Just read this today, seems to verify common thinking after the 2012 changes......
It will be just like other searches, input your question/information into 3 different AI systems and compare results. Due diligence will be required on the patient's part as well as taking results to...
Hmmm, hormone related? Any reason that is not being looked into?...
The biopsy reporting seems odd, seems to imply that only two cores were done? If so, it would not provide a very complete understanding of the situation. Is there more to the report than what you...
Gold Horse - In addition to Djin's comments, some items for your cousin to follow up on to insure he has the most complete information available for his high risk diagnosis and proposed treatment: 1....
mattam pretty much covered the current situation. Also, prostate cancer comes in many flavors which means some men react very favorably to forms of ADT whereas others just spiral through the...
Patrickm - My situation was a little different as I was looking at ART in 2018/19 after my first negative PSA test but Uro and RO both said it was my decision and they could support either way. Since...
I am pretty sure your doctor cannot “block” test results as a result of rules established in 2021. There is always the problem of results taking a while like pathology or testing sent to special labs...
ChrisR - From the glass is half full point of view, you have 16 years of <0.03 which is a very good and says "nothing important is going on". Don't let perfect be the enemy of good. You can also look...
Hosed - I did a deep dive 10 minute research project into this PSA subject. My quick conclusions based on 5 minutes of searching and 5 minutes of reading were: 1) Did not find that anyone has studied...
Bo - The situation seems to demand a different doctor than his oncologist who should not be expected to know much about urology issues like this. How that is accomplished in the English health care...
This is a recent excerpt from an article in the Star Tribune about Mayo findings as I am not sure the link would is or would stay available. The article is based on the link below which is quite...
Don't know about signature issue - check your profile to make sure signature is still there, make a small change and re-save. Log out and log back in again, clear cache on web browser would be my...
Hello - It is difficult to compare medical treatment issues between the US and other countries. The doctors have access to all the same studies but have to work within their medical systems. In the...
Saw the same ad a few weeks ago, had to explain to wife....
Hi Jason - Sounds like you are getting your PSA at 3 mos and the higher sensitivity test which all makes sense. I have not heard of any special precautions before a PSA test absent a prostate. I...
Hello - Sorry to hear you got a higher PSA on your last test. However, no doctor will recommend doing anything until you get another test or two. Never know if the result is out of line without...
There are a fair number of papers and articles about Docetaxel followed by Cabazitaxel and other drugs. The reading can be quite technical as the referenced paper shows....
I ran the report findings through AI Chat so I could quickly understand it better. Looks like plenty to talk about next week. 1. **Interval notable progression of most of the pulmonary metastatic...
Better living through chemistry? This is the domain of the medical oncologist where they try various chemicals and carefully monitor results. There are also many contraindications involved so hard to...
Good plan for the New Year. Of course, we all knew your PSA would be 0.15 :-)...
No one knows how chronic his issues were or what the details have been in his later years. I think back to Gen Lloyd Austin as the other way to handle the situation....
Agree with halbert - Age is obviously important and one odd data point is meaningless in the PSA testing world. There are many possible causes of PSA variation and PCa is just one. He can chat with...
I think physical treatments like surgery and brachytherapy require significant skill and experience. The beam radiation treatments require a different type of team skill set which is based largely...
Note: CyberKnife is a type of SBRT (stereotactic body radiation therapy) with specialized equipment. It is being performed at many locations with modern RT equipment now. RT - I think the Cleveland...
Hello - Going back to work outside so soon is not helping matters but understand that some do not have much choice. Incontinence recovery varies between minimal like I experienced to many months (or...
Nice, hope it stays that way and on to the holidays....
Paul - Djin and Bob have provided great information. Lot for your friend to consider. The Decipher test and PSMA scan are good ideas but your friend will have to slow the process down a bit to get...
Confusing situation - the current high risk diagnosis means he needs to get treated and ADT would be warranted. Which procedure did the cardiologist clear him for? I might suggest he get an opinion...
Thank you for the update. So many people come and go in the relatively short time I have been part of HW that I always wonder how their journeys end up. End of life scenarios play out many different...
In the US, the recommendations are a little easier. We would just tell you to see another urologist or go to a well known medical or university medical center to get checked out more fully. Not so...
It sure seems that way sometime. Hopefully, you will find a good oncologist that will build on your experiences and locate the criminal and spare the host....
Suggest seeing a good medical oncologist that specializes in prostate cancer. IHMO, you will need more scans with different tracers to find the PSA source. That is really your only option prior to...
Memories - My late father lived in Clarendon Hills and Hinsdale for years and I believe he had LDR Brachy with Dr Moran in the early 2000's. My Mother and Grandmother were buried in Bronswood...
Consultation is done by doctors and lawyers. The internet is full of anecdotal evidence and general BS so you get what you get when you ask this question in public forums. The link below is pretty a...
HR - This may be obvious, a catheter for an existing prostate and removed prostate are somewhat different in function. I would tend to be more concerned about post-catheter removal swelling of the...
No direct experience, had my post-op catheter in for 10 days which my doctor preferred over shorter periods for healing but that was 2018. He said he never has any issues at 10 days and was reluctant...
Hello Patrick - Your PSA history is quite amazing and quite inconclusive. You seem to have a persistently low PSA that is going nowhere fast. That is good news. It seems odd that you would get...
Dave - Just ask your doctor all the questions you have been asking. You should not worry until your doctor is concerned then don't worry much then either. Treatment aside, PSA can vary for all sorts...
TD – Your pathology report should have some basic summary information in the beginning followed by all sorts of details of prostate examination. Most pathologists use a report template so they tend...
Dalota - You clear fall in the lower risk category so doctors will wait until a couple of PSA's >0.20 per what appears to be the current standard. Going nuts with early treatment options is the...
I recall my T being a little low years ago and doctor scheduled retest in morning, all ok. Basically, he told me that T fluctuates a lot during the day and night. Can be as much as 30%+ in younger...
Dalota - don't get too hung up on studies, there are many studies of the various PCa components beginning many years ago that have the longest statistical duration but also do not reflect current...
I put this link in another post, may help a bit: https://dailynews.ascopubs.org/do/advances-salvage-radiotherapy-prostate-cancer-dose-field-size-and-use-hormone-therapy?s=04 Six month testing sounds...
There is a recurrence benefit to treating nodes noted, slows progression, but there may not be a benefit to overall survival and with a possible elevated side effect profile. They also say that there...
Dalota - I guess there is no consensus as to next steps but the divergent opinions are making me more and more confused as to what I should do next. There is nothing to do at this time. What you do...
ConfW - Agree with your concern about hypo-fractionated SRT but it will be difficult to determine long term statistics as it is relatively new. This article might help in general:...
I just asked my PCP to run the T test as I wondered what it was a few years after treatments. He just added to the normal annual tests and completely understood. It was fine so no surprise there....
ConfW - The statistics of SRT are pretty well known and provide reasonable success (60%?), probably a little better if lymph nodes are included. It is quite dependent on classification and risk...
"We asked to consult with someone else, but our request was denied and she said we are doctor shopping!" That is ridiculous.. A second opinion is a standard medical practice and covered by most...