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

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OT? Neg bone scan and an question.

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juniper - 09 Feb 2006 20:45 GMT
YEAH!  The bone scan is negative for mets.  Could be worse!

There is something.  Has anyone ever heard of this?  From the bone
scan: "There is a question of urine contamination over the scrotum."

Thanks,
laurel
Gordy - 09 Feb 2006 23:38 GMT
> YEAH!  The bone scan is negative for mets.  Could be worse!
>
[quoted text clipped - 3 lines]
> Thanks,
> laurel

If the technician had half a brain s/he would have had you pull down
your pants and underwear and covered you with a sheet.  If you urinated
after they injected the radioactive juice and got a drop or two on your
underwear, it would show up on the scan.
tripperc - 10 Feb 2006 00:52 GMT
Had my bone scan yesterday.  Technician noted the 'dark' area on the
tip of my pelvis.  Had me go clean myself thoroughly to ensure there
was not any urine cnotamination.  Repeated the scan in a clean gown and
also used additional viewing angles.  Unfortunately for me, same
result.  But we'll see what the Doc's have to say.
I.P. Freely - 10 Feb 2006 01:05 GMT
> Had my bone scan yesterday.  Technician noted the 'dark' area on the
> tip of my pelvis.  Had me go clean myself thoroughly to ensure there
> was not any urine cnotamination.  Repeated the scan in a clean gown and
> also used additional viewing angles.  Unfortunately for me, same
> result.  But we'll see what the Doc's have to say.

Damn, Trippr ... that's not good. Let's hope it's just a broken pelvis, or
at least locally treatable.
I was shown a guy's bone scan which had black spots by the dozens all OVER
his skeleton; THAT was frightening even on an anonymous chart.

I.P.
Steve Kramer - 10 Feb 2006 01:15 GMT
I'm not a doctor, but there are often other causes of dark spots and your
numbers would seem to make a bone met unlikely.

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

> Had my bone scan yesterday.  Technician noted the 'dark' area on the
> tip of my pelvis.  Had me go clean myself thoroughly to ensure there
> was not any urine cnotamination.  Repeated the scan in a clean gown and
> also used additional viewing angles.  Unfortunately for me, same
> result.  But we'll see what the Doc's have to say.
tripperc - 10 Feb 2006 04:17 GMT
Steve, I agree.  The technician asked if I had bruised my tailbone by
falling,  broken any bones, arthritus, etc.  So there are definitely
other reasons for the 'dark' spots.  I have my first consultation with
my radiologist tomorrow and back to my uroligist on Tuesday.  We'll
see.

Along with my bone scan yesterday I had a CT scan and x-rays.  Just
curious.  I had an injection first thing for the bone scan, then drank
lots of chemically induced flavoed orange juice stuff for the CT scan
and had another injection just prior to the CT (the hot dye stuff
that's warms you up), had my x-rays and went to lunch.  Returned later
for the bone scan.  Seems like a lot of different stuff in my body.
Are there interactions between these various 'nuclear' stuff that might
confuse the results as well?

Laurel, I hope I didn't come across as being negative.  I was just
trying to give you a different experience.  As Steve said, there are
lots a reasons for the dark spots.  Thanks all.
I.P. Freely - 10 Feb 2006 04:25 GMT
>  The technician asked if I had bruised my tailbone by
> falling,  broken any bones, arthritus, etc.  So there are definitely
> other reasons for the 'dark' spots.

Absolutely. Any bone injury or pathology (e.g., the arthritis) within the
past few years can cause dark spots. My lab tech seemed alarmed until I
laughed and pointed at my black broken ribs and shoulder separation, both
many months old. I assumed by your silence that you couldn't explain the
pelvis spot.

I.P.
juniper - 10 Feb 2006 04:35 GMT
> Steve, I agree.  The technician asked if I had bruised my tailbone by
> falling,  broken any bones, arthritus, etc.  So there are definitely
> other reasons for the 'dark' spots.  I have my first consultation with
> my radiologist tomorrow and back to my uroligist on Tuesday.  We'll
> see.

Yes, he has some areas that are "consistent with degenerative process"
but not with mets.  I think whoever said the drop of pee was right.
Just odd that they'd even mention it like they did.  Steve expected to
put on a gown, but they did it in his overalls.

> Laurel, I hope I didn't come across as being negative.  I was just
> trying to give you a different experience.  As Steve said, there are
> lots a reasons for the dark spots.  Thanks all.

You definitely did not come across as negative. I only felt sorrow that
you had that result, and I hope it is nothing.  Funny how arthritis
sounds good in a situation like this.

The CDs are cool.  From what I can tell (curious or nosy, take your
pick.  I prefer 'curious') Steve's picture doesn't look like the ones
I've seen online with mets.  We see the onc and the rad on Wednesday,
so its good there's no big wait for professional input.  Also, its
GREAT to have a doctor.  Although Steve said tonight that the uro we
originally saw was the best doctor we could have had.  It forced us to
take charge.  And to learn.  Otherwise he would have just done whatever
they said and perhaps spent the rest of his life wondering.  Now he
feels confident that he will make his own decision, for himself, and
handle whatever turns out from HIS decision.  Although I have to say as
bad as it gets some days, that 2 weeks or whatever that we had no doc
at all bothered me the most.  Not the sort of thing you want to do
without professional help.

I know Steve hasn't written on here, and its kind of odd that the wife
is doing it, but we have different skills and it just so happens that I
have 90% of the computer comfort.  Thank you all.  I am so grateful, it
feels too big for words so I don't say it at all.  But I feel it with
every word you write.  All of you.
Steve Kramer - 10 Feb 2006 11:24 GMT
> I know Steve hasn't written on here, and its kind of odd that the wife
> is doing it, but we have different skills and it just so happens that I
> have 90% of the computer comfort.  Thank you all.  I am so grateful, it
> feels too big for words so I don't say it at all.  But I feel it with
> every word you write.  All of you.

Don't let that bother you.  And, you are not alone.  Many women post here
and almost none of their husbands to.  As a matter of fact, I can only thing
of one husband and wife who both post.

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

tripperc - 10 Feb 2006 19:42 GMT
Just returned from my Oncology Radiaoligist's consultation.  He was not
concerned at all by the minor 'dark' spots on my bone density tets.  He
did confer with his pertner and they both agreed that the location was
unusual for a met and that it was so small they doubted they could even
do a biopsy.  He recommended surgery vs. RT (his specialy).   Funny,
how we relieved you get when you know you have 'only' prostate cancer.
My Uroligist's wife just had a baby so had to push my next appointment
to the 20th.  Not out of the woods by any means, but real positive
we'll conquer this in the very near term.  Thanks for all your guidance
and advice.  Laurel, wishing you and your hubby get at least this much
good news.......
Steve Kramer - 10 Feb 2006 19:57 GMT
> Just returned from my Oncology Radiaoligist's consultation.  He was not
> concerned at all by the minor 'dark' spots on my bone density tets.  He
> did confer with his pertner and they both agreed that the location was
> unusual for a met and that it was so small they doubted they could even
> do a biopsy.  He recommended surgery vs. RT (his specialy).   Funny,
> how we relieved you get when you know you have 'only' prostate cancer.

There's a big difference between prostate cancer and advanced prostate
cancer.  The latter is terminal.  I never had much of a doubt, of course,
but it is still great news.  And, with your rad's recommendation, sounds
like you're closer to a decision on treatment.  That, too, is good news.

I would spend the next ten days reading and writing questions.  I suspect by
the 21st, you'll have made your decision.

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

John Loomis - 11 Feb 2006 01:24 GMT
Hello Steve,
   Life is terminal.  I just went to a service for a friend of mine, and a
lady.....She passed away suddenly and was 52.  We had a nice service and
wished her ashes into the Pacific Ocean.
I saw her last week and she gave me a big hug, and we met with her and her
husband at a Walmart.  The store is 75 miles away from home, since we drive
to the "Big City to Shop".
Of course the lady never shops at Walmart, and me either.....What a
coincidence. she said, get a cart Johnny, you need that here.....So, after a
few more runs around the isles, and my arms were full of inexpensive
clothing, I got a cart.......Then I ran into Kathy again....She laughed, and
said, see, you need a cart......
Anyway it was a funny meeting and visit, only to go to her service the
folowing week....
You are a fighter, and appreciate your inputs...
I am a survivor and a fighter.
I do not like to go to Dr.s.
I know so many people that refuse to go and get sliced, diced, radiated,and
prescribed....
I wish it were easy for me to go....
I go to the dentist, and then from there, I stop.
I run, work hard, try to eat nutritious foods.
I take vitamins, and such.
I called my Dr. the other day in a far away city to get Viagra........He
said don't you have a Dr. Local.  " I said, no, "and he could give me that
prescription if I drove 400 miles, and saw him...
I was purturbed...So, now I have to find a Dr. that can prescribe
viagra......here in a small town...
I give, I am 56, getting ready to go to New Zealand for a month starting
March 1st.
I have decided to not use viagra, and let it be al la natural.  I am getting
tired of the expense also.....100 mgs for 115.00.
I cannot believe that.
I have vented,
Thanks for your ear.
John Loomis

>> Just returned from my Oncology Radiaoligist's consultation.  He was not
>> concerned at all by the minor 'dark' spots on my bone density tets.  He
[quoted text clipped - 10 lines]
> I would spend the next ten days reading and writing questions.  I suspect
> by the 21st, you'll have made your decision.
Alan Meyer - 11 Feb 2006 21:03 GMT
...
> I was purturbed...So, now I have to find a Dr. that can prescribe viagra......here in a
> small town...
...
Hi John, if your former doctor is in another state, he probably doesn't have
a license to prescribe in your state and a pharmacy might not honor his
prescription - or might report him to the authorities.  The Doc is probably
just trying to follow the rules.
...
> I have decided to not use viagra, and let it be al la natural.  I am getting tired of
> the expense also.....100 mgs for 115.00.
> I cannot believe that.
...
I figure that breaks down as:

 $75 profit
 $25 advertising and marketing costs.
 $5 recouping the cost of research and development.
 $5 in further R&D
 $3.02 for distribution.
 $1.98 for manufacturing

Well, I confess that I made up those numbers.  But I bet the manufacturing
part of the cost isn't much different from what I said.

Have a great time in New Zealand.  It's a place I've always wanted to
visit.

   Alan
juniper - 11 Feb 2006 13:55 GMT
Oh, what a blessing, tripper.  Glad to hear it.
> Just returned from my Oncology Radiaoligist's consultation.  He was not
> concerned at all by the minor 'dark' spots on my bone density tets.  He
[quoted text clipped - 7 lines]
> and advice.  Laurel, wishing you and your hubby get at least this much
> good news.......
juniper - 10 Feb 2006 00:59 GMT
> If the technician had half a brain s/he would have had you pull down
> your pants and underwear and covered you with a sheet.  If you urinated
> after they injected the radioactive juice and got a drop or two on your
> underwear, it would show up on the scan.

What a relief.  I had images of a torn bladder, or something.
 
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