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Medical Forum / Diseases and Disorders / Prostate Cancer / June 2007newest psa and tests
hello all, I haven't been around much so this will be short. In Mar. my psa had gone up to .78 from a .05 in Dec. Then in april it was 1.25. In late May it showed to be 1.80. The onc ordered a bone scan and a pelvic abdomen scan. I am, today, in San Antonio. I'm scheduled to see a Dr. Prestridge at the Texas Cancer Clinic. As I understand it, he can "mark" prostate cells. I had a complete RP 03/13/06, or thereabouts, plus 42 rad treatments in 08-09/06. I also was given Eligard implants (Lupron) 3 times in 2006. The scans and Ct all came back neg. Has anyone heard of this Dr. Prestridge and the treatments he offers? My onc seems to think that with the rising psa it is warranted. Thank-you Dave On June 13, Dave wrote: > I haven't been around much so this will be short. In Mar. my psa had > gone up to .78 from a .05 in Dec. Then in april it was 1.25. In late > May it showed to be 1.80. The onc ordered a bone scan and a pelvic > abdomen scan. I am, today, in San Antonio. I'm scheduled to see a Dr. > Prestridge at the Texas Cancer Clinic. As I understand it, he can > "mark" prostate cells. The correct spelling of the medic's name is Prestidge. No "r." He appears to be a specialist in brachytherapy. See http://www.texascancerclinic.com/index/index.cfm > I had a complete RP 03/13/06, or thereabouts, > plus 42 rad treatments in 08-09/06. I also was given Eligard implants > (Lupron) 3 times in 2006. The scans and Ct all came back neg. > Has anyone heard of this Dr. Prestridge and the treatments he > offers? My onc seems to think that with the rising psa it is > warranted. I have been unable to determine just what is meant by "mark." If brachytherapy (sometimes called "seeds") is what is contemplated, I have to wonder just where they would be placed. The usual tx is to place them in the prostate gland, but it appears that Dave no longer has one. This has earmarks of a systemic condition, and no radiation tx will cure it. Nothing will. Systemic disease is addressed via systemic treatments. When is the last time Dave received a dose of an LHRH agonist such as Eligard? If he stopped, when and why? Is the "onc" to whom Dave refers actually a medical oncologist, not a urologist? Clarification would be appreciated. If he is a uro, I urgently recommend consulting a medical oncologist (preferably one who is competent in tx of PCa), not a surgeon, which is what a uro is. Regards, Steve J "Flagrantly, we docs ignore the declaration of biology. We do this out of ignorance, greed or both. The prime directive of the physician, the real physician, is patient outcome, & not physician income (or ego)." -- Stephen B. Strum, MD > On June 13, Dave wrote: > [quoted text clipped - 40 lines] > real physician, is patient outcome, & not physician income (or ego)." > -- Stephen B. Strum, MD Steve J, Last Eligard was given 05/06. I'm using a medical oncologist and true enough the entire prostate is gone, but was removwed by a uro, with an onc attending. On June 13, Dave replied to me: > Last Eligard was given 05/06. I'm using a medical oncologist and > true enough the entire prostate is gone, but was removwed by a uro, > with an onc attending. Why was the ADT stopped? Please advise what Prestidge claims he will do. Regards, Steve J > hello all, This is in incredible coincidenct. Today, I was thinking, "I haven't heard from Dave481 or Danny McCarty in a long time. I think I'll try hitting up their emails." And, before I get a chance, here you are! Haven't heard from you since July of last year. > I haven't been around much so this will be short. In Mar. my psa had > gone up to .78 from a .05 in Dec. Then in april it was 1.25. In late > May it showed to be 1.80. I'm sorry to see you're still battling that Gleason 10. I assume ADT is still an option, correct? > As I understand it, he can > "mark" prostate cells. Sounds like a prostascint scan. > I had a complete RP 03/13/06, or thereabouts, 3/9/06, I think. I don't know the doc or his treatment, so I cannot help you much, but it's sure good to hear from you.  SignaturePSA 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 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05 Non Illegitimi Carborundum > > hello all, > [quoted text clipped - 34 lines] > PSA <0.04, <0.05 > Non Illegitimi Carborundum Hey Steve:) Good to see you still here too:) Yes, a prostascint scan might be it. But I'm not sure. My onc sometimes has trouble with the English language, but she has a very good rep as an onc. I don't think PC has a language barrier. Anyhow I'll let you know tomorrow what they say. Dave I have a friend in San Antonio who is in a clinical test using some chemical injections into the areas where biopsy has indicated cancer. He can't tell me much more than that. He had radiation seven or eight years ago and Lupron shots for several years. His psa started rising again and they put him in this experimental group. (He said they found three biopsy sites with p.c.) Apparently, there are only a few people in the test group in San Antonio. I was shocked that he said the Dr. told him: "We are going to cure your cancer without a lot of side effects" (approx. quote). Has anyone any idea what is going on? ~Ralph On June 13, Ralph wrote: (snip) > Apparently, there are only a few people in the test group in San > Antonio. I was shocked that he said the Dr. told him: "We are going to > cure your cancer without a lot of side effects" (approx. quote). That's a damfool thing for a medic to say, if it is indeed what he said. The information is too vague to go further. Regards, Steve J > On June 13, Ralph wrote: > [quoted text clipped - 5 lines] > > That's a damfool thing for a medic to say, if it is indeed what he said. I have the impression that some doctors think they are doing their patients a service by lying to them and telling them they're going to be fine. Perhaps they think that it's what the patient wants to hear and that it will improve his quality of life. It wouldn't improve mine. It would just make me feel betrayed and lied to when I learned the truth. > The information is too vague to go further. Yes. Perhaps this particular patient, who has no idea what the doctors are doing to him, encouraged his doc to lie to him. I have a cousin who is a medical oncologist. He told me that many of his patients say, "Doc, just do whatever you have to do. Don't tell me. I don't want to know." It's not a way I'd want to live my life or face my death. Alan On June 14, Alan Meyer replied to me, in pertinent part: > I have a cousin who is a medical oncologist. He told me that > many of his patients say, "Doc, just do whatever you have > to do. Don't tell me. I don't want to know." > > It's not a way I'd want to live my life or face my death. Amen to that, bro. How do we know whether our medic is up to date and providing us with the best possible medical service? Answer: unless we are empowered and educated, we do not. The information we need to preserve ourselves exists, it's just a matter of looking it up. But, as has been said by one who is much wiser than I, it's only prostate cancer..... Regards, Steve J I wrote: > But, as has been said by one who is much wiser than I, it's only > prostate cancer..... Clarification: Ralph was being cynical. Regards, Steve J > I have a friend in San Antonio who is in a clinical test using some > chemical injections into the areas where biopsy has indicated cancer. [quoted text clipped - 9 lines] > Has anyone any idea what is going on? > ~Ralph Possibly. The quote may have been, "We have a treatment protocol that is showing great promise, the side effects in all patients have been well tolerated. After nn months, everyone in the trial is doing well. I expect the same with you." or "This experimental treatment looks like a good match for your case. I have nn patients on it and no one has complained about their side effects. The results are excellent." or "Based on the findings to date, I am confident I can drive this into remission. The tumors will start shrinking within a few months. Now lets get that baseline CAT-scan." Something like that. Most people our age have poor listening skills. Factor in the wishing-real-hard component and we have no idea what the doc really said. -kh "managed to pull off a 50%-good one this morning. No ooze though." |
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