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Latest PSA results for Steve's stats.

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khilde...@casselsbrock.com

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Feb 3, 2010, 2:05:41 PM2/3/10
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Just checking in from Toronto. My husband Joe just received his
latest PSA results and things are not looking too good. In July he
was 8.09 and now his PSA is 23! The doctor has scheduled him for an
MRI and wants him to begin HT asap. Will keep you posted.

Cheers,
Karen.

Steve Kramer

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Feb 4, 2010, 7:46:31 AM2/4/10
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<khilde...@casselsbrock.com> wrote in message
news:85931423-f230-4d73...@j31g2000yqa.googlegroups.com...

-- skramer remarks

Joe had a PSAD of
.62 years in January 2008
.74 April 2008
.75 September 2008
.74 January 2009

I can kind of understand his decision putting off ADT. But, there was a
slight decline in May 2009 to

.72 May 2009
.69 July 2009
.62 February 2010

If you include only PSAs from the last 12 months, the PSAD is .48 and, of
course, in the last few months it has dropped to about a 3rd of one year.

With this sudden uptick, I think he basically has no choice but to move onto
new treatment. BTW, I was 48 when I started ADT. I think he is 50/51, so I
know what he is going through with regard to this decision.


PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32 PSAD 0.56 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.40 years
Casodex added daily 07/06
PSA undetectable since. Next Assay 02/04/10
Illegitimati non carborundum

khilde...@casselsbrock.com

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Feb 4, 2010, 9:28:53 AM2/4/10
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On Feb 4, 7:46 am, "Steve Kramer" <skra...@cinci.rr.com> wrote:
> <khildebra...@casselsbrock.com> wrote in message

I agree Steve. Joe also had a bone scan which revealed something on
his ribs, near the top left side. This is why he's having the MRI to
determine exactly what's going on. I think he has no choice now but
to start therapy in the next few months. He's been told he will have
half the energy he has now, will age and have hot flashes, etc. so
he's pretty upset about it. He is in pretty good shape, eats well and
exercises, so maybe that will help. Can't imagine what it will be like
with both of us having hot flashes...

Steve Kramer

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Feb 4, 2010, 8:23:28 PM2/4/10
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<khilde...@casselsbrock.com> wrote in message
news:d90b588c-ce2d-4250...@j31g2000yqa.googlegroups.com...

I agree Steve. Joe also had a bone scan which revealed something on
his ribs, near the top left side. This is why he's having the MRI to
determine exactly what's going on. I think he has no choice now but
to start therapy in the next few months. He's been told he will have
half the energy he has now, will age and have hot flashes, etc. so
he's pretty upset about it. He is in pretty good shape, eats well and
exercises, so maybe that will help. Can't imagine what it will be like
with both of us having hot flashes...

-- skramer remarks

That's a load of crap!

If all the possible side effects hit him with the highest intensity and he
does nothing to treat the side effects, then, yes, he will have half the
energy, hot flashes, and many more.

I have been on ADT for 7� years and have had most of the side effects. I
retired this year and then jumped into a job as director for a local museum.
I helped my friend move his mother in law's furniture out of a house the
other day. I walk in prostate cancer and NAMI walks. I walk 2-4 miles a
day 3-5 times a week (in the summer). Yesterday, I lifted a total of 36,440
pounds at the gym and I wasn't pushing myself really hard.

He will suffer through the side effects that he suffers through and in the
intensity as it comes to him and he will, I hope, do what he can with
medications and exercise to diminish them.

Alan Meyer

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Feb 4, 2010, 11:28:10 PM2/4/10
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On 2/4/2010 8:23 PM, Steve Kramer wrote:

> ...


> That's a load of crap!
>
> If all the possible side effects hit him with the highest intensity and he
> does nothing to treat the side effects, then, yes, he will have half the

> energy, hot flashes, and many more. ...

I agree with Steve. If Joe keeps up his exercise program and watches
his weight, he can stay in shape and continue to live a highly active
life. Strenuous exercise may be harder than it was before but that
just means that Joe has to work hard at it. He won't become a weakling
or a sleepyhead unless he allows it to happen. If the hot flashes
don't go away with time there are meds for that too that are said to
be very effective for most men.

Sex is harder on Lupron, but even sex is not impossible for the guy
who wants hard enough to make it happen. At least that was my
experience.

> I have been on ADT for 7� years...

Notice that part of Steve's message. Also note that after 7.5 years
his PSA is *still* undetectable.

Not everyone does that well, but quite a few men do.

> ... I retired this year and then jumped into a job as director for
> a local museum. I helped my friend move ...

Also, note that Steve is living a highly active and productive life.

I believe that Joe should plan on doing the same. He should "live
strong" (as Lance Armstrong says) and go for it.

Best of luck.

Alan

khilde...@casselsbrock.com

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Feb 5, 2010, 2:30:06 PM2/5/10
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Wow - thanks to Alan and Steve for your responses! That's very
encouraging and I will pass your info on to Joe.

thanks again,
Karen.

Sue Mullen

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Feb 5, 2010, 3:03:37 PM2/5/10
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khilde...@casselsbrock.com wrote:

> Joe also had a bone scan which revealed something on
> his ribs, near the top left side. This is why he's having the MRI to
> determine exactly what's going on. I think he has no choice now but
> to start therapy in the next few months. He's been told he will have
> half the energy he has now, will age and have hot flashes, etc. so
> he's pretty upset about it. He is in pretty good shape, eats well and
> exercises, so maybe that will help. Can't imagine what it will be like
> with both of us having hot flashes...

Karen, hope the MRI shows arthritis or something like that!!

Kevin has been on ADT for almost two years now and still works full
time. He has hot flashes and deals with them the same way I did, if they
get too bad there are meds the doctor can give him. Gee, they never
offered me anything for my hot flashes(grin).

He has less energy, but no where near 50%. Even with him doing chemo
now, his energy is maybe 20 or 25% less then before his dx, he is still
working and we just got home from a great vacation.

Good luck to you and Joe!!

sue

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