Leaning or relying on science, commonsense, luck, grace, and intuition. I am happy to report I am cancer free after 3 years.
I read, researched, meditated, prayed, and sought the best opinions I could find before I decided to go for SRT in February 2021 after my RP in March 2019. Though my PSA only rose to 0.05 after 20 months post RP, my team of urologists and oncologists let me make my own decision to go for SRT since I had a positive margin. I took a chance and here I am happy, healthy, and fit at 63 years old.
Today, My PSA came in at 0.003, three years after my initial PCa diagnosis in October 2018. Recurrence highly unlikely. I went for SRT early and it was the right decision.
Rock and Roll
Written by
Steve507
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I was gently warned by some doctors that that doing Salvage Radiotherapy with a PSA of only 0.06 10 months later was too soon.
Now 9 months after Salvage Radiotherapy, I have a great quality of wood. My PSA fell to less than 0.01 last January and has stayed there since. I made the right decision after listening to the doctors and to myself after hours of reading, cogitating, and meditating.
Steve, you give me hope. My situation very similar. Had RP 03/18. PSA 1 yr <.1 and at 18 mo went to 0.10. Rose over next year to 0.36. Had to delay a while due to Covid shut downs and infected hip replacement that had to be done first. I started alternative protocol and brought it steadily down to 0.29 over next 6 mo. Was going to continue along that path when I had a great conversation with a MO at Northwestern for a second opinion. She said basically what I knew in that cancer is smart and will figure out a way around what I was doing so why not blast it now and hopefully be done with it. No pressure but it sure made sense especially since side effects are small if any. Took that advise, did one month oral ADT before starting that brought PSA down to 0.07 (we all know that SRT results directly tied to PSA at time of starting). One month after finishing PSA at 0.17 and RO expects to keep falling. Have 6 month PSA mid Dec and pray to be where you are, DONE! I am now plant based, use supplements if used in specific RP/SRT trial on our brothers and had results lowering PSA and most likely will take going forward. Since we know it is never truly gone, I am looking at Nalakrats posting on Senescent cells also. Thanks for posting.
At 61, last November 2020 is when I did a month of ADT in preparation for SRT which finished in February. Been 0.005 Since last December.
My logic was simple. I'm young, healthy, and my body surely can handle some zapping better now than down the road. Let's not give it any chance to no longer be a regional disease since I had one 5mm margin post RP Path. I do believe I made the right decision. My T levels are very low but I still get wood. I walk a lot and drink good beer which helps, too.
It's a very individual decision for very idiosyncratic diaease.
Again, similar. Was 63 when started. Had nothing show up on my PSMA. Per SPORTT study they did bed and lymph nodes. Had no effect other than going off plant based since radiation does not agree with my 40 grams of daily fiber diet. Back on and yes, it was kind of a no brainer (other than my 2 hr commute to U of Chicago in traffic each day). Still worked out 6 days/wk before, during , and after. Looking forward to Dec PSA.
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Question about my annual post RP psa reading???
Early use of LU-177?
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Nomogram Value for Newly Diagnosed?
