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

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brachytherapy oct.31

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Naaman - 01 Nov 2006 22:25 GMT
After lots of reading and interviewing five or six doctors--uros and rad
oncs, I decided to go with seed implants. Two days out, I'm about as I
had been led to expect: sore where the needles were used,burning when
urinating and stream weaker that before the treatment.

Anesthesiologist opted for general rather than spinal, cause he said he
had more control over the process. I was in the operating room for about
2 hours plus. Then in recovery for another hour or so. I wasn't paying
much attention to the clock

Came home with prescriptions for oxybutynin and xycodone.

I go back to see the uro in about two weeks. The rad onc wants to do a
CT scan in about three months.

Thanks to all the folks in this newsgroup who contributed, directly and
indirectly, to the knowledge base I needed for decision-making.

Any Arizonans reading this might be interested that my treatment was in
Sierra Vista.

Now, to see what happens over the next few months and, I hope, years.

Naaman Nickell
Alan Meyer - 02 Nov 2006 00:46 GMT
Good luck with it Naaman.

I am curious to know if the rad onc gave you any special
instructions about being radioactive, e.g., don't hold a
child on your lap, don't cuddle with your wife, etc.  I have
read that the radioactivity from the seeds is only significant
for a few millimeters around each seed, but I don't know
what the doctors are saying about it.

   Alan
Naaman - 02 Nov 2006 01:09 GMT
> Good luck with it Naaman.
>
[quoted text clipped - 6 lines]
>
>     Alan

Now that I think about it, I'm not sure about holding a baby, because my
wife was more interested in whether it would be safe for me to hold a
kitty. The answer was yes, if I put it on a pillow to get a little more
distance away from the seeds.

Obviously, we have more kitties (2) in our house than babies (0).

Naaman
JohnHace - 02 Nov 2006 16:34 GMT
> I am curious to know if the rad onc gave you any special
> instructions about being radioactive, e.g., don't hold a
> child on your lap, don't cuddle with your wife, etc.  I have
> read that the radioactivity from the seeds is only significant
> for a few millimeters around each seed, but I don't know
> what the doctors are saying about it.

My rad onc's instuctions said:
"A recent study demonstrated that prostate seed implant delivers an
almost negligible amount of radiation to family members. In fact,
because of altitude, people living in Denver for a year receive four
times the amount of radiation that the wife of a prostate implant
patient receives over the life of the implant."

It went on to warn, for the first three months, to keep children and
pregnant women at conversational distance most of the time. Children
can sit next to you for one hour per week and lap time limited to 30
minutes per week. After six months, the seeds (mine are iodine) are
essentially dead.

John
glassman - 02 Nov 2006 06:08 GMT
> After lots of reading and interviewing five or six doctors--uros and rad
> oncs, I decided to go with seed implants. Two days out, I'm about as I had
[quoted text clipped - 20 lines]
>
> Naaman Nickell

 I'm not expert in Brachy, but isn't 2 hours very long for the procedure?

Signature

JK Sinrod
www.SinrodStudios.com
www.MyConeyIslandMemories.com

Tom Cular - 02 Nov 2006 11:00 GMT
>> After lots of reading and interviewing five or six doctors--uros and rad
>> oncs, I decided to go with seed implants. Two days out, I'm about as I
[quoted text clipped - 22 lines]
>
>  I'm not expert in Brachy, but isn't 2 hours very long for the procedure?

Two hours does seem a bit long for the procedure. I was in, prep'd, seeded
(with a general) and on my way home in a little over two hours, but we're
all different.

Tom
JohnHace - 02 Nov 2006 16:41 GMT
> Two hours does seem a bit long for the procedure. I was in, prep'd, seeded
> (with a general) and on my way home in a little over two hours, but we're
> all different.

My anesthesiologist said it would take them more time to prep me than
the procedure would take. The procedure was about 35 minutes, but I was
out a total of about 90 minutes.

John
Alan Meyer - 02 Nov 2006 16:50 GMT
...
>   I'm not expert in Brachy, but isn't 2 hours very long for the procedure?

Well JK, medical science is very complicated and there are many
potential delays in any difficult procedure like this.

How many calls does the doc get on his cell phone from his
wife and girlfriend?  Has the coffeepot run out?  Did they run
out of cigarettes, or is the ash tray too full?  Is the
anaesthetist taking too many hits on the laughing gas?  What is
the pretty young nurse wearing?  etc.

As you can see, the medical team can't move too quickly when it
has the interests of the patient at heart.

   Alan
glassman - 03 Nov 2006 01:52 GMT
> ...
>>   I'm not expert in Brachy, but isn't 2 hours very long for the
[quoted text clipped - 13 lines]
>
>    Alan

  Just a tad cynical are we Alan?

Signature

JK Sinrod
www.SinrodStudios.com
www.MyConeyIslandMemories.com

Alan Meyer - 03 Nov 2006 03:08 GMT
> ...
>    Just a tad cynical are we Alan?

Just kidding J.K.  I know perfectly well that no doctor would
take calls from his wife during an operation, and that they
are all professional enough to fill the coffee pot and stock up
on cigarettes _before_ starting the procedure.

   Alan
 
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