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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2004

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RP it is!

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Dave - 03 Feb 2004 08:02 GMT
The decision has been made and I have scheduled surgery for Mar 12.
I'll be doing the autologous blood thing in a couple of weeks for the op.

I've researched the credentials of the surgeon and am comfortable that
he is competent to do the job.  He has been highly recommended and has a
good record as far as I can ascertain.

Dave

Age 52
Diagnosed Jan 30
PSA 10.8
T2a
Gleason 5
c palmer - 03 Feb 2004 08:50 GMT
hi dave - i think that last paragraph says it all.  you have researched,
you are comfortable with what you have decided and now comes the waiting
part.  

it seems that it is a three part stress test.
the first part is to find out that you have prostate cancer.  the second
part is the have to decide what kind of treatment and the third test is
the waiting.  after the treatment is really not a stress test.  in fact,
it is a relaxing phase, because it is all over.

so, congrats on your decision.  

i will say that as an RP'er, if i had to do over it again, it would take
the same path.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional
Wakeley Purple - 04 Feb 2004 04:18 GMT
> ... after the treatment is really not a stress test.  in fact,
> it is a relaxing phase, because it is all over.

Ditto for me. I'm 100% less stressed now than before. Doing is always better
than waiting for me.

Signature

Wake

PSA 3.8, 11/2003 @58yrs
Biopsy positive 5% in 1 of 10 cores
T1c Gleason 3+3
RRP 1/12/04
Pathology agreed with biopsy + Negative margins
Erection 1/30/04

jimhoney - 03 Feb 2004 10:55 GMT
Lap. or standard?

You have every reason to hope for an excellent outcome, so stay optimistic.

jimhoney

> The decision has been made and I have scheduled surgery for Mar 12.
> I'll be doing the autologous blood thing in a couple of weeks for the op.
[quoted text clipped - 10 lines]
> T2a
> Gleason 5
Alan Meyer - 03 Feb 2004 12:33 GMT
> The decision has been made and I have scheduled surgery for Mar 12.
> I'll be doing the autologous blood thing in a couple of weeks for the op.
>
> I've researched the credentials of the surgeon and am comfortable that
> he is competent to do the job.  He has been highly recommended and has a
> good record as far as I can ascertain.

Last chance to get in shape for the recovery.

Start your kegels, watch your diet, and exercise.  I was very
impressed by how well and how quickly some of the runners in
the group recovered after their RPs.

Best of luck.

  Alan
Doug Taylor - 03 Feb 2004 14:24 GMT
>The decision has been made and I have scheduled surgery for Mar 12.
>I'll be doing the autologous blood thing in a couple of weeks for the op.
>
>I've researched the credentials of the surgeon and am comfortable that
>he is competent to do the job.  He has been highly recommended and has a
>good record as far as I can ascertain.

I empathize especially, as one + year ago I was 52 in a similar
position (lower PSA, but Gleason 6).

Being diagnosed "young" is a double edged sword.  You have relative
youth and health to withstand and recover from major surgery,
generally recommended for patients with long life expectancy.  But,
then, you  have a longer time to live with the potential side effects-
if any, to be sure.

I opted for EBR, specifically IMRT, and am happy with the minimal side
effects one year post treatment.  But I have many years to go to
determine whether the treatment cured cancer.

As others have posted, the important thing is that you have done the
research, obtained the opinions, and finally come to the decision that
is right for you.  Don't second guess.  Go forward, do what has to be
done, and live your life.  Odds are very high that you will end up
cancer free with a good quality of life.  

Best of luck
--dt
SexyHeSays - 03 Feb 2004 15:53 GMT
>Subject: RP it is!
>From: DavepedantickyNOSPAM@hotmail.com
>Date: 2/3/2004 3:02 AM

>The decision has been made and I have scheduled surgery for Mar 12.
>I'll be doing the autologous blood thing in a couple of weeks for the op.

Congrats on your decision, Dave! I am 4 weeks post RP (and WOW those 4 weeks
have gone by quickly!), and I'm doing GREAT!  (Age 51, PSA 4.1, Gleason 3+3)

Just remember we're all here to support you and your decision, and to listen to
you gripe about the cathether......

My one question/suggestion -  The first surgeon I interviewed also wanted me to
do the autologous blood thing prior to surgery. The opinion of the second
surgeon (who did my surgery) was that a patient donating his own blood prior to
surgery had a good possiblity of being anemic come surgery date, and ends up
needing that blood.  My surgeon says that in a majority of cases, no blood is
needed during/after the surgery, and if it is, blood is certainly avaliable for
transfusion.

It turned out that I lost 'a lot' of blood during surgery, and received 2 units
while in recovery.   I have no regrets over my, and my surgeon's, decisions.

Rus
Massachusetts
dale.j. - 03 Feb 2004 16:28 GMT
 The opinion of the second
> surgeon (who did my surgery) was that a patient donating his own blood prior
> to
[quoted text clipped - 3 lines]
> for
> transfusion.

> Rus
> Massachusetts

Same thing my doc said almost to the letter, except I dident need
transfusions of anything.

Dale J.

Signature

Email:  dalej2@mac..com

JohnG - 03 Feb 2004 16:45 GMT
>   The opinion of the second
> > surgeon (who did my surgery) was that a patient donating his own blood prior
[quoted text clipped - 10 lines]
> Same thing my doc said almost to the letter, except I dident need
> transfusions of anything.

At our local hospital I was offered the option of donating blood.   But
I went to the U of Michigan to get my surgery, and there they
specifically said they do not offer that option.    I didn't press for
reasons.  All they said was the chance I'd need some was low and the
risk of getting anything bad in the blood if I needed a transfusion was
also very low these days.   I would probably have donated some of my own
if offered the option, but figured the advantages of getting my surgery
at that place outweighed anything I might not like about the blood
policy.   It turned out I didn't need a transfusion.  

JohnG
Wakeley Purple - 04 Feb 2004 04:15 GMT
>   The opinion of the second
>> surgeon (who did my surgery) was that a patient donating his own blood
[quoted text clipped - 13 lines]
>
> Dale J.

Same for me. The anesthesiologist told me my counts were so high I could
lose 1000cc of blood and still be ok (thanks to all the running?). I don't
think I lost that much.

Signature

Wake

PSA 3.8, 11/2003 @58yrs
Biopsy positive 5% in 1 of 10 cores
T1c Gleason 3+3
RRP 1/12/04
Pathology agreed with biopsy + Negative margins
Erection 1/30/04

Dave - 03 Feb 2004 21:18 GMT
do the autologous blood thing prior to surgery. The opinion of the second
> surgeon (who did my surgery) was that a patient donating his own blood prior to
> surgery had a good possiblity of being anemic come surgery date, and ends up
> needing that blood.  

Interesting conundrum, give blood before surgery, cause anaemia, need
blood during surgery?

It has been suggested that I have 2 shots of Eprex prior to surgery (1
day before and 1 morning of procedure) to negate the possibility of
anaemia.  This is a pretty expensive drug (around AUS$1500) and not
covered by insurance.

Will probably go that way however.

Dave
Steve Kramer - 04 Feb 2004 00:10 GMT
> My one question/suggestion -  The first surgeon I interviewed also wanted me to
> do the autologous blood thing prior to surgery. The opinion of the second
[quoted text clipped - 6 lines]
> It turned out that I lost 'a lot' of blood during surgery, and received 2 units
> while in recovery.   I have no regrets over my, and my surgeon's, decisions.

I 'donated', but it was at my surgeon's recommendation.  Now that I think
back on it, I think he might have been trying to ease my mind about
'tainted' blood.  I've never subscribed to the AIDS-tainted blood scare and
it was unnecessary to ease my mind about it.  However, at the time, I wasn't
thinking clearly enough to ask him why bother.

Conversely, I doubt very much that anyone would be anemic two weeks after
giving blood unless he/she had an anemia problem to start with.

So, I think, 6 of one, half-dozen of the other.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

Steve Kramer - 04 Feb 2004 00:00 GMT
Congratulations Dave.  Now, look forward and don't look back.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

> The decision has been made and I have scheduled surgery for Mar 12.
> I'll be doing the autologous blood thing in a couple of weeks for the op.
[quoted text clipped - 10 lines]
> T2a
> Gleason 5
 
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