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

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PSA 3.5 years

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H. Sharrott - 20 Oct 2008 22:19 GMT
<0.05           Howie
Steve Kramer - 21 Oct 2008 02:55 GMT
> <0.05           Howie

Great news, Howie.

Anything new with Paul?
H. Sharrott - 21 Oct 2008 15:42 GMT
Paul has to have biopsy end of month..PSA 700 he said???. I have to have
stress test at VA..any idea how long on tredmill ? Would Ul Sound be
better ? VA wants to check heart..    Howie
Alan Meyer - 21 Oct 2008 16:43 GMT
> Paul has to have biopsy end of month..PSA 700 he said???. I
> have to have stress test at VA..any idea how long on tredmill
> ? Would Ul Sound be better ? VA wants to check heart..
> Howie

You might get both an ultrasound (echocardiogram?) and a stress
test.  One is not a substitute for the other.  They do different
things and give different information.

I had a couple of stress tests.  As I recall, they were under 10
minutes.  The technicians were tailoring the test to the
patient.

An obese woman got on the treadmill ahead of me and the staff
were trying to get her up to 105 beats per minute at what looked
to me like a slow walk on an almost level surface.  The poor
lady was having a hard time and had trouble tolerating it.  I
got on and they took me fairly quickly up to 150 beats per
minute and an uphill jog.  I wasn't having a problem and they
kept trying to get some stress into the test by making it
harder.

What they'll try to do is to stress you enough to see the
problem that you're reporting to them.  They tailor the speed,
uphill angle, and duration to meet that goal, while trying not
to do you any harm.  If it looks like you're in trouble, they'll
slow down or stop.

   Alan
H. Sharrott - 24 Oct 2008 14:16 GMT
Steve Kramer - 21 Oct 2008 16:45 GMT
> Paul has to have biopsy end of month..PSA 700 he said???. I have to have
> stress test at VA..any idea how long on tredmill ? Would Ul Sound be
> better ? VA wants to check heart..    Howie
Steve Kramer - 21 Oct 2008 16:52 GMT
> Paul has to have biopsy end of month..PSA 700 he said???.

Geez!  That was a month ago!  I can't believe he hasn't had a biopsy yet.

> I have to have
> stress test at VA..any idea how long on tredmill ? Would Ul Sound be
> better ? VA wants to check heart.

Assuming it's like the two I've done, i.e., stress test with contrast,
you'll be on the treadmill longer than you think you can make it.  They keep
increasing your speed and the slope of the ramp to the point where your
heart is beating so hard and you're so out of breath that when you say, "I
can't go on," they reply, "one more minute."  Of course, at 67, it probably
won't be more than a couple of minutes before you get to whatever their goal
rate is -- unless you are used to cardiovascular exercise.

I had fun with mine.  They see this big, fat, balding man come and just
assume it's going to be a quick test.  They don't know that it's nothing for
me to walk five miles in 1½ hours.  And, since they have to monitor my heart
the whole time and I'm 6'5", by the time I'm ramped up, they're looking for
ways to get up to my heart to listen to it.

Don't worry about it.  They did my mother-in-law, feeble and 83, without a
problem.  I think they had her doing pedals instead of walking.

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 undetectable since, < 0.04 on 10/09/08
Illegitimati non carborundum

H. Sharrott - 24 Oct 2008 14:21 GMT
Paul lives in Southern California and  I need not tell you who comes
first with California medical...
Steve Kramer - 24 Oct 2008 18:22 GMT
> Paul lives in Southern California and  I need not tell you who comes
> first with California medical...

I'm thinking, "hard-working Americans" isn't the correct answer.
H. Sharrott - 25 Oct 2008 00:39 GMT
Jim - 21 Oct 2008 17:22 GMT
Howie,

If you can't do the stint on the treadmill they can stress you chemically
and get the same sort of information.  Last time I needed a stress test I
was suffering from fairly advanced arthritis in both knees and one hip and
just couldn't walk fast enough to get my heart rate up to where they needed
it.  That's not mentioning that I was grossly overweight.  They injected
something to accelerate my heart rate without doing the exercise and got the
data they wanted.  Since then, I've had a knee replacement, lost a bunch of
fat and had my prostate removed.  Good luck!

Jim

> Paul has to have biopsy end of month..PSA 700 he said???. I have to have
> stress test at VA..any idea how long on tredmill ? Would Ul Sound be
> better ? VA wants to check heart..    Howie
jloomis - 21 Oct 2008 13:55 GMT
Another fine score!
jloomis
> <0.05           Howie
H. Sharrott - 21 Oct 2008 15:43 GMT
Thanks to all.. Howie
Califchief - 22 Oct 2008 03:26 GMT
Jim wrote to Howie:

> Since then, I've had a knee replacement,

If you dropped in to alt.support arthritis, you could perhaps help a
lot of folks and maybe calm their anxiety as they look forward to a TKR.

Most ASAers have had hip replacements - I've had THR(L) and (R) - and
we can't answer all the questions about TKR pre- and post-surgery.

___ Blue Wave/QWK v2.12
Califchief - 25 Oct 2008 03:30 GMT
-=> Quoting Hopehowie@webtv.net to All <=-

>... I need not tell you who comes first with California medical...

You speaking about all the welfare mommies who keep popping out
kid after kid after kid?

___ Blue Wave/QWK v2.12
Califchief - 26 Oct 2008 03:57 GMT
Hopehowie had this to say:

> Yep..Hispanics and whatever...My brother who lives near
> San Diego said some hospitas had to close ??

While a cop and driving an ambulance, I took untold number
of patients to all of these except Coronado:

College Park closed (demolished, now Ralph's/Kroger)
Clairemont closed (county purchased, then ran into asbestos problems)
Mission Bay closed
El Cajon Valley/Scripps closed (sold to Kaiser, demolished)
Heartland closed (now a Kaiser clinic)
Harborview closed (now a hobo shelter)
(something else doctor-related) closed

Chula Vista sold and renamed
South Bay sold and renamed
Mercy sold
Coronado sold            
Paradise Valley sold
Doctors' sold and renamed

Grossmont District - leased to for-profit chain

Villa View?

Most of the closings and sales resulted because they were going
in the hole treating uninsured wetbacks.  That is a Federal
law/requirement of any hospital receiving Medicare.

I swapped my PD badge with the city for a FD badge and DAMN if
the fire department didn't take over "first responder" after
the EMERGENCY series aired and convinced city after city after
city that FD-based was best.  <G>

___ Blue Wave/QWK v2.12
Califchief - 26 Oct 2008 22:05 GMT
Paul replied to Joe:

> Sounds like you'd have to work your way North County for care. Of
> course you wouldn't want to be stuck on the 5 in an ambulance now,
> that is unless you had a tank like that guy did some years ago :D

But the guy in the National Guard tank headed south into downtown.

I've been slowed down by traffic on I-5 and have detoured east to
El Camino Real or west to Olde US 101.  Amazing how many drivers
wear blinders and have only one route from Point A to Point B.

If a bomb landed on the highway they were traveling, they would
never be able to find an alternate route.

Like some doctors who have only one (their) treatment for PCa,
regardless of a patient's age, PSA, Gleason, grade, etc.

___ Blue Wave/QWK v2.12
Califchief - 27 Oct 2008 03:05 GMT
El woody thus spoke:

>>> I need not tell you who comes first with California medical...

>> You speaking about all the welfare mommies who keep popping out
>> kid after kid after kid?

> Those kids are the ones that will be paying your/our social security
> and changing diapers in nursing homes in 20 years. Be nice to them.

A) Often
B) Usually
C) Half the time

those kids (female type) wind up on welfare, living with momma, and
popping out kid after kid after kid.

___ Blue Wave/QWK v2.12
 
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