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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2008

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PSA Doubling, Velocity what it means to us. Outstanding source.

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MikeHi@anon.co.uk - 29 Feb 2008 10:56 GMT
Has everybody on the NG found
http://www.pcngcincinnati.org/psa/calculator.html ?
I've used it as a valuable easy calculator for PSAV (Velocity) and
PSAD (doubling time) for a year or so.   But today, for the first time
I saw a small line below the calculator saying 'click here' for more
information. It was as though it had sprung up at me - like a lamp
suddenly appearing, saying 'rub me'.
So I did. And behold, up sprung the genie!
http://www.pcngcincinnati.org/psa/index.htm.
It contains the most detailed research info on one page that I've come
across about how PSA, PSAV can be used as a prognosis of future
development, at all stages of Pca.  With Nomograms to help pedict best
treatment.
There is so much detail indeed that I pushed the genie back in the
bottle after about fifteen minutes when my eyes were glazing over.
Will have to return to this Aladdin's cave of PSA riches a few more
times to absorb application to my condition.
I'd be interested to know if the number of very bright guys in the NG
able to juggle scores of statistics with nonchalance have seen this
site. If so how they rate it as a fount - because I've never seen any
mention of it before in this NG, which is generally all-knowing.
My very best wishes to all
Mike
Steve Kramer - 29 Feb 2008 13:40 GMT
> Has everybody on the NG found
> http://www.pcngcincinnati.org/psa/calculator.html ?
[quoted text clipped - 9 lines]
> development, at all stages of Pca.  With Nomograms to help pedict best
> treatment.

www.pcngcincinnati.org also provides a really good diagram showing the
difference in Gleason numbers that I have referred to often here.

And, along the lines of 'the river always recovers it's driftwood' or 'we
have come full circle', let me tell you the rest of the story...

There once was a man named Robert Young.  He was formerly a United States
Marine.  He went through a less than rewarding marriage and divorce and
married a wonderful woman named Caren.  I don't recall if he was laid off or
transferred, but in any case he had to move to Cincinnati (actually Deer
Park, just outside of Cincinnati) for employment purposes at the age of 60.
At 61, he was diagnosed on November 23, 1999, with advanced prostate cancer.
His PSA was 1000 and his Stage was M1c.  He was, in other words, a dead man
walking.  His reaction was to go home, fall on the kitchen floor and cry.
He died 3½ years later on June 15, 2003.  But that is not the end of the
story.

He researched his disease and found exactly where he stood.  He came to this
very newgroup and received support; and then provided support for many, many
people.  During his last couple of years, he was one of those people that I
highly regarded for my own support as I was introduced to this bastard we
call PCa.

He was clearly regarded by one and all.  About this time, he also noted a
lack of information available to the common man on the Internet.  He created
www.Phoenix5.org.  At one time, every time a newbie came to the NG, we would
tell him of the 'bible', Walsh's book, and the premier website at Phoenix5.
And that was not the end of the story...

Later, he realized there was no group in the Cincinnati area for PCa victims
to go to for personal support.  So, he went to the Wellness Community
(http://www.thewellnesscommunity.org/cincinnati/) in Blue Ash (another city
just outside of Cincinnati), and started up a support group.  Later, after
Robert's death, Bob Kanter affiliated with  UsToo and renamed the group
Prostate Cancer Networking Group of Cincinnati, a chapter of UsToo.

Every month, they have experts come in and speak to those in attendance
(some times including me).  I think I just missed Dr. Snuffy on the 27th.
Dammit!!  But, they also have a monthy newsletter and publish a website.  It
is a very sipmlistic site, but has some great information.

And now, it is cited here in the NG.

Okay, that was anticlimatic.
MikeHi@anon.co.uk - 29 Feb 2008 20:16 GMT
>> Has everybody on the NG found
>> http://www.pcngcincinnati.org/psa/calculator.html ?
[quoted text clipped - 9 lines]
>> development, at all stages of Pca.  With Nomograms to help pedict best
>> treatment.

>www.pcngcincinnati.org also provides a really good diagram showing the
>difference in Gleason numbers that I have referred to often here.
[quoted text clipped - 40 lines]
>
>Okay, that was anticlimatic.

No Steve, not anticlimatic at all. It's surely inspiring. It's a
wonderful storyof tremendous character and determination not to let
the bastard (you know which one I mean!) get us down. Your marine had
the right stuff we here need to keep going, as much as the treatments.
One advantage we have over Robert is that if we hang on not too long
now, the ogre surely will be battered into blubbering insensibility by
the discoveries now flooding in at exponential lightspeed.

Robert Young succumbed, after all the beast had him down for ten
before he knew it was there. Yet HE WON - he got up off the floor with
courage and drive to leave behind information better enabling others
to see the day when the beast would be down and out.

Robert has the last laugh! I honour him.

We need inspirational stories like Robert's as much as we need the
basic information which you Steve among other highly regarded names
supply to this grateful NG.
A. Black - 29 Feb 2008 20:43 GMT
On Feb 29, 5:56 am, Mik...@anon.co.uk wrote:
> Has everybody on the NG foundhttp://www.pcngcincinnati.org/psa/calculator.html?
> I've used it as a valuable easy calculator for PSAV (Velocity) and
[quoted text clipped - 17 lines]
> My very best wishes to all
> Mike

The PCNG Cincinnati site certainly is excellent.  I also like its
links page.

There are better calculators, however.  That one only works
between two points in time and since there are no graphics
you can't really assess whether you are applying it to calculate
the PSADT over a stretch of time where the
growth truly is exponential (an underlying assumption) --
that means your answer could be meaningless.

Suggest you check out this 4 part article:

http://palpable-prostate.blogspot.com/2007/03/psa-doubling-time-psadt-part-1.html

which references the PCNG site and also points to
calculators and methods of calculation for PSADT.

There is also a calculator page here on various prognostics
(not just PSA kinetics) here:

http://palpable-prostate.blogspot.com/2007/02/prosate-cancer-calculators.html

Additional posts on PSA can be found in the CONTENTS whose link is in
red on the right
side of every page of the Palpable Prostate site.

---

The Palpable Prostate
http://palpable-prostate.blogspot.com
MikeHi@anon.co.uk - 01 Mar 2008 12:25 GMT
To save anybody double reading if you've already read threads above,
this is just to say
Thanks for further info., to A.Black.
MikeHi

>On Feb 29, 5:56 am, Mik...@anon.co.uk wrote:
>> Has everybody on the NG foundhttp://www.pcngcincinnati.org/psa/calculator.html?
[quoted text clipped - 49 lines]
>The Palpable Prostate
>http://palpable-prostate.blogspot.com

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