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Medical Forum / Diseases and Disorders / Prostate BPH / June 2006

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Blood in Urine--Results

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Jason Johnson - 02 Jun 2006 01:15 GMT
Red Blood Cells were found in my urine and my doctor
referred me to a urol.  This is what happened:

Update: Blood in my urine--

A urologist examined me today in relation to the Red
Blood cells that were found in my urine. These are
the results:

1. The nurse told to provide a urine sample and I
complied. The urologist later examined the urine
under a microscope and found no evidence of blood.

I told him that I had some of the signs of kidney
disease and felt that may have been the reason for
the blood in the urine. He reviewed about a dozen
blood and urine tests and also asked me about a dozen
questions related to the major symptoms of kidney
disease.  It was his conclusion that I do not have
kidney disease but that I may develop kidney problems
within the next ten years: These were the three reasons
that he mentioned:
1. Edema--he called it "postural hypotention"
2. blood in the urine
3. Salt Sentitive--Blood pressure problems/Edema related to normal amounts
of salt.

He said that as long as my serum creatinine remained at 1.1 MG/DL or below that
I did not have to be concerned about kidney disease. I told him that I was
eating a
low protein diet and a salt resticted diet. He told me that it was a great
idea and to
continue that diet.

He checked my prostate gland and said that it was slightly enlarged
and there were no nodules (spelling??). He said that most men that were
55 years old had slighly enlarged prostate glands so it was nothing to be
concerned about.

I have to provide two other urine samples on different dates--the second
urine of the day. I asked him why he did not want the first urine of the day?
He said that he was looking only for blood cells and that it was difficult to
find blood cells in the first urine of the days due to the thousands of
particles in
the first urine of the day. I forgot to ask him about a dipstick test on that
urine. He plans to look at the urine under a microscope.

He advised me NOT to make a diagnosis of my medical problems based on
information
that I learned from the internet or books. I did not mention to him that
various people
told me the same thing in this and other newsgroups.

I was hoping that he would arrange for me to get an abdominal ultrasound
but he did not
mention it--perhaps because he did not find any blood in the urine that he
checked.

He did not ask my opinions about any tests or exams that I wanted to
have--it was obvious
that he wanted to make all decisions in relation to those things.

He seemed to be a typical "old school" doctor that does not want patients
to make any decisions related to treatment options. If he had asked--I was
going to request an abdominal ultrasound; urine cultured test; and new PSA
test

Thanks again for those people that provided advice.

Jason
outlier48 - 02 Jun 2006 17:43 GMT
Jason,

May I respectfully suggest that you see another uro, one who is not
"old school".  You have the right (and in my opinion the obligation) to
make informed decisions about your medical care.  I, too, originally
had a uro who wanted to make all the decisions about my condition (BPH)
and treatment.  Fortunately, I found a uro (Dr. Reiter at UCLA) who
wanted me to be involved in the decision making process.  Ultimately,
we worked as a "team" and my BPH problems have, at least for now, been
successfully resolved.

I am concerned about "nodules" on the prostate.  I assume he did a DRE
to find the nodules.  Did he suggest a complete PSA (I and II)?  Did he
suggest any other diagnostic tests to rule out prostate cancer?  Again,
from what I have learned through this and other news groups, I would
want a uro who is more proactive and who wanted me to be an informed
consumer.

Best of luck.

Charles
Pete - 02 Jun 2006 21:01 GMT
> Jason,
>
[quoted text clipped - 17 lines]
>
> Charles

Charles...I believe Jason said there were *no* nodules.  I have already
spoken with Jason (and you guys) in this (and other ng's) about my dislike
for doctors, and their disrespect of our right to research our
diseases/maladies, so I don't want to get on my soap box again, but I do
agree with you...Pete

PS for Jason...did you ask the uro about the possibility of doing a
cystoscopy (like I mentioned in the other thread).
Jason Johnson - 02 Jun 2006 21:43 GMT
outlier48 wrote:
> Jason,
>
[quoted text clipped - 17 lines]
>
> Charles

Charles...I believe Jason said there were *no* nodules.  I have already
spoken with Jason (and you guys) in this (and other ng's) about my dislike
for doctors, and their disrespect of our right to research our
diseases/maladies, so I don't want to get on my soap box again, but I do
agree with you...Pete

PS for Jason...did you ask the uro about the possibility of doing a
cystoscopy (like I mentioned in the other thread).

That was one of the things that was on my list that I took into the
offfice with me. He made it clear to me during the first 5 minutes that he
would make all of the decisions related to tests. It's my guess that he
will check the next two urine samples under a microscope in search of
blood cells. If he finds blood cells, he would probably do more
tests--including a cystoscopy. If he does not find any blood cells, he
will not conduct any more tests. I agree that he done a bad job--he should
have done a cystoscopy and other tests. If blood is found in my urine
several months from now, I plan to request a referral to a different urol.
He dropped the ball. He should have also done PSA I and PSA 2 tests. He
did not collect a blood sample.
Jason
Jason Johnson - 02 Jun 2006 21:05 GMT
Jason,

May I respectfully suggest that you see another uro, one who is not
"old school".  You have the right (and in my opinion the obligation) to
make informed decisions about your medical care.  I, too, originally
had a uro who wanted to make all the decisions about my condition (BPH)
and treatment.  Fortunately, I found a uro (Dr. Reiter at UCLA) who
wanted me to be involved in the decision making process.  Ultimately,
we worked as a "team" and my BPH problems have, at least for now, been
successfully resolved.

I am concerned about "nodules" on the prostate.  I assume he did a DRE
to find the nodules.  Did he suggest a complete PSA (I and II)?  Did he
suggest any other diagnostic tests to rule out prostate cancer?  Again,
from what I have learned through this and other news groups, I would
want a uro who is more proactive and who wanted me to be an informed
consumer.

Best of luck.


Charles

Charles,
He only did the regular exam that even GPs do to check the prostate
gland--it just seemed to take a longer than when the GP doctor did it--I
guess that he was feeling for nodules. He did not even do a blood test so
I know that a new PSA test was NOT done. I don't know what you meant by
DRE so you will have to explain it. He had the results of my last PSA I
test that was done about
6 months ago--I guess that he thought another test was not needed.
He did NOT discuss with me any other diagostic tests to rule out prostate
cancer. The only thing that he plans to do his check two other urine
samples under a microscope to see if he sees any blood cells. If no other
blood cells are found in that urine--it's my guess that no other tests
will be done. I was shocked that he did not do a cystroscopy which I was
told is the standard means of checking the condition (and for signs of
bleeding) of the prostate and bladder. I agree that he should have done a
much better job. If blood is found in my urine several months from now, I
plan to ask to be referred to a different urol. since the one that I had
dropped the ball. He did not care about my opinions and even criticized me
for trying to find out information about my medical problems on the
internet.
Jason
Ja
 
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