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

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Biopsy Scheduled for September 7

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Paul & Lisa - 26 Aug 2006 21:04 GMT
My wife, Lisa, has been reading postings from this group for two
months.  She has learned much about procedures, treatments, options,
etc...  We are thankful there is a place like this to learn and share.

I am 51 years old.  July 2005 my PSA was 3.4.  In April I decided to go
skydiving on vacation we were taking Memorial Day week.  I got the life
insurance policies out to make sure everything would be okay just in
case.  After realizing policies were expiring in 3-4 years, I decided
to apply for one large 20 year term policy to carry me through my 70s.
It was the test for the new life insurance policy that came back with a
PSA of 5.03.  Everything else looked great, but the policy was denied.

That sent me to my Internal Med Dr.  He referred me to an Urologist.  A
second test showed an increase in PSA to 5.3.  Therefore, the biopsy.
It will happen a week from Thursday.

What are the chances that the biopsy needle causes damage to the nerve
bundle on either side of the prostate?  Has anyone experienced that?
All in all that is a pretty minor concern.  Naturally the greater one
is what the test results will show.

Any advice on life insurance for men with high PSA and / or prostate
cancer?

By the way, the skydive was incredible.  Accelerated Free Fall from 13,
200'.  

Paul
alva36@gmail.com - 26 Aug 2006 21:27 GMT
Unless the urologist has a seeing eye dog assisting, I don't think you
need to worry about the nerves.  The needle mechanism is attached to an
anal probe attached to an utrasound machine which (s)he will use to
"see" where (s)he is aiming.

Good luck.

-Gordy

> My wife, Lisa, has been reading postings from this group for two
> months.  She has learned much about procedures, treatments, options,
[quoted text clipped - 24 lines]
>
> Paul
Bob Anthony - 26 Aug 2006 21:42 GMT
Paul:

Free fall at 13,200 ft....you're a much braver man than me! I do not
like heights. I'm from the school of why jump out of a perfectly good
airplane? ;)
You're numbers and age sound similar to mine when I was diagnosed. My
robotic procedure was done 12/04. I do not think you'd have to worry
about nerve damage due to the biopsy and I think most here would agree.
Seems if there is any serious problem discovered, you seem to have
caught it early enough to be cured. It may not be PCa either. Other
conditions can cause a rise in psa. The biopsy should tell you
something. The consensus is that a rise in psa of equal or greater than
.75 points within the year is a cause for some concern. Did you have a
free psa test by the way?
I'm not familiar with the life insurance part. Perhaps others here will
answer more specifically.

B.A.
Bob Anthony - 26 Aug 2006 21:46 GMT
Jeez...YOUR numbers and age sound similar to mine when I was diagnosed.
(Fingers work faster than brain syndrome)

B.A.
I.P. Freely - 26 Aug 2006 21:52 GMT
> My wife, Lisa, has been reading postings from this group for two
> months.  She has learned much about procedures, treatments, options,
[quoted text clipped - 7 lines]
> It was the test for the new life insurance policy that came back with a
> PSA of 5.03.  Everything else looked great, but the policy was denied.

> Any advice on life insurance for men with high PSA and / or prostate
> cancer?

I got no physical with my 20-year, guaranteed-renewable, term policy (by
FAR the cheapest way to buy life insurance), just some questions and an
interview with a vitals check. I'm sure they also checked my medical
records on data bases. I got dirt cheap term ins, and if I'm still alive
and want to renew at 73, they must renew me at the standard rate.

Years later I inquired about long term health care, and mentioned my PC
(I knew they'd check). They said that if my PSA was very low after
treatment, it may not affect premiums or could even lower them because
at least one threat is lessened. I could maybe exclude PC from coverage
at least initially, but with Gleason 8 that may not be wise.

I.P.
Steve Kramer - 27 Aug 2006 13:09 GMT
> I got no physical with my 20-year, guaranteed-renewable, term policy (by
> FAR the cheapest way to buy life insurance), just some questions and an
> interview with a vitals check. I'm sure they also checked my medical
> records on data bases. I got dirt cheap term ins, and if I'm still alive
> and want to renew at 73, they must renew me at the standard rate.

I've never seen an application that didn't ask if you've had cancer.

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, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
Non Illegitimi Carborundum

I.P. Freely - 27 Aug 2006 18:44 GMT
>> I got no physical with my 20-year, guaranteed-renewable, term policy (by
>> FAR the cheapest way to buy life insurance), just some questions and an
[quoted text clipped - 3 lines]
>
> I've never seen an application that didn't ask if you've had cancer.

That was long before I had cancer. My point was that I had no physical,
not even a PSA check, for my policy. and was surprised Paul's app
required a PSA test.

I.P.
Steve Kramer - 27 Aug 2006 21:13 GMT
> That was long before I had cancer. My point was that I had no physical,
> not even a PSA check, for my policy. and was surprised Paul's app required
> a PSA test.

It seems to me (anecdotally, of course) that there is a significant
percentage of people here who were first dx'd subsequent to an
life-insurance-application-required PSA test.  It might just be the greatest
predictor of PSA that mankind has.

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, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
Non Illegitimi Carborundum

Beverley - 26 Aug 2006 22:02 GMT
Hi to Lisa's husband!

Don't worry about the biopsy. Go read the current threads on biopsy anxiety
and post-biopsy sex. (I can tell that is what you've been doing.)

My understanding is that after 5 years of undetectables you probably will be
able to get more insurance.

I think if my husband offered to take me skydiving I'd tell him a divorce
would be much kinder. LOL But I'm glad you two had fun.

Anybody willing to jump out of a perfectly good airplane can face whatever
the biopsy results might bring. Here's to hope that it is just a slight
infection, curable with a round of antibiotics.
Bev

> My wife, Lisa, has been reading postings from this group for two
> months.  She has learned much about procedures, treatments, options,
[quoted text clipped - 24 lines]
>
> Paul
Dick Smith - 26 Aug 2006 22:44 GMT
Did they do a FreePSA test?
Paul & Lisa - 29 Aug 2006 04:56 GMT
HI Lisa here...Paul has enjoyed everyone's response, thank you.  I am
glad to see he wanted to post.  As far as fpsa..it was 8%. Dr. told us
based on this number it puts him at a 50/50 chance of cancer.
> Did they do a FreePSA test?
ron - 26 Aug 2006 22:53 GMT
Paul & Lisa wrote...snip...
> Any advice on life insurance for men with high PSA and / or prostate
> cancer?

Paul...Here is some relevant info...Best wishes and good health, ron

Life Insurance Offered to Cancer Survivors By STEPHEN SINGER, AP
Business Writer
Mon Mar 27, 12:39 AM ET

The Hartford Financial Services Group Inc. will make life insurance
coverage more accessible to men with prostate cancer, recognizing
rising survival rates with early detection.

The Hartford plans to announce Monday that it will offer insurance at
standard rates to men 60 and older who have been surgically treated for
moderate levels of prostate cancer. In the past, men had to wait up to
three years following treatment to qualify for life insurance coverage
and would have paid significantly more over five years.

The underwriting program is similar to what The Hartford announced in
October 2005 for women with breast cancer and is part of an effort to
improve life insurance availability for some cancer survivors, the
insurer said.

Nearly two-thirds of those diagnosed with prostate cancer are 60 and
older, said Mike Kalen, an executive vice president who heads The
Hartford's individual life division. Some cases of the cancer are not
detected early and are not treated surgically, but as many as 50,000
men each year have prostate cancer detected early and are treated
surgically, he said.

As many as 250,000 men diagnosed with prostate cancer in the past five
years could qualify for the new insurance rates.

In addition to helping men who have been treated for the illness, the
policy is expected to be a positive business move, Kalen said.

A 60-year-old man who successfully undergoes surgery for prostate
cancer and qualifies for The Hartford's new standard rates could obtain
coverage immediately.

If he is a nonsmoker and applies for a 10-year term policy with a
$500,000 death benefit, the annual premium would be $3,045 using the
new guidelines, compared with the annual premium of $9,210 under
previous guidelines. Savings over five years would total nearly
$31,000.

He also could obtain life insurance coverage to protect his family
immediately after his surgery. Previously, coverage would not have been
available for the first three years after treatment.

Kalen said that 20 years ago about half of those who were diagnosed
with prostate cancer died within 10 years. With early detection and, if
necessary, surgical treatment, the survival rate for at least 10 years
is now 93 percent, he said.

The Hartford last year cut life insurance rates for women 40 and older
who have been treated for early stages of breast cancer. Previously,
those women would have paid more for coverage or would have been denied
coverage. The number of applications for insurance has increased by 50
percent since the policy took effect last fall, Kalen said.
Steve Kramer - 27 Aug 2006 13:02 GMT
> I am 51 years old.  July 2005 my PSA was 3.4.  In April came back with a
> PSA of 5.03.

Certainly, a concern, Paul.  But an increase from 3.4 to 5.03 in a year
could be A) normal for you or B) a benign prostate problem.  Obviously, it
could also be cancer.  That is why no good diagnostician would not also do a
digital rectal exam (DRE) to find if you have any lumps or nodes on the
prostate.  Did they?  And, did they?

In any case, you don't have to assume at this point that it is cancer.

> What are the chances that the biopsy needle causes damage to the nerve
> bundle on either side of the prostate?

I've never heard this question before.  Great question!  The nerves envelop
the prostate like a spider web.  I would imagin that most needles miss and
the occasionally one thread of a nerve gets severed.  I doubt there is a
potentcy problem concern.

> Any advice on life insurance for men with high PSA and / or prostate
> cancer?

I think AARP (though I don't like them) sells insurance to just about
anyone.  I have no idea the expense of it.

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, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
Non Illegitimi Carborundum

Paul & Lisa - 29 Aug 2006 04:58 GMT
Hey Steve,  this is Lisa.  I wanted to follow up with you.  They did
not find any lumps or nodes on Paul's DRE.  It felt like it might be
slightly enlarged.

> > I am 51 years old.  July 2005 my PSA was 3.4.  In April came back with a
> > PSA of 5.03.
[quoted text clipped - 33 lines]
> Casodex added daily 07/06
> Non Illegitimi Carborundum
Steve Kramer - 02 Sep 2006 12:15 GMT
> Hey Steve,  this is Lisa.  I wanted to follow up with you.  They did
> not find any lumps or nodes on Paul's DRE.  It felt like it might be
> slightly enlarged.

Sorry for the late response.  Been rather busy around here.

Not "feeling" anything that feels like PCa is good.  The doc can't feel the
whole prostate, but it's still good.  If there is nothing felt, there is a
really good chance there is no cancer at all.  If there is cancer and
nothing is felt, as an example, if the cancer is Gleason 7, then the
difference between feeling it and not feeling it is 44% or 63% that the
cancer is confined to the prostate.

Of course, no man is a statistic.  If 99% of the men are cured, it means
that anyone could be that 1%.  But, for now, it's good news.

>> PSA 16 10/17/2000 @ 46
>> Biopsy 11/01/2000 G7 (3+4), T2c
[quoted text clipped - 7 lines]
>> Casodex added daily 07/06
>> Non Illegitimi Carborundum
Paul & Lisa - 29 Aug 2006 04:59 GMT
Hey Steve,  this is Lisa.  I wanted to follow up with you.  They did
not find any lumps or nodes on Paul's DRE.  It felt like it might be
slightly enlarged.

> > I am 51 years old.  July 2005 my PSA was 3.4.  In April came back with a
> > PSA of 5.03.
[quoted text clipped - 33 lines]
> Casodex added daily 07/06
> Non Illegitimi Carborundum
Paul & Lisa - 29 Aug 2006 04:59 GMT
Hey Steve,  this is Lisa.  I wanted to follow up with you.  They did
not find any lumps or nodes on Paul's DRE.  It felt like it might be
slightly enlarged.

> > I am 51 years old.  July 2005 my PSA was 3.4.  In April came back with a
> > PSA of 5.03.
[quoted text clipped - 33 lines]
> Casodex added daily 07/06
> Non Illegitimi Carborundum
 
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