Posted 8/23/2018 11:14 AM (GMT -5)
After my confirmatory biopsy in April 2018, my subsequent PSA in late June was 12.76 and PSA last week was 9.88. I did develop a 102 fever and a case of SIRS after the biopsy even with heavy pre-medication. I have an ID Doctor who I consult with who did a blood culture which turned out negative. I have an ID doctor because I have a history of endocarditis.
I had a followup with my urology surgeon Dr. Sanda at Emory as well as the Rad Onc yesterday.
He is interested in the PSA rise obviously and is thinking some kind of prostatitis is involved. He went on to explain that there are 3 basic types of prostatitis, some with symptoms, some without symptoms, and some that is a combination of something you only see at the microscopic level. My nurse wife understood it so I'm good with that. He says my PSA is "dynamic" and he does see that in patients.
Basically, while he doesn't think I'm out of the woods, he noted the 25% decrease from June to August. The plan is for me to recheck my PSA in Oct/Nov and then one in December, (outside of the 3-6 month interval to make us feel better.) Basically if it goes down, it would be good. If the PSA goes back up, which would put it at 10+, all bets are off and then treatment will be talked about. Also, my MRI scheduled for next April will be moved closer to January.
Both he and the Rad Onc are pretty booked up through the end of the year. Having this extra data in the next quarter is going to tell alot. Dr. Sanda even said if it was him with this data history, it would be what he'd do. Ok I'll take that under advisement.
To be continued...