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Thread: 3rd Day Back to work...feeling great so far

  1. #1
    Experienced User Gorhad's Avatar
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    Mar 2017
    Location
    Florida
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    3rd Day Back to work...feeling great so far

    Fortunately, this is my bi-weekly mowing season, my buddy took care of my business while I was recovering for the last 5 weeks. This week is my first week back, next week I will be relaxing again.

    So far so good (45 lawns done over the last few days) no problems, so far, just a little slower, but I put that down to my caring customers coming out to see me and ask how I am. They are ace to be honest

    During the 5 weeks downtime, I was very persistent in walking 3 miles daily, which I'm glad I did because i feel its helped in getting back to work this quick

    Next, check up Dec 19 with PSA test done just prior fingers crossed
    Both Grandfathers died of lung cancer
    Right Kidney removed as a child (not functioning)
    PSA March 24 4.5
    PSA approx 1 month later 5.9 with 17% free
    Referred to urologist
    Ultrasound performed April 4
    Cystoscopy April 5
    Prostate Biopsy April 11
    Review with doctor April 25
    Prostate Cancer (Gleason 3+3), 6/12 cores (left base/mid/apex, Right base 40-60%), and 1 core ASAP

  2. #2
    Top User
    Join Date
    Jan 2014
    Location
    Greater Atlanta
    Posts
    2,494
    Welcome back to work G! This is a major post RP milestone that proclaims "Recovered!"

    Take it gradually!

    Best wishes for nothing but good news on Dec 19!

    MF
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3A pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml uPSA remains stable: = 0.020 ng/ml "Mean (+/-) STD" = 0.002 at 66 Months Post Op: (16 uPSAs: Range 0.017 - 0.024) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 99%)
    ED = present

  3. #3
    Experienced User
    Join Date
    Jun 2017
    Location
    Minneapolis, MN
    Posts
    90
    Good news Gorhad, nothing like getting back to a more normal routine to feel even better. Great step forward.
    Diagnosis 56: DOB 5/61
    PSA 12/12 3.74
    PSA 12/13 3.2 DRE - neg
    PSA 3/14 3.2 DRE neg
    PSA 9/14 2.68 DRE neg
    PSA 12/15 3.92 DRE neg
    Biopsy 2/16 negative
    PSA 3/17 7.5 DRE neg
    3T MRI 4/17
    PSA 5/17 5.9
    Fusion Biopsy 5/17
    Positive 6/5/17
    T1c N0 M0
    Left Lateral Base, 4+3
    Left Lateral Mid, 3+3
    MR Lesion 3+4, PI present
    6/17 Bone Scan - negative
    RALP performed 8/30/17, Mayo, Rochester MN, Dr. Mathew Gettman
    Gleason re-graded to 3+4, pT2c pN0
    Margin focally involved by one tumor over a length of <.1 cm at left posterior superior margin
    PCa found in right mid as well (surprise to surgeon)
    Cath for 2 weeks, dry since removal
    90 day PSA <.04

  4. #4
    Senior User DjinTonic's Avatar
    Join Date
    Sep 2017
    Location
    NC
    Posts
    404
    Job well done! Congrats!

  5. #5
    Senior User
    Join Date
    Sep 2017
    Posts
    103
    great news , Gorhad ! Let us know how your tests go, my first POST op visit with the Dr is Dec 18, he told me that my first PSA would not be until Feb. which would be 90 days post surgery.

    best to you

    t
    DOB 1948 good overall health, non smoker, non drinker. Active with physicals, colonoscopy's and PSA testing ( urologist). Over the last 10 year period my PSA has risen gradually from 1.8 to a recent 6.4 with the most drastic change over the last 18 months, 3.8 to 6.4. I also have slight BPH . Colonoscopy's have all been clear. Also not overweight by more than maybe 15 pounds. No other nagging health history.
    Update on Biopsy 9/18/2017
    12 cores, 10 negative, 2 positive
    #1 grade group 1 / 3+3=6 1.7 cm, 10%, involving 1 core
    #2 grade group 4 / 4+4=8 2 cm, 15%, involving 1 core
    10 remaining cores benign
    RALP performed Nov 21,2017 / 1 PM
    2 nights in Hospital, no real pain, mild discomfort.
    Post surgery recovery going very well
    Post Op Lab report back, everything clear
    I was given a PT2 score, organ confined.
    11 nymph nodes clear, benign
    Bladder neck and surrounding area, clear , benign
    G8 was 10% of the tumor and contained.

 

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