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

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numbers for Steve Kramer

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Bob C - 19 Sep 2006 16:38 GMT
Hi Steve,

   Knowing that you compile numbers from the men in this group, I have a
new one for you. My new psa reading is 0.27 as of 9/14/06. (Last 4 month
Lupron shot was  12/27/05, after two increases in the psa.) Prior recent
readings, all while on Lupron, were .09 on 7/5/05, and .12 on 12/20/05, .18
on 5/3/06, and now the .27 reading.

   Current expectations are to get new numbers in mid-December and go from
there. Casodex will probably be started at that time, and Lupron may or may
not be restarted then also. In the meantime life is good, pomengranite is a
daily diet addition with hopes that it actually does more than just taste
good, and salmon fishing is just getting into full swing  so I will not be
here following the postings daily like I now do.

   I will say that the current vacation from Lupron has not resulted in any
big reduction in side-effects, but having been on it for some time now, I
would expect a considerable time lag to seeing any benefits. T might never
really come back anyhow, from what I read. I maybe have more energy, but
that might be from the new active lifestyle brought on by my recent
retirement.

   Do you still feel that the Casodex is not giving you any problems, no
new side effects? How much longer before you find out how effective the
Casodex is for you?

   Bob C
I.P. Freely - 19 Sep 2006 17:27 GMT
>  [my] current vacation from Lupron has not resulted in any
> big reduction in side-effects, but having been on it for some time now, I
> would expect a considerable time lag to seeing any benefits. T might never
> really come back anyhow, from what I read.

One statistic posted here a year or so ago pegged the threat of T not
returning during IADT pause at about 40% overall, and it seems tilted
towards seniority.

> I maybe have more energy, but
> that might be from the new active lifestyle brought on by my recent
> retirement.

Nothing like a little PASSION to awaken our aging bodies and minds. My
wife's "smile factor" very obviously doubled almost overnight when she
retired, and she loved her career. Congrats!

I.P.
Steve Kramer - 20 Sep 2006 00:56 GMT
> Hi Steve,
>
[quoted text clipped - 3 lines]
> readings, all while on Lupron, were .09 on 7/5/05, and .12 on 12/20/05,
> .18 on 5/3/06, and now the .27 reading.

Logged....  albeit, sadly.

>    Do you still feel that the Casodex is not giving you any problems, no
> new side effects? How much longer before you find out how effective the
> Casodex is for you?

I went to Casodex with trepidation.  I still have an active job and want to
keep it that way for as long as possible.  I was afraid that Casodex would
do to me what it's done to Ron Figueroa and others here.  Instead, I seem to
have surprising spurts of energy.  I'm walking faster, golfing without
fatigue and sleeping great.  I'm also nearly incontinent when golfing.  Oh
well.

I find out in October whether it's doing any good.
Heather - 20 Sep 2006 03:21 GMT
> I went to Casodex with trepidation.  I still have an active job and
> want to keep it that way for as long as possible.  I was afraid that
[quoted text clipped - 4 lines]
>
> I find out in October whether it's doing any good.

Hi Steve.....

I just wanted to say that Ron had tons of energy, etc. for about 7
months after starting Zoladex and Casodex.  Normal is about 3 months,
according to Dr. Loblaw.

Ron started HT in October of 2004.  He refinished about 9 pieces of
early Canadiana furniture in February and March, 2005.  And they were
big pieces such as chests of drawers, blanket boxes, and so on.  You
probably will be like him and keep on truckin' for longer.

His testosterone level is now up to 1.0.  Which will mean nothing to you
guys because we have a totally different system.  I believe normal is
around 3.5.   But he can now work on his beloved British sports cars.
On HT, his level was 0.1.......and he had trouble walking 20 feet from
the living room to the kitchen.

But knowing you, you will defy the odds and not be like most (G).  Good
luck to you.....and I will report in with the latest test results
shortly.  It doesn't get any easier waiting for them as time goes
by......does it.  But Dr. Loblaw is really quite happy with how things
are going.

Cheers.....Heather
Clarence Crow - 20 Sep 2006 07:26 GMT
<snip>
>His testosterone level is now up to 1.0.  Which will mean nothing to you
>guys because we have a totally different system.  I believe normal is
>around 3.5.   But he can now work on his beloved British sports cars.
>On HT, his level was 0.1.

To convert ISO T levels to US levels ISO 1.0 = USA 28.8 (approx.)
Conversions here:
http://www.unc.edu/~rowlett/units/scales/clinical_data.html

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

-- Regards

-- CC
Heather - 20 Sep 2006 17:22 GMT
Thanks Clarence......I knew you would have the answer.  I guess the US
is the only country with different *numerical levels* for things like
testosterone and cholesterol.

Our cholesterol measurements are out of 10.....with 4.xx being the
desired level.  Gets lower every year and I am firmly convinced that is
because the pharmaceutical companies make more money that way, lol.

Cheers....Heather

> <snip>
>>His testosterone level is now up to 1.0.  Which will mean nothing to
[quoted text clipped - 13 lines]
>
> -- CC
Steve Kramer - 20 Sep 2006 11:37 GMT
>> I went to Casodex with trepidation.  I still have an active job and want
>> to keep it that way for as long as possible.  I was afraid that Casodex
[quoted text clipped - 10 lines]
> after starting Zoladex and Casodex.  Normal is about 3 months, according
> to Dr. Loblaw.

Great!  That means I have what?  4 months, max.

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

Heather - 20 Sep 2006 17:54 GMT
>>> I went to Casodex with trepidation.  I still have an active job and
>>> want to keep it that way for as long as possible.  I was afraid that
[quoted text clipped - 12 lines]
>
> Great!  That means I have what?  4 months, max.

Oops!!  What I meant was that Ron didn't follow the usual pattern and
there is no reason that you will either.  Dr. Loblaw said that Ron was
hit harder by the SE's than most men.  And knowing you, you won't have
any (G).

Cheers....Heather
J - 21 Sep 2006 21:15 GMT
Heather,
Know of any sarcoma expert in Toronto who would take on an American, who has
no money?
(female  38ish) - desmoid tumor - Aggressive Fibromatosis (very rare)
longer story is she married young and worked for her hubby in Hawaii (for
years) - no pay,  they split up.
She moved to Florida to marry someone else who works as a carpenter and no
health coverage (low income), in wait mode for Disability or other benefits.

Surgery was 5 months ago. (on begged money)
She has no financial resources, so there was no followup check to see if
general surgeon did it right nor radiation therapy.
She's been searching ever since (for funding or an expert who would take her
on).... and "begging" more money... Got a scan.
And just got scan results:
It's in her arm, and left chest and left rear area (pressing on lung).
The only way to (possibly) save this woman is to get immediate expert
surgery and RT.

PS I saw on Terry Fox run - TV Friday, some hospital in TO brings in kids
from Africa.
Why can't they help an adult.
A sarcoma patient (some years ago) had to go Princess Margaret (from NS) to
get the expert (shoulder) surgery.
Have you any connections there? (please)
J
Heather - 22 Sep 2006 03:24 GMT
> Heather,
> She moved to Florida to marry someone else who works as a carpenter
[quoted text clipped - 18 lines]
> NS) to get the expert (shoulder) surgery.
> Have you any connections there? (please)

J.....I am totally stunned that the low income/welfare medical system in
the US is not helping this woman out.   As you well know, our medical
system treats everyone in this country, rich or poor.  And I hope some
of the American posters can come up with some sort of answer for
this....are there no trials, free medical care, or compassionate doctors
in the US??  Do you die waiting for health care if you are poor??
Unbelievable!!

As for the questions re Terry Fox and so on, the hospital that brings in
children from Africa (and also the US btw) is Sick Children's Hospital
and 18 is the upper age limit.  Princess Margaret and Sunnybrook
Hospitals are the two best adult cancer hospitals in Toronto....but
unfortunately I have no connections in Princess Margaret.

And to be honest, she would have to pay because she is not Canadian.   I
doubt that her condition would be considered rare enough to warrant
bringing her up here for free treatment.

I truly wish I could help.   But perhaps Alan or some of the others
might know of trials or that sort of thing that she could get into.  I
did pull up the NCI trials for sarcoma and there are a lot of
them.......but there are many different kinds of sarcoma as well.

All the best to you and this lady and I was vacationing in your area
this year.  Lunenburg was gorgeous.

Cheers.....Heather
Steve Kramer - 22 Sep 2006 11:52 GMT
> J.....I am totally stunned that the low income/welfare medical system in
> the US is not helping this woman out.

Go with that first impression, Heather.  While I trust J, it is apparent to
be that she is not privy to the truth, the whole truth or nothing but the
truth.

> As you well know, our medical
> system treats everyone in this country, rich or poor.

As you know, in our country, we have made being poor illegal.  We shower or
useless, lethargic leaches with cars, TVs, housing, appliances and food and
other riches depending on how many bastards they birth.

> Do you die waiting for health care if you are poor??

Wrong country.  I have heard of such things occuring north of us, 15000
miles east of us and on the opposite side of the world from us.  All
socialist healthcare countries, of course.

Geez...  when did "compassion" become defines as helping someone with
somebody else's money?

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

Leonard Evens - 22 Sep 2006 16:16 GMT
>>J.....I am totally stunned that the low income/welfare medical system in
>>the US is not helping this woman out.
[quoted text clipped - 18 lines]
> Geez...  when did "compassion" become defines as helping someone with
> somebody else's money?

I am not a chirstina, but I seem to remeber there was this man 2100
years ago who said something like that.
Steve Kramer - 23 Sep 2006 02:19 GMT
>> Geez...  when did "compassion" become defines as helping someone with
>> somebody else's money?
>
> I am not a chirstina, but I seem to remeber there was this man 2100 years
> ago who said something like that.

Really?  Assuming you meant "Christian", I do not recall the passage.  I
was, however, obviously divinely inspired :-)
Leonard Evens - 23 Sep 2006 16:12 GMT
>>>Geez...  when did "compassion" become defines as helping someone with
>>>somebody else's money?
[quoted text clipped - 4 lines]
> Really?  Assuming you meant "Christian", I do not recall the passage.  I
> was, however, obviously divinely inspired :-)

Sorry for the misspelling and miscounting.

See

www.usccb.org/sdwp/national/healthcare206.htm

which I believe ednorses the idea---rather timidly---of universal health
insurance.

It is my impression, while there is much that I disagree with about
official Catholic Church positions on social issues, I agree with them
much more than I disagree.  Can you say the same?
Steve Kramer - 23 Sep 2006 23:21 GMT
> It is my impression, while there is much that I disagree with about
> official Catholic Church positions on social issues, I agree with them
> much more than I disagree.  Can you say the same?

This is really dangerous ground.  You know what happens when we mention
specific churches.

However, an honest question deserves and honest answer.

I have agreed most of the time with the previous and current popes.  Of
course, I sometimes disagree and I am always careful to see when the
"official" position is really that of the Pope.

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

Heather - 22 Sep 2006 17:29 GMT
>> J.....I am totally stunned that the low income/welfare medical system
>> in
[quoted text clipped - 6 lines]
> Geez...  when did "compassion" become defines as helping someone with
> somebody else's money?

Leonard is right.....even if it took me a minute to figure out he meant
"Christian".  I am not one either, but to me "compassion" means a caring
person/doctor/company who does pro bono work to help those that for
whatever reason cannot afford his/its fees.

We do see that up here quite often and I am sure it happens in the
US.....or one would hope it does.  Not to mention those of us who
contribute money or goods to people who are in need.  I believe that is
called "charity".  Closely allied with the word "compassionate".

Go look up the Herbie Fund......named after a young child from the New
York area.  Seems he couldn't get the care he needed in the US, so Sick
Kids Hospital did the surgery and ordinary people donated the money to
cover it.  That is called "compassion".

http://www.citynews.ca/news/news_1375.aspx explains the Herbie Fund.

Heather
Steve Kramer - 23 Sep 2006 02:39 GMT
>> Geez...  when did "compassion" become defines as helping someone with
>> somebody else's money?
[quoted text clipped - 3 lines]
> person/doctor/company who does pro bono work to help those that for
> whatever reason cannot afford his/its fees.

Sadly (unless I'm wrong about what Leonard and Christ were saying), you
missed the point.  Being compassionate is helping someone in need (actually,
it's feeling sympathy or pity, but we'll let that pass for now)  ... not
expecting a doctor to do it pro bono...  not expecting a government to pay a
doctor to do it.

EXAMPLE:  A woman has diabetes and used all her sick time on kidney
problems.  Then, she falls and breaks her left ankle, left wrist and left
elbow and cannot work or even care for herself.  She is out of sick time.
Her boss donates to her five days of his vacation time.  That's one week
less he can take off that year or, maybe, $1500 US he 'sell back.'

> We do see that up here quite often and I am sure it happens in the
> US.....or one would hope it does.  Not to mention those of us who
> contribute money or goods to people who are in need.  I believe that is
> called "charity".  Closely allied with the word "compassionate".

Exactly.  The doctors who do pro bono are charitable and, probably, if there
is no tax deduction in it, compassionate.  You and others who contribute
money and goods to people who are in need (emphasis on "in need") are
probably compassionate, though other motives exist.

> Herbie Fund......named after a young child from the New
> York area.  Seems he couldn't get the care he needed in the US, so Sick
> Kids Hospital did the surgery and ordinary people donated the money to
> cover it.  That is called "compassion".

By George, I think you've got it!

Charity begins in the home, not Congress.
Steve Kramer - 23 Sep 2006 02:54 GMT
> less he can take off that year or, maybe, $1500 US he 'sell back.'

Gawd!  My typing is just awful!
J - 25 Sep 2006 10:12 GMT
> "J" <macyinno@nospam.inv> wrote in message
> >
[quoted text clipped - 21 lines]
> doubt that her condition would be considered rare enough to warrant
> bringing her up here for free treatment.

Not to mention she'd be queue jumping...

> I truly wish I could help.

Thanks for setting me straight, Heather and taking the time to reply to my
post.
J
Steve Jordan - 22 Sep 2006 03:55 GMT
On September 21, J wrote, in pertinent part:
> Surgery was 5 months ago. (on begged money)
> She has no financial resources, so there was no followup check to see if
[quoted text clipped - 6 lines]
> surgery and RT.
>  
Something about this doesn't make sense. I suspect that we are not being
favored with the whole story.

One word: Medicaid.

No one dies in the street.

Regards,

Steve J

"A man's most valuable trait is a judicious sense of what not to believe."
-- Euripides
Beverley - 22 Sep 2006 16:09 GMT
Actually being poor works quite well when in need of medical assistance.
It's the working "poor" that have little help. Take someone who makes
$30,000 a year. They actually bring home about $1800 a month, take out $800
for mortgage or $1000 for rent, cover the cost of gas to and from work
(OMG!), car payment of $250, put food on the table, pay the electric/heating
bills, water and sanitation, and then explain how someone is supposed to pay
over $1000 in medical bills. And if you don't have insurance because it is
either not offered or too expensive through the employer often the medical
community will ask for a percentage up front before treatment. Oh, and don't
expect some sliding scale for medical treatment because that will usually
cut off at about $18,000 a year gross income.
Bev

> On September 21, J wrote, in pertinent part:
> > Surgery was 5 months ago. (on begged money)
[quoted text clipped - 20 lines]
> "A man's most valuable trait is a judicious sense of what not to believe."
> -- Euripides
 
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