Friday, February 28, 2014
Thursday, February 27, 2014
Yet another stop on The You May or May Not Have Prostate Cancer Hurry Up and Waite Train,,,,,,,,,
Wednesday, February 26, 2014
Friday, February 21, 2014
What no one mentioned was that perhaps when I had that First of the Morning My Partner Has Left the House So I Can Safely Get a Bit Flatulent Without Bothering Anyone moment, I should have done so on the throne as opposed to while standing in my nice white W Hotel robe on the white tile downstairs. Reminded me of a Scorsese movie or what it might be like for a young woman on her first period. At least it was tile and not carpet.
Thursday, February 20, 2014
Largely uneventful because I have a good Uro using MRI guided mapping to guide his biopsy needles into the tumor (although as large as this beast is, he'd have had a hard time missing). Because I was sedated with versed, fentanyl and Michael's favorite, propofol, it was pain free and was over before I knew it. Very little bleeding either rectally or in my urine. Did have some post procedure pain which they jumped right on with Dilaudid IV. Now I'm home and fed and resting a still haveing some pain that is easliy controlled with the norco he was thoughtful enough to call in.
So we'll find out Weds the Gleason score and just how aggressive this bad boy is. What treatment options I'm eligible for, how soon to start,, etc, etc. I'll meet with Dr. Bob to discuss the whole thing and get his input......and then will begine the process of second opionions of diagnosis, patholgy and BRI.
Based on a couple of friemds who had nonsedated biopsies and numerous online postings about the gut wrentching pain that can accompany them as well as huge blood loss, I feel like I mage the right decision and the extra cost worth every penny
Wednesday, February 19, 2014
Monday, February 17, 2014
"Similar findings are seen on the left posterior peripheral gland. On the right at approximately the level of the mid gland near the apex there is likely extracapsular extension (i.e. it's not contained inside the gland, but has moved outside of it) and the tumor abuts the right neurovascular bundle (i.e. one of the two sets of nerves that control erectile function." Dr. Giesler's best guess is that it's a fairly aggressive tumor. We'll know more after the pathology reports from the biopsy Thursday morning.Bottom line, I have prostate cancer, a relatively large tumor and there's a strong chance it's very aggressive. To say that I'm emotionally devastated would be an understatement.
One amazingly bright spot from the weekend........but off to the Dr's to see the MRI images in a hour.
But back to reality as I see the Uro in an hour to review the MRIs and discuss Thursday's biopsy.
Saturday, February 15, 2014
I rarely disagree with Dr. Bob but my reading is that treatments such as Hi Intensity Focused Ultrasound, cryotherapy, focal laser ablation made more sense to me due to their lower incidence of the wretched sexual and urinary side effects. He made the argument that there weren't enough long term studies to show that the cancer was fully removed and that at my age, I should have as my number one goal complete removal of the cancer from my body.
I'll know more Monday after the Uro reviews the MRI with me and certainly more after the biopsy. Dr. Bob walked me to the door and put his arm around my shoulder and told me that whatever treatment I chose, I'd have his full support. He gave me a hug and I said with my voice quivering and eyes welling with tears, "Thanks for being my doctor." He replies with all sincerity, "It's my honor Scott." I've stumbled into a great job, I stumbled into a great relationship and I stumbled across one of the best family/personal physicians in Austin. The honor is mine, Dr. Bob.
Thursday, February 13, 2014
Wednesday, February 12, 2014
Tuesday, February 11, 2014
• 32oz of water this afternoon between lunch and dinner (on my first 12oz can post lunch as I write this) • Non-dairy based soup for dinner • Between 5-9pm, 2 Dulcolax • After dinner, only clear liquids until the MRI (white wine counts as a clear liquid, right?)
I should be grateful I guess. With the new 3T MRI, the use of anendorectal coil is no longer necessary. But an IV with contrast is. Ce’st la vie.