, but my father
had terrible pain.  My father-in-law doesn't remember.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
non illegitimi carborundum

> > ... Also, I weaned myself off of the Naproxin that I had
> > been on since the seeds. That might be a contributing factor also,
[quoted text clipped - 17 lines]
>
>     Alan
Alan Meyer - 16 Aug 2004 18:44 GMT
> My father died of Prostate Cancer.  My father-in-law is close to death with
> Alzheimers.  Both are taking about the same amount of time, but my father
> had terrible pain.  My father-in-law doesn't remember.

Steve,

Not remembering is a blessing.

My mother knew for years that she had Alzheimer's and
was getting worse and worse.  She hated it and was
miserable.  She knew that she was losing everything she
had.  She half knew that her delusions were delusions.  She
lost her ability to speak intelligibly and suffered terrible
frustration because of that.  She became paranoid.  She
had to be moved to an Alzeheimer's care facility - it was
one of the good ones - but still a place that no one would
ever want to live in.

Eventually, she stopped eating and starved herself to
death.

There are a few things people can do to protect themselves.
No one knows why these work, but there are significant
statistical correlations between these measures and reduced
risk of Alzheimer's.  The ones I know about are:

Prevent high blood pressure and high cholesterol.
Take low doses of ibuprofen every day.
Take an occasional drink of alcohol.
Keep physically active.
Keep mentally active - working your mind every day.

I'm doing all of them.

   Alan
Glenn Enoch - 17 Aug 2004 01:43 GMT
Heard an interesting program on Alzheimer's this weekend, an episode
of "The Infinite Mind," which is on my local NPR affiliate.  You can
find this episode at http://www.lcmedia.com/mind335.htm (and even
listen with Real Audio).  It included some research, like the "Nun
Study."

> > My father died of Prostate Cancer.  My father-in-law is close to death
>  with
[quoted text clipped - 32 lines]
>
>     Alan
Alan Meyer - 19 Aug 2004 05:05 GMT
> Heard an interesting program on Alzheimer's this weekend, an episode
> of "The Infinite Mind," which is on my local NPR affiliate.  You can
> find this episode at http://www.lcmedia.com/mind335.htm (and even
> listen with Real Audio).  It included some research, like the "Nun
> Study."

Thanks Glenn, I'll check this out.

I met Dr. Sunderland some time ago.  He was recruiting
people for a clinical trial on Alzheimer's screening and I went
to hear him explain the trial to a group of candidates.  He was
a very impressive guy.

   Alan
Steve Kramer - 18 Aug 2004 23:47 GMT
> Prevent high blood pressure and high cholesterol.
> Take low doses of ibuprofen every day.
> Take an occasional drink of alcohol.
> Keep physically active.
> Keep mentally active - working your mind every day.

I don't know about his BP
I don't know about ibuprofen -- I doubt he took it
He had a lot to drink
He wore out several stationary bicycles
He was constantly working his mind

But, I'll pass this on to my wife and hope she doesn't forget to do them
Alan Meyer - 19 Aug 2004 04:57 GMT
> > Prevent high blood pressure and high cholesterol.
> > Take low doses of ibuprofen every day.
[quoted text clipped - 9 lines]
>
> But, I'll pass this on to my wife and hope she doesn't forget to do them

Of course you can do all these preventive measures
and still get Alzheimer's.

I watched my weight, exercised a lot, drank tea,
ate vegetables, kept generally very healthy, and
even had parents who were cancer free.  And
I got cancer.

Go figure.

   Alan
 
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