First results in

What a balls-up! More worry for you. How strange?

I would also make a formal complaint as someone has made a very serious error by discharging him in the first place.

In fact, I had to discharge myself from hospital following my transperineal prostate biopsy, as they detected a slight temperature rise, and wanted me to stay overnight. I felt absolutely fine and was urinating normally.

It caused a bit of a kerfuffle as the very junior doctor then in charge had never had to sign for a patient to discharge himself before, and he was unsure of the discharge protocol. He told me initially that he couldn’t discharge me with the planned antibiotics. I said “Not to worry, I’ve got broad-spectrum antibiotics at home, so I’ll use my own”. He then sought advice from a senior nurse and I was on my way home with a box of tablets.

Of course, it’s rare to find anyone senior at a hospital on a week-end, so I wonder if a Consultant toddled in on his day off, today, looked at Hubby’s notes, and said “Why the bloody hell was this patient discharged?”

I hope his hospital re-admission will sort him out. 🤞

Which biopsy did your husband have?

Cheers, John

Edited by member 18 Nov 2018 at 16:42  | Reason: Not specified

There are some dinosaurs here who still have faith in the virtually useless TRUS biopsy, yet there are many here who having had a TRUS, end up having a second targeted template biopsy for more accurate assessment. Two lots of hassle and discomfort for the price of one!

Two friends who had experienced that same scenario told me to “avoid a TRUS at all costs”. In any event, my own Tommy the Tumour was so big that he would have been picked up on a TRUS biopsy, but then I would have run the risk of secondary infection such as your old man has suffered. They can always carry a out template biopsy with an epidural anaesthetic if there is a health risk involving general anaesthesia.

If he is back on the ward now with intravenous antibiotics, he should be back out and about soon, and looking forward to a treatment plan with the magic words: “With curative intent”

Best wishes and good luck.

Cheers, John.

Edited by member 18 Nov 2018 at 19:18  | Reason: Not specified

Sepsis is a rare complication of any surgical procedure. Death is a rare complication with any general anaesthetic. Back damage is quite a common problem with epidural or other spinal blocks. Cancer spread by needle tracking is a rare complication of template biopsy. Infection is a known complication of TRUS but can also happen with template. Life is quite risky.

TRUS biopsy is a perfectly sensible step for most men in the process to a diagnosis; even better if they have been able to get the scan first. If we ever get to the stage of a more reliable test than PSA and all hospitals using mpMRI to the correct standard, leading to less than 100,000 men needing a biopsy then we might be in a position where the NHS could cope with offering template biopsy to anyone who prefers that option. At the minute, we are nowhere near.

Yes the doctor said 1% chance so very rare

The biopsy isn't to diagnose, it's more to stage and work out what type

He started on hormone tablets on Thursday

Hi Gemma,

I had it in my lymph nodes and I have been told I am cured by one oncologist (I take that with a pinch of salt, but so far he is correct), and that I won’t die of it by the top prostate cancer oncologist in Britain (I believe him). And I have never felt so well.

So don’t be so despairing. Wait for the biopsy results and take it from there. And work out a treatment plan. I have just been down the pub with my mate whose PSA was 300 four years ago, and now it’s 8, following treatment. He has had no side effects or any problems with just hormone therapy.

Best wishes to Hubby, doubt if the menu and wine list in his own private room is as extensive as going private!

I was surprised at the menu choices I was offered at the Royal Surrey Hospital on the NHS after my prostatectomy. They looked rather good! I had a few snacks and an OK pasta dish during my two nights there, but I had such a dry mouth, presumably a result of the drugs and general anaesthetic, I didn’t really feel like eating. Yet I put on weight there. God knows what was in those drips I was connected to. Lucozade?

Do investigate into making a complaint as there seems to have been a serious shortcoming somewhere, and you might save someone else’s life in the future.

Cheers, John

Edited by member 19 Nov 2018 at 03:01  | Reason: Not specified

I am not Her Majesty's Principal Secretary of State for Health and Social Care, but in Parliamentary terms, “I would refer the Honourable Lady to my answer made a few moments ago”:

”The TRUS biopsy is as bad as we thought it was” - the number one specialist prostate cancer consultant oncologist at Britain’s number one cancer hospital, The Royal Marsden.

 “The investigators found the transperineal (biopsy) approach to be protective. Compared with transperineal biopsy, transrectal biopsy was associated with nearly 3.5 times increased odds of infection” - Renal and Urology News.

So aside from pathetic internet on-line squabbles, Gemma, I hope your man comes out of hospital very soon with a positive treatment plan in train soon afterwards.

Best wishes for the future.

Cheers, John.

P.S. Oh, and since you mentioned it before on a different thread Matron, I have found another example of a xenophobic ‘racist’ ranting about the infiltration of our National Health Service by foreigners:

https://m.facebook.com/story.php?story_fbid=2249742725096386&id=6622931938&refsrc=https%3A%2F%2Fm.facebook.com%2FChannel4News%2Fvideos%2F2249742725096386%2F&_rdr

Edited by member 19 Nov 2018 at 14:31  | Reason: Not specified

Let's hope that he continues to improve that you get good result.

Don't fully understand but they had to grow the bacteria to see what they could fight it with which takes time and it wasn't a simple infection

Antibiotics need to be done intravenously

I also had sepsis 2 days after the Trus biopsy, I was taken Ill at work shaking, when paramedics arrived temp was over 39, luckily my next shaking session I was in hospital, they grew culture from my blood to find right antibiotic given Intravenously and sent home after 4 days. The biggest blow came 2 days later with result of biopsy and told I had cancer.

Hope everything for your hubby works out ok.