Medical Forum / Diseases and Disorders / Prostate Cancer / November 2004
here we go (seeds tomorrow)
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Greg Louis - 15 Nov 2004 11:53 GMT Subject says it. Prospects seem good (T1c, Gleason 6 -- 3+3, two cores out of 8, prostate volume ca 26 cc). Radiation oncologist is experienced and optimistic. Let's hope...
 Signature Greg
Larry - 15 Nov 2004 15:13 GMT Good Luck Greg, I know what you're in for and it's a piece of cake! Just don't over extend yourself for a few weeks. It's easy to set yourself back if you run too many marathons! <g>
Larry
> Subject says it. Prospects seem good (T1c, Gleason 6 -- 3+3, two cores > out of 8, prostate volume ca 26 cc). Radiation oncologist is > experienced and optimistic. Let's hope... Greg Louis - 17 Nov 2004 14:58 GMT > Good Luck Greg, Thanks very much, Larry!
> I know what you're in for and it's a piece of cake! I met the guy who was next in line for seeding, and we chatted about it beforehand. I saw him again in the recovery room (also used for prepping) after mine and before his, and I used exactly the same expression: "Piece of cake," I called to him, "Don't worry at all!" The nurses chuckled.
> Just don't over extend > yourself for a few weeks. It's easy to set yourself back if you run too > many marathons! <g> Yeah, I can feel it's best not to push too hard for a while. Keyboards I can handle, shovels can wait :)
 Signature Greg
Steve Kramer - 15 Nov 2004 18:29 GMT I thoought it was the 23rd. I'll have to move you up on my prayer list.
Good luck! Thought, you're not going to need a lot of luck. Your numbers look great! (assuming a low PSA).
 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 G7 (3+4), T3bN0M0 PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron (1 mo) 07/21/2003 @ 48 PSA .07 .05 .06 Lupron (3 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50) non illegitimi carborundum
> Subject says it. Prospects seem good (T1c, Gleason 6 -- 3+3, two cores > out of 8, prostate volume ca 26 cc). Radiation oncologist is > experienced and optimistic. Let's hope... Greg Louis - 17 Nov 2004 14:34 GMT > I thought it was the 23rd. I'll have to move you up on my prayer list. Thanks, Steve. Originally it was scheduled for the 23rd but they moved it forward.
> Good luck! Though, you're not going to need a lot of luck. Your > numbers look great! (assuming a low PSA). I didn't quote the PSA (5.4, up in 5 months from 3.6) because nobody told me not to ejaculate within 48 hr before, so that 5.4 may be bogus. (But it got me the biopsy :)
Seriously, I started reading this list after the diagnosis, and that's where I learned that infections and sexual activity can lead to falsely high PSA readings. Neither the MD nor the uro had thought to mention that. Guess they thought that I'd know.
 Signature Greg
Alan Meyer - 15 Nov 2004 21:30 GMT > Subject says it. Prospects seem good (T1c, Gleason 6 -- 3+3, two cores > out of 8, prostate volume ca 26 cc). Radiation oncologist is > experienced and optimistic. Let's hope... Good luck Greg.
You'll go in the preparation room, they'll put a needle in your arm, you'll be talking to them, and suddenly you'll wake up in the recovery room. But now you'll have a bunch of cancer killer seeds placed right where they'll do the most good.
Alan
Greg Louis - 17 Nov 2004 14:27 GMT > Good luck Greg. Thanks, Alan. Much appreciated.
> You'll go in the preparation room, they'll put a needle in your arm, > you'll be talking to them, and suddenly you'll wake up in the recovery > room. Almost. They started the IV in the recovery room, then there came the anaesthesiologist, who told me they'd done a comparison between general and saddle block anaesthesia, and it came out in favour of the latter (he didn't say what the criteria had been). So we went with the saddle block, and it worked fine. I had to be sedated to control tremor (tentative diagnosis is early Parkinson's) but I was awake, though droopy, through most of it. Then back to the recovery room till the block wore off and I could pee. Then home. Very little pain (biopsy had been worse). I fully expect to do several hours' work today (on the computer keyboard, no shovelling :)
 Signature Greg
JerryW - 16 Nov 2004 01:31 GMT Greg...good luck tomorrow. I'm sure everything will work out just fine. Those are pretty good numbers for the treatment option you've chosen, I understand. Keep us informed...I'll be thinking of you tomorrow. BTW, I have my prostate cancer support group (Man to Man) meeting tomorrow evening. We'll all give you a "thumbs up" at the meeting.
 Signature JerryW jweindel at flash dot net
2/11/04 PSA 2.6, Suspicious DRE (age 62) 2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe 5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes Tumor organ-contained; lymph nodes clear, seminal vesicles clear Both nerve bundles spared 7/13/04 PSA <0.1 10/12/04 PSA <0.1
> Subject says it. Prospects seem good (T1c, Gleason 6 -- 3+3, two cores > out of 8, prostate volume ca 26 cc). Radiation oncologist is > experienced and optimistic. Let's hope... Greg Louis - 17 Nov 2004 13:58 GMT > Greg...good luck tomorrow. I'm sure everything will work out just fine. > Those are pretty good numbers for the treatment option you've chosen, I > understand. Keep us informed...I'll be thinking of you tomorrow. BTW, I > have my prostate cancer support group (Man to Man) meeting tomorrow > evening. We'll all give you a "thumbs up" at the meeting. Thanks, Jerry. Very greatly appreciated!
Things went very well. Dr. Gerard Morton, the radiation oncologist who took care of me, has written that implantation causes "surprisingly little" discomfort, and my experience confirms that: biopsy was worse. I had saddle block anaesthesia with benadryl (sp?) sedation (the latter to control tremor as I also have Parkinson's or something like it). Worked fine, essentially no pain. Coming out of the anaesthetic, I dribbled a bit because the bladder was pretty full, but control soon returned and I was able to leave for home at 1300 after an 0920 start. Urinating was completely normal after a few hours (of course this will change in a week or so as radiation damage takes its toll), and pain has remained minimal except when I forget and sit down too hard ;) . I tire easily but expect that to wear off over the next few days.
Now comes the exciting part: will the treatment fail? I expect not, but I didn't write "will it succeed" because we can't know that till I die of something else a few decades hence, by which time the question will have lost much of its interest :)
 Signature Greg
Heather - 17 Nov 2004 19:32 GMT Dr. Morton did my husband's first HDR treatment and you have an excellent doctor there. Dr. Loblaw, who did the 2nd one, is his partner and we deal with him. Ron had his done in midsummer of 2003 and I found that their nursing staff is excellent as well. They do both the HDR and seeding in that same recovery/operating room area, so saw a few men getting seeding done.
Trying to remember side effects, but they were really minor. Fatigue mostly. But he had 25 EBRT after that. So just take it easy for a bit.
Cheers......Heather (Brampton)
> Things went very well. Dr. Gerard Morton, the radiation oncologist who > took care of me, has written that implantation causes "surprisingly little" [quoted text clipped - 13 lines] > of something else a few decades hence, by which time the question will > have lost much of its interest :) I P Freely - 17 Nov 2004 20:57 GMT Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy is essentially imperceptible even with zero meds beyond a dab of Lidocaine at the site -- FAR less noticeable than a mosquito bite -- as mine was and as my urologist said it is for his patients? Or was yours truly exceptional? How 'bout it, folks . . . how did your Bx go? I don't want to mislead people.
I.P.
>> Things went very well. Dr. Gerard Morton, the radiation oncologist who >> took care of me, has written that implantation causes "surprisingly > little" >> discomfort, and my experience confirms that: biopsy was worse. I had >> saddle block anaesthesia with benadryl (sp?) sedation DonC - 18 Nov 2004 00:03 GMT > Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy > is essentially imperceptible even with zero meds beyond a dab of Lidocaine [quoted text clipped - 4 lines] > > I.P. I remember equating mine to a bee sting so we're close ; )
I P Freely - 18 Nov 2004 01:17 GMT Man! 12 bee stings . . . THERE? Ouch!!! I literally would not have known he was doing anything other than probing my rectum if he hadn't said something like, "A little pinch" a dozen times. Maybe my guy was using a Bx needle rather than a .22 caliber nail gun. ;-)
Keep 'em coming, guys . . . nail gun, bee sting, mosquito bite, rubber band snap, pinch, snoozer ???
I.P.
>> Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy >> is essentially imperceptible even with zero meds beyond a dab of [quoted text clipped - 6 lines] > > I remember equating mine to a bee sting so we're close ; ) DonC - 18 Nov 2004 03:38 GMT Actually it sounds like a power stapler. No single zap hurt but 12 together did sting. But compared to everything else this was on a par with stubbing one's toe.
> Man! 12 bee stings . . . THERE? Ouch!!! > I literally would not have known he was doing anything other than probing [quoted text clipped - 17 lines] >> >> I remember equating mine to a bee sting so we're close ; ) Marshall Schuon - 19 Nov 2004 08:52 GMT >Man! 12 bee stings . . . THERE? Ouch!!! >I literally would not have known he was doing anything other than probing my [quoted text clipped - 5 lines] > >I.P. ______
More like a dozen snaps. Not bad, but each was certainly more than a mosquito bite.
Marshall ______
>>> Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy >>> is essentially imperceptible even with zero meds beyond a dab of [quoted text clipped - 6 lines] >> >> I remember equating mine to a bee sting so we're close ; ) Greg Louis - 18 Nov 2004 13:13 GMT > Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy > is essentially imperceptible even with zero meds They tell me most men tolerate it easily. In my case, the stabs were trivial but each one left a dull ache that accumulated by core 6 to the point where I was eager for it to be over. Eight cores were taken, and I was unpleasantly sore for the next 20 hours. The seed implantation was done with a saddle block, and neither during nor after was there significant pain. So yeah, the biopsy was worse.
 Signature Greg
I P Freely - 18 Nov 2004 16:32 GMT Yes, I was a little sore that evening -- a dull ache -- but one Tylenol and I forgot about it.
I.P.
>> Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy >> is essentially imperceptible even with zero meds [quoted text clipped - 5 lines] > done with a saddle block, and neither during nor after was there > significant pain. So yeah, the biopsy was worse. Larry - 18 Nov 2004 16:57 GMT I had two biopsies. The first one was negative all samples. PCa didn't show up until the second biopsy. First biopsy stung like hell. Each sample was greeted with an "Oh!" even though I tried hard to suppress it. It was quite comical actually (in retrospect). Then, when it was time for the second biopsy, my urologist increased the dose of Lidocaine (or whatever) and it was a piece of cake.
If a person is a coward when it comes to being zapped in the posterior, as I am, I suggest asking for a little extra in the pain numbing department.
My 2 cents Larry
> Biopsy was worse than all THAT for you? Am I lyin' to folks that a biopsy is > essentially imperceptible even with zero meds beyond a dab of Lidocaine at [quoted text clipped - 10 lines] > >> discomfort, and my experience confirms that: biopsy was worse. I had > >> saddle block anaesthesia with benadryl (sp?) sedation Greg Louis - 18 Nov 2004 13:09 GMT > Dr. Morton did my husband's first HDR treatment and you have an excellent > doctor there. Dr. Loblaw, who did the 2nd one, is his partner and we deal > with him. Ron had his done in midsummer of 2003 and I found that their > nursing staff is excellent as well. I would wholeheartedly agree with your assessment of the nursing staff. I'll be writing to the hospital in their praise. Twice in my life I've been hospitalized at Sunnybrook (if you can call Tuesday's outpatient surgery "hospitalized"), and both times the nursing care was amazingly good: competent, warm and reassuring. Dr. Morton is an authority on brachytherapy, a nice guy and a good communicator. I feel I've been lucky to have their help.
> So just take it easy for a bit. Thanks, Heather! Everyone is warning me we tire easily for a while, and I can already confirm that too. But it's great to have been able to do half a day's worth of work (on a computer keyboard) the day after the procedure! It was mainly to avoid downtime that I went with seeds in the first place.
 Signature Greg
Beverley - 16 Nov 2004 03:47 GMT It'll be over in nothing flat!! Just stay quiet afterwards even if you feel just fine!! Bev
> Subject says it. Prospects seem good (T1c, Gleason 6 -- 3+3, two cores > out of 8, prostate volume ca 26 cc). Radiation oncologist is > experienced and optimistic. Let's hope... Greg Louis - 17 Nov 2004 14:13 GMT > It'll be over in nothing flat!! Just stay quiet afterwards even if you > feel just fine!! Good advice. Thank you! All went well and I'm happy and contented. I wrote a bit of a description (see the subthread that JerryW started) for people who've chosen seeds or are considering doing so.
 Signature Greg
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