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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2006

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Anyone in UK?

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Mary Fisher - 28 Dec 2005 18:27 GMT
I'm in Yorkshire, my husband hasn't been diagnosed yet but is nervous. I
want to reassure him but from looking at web sites I've got the impression
that the processes described on this ng differ from what happens in UK - or
it just might because of different terminologies.

So I'd like to know what experiences people have had at this side of the
pond. He'll be going for blood test results in a few days.

TIA

Mary
Steve Kramer - 30 Dec 2005 01:51 GMT
This newsgroup is occasionally visited by UK denisons, but maybe not often
enough to have read this post.  Those that I know of are:

     gareth.jefferson@virgin.net Gareth Jefferson
     heelas@hotmail.com heelas@hotmail.com
     jack@mathieson69.freeserve.co.uk J.Graham
     johnpreston_welwood@lineone.net John Preston
     leigh1773@tiscali.co.uk Keith
     les.bradbury@tiscali.co.uk Les Bradbury
     ipsleyrow-news@yahoo.co.uk Mike
     mikeg@swanbrook.demon.co.uk Mike G
     rk012d1307@blueyonder.co.uk RAYMOND KING
     tim@ntlw.com tim
     tg@corp-part.com Tony

You may want try them using their email addresses (some may be ficticious or
vacant)

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05
PSA  .07 .05 .06 .05 .08
Non Illegitimi Carborundum

> I'm in Yorkshire, my husband hasn't been diagnosed yet but is nervous. I
> want to reassure him but from looking at web sites I've got the impression
[quoted text clipped - 7 lines]
>
> Mary
J - 30 Dec 2005 10:18 GMT
Hello Steve, see insertions...

> This newsgroup is occasionally visited by UK denisons, but maybe not often
> enough to have read this post.  Those that I know of are:
>
>       gareth.jefferson@virgin.net Gareth Jefferson

Gareth was posting with gareth.jefferson@dsl.pipex.com in October
He was posting about possibly going for HIFU in Japan or France

>       heelas@hotmail.com Robert  *note name
>       jack@mathieson69.freeserve.co.uk J.Graham
>       johnpreston_welwood@lineone.net John Preston

Carolyn Preston" <carolyn.preston@ntlworld.com>
Posted in november to Lori (&Curt) - I think Heather pinged her - things not
going well either.

>       leigh1773@tiscali.co.uk Keith
>       les.bradbury@tiscali.co.uk Les Bradbury

Les' web page http://www.prostate-cancer-radiotherapy.org.uk/
Under his story section, he has a graph of his PSA's and an alternate email
address, if the above doesn't work.
Les and heelas (Robert) were around in August and Sept.

>       ipsleyrow-news@yahoo.co.uk Mike
>       mikeg@swanbrook.demon.co.uk Mike G
>       rk012d1307@blueyonder.co.uk RAYMOND KING
>       tim@ntlw.com tim
>       tg@corp-part.com Tony

"Magna" <magna149@hotmail.com> is from UK
Tim and Magna were just here on the 20th, Tim's looks bogus
Tony's looks bogus

> You may want try them using their email addresses (some may be ficticious or
> vacant)
[quoted text clipped - 11 lines]
> >
> > Mary

Some of the others, either had high grade or posted longer ago.
If you're emailing, try Les, Gareth, Magma and heelas (Robert)

If it's just a screening, Mary, post the PSA number. I think it's used as a
baseline, until next check, unless it's unusually high.
If he's had a DRE and suspicion, he'll likely have core biopsies.
Then he wants to have the information from the pathology report.
Basics here http://www.phoenix5.org/menuprostate.html

Depending on the pathology , he could have scans .
More here
http://hcd2.bupa.co.uk/fact_sheets/Mosby_factsheets/prostate_cancer.html
or http://www.cancerhelp.org.uk/help/default.asp?page=2657
or
http://www.cancerbacup.org.uk/Cancertype/Prostate that last one has a helpline
#, at the top.-s pecialist cancer nurses provide high-quality, up-to-date cancer
information, practical advice and support.

Good luck. Hopefully, he's all clear.
J
Mary Fisher - 30 Dec 2005 16:44 GMT
> Gareth was posting with gareth.jefferson@dsl.pipex.com in October
> He was posting about possibly going for HIFU in Japan or France

That sounds like a form of oriental verse ... >

<snip>

> Some of the others, either had high grade or posted longer ago.
> If you're emailing, try Les, Gareth, Magma and heelas (Robert)

I shall.

> If it's just a screening, Mary, post the PSA number. I think it's used as
> a
> baseline, until next check, unless it's unusually high.

er ?

> If he's had a DRE and suspicion, he'll likely have core biopsies.

He's going to have a core biopsy.

> Then he wants to have the information from the pathology report.
> Basics here http://www.phoenix5.org/menuprostate.html

I'll have a look at that, thank you.

> Depending on the pathology , he could have scans .
> More here
[quoted text clipped - 6 lines]
> cancer
> information, practical advice and support.

They were my first port of call before I found this ng. CancerBacup is my
favourite site, they've been very helpful before.

But my concern is that things might not be the same in UK as they are in
USA - I think that's where you are from what you've said on the bc ng. Oh I
know that prostate malfunctions of all kinds won't be different in
themselves but approaches to the treatments and dialogues with medics will,
I'm sure be different. That's why I'd like to discuss it with someone from
here.

I know that what the American bc survivors talk about is still largely
gibberish to me, after nearly eight years. I'm not daft either :-)

> Good luck. Hopefully, he's all clear.

Well, we'll have to wait and see. Even if it isn't malignant it seems that
there are unpleasant processes to deal with it.

And in the meantime I've been bleeding for a few days and my research nurse
isn't back at work until 4 January :-) Serves me right for not reporting it
earlier. Like most people I'm good at urging others not to delay ... but I
feel happier having taken the first step to control.

Thanks again, I'll hang around. I appreciate your input.

Mary
> J
Brian - 30 Dec 2005 21:29 GMT
> "J" <studras@anon.inv> wrote
>>
>> Gareth was posting with gareth.jefferson@dsl.pipex.com in October He was
>> posting about possibly going for HIFU in Japan or France
>
> That sounds like a form of oriental verse ... >

Inaudible screech
cancer cells popping like corn
I sure hope this works
Steve Jordan - 30 Dec 2005 22:22 GMT
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
 <meta content="text/html;charset=ISO-8859-1" http-equiv="Content-Type">
</head>
<body bgcolor="#ffffff" text="#000000">
<blockquote cite="midpan.2005.12.30.21.29.06.413345@verizon.net.prophet"
type="cite">
 <pre wrap="">On Fri, 30 Dec 2005, Mary Fisher wrote:
"J" <a class="moz-txt-link-rfc2396E" href="mailto:studras@anon.inv">&lt;studras@anon.inv&gt;</a> wrote
 </pre>
 <blockquote type="cite">
   <blockquote type="cite">
     <pre wrap="">Gareth was posting with <a class="moz-txt-link-abbreviated" href="mailto:gareth.jefferson@dsl.pipex.com">gareth.jefferson@dsl.pipex.com</a> in October He was
posting about possibly going for HIFU in Japan or France
     </pre>
   </blockquote>
   <pre wrap="">That sounds like a form of oriental verse ... &gt;
   </pre>
 </blockquote>
 <pre wrap=""><!---->Inaudible screech
cancer cells popping like corn
I sure hope this works
 </pre>
</blockquote>
<b>Pfffbltt!</b><br>
<br>
Brunner, you owe me a keyboard!<br>
<br>
Regards,<br>
<br>
Steve J<br>
<br>
"Well, I've wrestled with reality for thirty-five years, Doctor, and
I'm happy to state I finally won out over it."<br>
-- James Stewart as Elwood P. Dowd in "Harvey"<br>
<br>
<br>
</body>
</html>
Mary Fisher - 31 Dec 2005 09:44 GMT
> On Fri, 30 Dec 2005, Mary Fisher wrote:
> "J" <studras@anon.inv> wrote
[quoted text clipped - 7 lines]
>
> Brunner, you owe me a keyboard!

Make that two.

Mary

> Regards,
>
> Steve J
J - 31 Dec 2005 10:23 GMT
> "Steve Jordan" <mycroftscj1@cox.net> wrote in message
> > On Fri, 30 Dec 2005, Mary Fisher wrote:
[quoted text clipped - 7 lines]
>
> Make that two.

:)  I think you'll like this group, Mary.
It's quiet right now, but it'll keep you busy trying to stay caught up.
I come over here for a break and because there's mostly a great bunch of guys.
:)
I'm from Canada. Heather is as well. She's usually around, probably busy with
hubby and holidays.
Females post as well. There's probably more female lurkers. It's like peeking
into the boys room at school. :)
It's refreshing to read a male only perspective and many have such a great
sense of humour.
Mary Fisher - 31 Dec 2005 11:17 GMT
>> "Steve Jordan" <mycroftscj1@cox.net> wrote in message
>> > On Fri, 30 Dec 2005, Mary Fisher wrote:
[quoted text clipped - 21 lines]
> It's refreshing to read a male only perspective and many have such a great
> sense of humour.

In my experience that applies to all genuine help and support groups.

I was surprised to find so few women appearing on the screen. I've said for
years that I suffer from prostate problems, OK it's my husband's prostate
but it's caused no end of disturbance to my sleep as well as his.

Still, in the years of (five) babies he did more than his share of being
roused, clamping them onto me, changing nappies and putting them down again
because in those days I simply couldn't always wake up even to howls and
wails. I'm not complaining!

But my point is that prostate problems can be just as much a problem to
wives as well as to men :-)

Now that my husband's condition is apparently worsening I want to know as
much as possible and hope to learn from folk here - no matter where they
are. But the vagaries of the British National Health System do make for
different approaches to any condition, as well as different terminologies
and even names of medication - I learned that from the bc group. So 'local'
links are useful for interpretation.

We don't yet know the diagnosis for Spouse, when we do I'll post - and hope
to learn more about it from direct experiences. That will augment what we
learn from medical teams, websites and other sources. I'm looking forward to
it.

Mary
Steve Kramer - 31 Dec 2005 22:08 GMT
> But my point is that prostate problems can be just as much a problem to
> wives as well as to men :-)

Well, then you will REALLY like this group.  Most of us men long ago
conceded that we have the easy part.
Mary Fisher - 01 Jan 2006 11:27 GMT
>> But my point is that prostate problems can be just as much a problem to
>> wives as well as to men :-)
>
> Well, then you will REALLY like this group.  Most of us men long ago
> conceded that we have the easy part.

I'm not sure if that's ironic ... I hope I didn't give offence. It's so easy
to do, unintentionally.

There's always one who seems to do it all the time.

And it's always me :-(

I apologise forthe past and for the future ... if I didn't give
offencethat's great!

I wish everyone a happy new year and that we'll be saying the same 365 days
from here.

Mary
Steve Kramer - 01 Jan 2006 11:34 GMT
I recognized, assumed or even considered no offense.  I merely agree 100%
with you.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05
PSA  .07 .05 .06 .05 .08
Non Illegitimi Carborundum

>>> But my point is that prostate problems can be just as much a problem to
>>> wives as well as to men :-)
[quoted text clipped - 16 lines]
>
> Mary
Mary Fisher - 01 Jan 2006 11:40 GMT
>I recognized, assumed or even considered no offense.  I merely agree 100%
>with you.
[quoted text clipped - 19 lines]
>>
>> Mary
Mary Fisher - 01 Jan 2006 11:40 GMT
>I recognized, assumed or even considered no offense.  I merely agree 100%
>with you.

That's made my day :-)

Thanks,

Now off to plumb.

M

>>>> But my point is that prostate problems can be just as much a problem to
>>>> wives as well as to men :-)
[quoted text clipped - 16 lines]
>>
>> Mary
Brian - 01 Jan 2006 12:37 GMT
> There's always one who seems to do it all the time.
>
> And it's always me :-(

Not always, dear...
To understand, just read the group for a while.
We now have a thread by an idiot suggesting he can chant our cancer away
for our buying his time via an eBay auction.  Evidence that he actually
does the chanting for us for our money is a bit unclear, whether we get
our money back, or make him chant everything backwards, if the cancer
doesn't disappear, is also unclear.

A while ago some gal was preaching "drink your own urine for health" in
this group as a prostate cancer cure. OK, we're taking that poster's word
for it that the poster was a female human.

You, Mary, are far far far from the edge of this group!
J - 01 Jan 2006 01:12 GMT
> Now that my husband's condition is apparently worsening

In what way?  Pain, swelling, dribbling, urinary blockage, incontinence ?

> I want to know as
> much as possible and hope to learn from folk here - no matter where they
> are. But the vagaries of the British National Health System do make for
> different approaches to any condition, as well as different terminologies
> and even names of medication - I learned that from the bc group. So 'local'
> links are useful for interpretation.

Well mary,
Yes, there are difficulties with medications names. We're lucky on a.s.c. Steph
was born and trained in UK and Mike R is australian and recognizes and uses some
of the same names, so we can usually sort those out.  As far as PCA goes,
hopefully the contacts we gave you, will get here (or to you) before such is
required. If not, we'll work it out.

one of the varagies of prostate cancer is that a person consults a urologist,
gets a surgical opinion, consults a radiation oncologist; hears radiation
options.
Perhaps someone here would explain "nerve sparing".

One of the vagaries, that I've noticed with some from UK on a.s.c. is that
"consultants" are mentioned.
I've yet to clear up who and what they are.
1) are they self-proclaimed experts who have collected all treating options and
give advice?  OR are they certified and paid for by the NHS ?
2) Do they work for hospitals who tend to lean towards one treatment vs another?

3) or is that just a Brit term for "specialist"?
hmmm.. I wonder if this web page answers and it's # 3?
http://www.nhsia.nhs.uk/cancer/pages/dataset/scope_3.asp
J
Brian - 01 Jan 2006 01:40 GMT
>> Now that my husband's condition is apparently worsening
>
> In what way?  Pain, swelling, dribbling, urinary blockage, incontinence ?

In what way? Despair, giving up, loss of belief in love and life?
Mary Fisher - 01 Jan 2006 11:29 GMT
>>> Now that my husband's condition is apparently worsening
>>
>> In what way?  Pain, swelling, dribbling, urinary blockage, incontinence ?
>
> In what way? Despair, giving up, loss of belief in love and life?

Oh gosh no! I wouldn't allow that :-)

I'll reply to the other posts later, we're in the throes of plumbing right
now ... real plumbing, that is, with copper pipes, compression joints,
leaking valves ... oh damn! It's all too much like Real Life :-)

Mary
Brian - 01 Jan 2006 12:40 GMT
> "Brian" wrote
>>
[quoted text clipped - 10 lines]
> now ... real plumbing, that is, with copper pipes, compression joints,
> leaking valves ... oh damn! It's all too much like Real Life :-)

His plumbing is as real as the houses' plumbing...

...OK, put down that trap-snake, he doesn't want the surgery!

(how to put "sweat" in "sweat solder" without solder!)
Mary Fisher - 01 Jan 2006 12:54 GMT
>> I'll reply to the other posts later, we're in the throes of plumbing
>> right
>> now ... real plumbing, that is, with copper pipes, compression joints,
>> leaking valves ... oh damn! It's all too much like Real Life :-)
>
> His plumbing is as real as the houses' plumbing...

I know - as is mine! Just more complicated. And we can do house plumbing
ouselves, DIY human surgery is a bit different :-)

> ...OK, put down that trap-snake, he doesn't want the surgery!

No idea what a trap-snake is.

> (how to put "sweat" in "sweat solder" without solder!)

He doesn't use solder much these days, the old craft of sweating has all but
died - H&S and all that - and lead pipes are illegal anyway. It should
properly be called 'cupring' rather than 'plumbing' but there you go! Plus
ca change ...

Lunchtime. In the caravan, it's the only place we have a clear table. If I
can find the bread bin. And where's the fridge?

Mary
Brian - 01 Jan 2006 13:49 GMT
>>> I'll reply to the other posts later, we're in the throes of plumbing
>>> right
[quoted text clipped - 9 lines]
>
> No idea what a trap-snake is.

It's a long metal cable with a handle on one end and a grinding-cutting
bit on the other end, use in sinks when they stop draining.  "This will
help you pee!" (no kidding, the thought scares it out of me!)  The bend in
the sink drain pipe is the "trap", it traps the sewer-odor-tainted air in
the pipes below the trap from coming up the sink drain.

>> (how to put "sweat" in "sweat solder" without solder!)
>
> He doesn't use solder much these days, the old craft of sweating has all
> but died - H&S and all that - and lead pipes are illegal anyway. It
> should properly be called 'cupring' rather than 'plumbing' but there you
> go! Plus ca change ...

Copper pipes and joints get soldered together with the heat of a torch.
The trick is to heat the copper above the melting point of the solder,
which then flows into the joint space between pipe and joint.  This is
called "sweat soldering".  Coming at my nethers with a butane torch would
get me sweating.
Mary Fisher - 01 Jan 2006 14:37 GMT
>>>> I'll reply to the other posts later, we're in the throes of plumbing
>>>> right
[quoted text clipped - 12 lines]
> It's a long metal cable with a handle on one end and a grinding-cutting
> bit on the other end, use in sinks when they stop draining.

Oh, that's happened to us rarely, when it does we free the nut at the bottom
of the S bend (the trap) to drain it then screw it back on. I've never heard
of a device such as the one you described - except for larger drains.
There's a company called DynoRod which uses some such, I believe, but we
maintain our own services.

> "This will
> help you pee!" (no kidding, the thought scares it out of me!)  The bend in
[quoted text clipped - 9 lines]
>
> Copper pipes and joints get soldered together with the heat of a torch.

Yes, but only a thin smear of lead free solder is used. We call the torch a
blow lamp (or a blow torch), usually. Compression joints are more widely
used these days, they have several advantages.

> The trick is to heat the copper above the melting point of the solder,
> which then flows into the joint space between pipe and joint.  This is
> called "sweat soldering".

It seems to be the usual confusion between our different usages of English
...  :-)

> Coming at my nethers with a butane torch would
> get me sweating.

Yes, it would be a trifle warm ... !

I was once offered cauterisation for a tiny lesion in my rectum. I declined.

Mary
I.P. Freely - 01 Jan 2006 01:55 GMT
"Mary Fisher" wrote>
>  prostate problems can be just as much a problem to wives as well as to
> men :-)

That's why my announcement for any PC talks I give invite "any person who
loves any man", 'cause it's often the PC patient's loved ones who drive him
off the couch and to the doctor to get checked. Both in my organized PC
discussions and in my impromptu PC bull sessions, I get more participation
from women than from men.

I.P.
Mary Fisher - 01 Jan 2006 14:50 GMT
> "Mary Fisher" wrote>
>>  prostate problems can be just as much a problem to wives as well as to
[quoted text clipped - 3 lines]
> loves any man", 'cause it's often the PC patient's loved ones who drive
> him off the couch and to the doctor to get checked.

We do tend to nag ...

> Both in my organized PC discussions and in my impromptu PC bull sessions,
> I get more participation from women than from men.

We do tend to talk a lot ...

... and ask ...

What's a 'bull' session? Can't be about bovine servicing, can it?

Mary

> I.P.
Steve Kramer - 31 Dec 2005 22:05 GMT
> Females post as well. There's probably more female lurkers. It's like
> peeking
> into the boys room at school. :)

I knew it!!!!  I wonder if Mrs. Foxx is still alive so I can show her.
J - 01 Jan 2006 00:45 GMT
> "J" <studras@anon.inv> wrote in message
>
> > Females post as well. There's probably more female lurkers. It's like
> > peeking into the boys room at school. :)
>
> I knew it!!!!  I wonder if Mrs. Foxx is still alive so I can show her.

I admit it. I'm Mrs. Foxx and I was peeking...
J
Brian - 31 Dec 2005 14:32 GMT
>> On Fri, 30 Dec 2005, Mary Fisher wrote: "J" <studras@anon.inv> wrote
>>  Gareth was posting with gareth.jefferson@dsl.pipex.com in October He
[quoted text clipped - 9 lines]
>
> Make that two.

Fixing computers
I never tried to break them
blame stupid haiku

a computer breaks
someone turned on the power
Windows is like that.

Hormone therapy
External beam, Seeds.
Prostate cancer sux!
J - 31 Dec 2005 11:09 GMT
> "J" <studras@anon.inv> wrote in message
> <snip>
[quoted text clipped - 4 lines]
> I'm sure be different. That's why I'd like to discuss it with someone from
> here.

Hopefully some of the UK'ers you emailed will reply to you by email or on
newsgroup.

> I know that what the American bc survivors talk about is still largely
> gibberish to me, after nearly eight years. I'm not daft either :-)

Maybe some of them are. :)

> Well, we'll have to wait and see. Even if it isn't malignant it seems that
> there are unpleasant processes to deal with it.

Well, I don't read every post, but for the most part, they seem to tolerate the
biopsies well.
A bit of soreness for a while.

> And in the meantime I've been bleeding for a few days and my research nurse
> isn't back at work until 4 January :-) Serves me right for not reporting it
> earlier. Like most people I'm good at urging others not to delay ... but I
> feel happier having taken the first step to control.

Sorry to hear you're having troubles but glad you're looking into it.
You seem "beyond" those years...

I think once you understand the basics and some of the acronyms, it won't be
too hard to follow along.  Actually it's much easier here. As far as I know,
there's only 2 types of prostate cancer and one is rare.

The treartments are similar to bc. Surgery, radiation therapy, brachytherapy
(seeds) and hormone treatment. One additional (choice) for older males who may
choose quality of life and "watchful waiting", if their PSA is slowly creeping
(not doubling) and their Gleason (a grading system) score is low.
http://www.phoenix5.org/menuprostate.html
The Gleason grading system [see diagram] assigns a grade to each of the two
largest areas of cancer in the tissue samples.  The two grades are then added
together to produce a Gleason score.

Another difference is that chemotherapy is usually only given after hormone
therapy fails.

As far as I know HIFU and cryotherapy are experimental.
Heather posted that a private clinic in Toronto charges $17,000. (Cdn) for
cryotherapy.
I know (of) one man who tired cryotherapy (UK'er) and it failed. Apparently his
cancer has spread.
Those two may be available in clinical tirals in yours or my country.

This is from a previous post
:A "high" PSA test result could quite likely be the result of BPH (benign
prostatic hyperplasia; it just grew), prostatitis, infection, ejaculation
within 24-48 hours prior to the blood draw, bike riding, a DRE, anything that
stresses the gland. /quote.
I believe some question the bike riding as being a cause of elevated PSA,
others agree.
Maybe it depends on size, location and type of bike seat or whether the chain
falls off?
I sure hurt myself as a kid, when that happened riding a men's bike. :) :(

So before going for a PSA check, avoid those or any activity that might
"stress" the prostate gland.
Oh and the biopsy as well can cause a bit of a jump, so they usually don't redo
a PSA for some time after a biopsy (is my non-expert understanding).

Hoping all goes well with the biopsy and nothing too serious about you either.
I'll be reading and popping in if you look too lonely here (not many replies),
after the hols.
J
PS Watch for corrections to my post, I usually don't get too involved here -
gets me in trouble. :)
Mary Fisher - 31 Dec 2005 15:07 GMT
>> "J" <studras@anon.inv> wrote in message
>> <snip>
[quoted text clipped - 10 lines]
> Hopefully some of the UK'ers you emailed will reply to you by email or on
> newsgroup.

Sadly my ISP has a problem and we're not able to get mail at the moment.
Some of us are getting fed up, there have been too many problems in the last
couple of weeks - but that's another story :-(  So to anyone who HAS mailed
and is wondering why they haven't had the courtesy of a reply I say that
we've been assured that mail is stacking up and will eventually flood in,
I'll read and reply appropriately then.

>> I know that what the American bc survivors talk about is still largely
>> gibberish to me, after nearly eight years. I'm not daft either :-)
>
> Maybe some of them are. :)

Well ... you said that, not me :-)

>> Well, we'll have to wait and see. Even if it isn't malignant it seems
>> that
[quoted text clipped - 4 lines]
> biopsies well.
> A bit of soreness for a while.

When Spouse had a prostate biopsy some years ago he passed out but he has an
unusual and so far un-named neurological problem in his lower half which
made him react unusually. He's been assured that this time he can have it
done with a ga.

> I think once you understand the basics and some of the acronyms, it won't
> be
> too hard to follow along.  Actually it's much easier here. As far as I
> know,
> there's only 2 types of prostate cancer and one is rare.

Aren't the other prostate conditions discussed here?

> The treartments are similar to bc. Surgery, radiation therapy,
> brachytherapy
> (seeds)

?

> and hormone treatment. One additional (choice) for older males who may
> choose quality of life and "watchful waiting", if their PSA is slowly
> creeping
> (not doubling) and their Gleason (a grading system) score is low.
> http://www.phoenix5.org/menuprostate.html

I'll look, thank you. although he's not all that old - 66.

> The Gleason grading system [see diagram] assigns a grade to each of the
> two
> largest areas of cancer in the tissue samples.  The two grades are then
> added
> together to produce a Gleason score.

Oh.

I think :-)

> Another difference is that chemotherapy is usually only given after
> hormone
[quoted text clipped - 7 lines]
> cancer has spread.
> Those two may be available in clinical tirals in yours or my country.

I've told him to ask about trials.

> This is from a previous post
> :A "high" PSA test result could quite likely be the result of BPH (benign
> prostatic hyperplasia; it just grew), prostatitis, infection, ejaculation
> within 24-48 hours prior to the blood draw, bike riding, a DRE, anything
> that
> stresses the gland. /quote.

Oo-er ...

> I believe some question the bike riding as being a cause of elevated PSA,
> others agree.
> Maybe it depends on size, location and type of bike seat or whether the
> chain
> falls off?
> I sure hurt myself as a kid, when that happened riding a men's bike. :) :(

We used to be racing cyclists but haven't ridden for a few years. I've never
heard that one! Cycling was supposed to affect his fertility but the only
thing which did that was a vasectomy :-)

> So before going for a PSA check, avoid those or any activity that might
> "stress" the prostate gland.

OK.

> Hoping all goes well with the biopsy and nothing too serious about you
> either.
> I'll be reading and popping in if you look too lonely here (not many
> replies),
> after the hols.

Thanks.
> J
> PS Watch for corrections to my post, I usually don't get too involved
> here -
> gets me in trouble. :)

LOL! I've been there, many many times :-)

Mary
Brian - 31 Dec 2005 15:26 GMT

> Sadly my ISP has a problem

> Aren't the other prostate conditions discussed here?

Generally, only so far as they affect or mimic cancer symptoms (e.g. BHP
can elevate PSA, and elevated PSA is a cancer indicator, but BHP is a
non-cancer prostate condition)

>> The treatments are similar to bc. Surgery, radiation therapy,
>> brachytherapy (seeds)
>
> ?

? indeed!  I've never heard of brachytherapy (seeds) employed for BC (then
again I haven't had BC yet).

Brachytherapy means short or brief treatment.  It involves "seeds".
Seed are two type:
1: titanium pills containing radioactive isotopes which
are inserted from the perenium into the prostate and left there
permanently; the seed itself has a half-life of 60 days +/1 so after a
year they're basically inert (this is getting spanked with a nuclear
porcupine).  This protocol is "LDR" (Low Dose Radiation)
2: the needles used in '1' above don't leave behind a pill, rather, a
plastic catheter is inserted into the wound channel and a *very* hot
radiation seed gets inserted for a short time (10 minutes) a few times
over a few days.  This is an atomic branding iron on the tumor.  After the
treatments, the catheters are removed and the wounds heal.  This is HDR
(High Dose Radiation) and leaves nothing in the body (ldr seeds are left
permanently).

> Oh.
>
> I think :-)

The lowest Gleason score is 0, the next lowest is 6 (since grades 1 & 2
are reported as 3), the highest is 10 meaning all cancer cells studied
were very different from normal prostate tissues, therefore their genes
are likely very messed up, meaning their response to any treatments is
unpredictable.

>> Another difference is that chemotherapy is usually only given after
>> hormone therapy fails.

scratch "hormone" read "preceding"; AIUI if the initial treatment fails,
then other salvage treatments come into play; if all has failed then
chemo comes into play. Both primary and salvage treatments may or may not
include hormones.  Hormone treatment may accompany chemo.

>> As far as I know HIFU and cryotherapy are experimental.

cryotherapy is a failed experiment, from all data I've seen.

> OK.

3 days avoidance should suffice, no need to be monk/nun
Mary Fisher - 31 Dec 2005 15:55 GMT
>> Sadly my ISP has a problem
>
[quoted text clipped - 50 lines]
>
>> OK.

All that is very interesting, thank you.

> 3 days avoidance should suffice, no need to be monk/nun

?

Mary
Brian - 31 Dec 2005 17:34 GMT
>> 3 days avoidance should suffice, no need to be monk/nun
>
> ?
>
> Mary

The context was avoiding actions that 'disturb' the prostate just before
a blood draw for a PSA test, changing the level of PSA.  Sexual activity
is on the list of "things that disturb the PSA level in the blood", so my
comment was that 3 days abstinence should suffice, no need for either of
you to join any Orders in order to leave the gland alone long enough for
the PSA test to be an accurate indicator of the normal and usual level of
PSA in his blood.
Mary Fisher - 31 Dec 2005 20:05 GMT
>>> 3 days avoidance should suffice, no need to be monk/nun
>>
[quoted text clipped - 9 lines]
> the PSA test to be an accurate indicator of the normal and usual level of
> PSA in his blood.

Oh. thanks, I think.

THREE DAYS???

I assume that doesn't include nights ...

Mary
J - 01 Jan 2006 00:44 GMT
> "Brian" <brian.brunner@verizon.net.prophet> wrote in message
> >
[quoted text clipped - 4 lines]
>
> I assume that doesn't include nights ...

That good eh? <smile>
J
Mary Fisher - 01 Jan 2006 14:51 GMT
>> "Brian" <brian.brunner@verizon.net.prophet> wrote in message
>> >
[quoted text clipped - 7 lines]
>
> That good eh? <smile>

So far.

Mary
> J
Brian - 01 Jan 2006 01:45 GMT
>> The context was avoiding actions that 'disturb' the prostate just before
>> a blood draw for a PSA test, changing the level of PSA.  Sexual activity
[quoted text clipped - 9 lines]
>
> I assume that doesn't include nights ...

24 + 24 + 24 = 72 hours in which Mr Willey is relieved of duty
entertaining the troops, and is to hold and pass water upon command and
nothing else.  He's not to stand at attention, nobody is to subject him to
such discipline as to cause him to barf, AT PARADE REST for 72 hours.

You two are cordially invited to make up for it after the blood draw, but,
please, not in the medical office.  Older folks will insist on whatever
your having, and that would take some explaining.
Mary Fisher - 01 Jan 2006 14:52 GMT
>>> The context was avoiding actions that 'disturb' the prostate just before
>>> a blood draw for a PSA test, changing the level of PSA.  Sexual activity
[quoted text clipped - 14 lines]
> nothing else.  He's not to stand at attention, nobody is to subject him to
> such discipline as to cause him to barf, AT PARADE REST for 72 hours.

<sigh>

> You two are cordially invited to make up for it after the blood draw, but,
> please, not in the medical office.  Older folks will insist on whatever
> your having, and that would take some explaining.

er - I thought we WERE the older folks.

Mary
J - 31 Dec 2005 20:05 GMT
> J wrote:
> >> The treatments are similar to bc. Surgery, radiation therapy,
[quoted text clipped - 5 lines]
> again I haven't had BC yet).
> [...]

aka internal radiation aka mommosite aka balloon
At least one had it, others have mentioned looking into it.
http://www.woodlandsonline.com/anps/anitem.cfm?AnnID=1315
http://www.mmhs.com/content/mammosite.asp Brachytherapy for breast cancer was
first performed in 1991

It's not mentioned on the BC Cancer website.
That tells me something since it's been availabe since 1991.

> >> Another difference is that chemotherapy is usually only given after
> >> hormone therapy fails.
[quoted text clipped - 7 lines]
>
> cryotherapy is a failed experiment, from all data I've seen.

agreed.
See what this says about HIFU please
I can't open Adobe files unless I know the size or # of pages first.
(dialup/low resources)
http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Genitourinary/Prostate/
HIFU.htm


J
J - 01 Jan 2006 00:54 GMT
> "J" <studras@anon.inv> wrote in message
>
[quoted text clipped - 3 lines]
>
> When Spouse had a prostate biopsy some years ago he passed out

with or without a local? If with local, which?

> but he has an
> unusual and so far un-named neurological problem in his lower half which
> made him react unusually.

In what way?
That's a worry...
It's of interest because of what happened to my Dad and information I"ve
collected, over the years.

> He's been assured that this time he can have it done with a ga.
Mary Fisher - 01 Jan 2006 15:08 GMT
>> "J" <studras@anon.inv> wrote in message
>>
[quoted text clipped - 5 lines]
>
> with or without a local? If with local, which?

Without. He was toldthat it could be a 'little uncomfortable'. We've learned
to interpret this as "could be excrutiating"

>> but he has an
>> unusual and so far un-named neurological problem in his lower half which
>> made him react unusually.
>
> In what way?

His reaction? He was in so much pain that he lost consciousness.He's a tough
man and usually can cope with acute pain which would worry most people. The
following day one of the nurses commented that he 'had a funny turn'. I
can't do with euphemisms :-(

He had almost as bad a reaction with lumbar punctures too.

All these were fruitless attempts to try to find/eliminate causes for his
condition. Eventually he had massive intravenous steroids which had
miraculous results but he still has chronic residual symptoms and pain for
which he takes analgesics as a form of pain management. He used to use a
TeNS machine too but hasn't felt the need for that for a couple of years.

At first he was admitted to the osteo ward but scans and x-rays found no
cause for his parasthesia so he was moved to the neurological ward where
every attempt was made to diagnose his condition. We're not complaining
about that.

We live with the remaining discomforts, in fact if they suddenly disappeared
he'd be worried ... while he hurts he lives :-)

> That's a worry...
> It's of interest because of what happened to my Dad and information I"ve
> collected, over the years.

What about your Dad?

Mary
Steve Kramer - 31 Dec 2005 13:57 GMT
And I thought I spent too much time here!  Do you sleep?

> Hello Steve, see insertions...
>
[quoted text clipped - 79 lines]
> Good luck. Hopefully, he's all clear.
> J
J - 01 Jan 2006 01:15 GMT
> And I thought I spent too much time here!  Do you sleep?

Only when I'm alone :)
J
Mary Fisher - 01 Jan 2006 15:08 GMT
>> And I thought I spent too much time here!  Do you sleep?
>
> Only when I'm alone :)

Difficult, isn't it? We need our sleep and yet ...

Mary

> J
Mary Fisher - 30 Dec 2005 13:05 GMT
> This newsgroup is occasionally visited by UK denisons, but maybe not often
> enough to have read this post.  Those that I know of are:
[quoted text clipped - 13 lines]
> You may want try them using their email addresses (some may be ficticious
> or vacant)

Thank you,

Mary
Steve Jordan - 31 Dec 2005 17:44 GMT
> I'm in Yorkshire, my husband hasn't been diagnosed yet but is nervous. I
> want to reassure him but from looking at web sites I've got the impression
[quoted text clipped - 4 lines]
> pond. He'll be going for blood test results in a few days.
>  
UsToo! International is a PCa support group with many chapters
worldwide, including seven in the UK.

See: http://www.ustoo.com/chapter_nearyou.asp

I hope that this is all superfluous and the test results are good news.

Regards,

Steve J
Mary Fisher - 01 Jan 2006 15:15 GMT
> UsToo! International is a PCa support group with many chapters worldwide,
> including seven in the UK.
>
> See: http://www.ustoo.com/chapter_nearyou.asp

Thank you, the closest branch is quite a way from us (in English terms!) but
I've saved the url and shall keep consulting it.

> I hope that this is all superfluous and the test results are good news.

Of course. But it doesn't do any harm to be pepared - and anyway it's all
very interesting.

Mary
 
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