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Focal HIFU

User
Posted 30 May 2020 at 01:27

So a late PSA test with all the COVID 19 issues. Booked on Monday at local GP. 

It’s that time again to look at my seemingly perfectly healthy and active 57 Hubble and have to acknowledge that life may be about to go off the rails ..  again

 

 

 

User
Posted 30 May 2020 at 11:27

Hi Clare,

Good luck with your husband’s PSA test on Monday, I hope he has a good result.

Onwards and upwards, as we all keep saying.

Ange x

User
Posted 04 Jun 2020 at 17:27

Well our first experience with ringing GP for PSA results went like this:

’ I am not medically trained so pleased don’t ask me the number; all I am allowed to say is the result is ‘normal’.

Had to smile, we asked for a hard copy in the post! 

 

User
Posted 04 Jun 2020 at 17:44
Lol , I was very friendly (still am ) with a young guy on here who also had RP at the same time as me. Trying to talk to him about psa was like he had never been to school. He just didn’t get 0.2 or 0.02 etc.

In a way I guess she was right not to comment. Many people don’t understand the difference between either.

I am on the electronic patient system EMIS and can get all my blood results online.

Nice to hear from you Clare

If life gives you lemons , then make lemonade

User
Posted 05 Jun 2020 at 01:02

But seems you spoke with receptionist? Every time I ask for my PSA result from the receptionist I am told 'normal.' The receptionist has just gone by the values by age shown on the result. I then tell her that these are for somebody who has not had or is not being treated for Prostate Cancer. I request a printed copy to check the precise figure. Incidentally, on two or three occasions I have been told the information cannot be given to me until it it has been seen by my GP which means calling at the surgery again a day or two later.

Hope you can tell us the result was good Clare.

Edited by member 05 Jun 2020 at 01:04  | Reason: Not specified

Barry
User
Posted 05 Jun 2020 at 06:35

Originally Posted by: Online Community Member
Lol , I was very friendly (still am ) with a young guy on here who also had RP at the same time as me. Trying to talk to him about psa was like he had never been to school. He just didn’t get 0.2 or 0.02 etc.
In a way I guess she was right not to comment. Many people don’t understand the difference between < > either.
I am on the electronic patient system EMIS and can get all my blood results online.
Nice to hear from you Clare

When I'm counseling patients and asked to explain about test results, I get all sorts of things, 00.2, 0.00.2, ...

I get my test results from the surgery online system, although it's something I had to ask for specially - it wasn't available by default without them checking a box to say I could access my patient records. Surgery can't see hospital requests tests or vice versa, even though same lab, and sometimes same phial.

User
Posted 05 Jun 2020 at 23:54

Chris, I train accountants who struggle with basic maths these days!  Chris I Hope you are OK in these tricky times.

Barry now we have the print out it is 1.31. Lowest after the FLA was 1.32.

However no consult or reply to emails either ( normally A gets the test in the morning and we have lunch and see consultant who gives the result and the reassurance ( or not!)

So it’s down, he still has his prostate but I guess it’s just a ‘new baseline’ from which to watch the trend.

Hoping for a zoom consult as heard nothing and just organised this test locally when no reply!

So taking it as a positive but will want the next PSA test  ‘ on the nose’ in September. Three and half years since diagnosis. No symptoms  and other than recovery from treatments no impact on QOL but still recognise we want to know if another reoccurrence is happening. 

 

Barry did you decide whether to have any more treatment? Hope all is good with you.

Andy 62 thanks for the tip. The  GP were great so may stick with them for testing and just ask if they can set up  access to results on their online system like Chris and yourself.

1.31 .. taking it as positive ...  post FLA his PSA kept falling throughout 2017 and 2018, it was just 2019 that saw the increase and the new tumour.

Thanks all

Clare

 

User
Posted 06 Jun 2020 at 16:42
Hi Clare,

'A' still has most of his Prostate so as you say a base line to follow. As we have seen with others don't be surprised if there is a bit of up and down movement but hopefully not a sharp or steady increase.

My tumour is still only the size of a grain of rice and I was recommended to see what my PSA was in 6 months time and I have an appointment in September. I was happy to go along with this bearing in mind the pressure on hospitals (which has since eased somewhat) but also because I am not keen to travel on pubic transport for a procedure in London that can be delayed until there is less risk of getting the 'C' Virus. So I am on sort of AS.

Barry
User
Posted 07 Jun 2020 at 21:57

Thanks Barry, definitely seeing it as a new baseline and appreciate the advice re expecting fluctuations.

It sounds like you are doing the right thing with your ‘grain of rice’... keeping it under careful watch makes lots of sense even without the additional difficulties of Covid-19.

Great to catch up

 

Clare

User
Posted 15 Jun 2020 at 23:38

Consult happened over the phone. Due to delay in getting PSA test the 6 month MPMRI will here before we know it. A 6 month PSA also is planned once we have a scan date. 

Will stick with GP for the test to save the travel. 

She was happy with the PSA downward movement and said it’s not unusual for it to continue falling (as it did following the FLA).

The monitoring continues therefore! 

User
Posted 16 Jun 2020 at 06:56
I cannot work out WHY some Medical people are so secretive about test results. My GPs are inconsistent, sometimes it is all on my online record, other times "The Oncologist will tell you" Very odd.???

User
Posted 27 Jun 2020 at 19:32
Its crazy. By this time you are the expert, not just them! As a retired surgeon I would say there can be a spot of hubris.....
User
Posted 10 Jul 2020 at 21:11

Today saw A’s 6 month PSA test and MRI scan post focal HIFU. This appointment came in for a couple of weeks short of 6 months and with the COVID delay on the 3 month one it is the closest PSA’s test he has had.

So mask on he took the train to London and walked to the hospital for the blood test and MRI. Most wobbly I’ve known him after. He said the mask wearing whilst in MRI with contrast needle made him unusually claustrophobic. 

Home now and haven’t asked for results as we have consultation on Monday so may as well hear it all then. 

Just diarising as ever. Have a good weekend all.

 

User
Posted 10 Jul 2020 at 21:29

Good luck with results for Monday.

Angex

User
Posted 10 Jul 2020 at 21:46

Thank you Ange x

User
Posted 10 Jul 2020 at 22:29

Good luck for Monday.

Thankfully I dressed in shorts and tee for my MRI’s. Those magnets get warm apart from the circa 90’s techno tunez they emit  (is it just me?). I know what you mean about claustrophobia as it’s only something I developed later in life. Before my MRI I set up a mock MRI machine at home with same dimensions to get used to the confined space. Worked really well so I just focused on the sounds and closed my eyes. 

keep us posted!

User
Posted 12 Jul 2020 at 16:40

Thank you TG, great advice, he hasn’t anticipated the addition of a facemask during an MRI could have an impact. Also he said the contrast needle was just painful throughout which he hadn’t experienced before.

Nothing of course compared to so many so reporting rather than complaining. We should know tomorrow whether more treatment is recommended  or if the van is once again kicked down the road as a minimum positive outcome

 

he hasn’t mentioned the music! I must ask! My one and only MRI ( brain and full spine) I declined and offered sedation as I was convinced I had no claustrophobia and could live with my own head happily for some time! I actually pressed the panic button 3 times and had to be talked into keeping with it rather than losing what they captured .. not quite the person I thought I was! 

Clare

User
Posted 12 Jul 2020 at 17:22
Hi Clare I’ve had a zillion scans as you know. Sometimes offered music with MRI but mostly not. I only have CT and Bone scans now. The CT is a much larger scanner and not claustrophobic but somehow there is a real fear when the electric voice says breathe in and hold then breathe out , and you can see and hear the radiation elements whirring around inside. I hate it as each full body scan is equivalent to 7 yrs natural radiation. I’ve had at least 6 now .....

The new MRI scanners at Southampton are as big as the CT scanners. No Claustrophobia at all. I’m mega brave with injections and canulars etc , even injecting my own penis , but I have to say the contrast canula can be very painful. I think it’s because of your arm position. In my case both raised above my head. It hurts. Best of luck.

I have both full body CT and Bone again 27th July. I think my run of luck has run out judging by crippling fatigue this last few weeks :-(

If life gives you lemons , then make lemonade

User
Posted 12 Jul 2020 at 22:44

Hi Chris

Always good to have a catch up. You are indeed a scan guru and even though I don’t have a penis the thought of injecting it makes me wince! ( I was unable to prick my thumb back in the day when that was considered a normal part of a biology lesson at school in the 1970’s! 

It sounds like A has been lucky with his contrast cannula before and this one was more the norm! 

Sorry to hear about the fatigue :( :( 

Hot weather does not help with this I guess.  Hmmm..

Another scan does sound like a  very good idea despite all your history and I know you have a top consultant who also seems to see you as an individual not just a number.. 

Thoughts with you, the build up to scans and consults are just rubbish times I know  :( 

On the positive side fab that Southampton have such top scanners as well as your consultant. Also such a fantastic part of the world. We are hoping to do a trip to the New Forest in August as it’s a real favourite. 

Let us know how 27th goes Chris.

xx

 

User
Posted 12 Jul 2020 at 22:53
Funny isn't it, how we all respond to things differently. I have a brain scan every 2 or 3 years and have never given it a thought until now. On the other hand, I had to wear a mask yesterday for the first time and found it to be the most horrific hour imaginable :-(

Fingers crossed for good news tomorrow for you, Clare.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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