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

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Touching Base re Cryo

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Canada Bob - 16 May 2006 01:19 GMT
Hello Steve {Kramer).

Bet you never thought you'd hear from me again :-)

Anyway, a couple of folks have tracked me down in the last couple of
months asking about Cryo, how I'm doing etc, one of them sending me a
cut and paste of a comment from you regarding my PSA being as high as
it was prior to the little op' (if I can call it that).

Don't get me wrong Steve, I'm not here to critique your comment, just
to put the record straight and give hope to folks who may want to
consider cryo...

I had my little op' in October 2004 (so I guess I'm a survivor) :-) at
the time my PSA was 4.6
and the biopsy showed 6 out of 6 cores all positive (how lucky is that
:-( with a score of 3+4.

I guess I should add the other stuff, I was 56 at the time, and hadn't
had any symptoms at all, just found out from a random PSA test, what a
shocker that was...

The op was a breeze, except 4 days later my bollocks looked and felt
like the Graf Zeppelin !
That was a hellish experience for 4-5 days, but before I knew it things
were back to normal.

The only downside to it all was the catheter, I hated it, it was in for
3 weeks, no big deal really, I just felt sorry for myself being piped
up and lugging it all around.

When they took it out (no problem with that) I was fine, never had a
problem passing water.

I've had PSA tests done after 1 month, then every 3 months, they went
like this from first to the latest... 0.2  0.18  0.25  0.33.  0.31 0.44
0.27 so there has been some fluctuations, but as they say PSA  don't
mean you have cancer, the consultant over here tells me it's more
likely to be a very slight regeneration of the prostate.

There was a bit of concern though when the PSA reached 0.44 so I had a
PET Scan, now that's advanced stuff, it actually looks at the activity
of any cancer that you might have, a whole body scan this was... That
came back with an "all clear" no sign of any active cancer cells
anywhere in my body, what a relief.

Not sure about the availablity of Pet Scans in the U.S. no doubt they
have them, but I'd guess there aint many of them yet. Other than that
there's a new test (out of Montreal) that they say is way better than
any of the PSA tests, but again availability of it is limited.

As far as how I am, well... bright eyed and bushy tailed, feel great,
but I still look over my shoulder, I have this feeling that once (any
type of) cancer has had a run at you that you're kind of susceptible to
it making a come back, well maybe not the same type of cancer, but a
cousin to it, just my own way of thinking, nothing statistical, more
like walking under ladders :-(

Other than that the only impact on my life was my pony had a broken
neck for almost a year, but I didn't give a damn about that, I was just
happy to be alive, I had no intention of stressing myself out over that
one. Then out of the blue, I woke up one morning and there he was,
almost ready to gallop, boy was that a shock. Over the months things
have got back to normal on that front, still feel the same way though
Steve, I'd have been happy to trade in erections to stay on the planet
a little longer.

Seems that I'm not alone in most if not all of the above experiences,
the Hospital I went to Sunderland Royal, in the N.E. of England have
done around 100 folks so far, I don't know if any of them that have
died in the 2-3 years since Sunderland Royal have been doing Cryo, and
I see most of them at PCa meetings, (word of a death would sure leak
out) 3-4 times a year, that and I keep closer contact with some of them
by e-mail and phone.

If one thing is different for me it's the bounces I've had, few of them
have had that, plus most of the others have has lower PSA's than I've
had, but again PSA is a rough guide not a certainty, if you know what I
mean.

All in all Steve I am very happy with how things have gone for me, in
fact I'm thrilled.

I wouldn't dare tell anyone "this is the way YOU have to go" I dropped
out of here due to the heat that gets generated in the debates and I
see folks are still chewing each other up in here :-(

This is just a flying visit to put the record straight, and to give
folks who are considering Cryo some hope (at least), that and to give
you my best wishes Steve, often thought about how you might be doing,
I'm glad you're still around and ahead of the game.

If anyone ever needs any further & betters on Cryo or even HIFU (HIFU
would have been my first choice except for the calcium build up I had
in the prostate), just drop me an e-mail, I'm not that hard to find. I
consider both treatments worthy of consideration, to say the least, at
this point there has been no impact on the quality of my life at all,
before I forget, no incontinence (at anytme) or any other side effects
either.

All the Best Steve, been a pleasure to touch base with you...

Canada Bob.

PS near forgot... I do take statins every day, and celebrex, they may
be playing a role, who knows...
Steve Kramer - 16 May 2006 01:52 GMT
> Hello Steve {Kramer).
>
> Bet you never thought you'd hear from me again :-)

I took you at your word.  :-)  But, I'm glad you're back.

We've had interest in HIFU and you were the preeminant expert.  I told
people that, due to calcification, you didn't qualify, but you had
researched it.  We now have MikeHi, but two are better than one.

> Anyway, a couple of folks have tracked me down in the last couple of
> months asking about Cryo, how I'm doing etc, one of them sending me a
> cut and paste of a comment from you regarding my PSA being as high as
> it was prior to the little op' (if I can call it that).

I don't recall telling them you had a high PSA.  But, if I did, thanks for
clarifying it.

> Not sure about the availablity of Pet Scans in the U.S. no doubt they
> have them, but I'd guess there aint many of them yet.

About ten years agao, my sister worked at one of the larger hospitals in
Cincinnati.  Her job was scheduling PET Scans.  I think most of the
hospitals around here have them by now.

> This is just a flying visit to put the record straight, and to give
> folks who are considering Cryo some hope (at least)

I'm glad you did.  You and Dan Dubosky are the only two Cryo success stories
here.

> and to give
> you my best wishes Steve, often thought about how you might be doing,
> I'm glad you're still around and ahead of the game.

I'm fighting the bastard.  Right now, I'm looking at pushing up daisies
about 2012 and the cure coming about 2015.  Still trying to figure out how
to narrow that three-year span.
John Loomis - 16 May 2006 03:09 GMT
Hello Steve,
   I was hoping for a longer outcome......?
2012.........I would fight like a dog, and push those results much farther.
I hear many cures, and ailments are affected by motivation.
I am no person to give a sermon, and only a friend.  Believe in the
impossible, love your family, enjoy every day.   Walk, talk, and Thank You
for being here....
John Loomis survivor......PSA is coming Aug. 2006.  hum.......
I roll the dice.....is it boxcars, or 7 and 11.
I just want less than 0.01.   I will find that when my turn comes up.

>> Hello Steve {Kramer).
>>
[quoted text clipped - 34 lines]
> about 2012 and the cure coming about 2015.  Still trying to figure out how
> to narrow that three-year span.
Steve Kramer - 16 May 2006 11:29 GMT
Don't get me wrong, John.  I figure there are to things going to reduce that
gap.  One, is me fighting the bastard inside me.  Two is the
medical/scientific aparatus fighting it in general.  Together, who knows?

And, really , no one knows how long I have anyway.  A couple of years ago, I
had a 50/50 change of living another ten.  My window is more realistically,
2009 to 2015, I think.

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,
2/06
PSA  .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum

> Hello Steve,
>    I was hoping for a longer outcome......?
[quoted text clipped - 46 lines]
>> about 2012 and the cure coming about 2015.  Still trying to figure out
>> how to narrow that three-year span.
dave481 - 16 May 2006 06:17 GMT
>I'm fighting the bastard.  Right now, I'm looking at pushing up daisies
about 2012 and the cure coming about 2015.  Still trying to figure out
how
to narrow that three-year span.<

Steve, I guess I've missed some posts or don't understand. How did you
get those dates? I'm not being critical, but isn't that a little
specific?

your friend
David
Steve Kramer - 16 May 2006 11:34 GMT
> >I'm fighting the bastard.  Right now, I'm looking at pushing up daisies
> about 2012 and the cure coming about 2015.  Still trying to figure out
[quoted text clipped - 4 lines]
> get those dates? I'm not being critical, but isn't that a little
> specific?

Yes, Dave.  Unrealistically specific.  I'm basing the 2012 on what I've read
over the years, my oncologist's estimate in 2002, and my cancer's overall
progress.  Like I said, I could be off by a few years.

As to the cure, that to is far too specific.  Fortunately, all the things
that have to occur before the cure is had, the critical path if you will,
have, to date, occurred quicker than expected.  For instance, the Genome
Project.  I think it was supposed to be completed in 2005, but actually came
in about 2002.  After that, they thought it would take several years to find
the specific combination of DNA that cause PCa.  But, they already found
them and there is no combination.  There are two, and either one can cause
it.  So, maybe the cure will be 2012.

I am not fatalistic.  But, I am realistic.  I hope for better and am
satisfied with what is.

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,
2/06
PSA  .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum

juniper - 16 May 2006 15:44 GMT
> --
> PSA 16 10/17/2000 @ 46
[quoted text clipped - 7 lines]
> PSA  .07 .05 .06 .09 .08 .132
> Non Illegitimi Carborundum

Steve, when is your next PSA?
I guess we're following your path on this, with a little detour for
failed chemo.  Well, our margins weren't neg.  The doc is waiting for
another MRI w/spectroscopy, but he found so much prostate tissue he
might want to do IMRT followed by seeds in the remaining bed.  Uck.
Steve Kramer - 16 May 2006 23:10 GMT
June.

I think the 19th.

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,
2/06
PSA  .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum

>> --
>> PSA 16 10/17/2000 @ 46
[quoted text clipped - 13 lines]
> another MRI w/spectroscopy, but he found so much prostate tissue he
> might want to do IMRT followed by seeds in the remaining bed.  Uck.
Alan Meyer - 17 May 2006 18:02 GMT
> ...  Well, our margins weren't neg.  The doc is waiting for
> another MRI w/spectroscopy, but he found so much prostate tissue he
> might want to do IMRT followed by seeds in the remaining bed.  Uck.

Laurel,

Have you been given any explanation for why there was so much
prostate tissue remaining?  Was this ever discussed with the surgeon?

I once consulted with a radiation oncologist who was recommending
radiation over surgery.  He said, "the surgeon thinks he got all the
prostate tissue out, but he can't know that for sure."

   Alan
juniper - 18 May 2006 05:49 GMT
> Have you been given any explanation for why there was so much
> prostate tissue remaining?  Was this ever discussed with the surgeon?

No, we just got the DRE last Wednesday (I think) from the rad onc.
Then Monday he did the ultrasound.  Today it was a MRI (not
spectroscopy as I thought) at SimonMed.  (Not related to either
doctor.)  As far as talking to the surgeon, I cannot recall ever
saying, "Are you sure you got it all?"  He seemed sure.  What can I
say?  We haven't seen him for over a month.  Scheduled to go back in
June for the final bye-bye.

> I once consulted with a radiation oncologist who was recommending
> radiation over surgery.  He said, "the surgeon thinks he got all the
> prostate tissue out, but he can't know that for sure."

This rad onc said he sees it all the time.  Steve waited today for a
copy of his films, but the report isn't done yet.  The films are very
interesting but fairly meaningless.  Well, I can tell his thigh bones.
And a few other structures...

I'll let you know what the MRI report says about the remaining tissue.
What do you think there might be to discuss with the surgeon, now that
the surgery is completed?  Before surgery, the agreement was to take it
all, even if he found mets.  He said he probably wouldn't be able to
spare any nerves.  Which he has waffled on, as to whether he did or
not.  

laurel
juniper - 18 May 2006 06:08 GMT
> Have you been given any explanation for why there was so much
> prostate tissue remaining?  Was this ever discussed with the surgeon?

No, we just got the DRE last Wednesday (I think) from the rad onc.
Then Monday he did the ultrasound.  Today it was a MRI (not
spectroscopy as I thought) at SimonMed.  (Not related to either
doctor.)  As far as talking to the surgeon, I cannot recall ever
saying, "Are you sure you got it all?"  He seemed sure.  What can I
say?  We haven't seen him for over a month.  Scheduled to go back in
June for the final bye-bye.

> I once consulted with a radiation oncologist who was recommending
> radiation over surgery.  He said, "the surgeon thinks he got all the
> prostate tissue out, but he can't know that for sure."

This rad onc said he sees it all the time.  Steve waited today for a
copy of his films, but the report isn't done yet.  The films are very
interesting but fairly meaningless.  Well, I can tell his thigh bones.
And a few other structures...

I'll let you know what the MRI report says about the remaining tissue.
What do you think there might be to discuss with the surgeon, now that
the surgery is completed?  Before surgery, the agreement was to take it
all, even if he found mets.  He said he probably wouldn't be able to
spare any nerves.  Which he has waffled on, as to whether he did or
not.  

laurel
Canada Bob - 09 Jun 2006 20:16 GMT
Just a quick update to respond to a few folks {at one go} re the Cryo
that I had...

Some folks are quite concerned about the quality of life after Cryo {or
the alternatives}.

I've had a good few e-mails in the last few weeks. I've responded to
them all, but it comes to mind that there's other folks with the same
concerns who don't drop me a line for one reason or another, so here's
the scoop on where Cryo is at, at least here in the Untidy Kingdom.

I was back at Sunderland Royal a couple of weeks ago and they did a
whole host of tests on me, you name it, they did it, including the PSA
test which came back at 0.37 down some 16% from the last one I had at
0.44.

These readings may seem high compared to other {shall I say}
conventional treatments, but that simply reflects the nature of the
treatment. It seems that they take a great deal of concern {more than
we might normally be afforded} and they try their best to preserve a
mans dignity / quality of life by being as conservative as possible
with the extent of the freezing, yet being mindful of the job that
needs to be done {to kill the cancer}.

It seems that due to their experience of freezing the whole damned lot,
that if they combine PET scans {before the Cryo} they can tell with a
high degree of accuracy where the cancer cells and the tumours are. If
they don't occupy the whole of the gland they treat the part that is
{can I call it} infected, doing just a reginal freeze to -50C.

The reason for this is they are doing their best to save men from
impotence and also from
incontinence {even though the latter hasn't been much of a problem with
Cryo, less than 2% they say}.

So the methodology now is to check before the Cryo by PET and
everything else available to them, if they are as good as certain that
a regional/zone treatment will be effective then that's what they do.

I still would have preferred HIFU though, but due to a calcium build up
it wasn't an option for me. Both Cryo & HIFU are pretty well non
invasive, some folks stay just a day in hospital, and after a couple of
weeks to put up with the catheter you're right as rain.

Both Cryo & HIFU can be done under a local anaesthetic, so there's less
cause for concern there, plus with either one you don't finish up with
a scar the length of England ! These things meant more to me than other
concerns, I've already had a heart attack and I didn't fancy being "out
of it" for 3-5 hours having a slice and dice operation.

Anyway, I've digressed, apologies for that, I was on about the PSA
level, some folks tend to forget that PSA isn't {in itself} a sign of
prostate cancer, so just because you may have had PCa and then {no
matter what option you took} you find you have a PSA reading, it don't
mean that much {on it's own} depending on the option you went for.

Cryo will leave you with some prostate cells, not many, but some, and
they will, as is their want, produce some PSA, kind of in a ratio to
what normal healthy cells would produce. Like normal healthy prostate
cells they will produce more PSA some days than others, so you will get
a fluctuation rather than a steady 0.000 {lets say}.

Fact is, they feel that the fluctuations that I've had in the last 18
months are a good sign, sort of mirrors what normal healthy prostate
cells would be doing day to day, there's no trend at all, just a
fluctuation. The lowest I ever had was 0.18 average has been 0.3 and
the highest 0.44 back down now to 0.37.

If the PSA starts to trend above what residual {healthy} prostate
cancer cells would produce then you may need a back up plan. For me I
swear by low dose Celebrex, but that's only for me to hang my hat on,
some folks are happy taking Celebrex, other wouldn't touch it with a
barge pol}, to each his own.

IF you you are concerned about loss of your dignity {incontinence} then
either Cryo or HIFU are well worth consideration, if it's the {so
called} quality of life {impotence} then
you can opt for a regional / nerve sparing option with Cryo. Or like
me, if you're more concerned about maintaining your life than
maintaining your erection you can have the Full Monty, and if luck is
on your side you'll wake up a few months down the line with a surprise.

I've always said {before and after the Cryo} that it troubles me to see
what a lot of men {at our age, I'm 58} put themselves through, worrying
about their "manhood" sigh...
It's bad enough to have to face a battle with cancer without
stigmatising yer psyche.

I hope that this helps folks know a little more about Cryo & HIFU and
although I won't be posting in here on a regular basis, it's easy
enough to find me, and I'll give my best shot to anyone who needs any
help or any further and betters.

All the Best,

Canada Bob.
Canada Bob - 16 May 2006 14:18 GMT
Hello Steve...

Having lost contact with you I'm shocked to hear you speak of your
considered demise in 2012 or any other year.

I don't know if there's been a big change in your situation or what ?
is there ?

Not sure if you considered celebrex, I have a lot of faith in it, might
be worth your checking out, it's being promoted
over here in several hospitals to combat cancer.

The PET scans are very accurate {as long as they give you the right
isotope}, the PET scans display the activity of
the cancer and that tells them more than other scans where all they may
see is the size and shape of what may be
a dormant cancer.

I can't figure out why there aren't more folks showing up in here that
have had Cryo, I chat with a guy in California who had Cryo,
he's doing well, but he doesn't "talk" about it.

Add to that I've met at least 60 guys on a fairly regular basis here in
the Untidy Kingdom who have had Cryo, most of them at
Sunderland Royal. I think they started doing Cryo there in 2003 and as
mentioned I've never heard anyone speak of a death.

I've heard of 3 men that for one reason or another have had repeat
Cryo. Other than that even though I'm happy with my outcome
I'm on the higher end of the scale as far as residual PSA is concerned,
that unnerved me at first, but I now accept that PSA isn't an
absolute as to if you have cancer or not, and it was a BIG relief when
the PET scan didn't find anything, so I soldier on.

There's some thought that me being on the younger side {58 now} may be
the reason for the recovery of the nerves, and some miniscule
part of the prostate. The guy who did the Op did try to spare the
nerves {even though I told him my only concern was to zap the whole of
the prostate, to make sure they got the cancer cells}.

I'll have to talk to some of the guys at the next meeting to see why
they don't post in here, may be a cultural thing, the Brits can be as
reserved
as the reputation they have {except for me, grin}.

Same thing with the HIFU over here done at Stepping Hills Hospital, in
Stockport near Manchester, there must be at least another 100 from
there,
but they don't seem to appear of the web anywhere either. Same thing
for France & Germany, there's thousands of HIFU & Cryo folks there, and
beyond,
but few if any ever show up here, how's that ? I expect there's a
language barrier for some of them, but I think it's more a cultural
thing that keeps them from
posting about their experiences.

It's a pity that they don't contribute, folks could benefit from
knowing how they are doing and how they feel about it all. The thing
that makes it worse is the
less folks hear about it, the less chance they will consider it, and
although HIFU would always be my first choice {the option I couldn't
take, due to the calcium
build up}. I'm glad that Cryo was an option for me, and that I didn't
go under the knife {that's just my preference}, although having said
that 2 guys I got to know
over here that had the RP both died within 2 years {due to the spread
of the cancer}. That proves nothing statistically Steve, but "close
encounters" weigh heavily
on the mind.

At the end of the day Steve there are so many variables, age, PSA,
Gleason scale etc etc, what works best for one guy certainly wouldn't
be the best option for another.

I see folks are still "going for each others jugulars" in here,
insisting that anyone who doesn't take the same route that they have
chosen will "rot in hell" or was it "rot in the ground", sigh.

Cor Blimey ! I'm glad I can see the unintended humour in that, I'm on
the "other side" I don't now have to sweat it out, I've taken what was
available for me, and I'm happy
with where I'm at, but I wouldn't want to be one of the guys who's
under intense pressure trying to figure out how he might save his life,
and reading stuff like that.

Far as I know I'm the only one who's {posted in here} wishing he'd had
an alternative treatment HIFU vs Cryo. All things being equal I'd
advise folks to go for HIFU over Cryo anytime, the non invasive thing
{of both} appealed to me, HIFU has fewer potential side effects than
Cryo, particularly the impotence thing, afterall none of us want to
loose it just for the hell of it.

I'd welcome any questions that folks might have, if I can help anyone
then I will, but my orbit {in and out of here} is complete, I don't
fancy being caught in the gravity of the forum nor burning up in the
atmosphere that sometimes prevails :-)

Contact by e-mail is welcome from anyone, anytime...

All the Best,

Canada Bob.
Steve Kramer - 16 May 2006 23:11 GMT
> I don't know if there's been a big change in your situation or what ?
> is there ?

Acceptance isn't all that hard once you get the ball rolling, but it came
incramentally to me.  I think I was about 1975 when I accepted that I was
going to die.  When my PSA went up after SRT in 2003, I accepted it was
going to be from prostate cancer (at which time I was actually surprised
that I survived 1975 to 1993).  I'm not sure when I accepted the timeframe.
I think it was when I posted that my uro was putting me on HT and that there
was a rare chance that would get the remaining cells.  "Ron" or "ron"
replied elloquently, but the message was "bull sh.t!"

So, based on RRP in 2000, SRT in 2002, HT in 2003, I added 8 (seems about
average) plus one for modern medicine and I took 2012 in the family pool.

> The PET scans are very accurate {as long as they give you the right
> isotope}, the PET scans display the activity of
> the cancer and that tells them more than other scans where all they may
> see is the size and shape of what may be
> a dormant cancer.

I understand they are.  Christ Hospital (here in Cincinnati) and a double
scanner, a combined PET and CAT that is supposed to be remarkably accurate.
I'm sure I'll find myself inside it at some point in the future.

> I can't figure out why there aren't more folks showing up in here that
> have had Cryo, I chat with a guy in California who had Cryo,
> he's doing well, but he doesn't "talk" about it.

The cryo folks on this NG, aside from you and Dan, have had miserable
experiences.  Of course, there isn't a whole lot of 20-year data on it
either.

> At the end of the day Steve there are so many variables, age, PSA,
> Gleason scale etc etc, what works best for one guy certainly wouldn't
> be the best option for another.

Aint it the truth!

> I see folks are still "going for each others jugulars" in here,
> insisting that anyone who doesn't take the same route that they have
> chosen will "rot in hell" or was it "rot in the ground", sigh.

You probably missed the context, but it was "rot in the ground."  I would
not have said "rot in Hell".   That would have been...  well, .... that
would have been what I was accused of having said.

> Far as I know I'm the only one who's {posted in here} wishing he'd had
> an alternative treatment HIFU vs Cryo.

Actually, I would have loved to have had a choice.  There just aint none at
46.  I don't know what I would have chosen, but sex would have been a strong
influence.

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,
2/06
PSA  .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum

Alan Meyer - 17 May 2006 18:10 GMT
> ...
> I'll have to talk to some of the guys at the next meeting to see why
> they don't post in here, may be a cultural thing, the Brits can be as
> reserved
> as the reputation they have {except for me, grin}.
> ...

I recall that years ago Brits and Europeans had to pay for communications
by the minute.  Here in the U.S. it's typically fixed rate by the month.  I
now have TV, phone and Internet service all over a single cable that gives
me high speed Internet plus calling to any place in the U.S. or Canada for
a fixed monthly charge.

Are you still paying per minute of access over there?  Is that what
inhibits people from using the net?

   Alan
Clarence Crow - 18 May 2006 01:15 GMT
<snip>

>Are you still paying per minute of access over there?  Is that what
>inhibits people from using the net?
>
>    Alan

Perhaps they play in different Sandboxes to you guys ;)

-- Reader to complete...
-- Please reply to this ng as my email adress is fake:

-- Regards

-- CC
juniper - 16 May 2006 03:25 GMT
THANKS for sending us this missive, Bob.  And best wishes to you,
sounds like you are on the right side of the curve.  Your style will
trump a <1 PSA any day.  laurel

<everything in the whole world>
Canada Bob - 16 May 2006 14:20 GMT
> THANKS for sending us this missive, Bob.  And best wishes to you,
> sounds like you are on the right side of the curve.  Your style will
> trump a <1 PSA any day.  laurel
>
> <everything in the whole world>

Hello Juniper,

Thanks for the above, nice to maintain a sense of humour, and to touch
base from time to time.

All the Best,

Canada Bob.
JerryW - 16 May 2006 13:39 GMT
> Hello Steve {Kramer).
>
> Bet you never thought you'd hear from me again :-)

<snip>

Good to hear from you again, Bob! Hope you'll re-visit from time to time. As
you can tell, your name comes up from time to time, generally by Steve (K).
From your comments, I presume you lurk here periodically.

Glad to hear everything is working out so well for you. Hope you have
continued good health.

Signature

JerryW

Please respond to group; email address is not valid

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
7/13/04 PSA <0.1
10/12/04 PSA <0.1
1/18/05 PSA <0.1
4/26/05 PSA <0.1
10/13/05 PSA <0.1
3/28/06 PSA <0.1

Canada Bob - 16 May 2006 14:29 GMT
> > Hello Steve {Kramer).
> > Bet you never thought you'd hear from me again :-)
[quoted text clipped - 6 lines]
> continued good health.
> JerryW

Hello Jerry...

Yea, good to touch base, this was just a flying visit though Jerry,
sponsored by a couple of folks that in the last couple of months had
{from here} tracked me down and contacted me by e-mail, asking about
Cryo.

I wouldn't dare lurk this forum :-) the gravity can drag you in and
burn you up :-(

But I'd always be trackable for anyone who feels I may be able to shed
some light, or give them my thoughts and direction. One guy from NY is
considering coming to the UK or even Austria to get either HIFU or
Cryo, not sure why he'd need to take the trip ? but if anyone finds
themselves in need of info on options this side of the pond then I'd be
more than happy to do what I can for them.

Thanks for your supportive kind comment Jerry, valued and appreciated.

Canada Bob, or should that be Manchester Bob these days :-)
JBMcBirch@webtv.net - 16 May 2006 15:18 GMT
Hey Bob,
Thanks! Your posts are so encouraging! Must be that British air...Hail
to your stiff upper lip!!!!!
J.
 
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