Low T Warning in Severe COVID-19

[dexy1234]

dgalerts.docguide.com/study...

[doc1947g]

I guess I did not had any choice.

73 y.o. with Lymphoma NH Marginal Zone in Bone Marrow and many Acute Chronic Diseases.

My Immune System is VERY low.

That gave me a Severe Physical Limitation. 2 walks of 0.75 km with a walker, then my Pulmonary Emphesyma Gold Grade 3 kick in and I have to rest and catch my breath.

1994 Had a work accident followed by Discoidectomy L4-L5 and Permanent Acute Lumbalgy, on Fentanyl 87 mcg/hr patches and recently on CBD and later on THC.

2004 Blood Tests showed a Acute Chronic Renal Insufficency Stade 3, which is treated as Wait & Watch ,with Blood Tests every 4 to 6 months. Stable so far.

*Prostate-specific antigen (PSA)*

*Pré-Hormonothérapie*

4.23μg/L (2001/07/18), 2.2 μg/L (2002/07/23), 1.8 μg/L (2006/07/04), 2.2 μg/L (2008/09/22), 2.4 μg/L (2009/05/20), 2.05 μg/L (2011/08/26), 2.25 μg/L (2012/08/13), 2.05 μg/L (2013/08/06), 2.77 μg/L (2014/07/28), 3.84 μg/L (2015/07/06), 1.97 μg/L (2016/06/30), 3.89 μg/L (2017/06/13), 6.8 μg/L (2019/09/10), 11.7 μg/L (2019/10/28), 13.7 μg/L (2020/01/08), 16.7μg/L (2020/03/02), 20.4 μg/L (2020/04/06),

*Per-Hormonothérapie*

1.76 μg/L (2020/05/04), 8.58μg/L (2020/05/27), 0.18 μg/L (2020/07/29),

*Post-Hormonothérapie*

0.03 μg/L (2020/09/15), 0.01 μg/L (2020/12/15), 0.01 μg/L (2021/02/11)

*Testostérone*

*Pré-Hormonothérapie*

10.30nmol/L - 294.19ng/dL (2020/05/04), 15.2nmol/L - 438.04ng/dL (2020/05/27),

*Per-Hormonothérapie*

< 0.2nmol/L - < 5.768ng/dL (2020/07/29),

*Post-Hormonothérapie*

< 0.2nmol/L - < 5.768ng/dL (2020/09/15), 0.3nmol/L - 8.6455ng/dL (2020/12/15), 0.4nmol/L - 11.5214ng/dL (2021/02/11)

Prostate went from 24.7cc to 45.86cc.

2020 March 3rd I had 6 cores out of 12 positive on the right side at 85% G4, then on a Special pre-RT Scan they found multiple tumors on both sides.

I was in the Ufavorable Intermediate Risk group with a G(4+3=7) Grade 3.

I got and injection of Eligard 45mg/24weeks on April 4th 2020 that was screw-up so I did not get the benefit of Pre-RT 8 weeks of ADT. And on Casodex 50mg/I.D. X 30 days.

So I have been on Lupron Depot 22.5mg/12weeks X 2 from 2020 May 31st & 2020 Aug 24th to 2020 Nov 16th and on

VMAT-RT 3Gy X 20Fx in June 8th 2020 to July 7th 2020 and my

PSA = 0.01µg/L and my

Testosterone = 0.4nmol/L or 0.1154µg/L or 115.368ng/L or 11.5368ng/dL.

On Feb 11th 2021.

Next tests on March 1st 2021 and March 11th 2021.

And a second Cystoscopy on March 3rd 2021. First one on Nov 16th 2020 showed a lot of strictures, some were relatively bigger( made the Cystoscopy very painfull).

On Oct. 2020 I started a Severe Depression and was put on Sertraline 200mg/ID plus R/V with a specialist psychologist who deals only on patients with 2 cancers and other chronic diseases.

Except for the Heat Flashes+++ and B Size Cup Breast I feel not too bad considering my other health problems.

When I look at other patients who went for RP and all the Secondary Effects they have, I am really happy about my choice which in fact was my RO decision du to all my other Health Problems and my age.

In Quebec, Canada unless special exceptions they do not to RP since it involves Anaesthesia and a Head-down position which is VERY hard for the breathing..

We need to keep FIGHTING against that awfull disease.

I have 1 daughter and 4 sons. 1 grand-son and 1 grand-daughter and I want to see them growing.

I will SURVIVE!!!