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

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PSA

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H. Sharrott - 01 Apr 2008 22:35 GMT
38 month psa is 0.05..is this ok ? Not sure about the < because was told
by phone...copy of labs on way to me.. Howie
Steve Jordan - 01 Apr 2008 23:43 GMT
On April 1, Howie wrote:

> 38 month psa is 0.05..is this ok ? Not sure about the < because was told
> by phone...copy of labs on way to me..

It is most definitely OK.

I thought the initial tx was just about a year or so ago. Don't
understand "38 month."

But my wetware has been known to dry up from time to time.

Regards,

Steve J
H. Sharrott - 02 Apr 2008 01:23 GMT
The last psa I had by my urologist was Dec 07 (This was my 3 year
psa)and my next with him is June 08 (Going on th 6 month psa thing) But
since I also use the VA for certain things..they always do a lab and
include a psa.  Howie
Steve Kramer - 02 Apr 2008 12:50 GMT
> But
> since I also use the VA for certain things..

You never told us you were a vet.  What branch?
H. Sharrott - 02 Apr 2008 13:50 GMT
US ARMY..FT DIX basic 1961/62, Camp Drum NY (Now Fort Drum) March
62/Oct62, Ludendorff Kaserne, Kornwestheim Germany Oct 62 t Feb 65, 3
years inactive reserves and 9 years active reserve M.A.S.H.
outfit.Watertown NY..weekend warriors..did not retire from military.
Wish I could locate some old Army buddies...
Will let you know if the paper copy of my psa has the "<" on it...they
took it off a puter and told me over phone..first he said it was under
wrong name??????
Steve Kramer - 02 Apr 2008 15:54 GMT
Well, then, thank you for your service!

> US ARMY..FT DIX basic 1961/62, Camp Drum NY (Now Fort Drum) March
> 62/Oct62, Ludendorff Kaserne, Kornwestheim Germany Oct 62 t Feb 65, 3
> years inactive reserves and 9 years active reserve M.A.S.H.
> outfit.Watertown NY..
H. Sharrott - 03 Apr 2008 00:03 GMT
Should I have psa re-done ? Lets see when the lab report comes from the
VA...maybe it will have the "< " ?
I.P. Freely - 03 Apr 2008 00:39 GMT
Just count yourself lucky your VA office will phone your results to you.
It violates some stupid federal law, and probably costs vets and/or
taxpayers millions of dollars per year in gasoline. Our clinic won't
mail them, either, unless I fill out Freedom of Information Act request
forms. One such request produced my PSA result a year later.

No, they won't measure your PSA any old time you want. It costs money
and requires a doctor's order. Your uro should determine how often you
need a PSA check.

And you needn't retest the 0.05. The paperwork will be more specific, we
don't act on 0.05, and if it's climbing it will be clear next time.

I think you're being wise to watch and question your VA closely; I have
had to spend hundreds of hours doing so, with only partial success. Many
of their individuals are dedicated people, but as a whole it is a
constipated, totally, often criminally (literally) inept bureaucracy. I
cannot COMPREHEND why anyone would want the government to manage or
oversee their health care.

I.P.
Steve Jordan - 03 Apr 2008 01:10 GMT
On April 2, "Freely" replied to Howie:

(ka-snip)

> I cannot COMPREHEND why anyone would want the government to manage or
> oversee their health care.

But many do.

Here is a citation to a decision of the Supreme Court of Canada decision
in Chaoulli v. Quebec (Attorney General), 2005 SCC 35, [2005] 1S.C.R.791.

In that decision, the Court held that the socialised medicine scheme
under consideration did little more than generate long waiting lines for
medical service. Seems that the plaintiff had been *forbidden* to seek
medical care outside the bounds of the government-managed system.

Also: I'll remind folks of Hugh Kernley, who I miss with all my heart.
He was *first* dxd with extensive metastases. He rarely saw the same NHS
(National Health Service) oncologist twice, the medics having each time
to try to brief themselves on his case -- not always thoroughly. He was
in intense pain from his mets. For a long time, that wonder of
socialized medicine miscalled the National Health *Service* refused to
prescribe anything more than various forms of narcotics. Finally, with
encouragement from this side of the pond, he managed to get radiation
therapy for the mets. He told me that it worked wonders. But too late......

Certainly, we Yanks have problems with our medical care system (if such
it can be called) but by God we don't have to wait months to see a medic
and we have our choice of whom to see. Yes, that's sometimes modified by
the vagaries of insurance carriers, but we do nonetheless have choices
-- not forced by government clerks to comply.

And I know for a certainty that some of our brothers from the Frozen
North travel south to receive their PCa care.

Did I hear someone say that it's "free?" No it is not. That is a
falsehood. TANSTAAFL

There Ain't No Such Thing As A Free Lunch.

Snicker if you will, but it is a home truth.

Regards,

Steve J
Tired from ranting.
Steve Kramer - 03 Apr 2008 09:48 GMT
> Just count yourself lucky your VA office will phone your results to you.
> It violates some stupid federal law, and probably costs vets and/or
> taxpayers millions of dollars per year in gasoline.

It does not violate HIPPA (though HIPPA is a stupid law).  There are some
doctors' offices that use HIPPA to justify poor customer service.  Others
use it to require another $174 doctor's visit.

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            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, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

BH - 03 Apr 2008 15:38 GMT
>> Just count yourself lucky your VA office will phone your results to you.
>> It violates some stupid federal law, and probably costs vets and/or
[quoted text clipped - 3 lines]
>doctors' offices that use HIPPA to justify poor customer service.  Others
>use it to require another $174 doctor's visit.

Assuming you mean HIPAA.  Health Insurance Portability and
Accountability Act.

I agree that portions of it are nothing short of ridiculous. Congress,
in it's infinite wisdom........

Burney
RP in 1995 (age 52)
RT in 2000
ADT (Casodex) 10/06 - 8/07
Latest PSA - 0.18
Steve Kramer - 03 Apr 2008 09:46 GMT
> Should I have psa re-done ? Lets see when the lab report comes from the
> VA...maybe it will have the "< " ?

No, you do not need the test redone.  0.050 is fantastic.  The only
difference is that if they report it as 0.050, then that is what they found.
If they reported it at < 0.050, then it is .040, .030, 0.20....

Anything less that 0.100 is fantastic for post-operative PCa patients.  As a
matter of fact, I personally believe that doctors should not use the
sensitive testing on post-operative patients.  But, that is refuted by some.

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            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, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

Alan Meyer - 01 Apr 2008 23:48 GMT
> 38 month psa is 0.05..is this ok ? Not sure about the < because was told
> by phone...copy of labs on way to me.. Howie

Sounds great to me.

Congratulations.

   Alan
H. Sharrott - 02 Apr 2008 01:25 GMT
Thanks Alan...    Howie
ron - 02 Apr 2008 01:10 GMT
> 38 month psa is 0.05..is this ok ? Not sure about the < because was told
> by phone...copy of labs on way to me.. Howie

Hi Howie...Was this test run by the same lab that ran your previous
tests?  What were the values from your previous tests?  Best to you
and Hope...ron
H. Sharrott - 02 Apr 2008 01:29 GMT
Hi Ron..This test was done at the VA. I go there on ocasion and they
always do labs.  I go to my urologist in June for my 3 year 6 month  (42
month check up ?) Labs of Dec 07 done at local hospital here in
town..psa 0.00..I guess I am still ok ? How you doing ?
ron - 02 Apr 2008 01:51 GMT
> Hi Ron..This test was done at the VA. I go there on ocasion and they
> always do labs.  I go to my urologist in June for my 3 year 6 month  (42
> month check up ?) Labs of Dec 07 done at local hospital here in
> town..psa 0.00..I guess I am still ok ? How you doing ?

I'm good Howie, thanks.  So it sounds like this recent PSA was done at
a different lab than the tests run by your uro.  In that case, no way
to compare the two numbers, especially at such low levels.  Good luck
on the 42 month check in June, it will probably fall right in line
with the other PSA results run by your uro...Ron
Steve Kramer - 02 Apr 2008 12:48 GMT
> 38 month psa is 0.05..is this ok ? Not sure about the < because was told
> by phone...copy of labs on way to me.. Howie

0.05 is fantastic.  After three years, especially so.

I would be interested in whether they expressed the result as "less than
0.05" or as "0.05".  The former is the best.  It means they can't find it.
That less than simble (<) is a prostate cancer patient's friend.

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            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, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

Steve Kramer - 02 Apr 2008 12:55 GMT
> That less than simble (<) is a prostate cancer patient's friend.

They never told me spelling was another SE of Lupron   :-(
Califchief - 03 Apr 2008 08:00 GMT
> Just count yourself lucky your VA office will phone your
> results to you.

Every one of my doctors will phone or mail be lab results.

> It violates some stupid federal law,

Or so they say.  HIPAA?  Federal agencies are exempt from that.
Just like they're exempt from ADA - thus no handicap access to
post offices and several other government places.

> as a whole it is a constipated, totally, often criminally
> (literally) inept bureaucracy.

At what level of government - cities, schools, county, state,
or federal - is it not a constipated and criminally inept
bureaucracy?

> I cannot COMPREHEND why anyone would want the government
> to manage or oversee their health care.

They're all followers of FDR's socialistic rule.
More bureaucracy, more job security (at the government level).

"Ve have considered only your welfare
when ve develop da new programs."

___ Blue Wave/QWK v2.12
Califchief - 04 Apr 2008 05:00 GMT
Burney wrote in a reply:

> Assuming you mean HIPAA.  Health Insurance Portability and
> Accountability Act.

> I agree that portions of it are nothing short of ridiculous.
> Congress, in it's infinite wisdom........

In the beginning, medical offices appeared afraid of doing the
smallest thing to accommodate a patient, they so feared would
violate HIPAA.

They would not leave a message on an answer machine to remind a
patient of an appointment.  They were terrorized by the law that
someone other than the patient would listen to the recorder.

I seem to sense a change in those offices as they receive correct
or updated interpretation of the law's (and congress') intent.

___ Blue Wave/QWK v2.12
 
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