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1-2 point PSA rise

Steve1961
Posts: 301
Joined: Dec 2017

Been on this forum quite a bit many of you know .in may I will be 21 months since completing regretful radiation treatment ..last PSA was  2.0 at 18 months .5 change from 15 months ..hoping it goes lower if not I'm  thinking my Dr will want another MRI ....what concerns me extremely bad is everything I read about how a 2 point rise in PSA  in 1 year is not good and how it is a Hugh risk of dying from prostate cancer .that and my cribiform diagnosis as well as a bad decifer test result .makesme extremely anxious and not very confident ....heres a quote  from one source.   - Men whose PSA count goes up 2 ng/mL or more in one year are at high risk of dying of prostate cancer despite treatment.          I rest my case ......I will. Bring this up at next dr visit 

eonore
Posts: 98
Joined: Jun 2017

Steve,

Sorry you are going through this.  If you do not mind, what is your Psa history starting from immediately before the radiation?

 

Eric

Steve1961
Posts: 301
Joined: Dec 2017

2009 4.1 biopsy negative BPH  2010 4.6 biopsy negative bph 2011 5.0  2012 5.0 2013 5.5  biopsy negative ..2014 5.0 015 5.0 2016 5.8...2017 8.5  biopsy 2 cores 3-4 2018 7.1 before treatment 

Steve1961
Posts: 301
Joined: Dec 2017

And here I thought my urologist knew what he was doing. All my other specialist or a van tastic. The one I really needed it but was good turned out to be nothing but a low money hungry smooth talking crook son of a *****. I sure hope it doesn't cost me my life. I wish I would have looked intoIt's a long time ago but I didn't think I needed to I guess when I heard the word cancer I should've freaked out and done a ton of research tough lesson to learn I hope my old urologist rots in hell I really do

eonore
Posts: 98
Joined: Jun 2017

Steve,

What has your Psa been since treatment?

Eric

VascodaGama's picture
VascodaGama
Posts: 3240
Joined: Nov 2010

Steve's comprehensive PSA histology can be seen in his previous thread in here; https://csn.cancer.org/node/321342

I believe that his next test is due to be done now at his 21 months mark post treatment. As like many of us, he is worried for the results as the date approaches.

Let's be positive.

VG

Steve1961
Posts: 301
Joined: Dec 2017

Tough to not worry when you read bad news all the time about what your diagnosis was .also having that pancrestic lesion that  needs to be checked doesn't help ..sorry was just looking for facts instead of just hope 

Georges Calvez
Posts: 470
Joined: Sep 2018

Hi Steve

I am starting to worry more about coronovirus now.
I have blood tests and doctor's visits at the end of the month but they are very likely to be postponed.

Best wishes,

Georges

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3522
Joined: May 2012

All of my med charts are stamped "Autoimmune compromised," from my Lymphoma history.  I am not worried about corona at all, since it is clinically usually not worse than the common cold.   In 2009, 16,000 in the US died of swine flu, with no closures of anythng.  About 50 people have died in the US of it to date, and mass hysteria dominates -- total ignorance.   It is like a 1950s Japanese horror flick, and the media intentionally distort facts and ignore history, such as comparing corona to swine.  Also, corona (according to some) has very likely statistically peaked, and moving downward on the bell curve.  But do not expect to see this on your evening news.

eonore
Posts: 98
Joined: Jun 2017

Max,

I hope in a month or two you will be proved correct.

Eric

 

hewhositsoncushions
Posts: 367
Joined: Mar 2017

Max

Hate to rain on your parade but it has a much high R0 number and the CFR is much higher (IFR will drop in time).

Hospitalisation rate is 15-20% of which 5% need ventilation and then a % of those go on to die.

Co-morbidities are a major factor but not in all cases.

Local pollution levels also affect it.

It's just flu is what got us to this point.

Please, I urge you all - treat this seriously without panicking. Social distancing / isolation are critical to avoid overwhelming your health system and incrfeaseing the load on hospitals.

Take vitamin D and (need to verify) vitamin C but DO NOT TAKE IBRUPROFEN!!!!!

Good luck!

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3522
Joined: May 2012

hewho,

I never mind a little rain; St Pattie's was cancelled, and we were advised to 'intoxicate-in-place,' so all is well.

Official stats in US currently rate the mortality of Corona at 00.9, or less than 1%.   Nearly half of all infected never show any symptoms at all.   Calmer voices will prove correct in the end.   Auto crashes will continue to kill at massively higher rates than any flu, but people are not running from automobiles in terror.  This whole made for OCD hysteria reminds me of the bomb shelters and nuclear drills in school in the 1960s.   People, clam to hell down

Flyer83948
Posts: 31
Joined: May 2019

"Official stats in US currently rate the mortality of Corona at 00.9, or less than 1%. "

 

Yeah, that's the mortality rate averaged over all age groups. But for those people at age 60 and up I believe that the coronavirus mortality rate is about 5%, or one in twenty. So it is a significant threat to older citizens. At the same time, I tend to think that the coronavirus scare has gotten out of hand and I question the need to do things like close public schools and have large scale "shelters-in-place". Maybe a better strategy for future pandemics of this sort which predominantly threaten older citizens is to have 2-age-tier strategy in which people younger than age 60 do about their normal lives while taking extra precautions to take common sense measures like washing their hands frequently, while people older than age 60 or those with pre-existing health problems take further measures including sheltering-in-place in order to maximize their protection. Hopefully, the next viral scare will not be so disruptive to businesses and the daily lives of most people.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3522
Joined: May 2012

I do not disagree with any of your assertions, Flyer.  But that is the way these aggregate statistics are reported, and compare oranges-to-oranges.  My state just banned indoor dining at restaurants, a horrible idea.  It will instantly put huge numbers of people out of work, and shuttering everthing icreases a sense of dread.  It will also cause countless numbers to lose medical insurance; not a smart thing to force on society.   The ability to go out and have a bit of a normal life will be much more therapudic, and no risk, if proper protocols are followed.

I am 63, and had my immune system fried with six months of high-dose chemo cocktails, so I know that we older individuals have higher risk statistics.  Your point is timely and well-received.

Georges Calvez
Posts: 470
Joined: Sep 2018

Hi there,

The US government is taking steps like testing people for free, guaranteeing sick pay and moving towards free treatment for coronovirus.
No one really knows how bad it will be or what a government that is not China has to do to stop it.
The Chinese had some tough methods to ensure that people did not move around, the US and Europe will not be able to reach for the same playbook.
Besides the fact that they are not authoritarian regimes the security forces are nowhere near big enough.
In the worst hit Italian province they are now struggling to bury the dead.
I am hoping that it will not come to that in my corner of Brittany.

Best wishes,

Georges

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3522
Joined: May 2012

I live in a little Southern town, but we are adjacent to a major city with vast health resources, including a medical School/Teaching Hospital.    Since schools are closed, I am noticing many more people outside, enjoying nature, walking dogs with their kids, etc.   This is a positive trend that I hope continues.   I buy groceries at Bi-Lo, which is in about ten states (it is the company that bought Winn Dixie several years ago, based in Jacksonville, FL).     My store is already recovering in terms of stocking shelves; I went and got the quota-allowed loaves of bread and ground beef today, with no real issues.   

I pray we have turned the corner, although isolated spikes are to be expected, which will receive massive coverage from the press.    I believe one (1) person has died of corona in SC, a state of about 5 million; the official count in the US yesterday nationwide was 130, in a country of 330,000,000.  In comparison, the average annual MURDER rate just in the City of Chicago is around 600.

Worldwide, corona annual deaths are extrapolated at about 20th in cause of mortality.    Perspective will eventually come out, despite the news agancies.

Georges Calvez
Posts: 470
Joined: Sep 2018

Hi Max,

You might be lucky and so might I but it is pretty clear that some areas are going to suffer.
Some provinces in Northern Italy have a bad problem because they have urban centres with a lot of old people.
This is perfect for the virus to spread as the old folks give it to each other at church, taking coffee at the cafe, etc and they also have the highest death rate of any group.
Incidentally the murder rate for the whole of the UK, 68 million, is around 700, the murder rate for Chigaco is around 600 for 2.7 million.
That is a demonstration of how raw statistics do not say much about very different places.

Best wishes,

Georges

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3522
Joined: May 2012

GC,

I read an article in a major journal Thursday, which was written a few years ago.  It documents that Italy, almost always, sufferes much higher mortality rates from flues than most other industarized nations.   Because it predates corona, it is effectively non-political.  I will try to relocate it and post.

What aggrevates me the most is the stupidity and hysteria that we see, perpetually stoked by a press which has little or no medical or scientific knowledge themselves.  People here are hoarding bottled water.  Totally moronic.   I have lived through natural diasters (hurricanes) that left the area without power for weeks.  This NEVER affected the safety or availability of public water at all.  Most natural diasters (at least in the US) do nothing to public water supplies.  There may be odd, rare exceptions, but a flu epidemic is most assuridely not one of them.   People buying bottled water or sodas increase their exposure to infection from the containers and expend cash on uselessness.

Do-gooders innundate us with the superiority of foresaking family cars to commute in crowded buses and trains/subways.  How is that working out ?   

The study attributed the disproportionate death rates in Italy to an elderly population in various villages and less-than-world-classs sanitation and medical availability. 

You confirmed and strengthened my own point about dung heaps like Chicago.... I recall being in a discussion with someone about ten years ago, and learned that the death rate among American troops in Iraq over a period of several years was much, much lower than the number of murder deaths in Chicago in ONE year.  But no one was fleeing Chicago in terror, and the government did not issue travel warning there.

max

hewhositsoncushions
Posts: 367
Joined: Mar 2017

I feel like Roy Schneider trying to tell the Mayor of AMity to close the beaches :(

Georges Calvez
Posts: 470
Joined: Sep 2018

Hi Hew,

Unfortunately quite a few people in the UK seem to be treating this as an excuse for a pre Easter mini break.
https://www.theguardian.com/world/2020/mar/21/disaster-waiting-to-happen...

Best wishes,

Georges

Steve1961
Posts: 301
Joined: Dec 2017

Why don't you use the other thread about how everyone's doing with the other Seaword please

hewhositsoncushions
Posts: 367
Joined: Mar 2017

The R0 number means it spreads far faster and thus kills more people more quickly. The higher CFR / IFR compounds that.

Younger people do get the disease, do end up in ICU and do die from it.

The US CFR is more like 3.4% at the moment but will drop as numbers allow it to move to a realistic IFR.

It will likely not go below 1%.

Hospitals are overloaded and will get worse.

ITS NOT THE FLU.

MK1965
Posts: 201
Joined: Jun 2016

Max,

I am of the same opinion.

Totaly, agree on everything you sad.

Mass hysteria caused by media and leftist politicians.

Take care,

God bless!
MK

eonore
Posts: 98
Joined: Jun 2017

Your source for this conclusion?

 

Eric

hewhositsoncushions
Posts: 367
Joined: Mar 2017

Hope

Josephg
Posts: 231
Joined: Jan 2013

I've got a number of medical appointments coming up in the first half of April, and I agree that they will most likely need to be postponed.

lighterwood67's picture
lighterwood67
Posts: 270
Joined: Feb 2018

Well, Steve looks like you are on the trail.  Just remember, I told you this before you made the decision to go with RT, sometimes you can analyze to paralyze.  For sure, the medical professionals need to give you an answer as to why your PSA is going up.  Hopefully, they can do that.  Good luck on your journey.

Steve1961
Posts: 301
Joined: Dec 2017

your reply  means nothing to me my PSA is not going up

lighterwood67's picture
lighterwood67
Posts: 270
Joined: Feb 2018

Must have just misread something at the start: "since completing regretful radiation treatment ..last PSA was  2.0 at 18 months .5 change from 15 months ..hoping it goes lower ".  My bad.  Good luck on your journey.

 

Clevelandguy
Posts: 602
Joined: Jun 2015

Hi Steve,

Would not get over excited until you have a couple more tests to determine a trend.  With radiation I don't think your PSA will ever go to zero but instead level off at some number which will be determined after a few more tests.  If it levels off and stays constant after several readings that is a great sign.

Dave 3+4

Grinder
Posts: 457
Joined: Mar 2017

We have a saying in the Midwest:

 

Chicago...

Come for the food.

Stay because you've been murdered.

 

I would rather walk down the hall of a hospital ward for Coronavirus patients than walk down a dark street on Chicago's Southside at night. Just sayin'.

 

Look what happened to Jussie Smollet... ;D

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