Advanced Cancer and waiting...

Hi VG....Trust all is well.

We had a trespasser on our property and I strained my gut apparently (I had diverticulitis identified 14 years ago in a pet scan for my cancer but never had a problem or even a flare up?)...my diaphragm litterially puffed out...I ended up in the hospital, septic in about 36 hours...just about died....Anyway, telling the tale...

In California you can't do much to trespassers (A bunch of States you can litterially shoot them) except deal with a situation where we are....

This is the technique used: The patient was placed in the proen position and fluoro/ultrasound images were obtained through the right flanlk. An appropriate skin entry site was then sterilely prepped, draped, and infiltrated with lidocaine. The right kidney midpole calyx was accessed using a 21 G Accustick needle and 0.018 wire advanced ot the ppelvis. The Accustick system inserted. A 4 F glidecatheter na 0.035 glidewire was used to access the bladder. There is a tight stricture at the UVJ, The glidewire could traverse the stricture to the bladder but contrast could not be seen draining. The 0.035 glide was exchanged for an Amplatz wire. The tract diulated and a 10 F APD was placed in the renal pelvis. Hemostasis was achieved and sterile dressings were applied to the puncture site.

FINDINGS: The initial imaging demonstrates hydronephrosis and hydroureter. The UVJ is strictured. 10 F drain for nephrostomy tube.

I have a test coming up on November 15 with Radiology and Urology to assess what is actually going on...yes, surgery is happening but I have no idea of the extent today...the resection of my intestines will occur after I heal from the cancer surgery...so, I'm just waiting....still blessed with choices...going sell the farm...

Thanks, as always, for your input...

VG...You know my cancer better than me! Yes, my "cancer" was/is in my bladder wall muscles.

I'm just having a pity party for the moment. The farm has been a real positive and I believe an extender to my life but perhaps a smaller one like you. I've been finding 40 acres is a bit much...

My medical team says one more PSA in mid December and they'll chart out my surgery...

As always, thank you for your thought...

BDH

LOL...always more to the story...

Hi VG...yes, record snows pack this winter. Since I wasn't up there due to my complicated health issues, our farm is snowed in, as the roads right now.

Yes, I hope the removal of the stint next month will go without complications...

With 21 acres burned, we are assessing our options. The upcoming apple et al harvest with the snow packs should prove very fruitful this upcoming season.

I received the fire report last week from CalFire and my neighbor was towing a large propane tank with a torch on the end buring weeds....He was charged with a multitude of crimes including arson...words cannot express my disdain of this individual...it appears he's heavily insured plus own lots of property in Northern Cal and Hawaii...I would have preferred no fire instead of legal complications and great legal expense...

Anyway, on to the next procedure and hopfully an uneventful colonoscopy and colon reconnect in the coming months...

Thank you for your continued interest over the years...Hope all is well with you and yours-B

My September 2023 PSA test rose to 0.94 :-( …I assume that my UCSF medical team will be reaching out to schedule a body scan in the near future.

Perhaps coincidental but all the same, I've noted that the acceleration of my PSA doubling started after I suffered a perforated colon in July 2022, leading to sepsis, a Hartmann Procedure, right kidney ureter reattachment from Cyberknife radiation damage and a google of procedures along the way up until I had a Hartmann Reversal surgery on August 3, 2023, which has been successful....What’s next?

Hope all is well with all your individual  journeys!