I'm 71 and have been on 3+3 low volume AS for coming up on 7 years. My PSA (especially after a TURP) is never more than 1.4. I get tested every 6 months and have no intention of changing this. I also keep in reasonably close touch with my uro. FW all this is W!
'Crossed paths with PCa survivor who had surgery whose doc is insistent on Lupron; his career, biologist. To date he's "gone his own way", refusing because of personal research. What I see as my problem is inability to bring this individual "to god" with tools blog and webinars present. He is more than mildly guarded given "unbridled" missteps of the American Urological Association and many other similar voices of authority. Thank you, Howard, for staying the course when you've long earned the right to lay back and GLOAT!
I was reading an article today by Dr. Scott Eggener, my former urologist. He noted: "Eggener also stressed the importance of repeating a PSA test with an elevated PSA level result. “I’m not sure of any situation with screening treatment or posttreatment where you change the plan based on 1 new change in PSA. Always repeat it,” he said"
I'd underline some of that.
Patients tend to be quite literal and focus on the twilight zone of PSA 4-10. There is wiggle room.
Who knows what happened.? PSAs are sensitive little guys. Gremilins can be set off by ejaculation (are you behaving yourself?), time of year (is your sap running. this early spring?), day of the week (inexpicably Fridays can be a bad day for testing), medications. Maybe a bad assay.
Take a deep breath. Meditate. Go for a hike. Get another PSA.
My PSA has gone as high as 9 about 10 years ago. The same Dr. Eggener told me then that we knew my prostate pretty well. (In fact. I'm on a first name basis.) He promised me it would settle down. It did. I have stabilized to a range of 4.8-5.3 for the past nine years.
Thanks, John.
WHere are you from? (I know several John SMiths.
Can you translate: FW all this is W!
Howard
I'm 71 and have been on 3+3 low volume AS for coming up on 7 years. My PSA (especially after a TURP) is never more than 1.4. I get tested every 6 months and have no intention of changing this. I also keep in reasonably close touch with my uro. FW all this is W!
Keep up the good work, Howard.
'Crossed paths with PCa survivor who had surgery whose doc is insistent on Lupron; his career, biologist. To date he's "gone his own way", refusing because of personal research. What I see as my problem is inability to bring this individual "to god" with tools blog and webinars present. He is more than mildly guarded given "unbridled" missteps of the American Urological Association and many other similar voices of authority. Thank you, Howard, for staying the course when you've long earned the right to lay back and GLOAT!
Another great article!
Thanks, Harley.
Hoping we can hear from you on your "journey" soon.
Howard
Working it, but things took a 'complicated' turn. Stay tuned.
(PSA was 9.15 😱)
Harley,
Hang in there.
I was reading an article today by Dr. Scott Eggener, my former urologist. He noted: "Eggener also stressed the importance of repeating a PSA test with an elevated PSA level result. “I’m not sure of any situation with screening treatment or posttreatment where you change the plan based on 1 new change in PSA. Always repeat it,” he said"
I'd underline some of that.
Patients tend to be quite literal and focus on the twilight zone of PSA 4-10. There is wiggle room.
Who knows what happened.? PSAs are sensitive little guys. Gremilins can be set off by ejaculation (are you behaving yourself?), time of year (is your sap running. this early spring?), day of the week (inexpicably Fridays can be a bad day for testing), medications. Maybe a bad assay.
https://howardwolinsky.substack.com/p/are-gremlins-plaguing-your-psa-levels?utm_source=publication-search
Check this out: https://howardwolinsky.substack.com/p/breaking-news-worried-about-a-10?utm_source=publication-search
Many good points here as Dr. Todd Morgan, another hero, notes patients' are scared by PSA 10 but PSAs don't get his attention unless they hit 15: https://howardwolinsky.substack.com/p/breaking-news-worried-about-a-10?utm_source=publication-search
Take a deep breath. Meditate. Go for a hike. Get another PSA.
My PSA has gone as high as 9 about 10 years ago. The same Dr. Eggener told me then that we knew my prostate pretty well. (In fact. I'm on a first name basis.) He promised me it would settle down. It did. I have stabilized to a range of 4.8-5.3 for the past nine years.
Keep us informed on what's up.
Howard