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

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Thanks and pulling the trigger

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Cox SMTP west - 07 Feb 2004 23:46 GMT
Greetings and a big heartfelt THANKS to all who contribute and comment,

This NG has been a real boon to me as I work through this, the first stage
of this journey.  I posted in mid December inquiring about how to find that
"artistic" surgeon with a long track record, and I announce that with some
good luck (would you rather
be right- rich-good looking or lucky?)  I have located a surgeon who comes
highly recommended
from my local USTOO support group as well as from our local medical
community
(one of our former clients is an ontological surgeon of a different stripe
and calls my guy the "guru of the prostate"), and he actually spent close to
an
hour and a 1/2 with me at our first visit.  We're scheduled for bright and
early on 3-8-04 for the RRP.

I wonder if any of you all have read Norman Cousins' book, "Anatomy of an
Illness" in which he writes of his reflections on healing and regeneration.
I am taken with the concepts surrounding patient's mental state and their
effect on the healing process.  I'm also looking for recommendations for any
visualization type tapes or cd's that any of you may have found to be
helpful or not.  In preparation for surgery I'm working out every day, have
lost 11 of the 20 lbs. I hope to loose, eating allot more healthfully, and
generally been taking better care of myself, my wife, family, friends,
co-workers, cats,  and dog.  Also have listened to Dr. Andrew Weil's cd on
"Breathing, the Master Key to Self Healing".

Again much thanks and I wish for all of you the good fortune that comes with
managing and succeeding every day in your own battle with PCa.

Tony in Tucson
Dx 12-16-03  (my birthday - ahh the irony) age 58
T1c Gleason 6 (3+3) 1 of 12 cores
Psa 3.9 in March of 02, 4.1 in March of 03, (1st biopsy neg except for
hi-grade PIN),  1.5
in December of 03
Steve Kramer - 08 Feb 2004 00:36 GMT
The decision is made, Tony.  That's a huge step.  The rest will go by in a
moment.  Good luck in 29 days.

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

> Greetings and a big heartfelt THANKS to all who contribute and comment,
>
[quoted text clipped - 32 lines]
> hi-grade PIN),  1.5
> in December of 03
Leonard Evens - 08 Feb 2004 01:49 GMT
> Greetings and a big heartfelt THANKS to all who contribute and comment,
>
[quoted text clipped - 22 lines]
> co-workers, cats,  and dog.  Also have listened to Dr. Andrew Weil's cd on
> "Breathing, the Master Key to Self Healing".

Exercise and losing weight are appropriate.   I'm not sure about the
rest.   Although abdominal surgery of any kind is serious, a radical
prostatectomy is not really that big a deal as surgical procedures go.
The skill of the surgeon shows up in minimizing side effects such as
incontinence and impotence. But there is nothing involved here like what
would be involved in heart surgery or the rare disease Cousins had to
live through.   (I once browsed through his book, and I saw the film
based on it.)  Physically, exercise before and after, not taken to
extremes, will  speed your recovery.  Mentally, it is important to
realize that some degree of depression is normal under the
circumstances.   Exercise, again, was what worked the best for me to
deal with depression, but whatever works for you, you should do.   There
may be a few glitches or rough spots of one sort or another, and you
should try to take them in stride.   The most difficult thing is to deal
with the inevitable uncertainty about whether or not you are "cured".

Your "stats" are about as good as they come, so you stand an excellent
chance of a cure and good chance of avoiding side effects.

Best of luck and a speedy uneventful recovery.

> Again much thanks and I wish for all of you the good fortune that comes with
> managing and succeeding every day in your own battle with PCa.
[quoted text clipped - 5 lines]
> hi-grade PIN),  1.5
> in December of 03

P.S.  What is an "ontological surgeon".  In philosophy, ontology is the
study of being.
Beverley - 08 Feb 2004 06:08 GMT
Add to your list of things to do: Kegels!!!!!!!
Bev

> Greetings and a big heartfelt THANKS to all who contribute and comment,
>
[quoted text clipped - 32 lines]
> hi-grade PIN),  1.5
> in December of 03
Wakeley Purple - 08 Feb 2004 20:21 GMT
...

> Tony in Tucson
> Dx 12-16-03  (my birthday - ahh the irony) age 58
> T1c Gleason 6 (3+3) 1 of 12 cores
> Psa 3.9 in March of 02, 4.1 in March of 03, (1st biopsy neg except for
> hi-grade PIN),  1.5
> in December of 03

We're almost twins as far as the dx goes!

I'm a month post-RP and feeling very well. I think being in good shape has
helped the recovery, and it also helped me feel stronger mentally, which
has got to help.

Best wishes for a smooth ride.

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

Larry Wheat - 10 Feb 2004 01:40 GMT
Tony:

  Thanks for the book recommendation --- I'd like to recommend a book
named "Still Here" by a man named Ram Dass (nee Richard Alpert) --- gave
me a lot of insight on aging and dying (but in a positive way). I'm
planning to read Lance Armstrong's bio too --- that's got to be some
story! Has anybody here read it?

Larry


> I wonder if any of you all have read Norman Cousins' book, "Anatomy of an
> Illness" in which he writes of his reflections on healing and regeneration.
[quoted text clipped - 16 lines]
> hi-grade PIN),  1.5
> in December of 03
johng - 10 Feb 2004 02:30 GMT
> Tony:
>
> I'm planning to read Lance Armstrong's bio too --- that's got to be some
> story! Has anybody here read it?
>
> Larry

No, I haven't read it, but I'd sure like to get away for some winter riding in the
Texas hill country where he has ridden.    I had that idea even before my RRP, but
it would be extra inspirational now.   Maybe a year from now.

JohnG
John - 10 Feb 2004 22:32 GMT
Tony,
We are the same age and have very similar numbers.  I had my LRP on
1/28 and it was pretty much a non-event.  I am now going through the
recovery stage which is not bad, just an inconvience. I'm sure you
will do very well and I am happy that you found a surgeon in which you
have confidence.  I think that is really important.  On a side note.
We lived in Az for a few years (5 years ago).  The town we lived in
was Carefree which is basically north Scottsdale.  Now we live in SW
Florida.  What a difference in climates. Feel free to email me anytime
if I can be of any help.

Take Care,
John
Larry Wheat - 11 Feb 2004 02:51 GMT
The Hill Country is a beautiful place, you'll love it --- plan to do it!

Larry

> > Tony:
> >
[quoted text clipped - 9 lines]
>
> JohnG
pennskeCT - 11 Feb 2004 20:03 GMT
Lance first bio - " it's not about the bike" is a good read - an easy
read language wise, a little tougher emotionally as a cancer
survivors. It gives good insight into what makes him a great bicyclist
- his physcial, mental and and spiritual attributes that have happened
post-cancer...
bill

Bill, born April 56
Sept 2001: No symptoms, unit functions working well.
Fitness - running / biking 6 days a week. 5'10.5", 170 lbs
Trail marathon 15 months earlier.
09/01   Routine Physical  - PSA  8.0, DRE negative
10/01   Follow-up  - PSA  9.2, f PSA - 6%, DRE negative  
11/01   DRE positive (urologist), TURP, seven cores,  
11/13/01  Diagnosed, 2 of 7 cores, T2c, Gleason 8 (4+4), RP
recommended
12/01  Second Opinion (uro), DRE postive, confirmed diagnosis,
treatmetn alternatives
12/01  Third opinion (radiation oncologist), DRE postive, confirmed
diagnosis, recommended RP
01/14/2002    RRP & seral nerve transplant (by second opinion
urologist), lymph nodes & margins negative, Gleason 7 (4+3)
Post-RRP PSA -
    03/02  -  ND (<0.1)
    09/02  -  ND (<0.1),
    04/03  -  ND (<0.1)
    09/03  -  0.03
    03/04  -  TBD

> Tony:
>
[quoted text clipped - 27 lines]
> > hi-grade PIN),  1.5
> > in December of 03
Larry Wheat - 13 Feb 2004 02:17 GMT
Thanks for the recommendation, Bill, I'll go buy it.

Larry

> Lance first bio - " it's not about the bike" is a good read - an easy read
> language wise, a little tougher emotionally as a cancer survivors. It
[quoted text clipped - 14 lines]
> Post-RRP PSA - 03/02  -  ND (<0.1) 09/02  -  ND (<0.1), 04/03  -  ND
> (<0.1) 09/03  -  0.03 03/04  -  TBD
 
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