Month 106 – Almost Time

Work is insanely busy for me right now, so this will be a shorter post than usual. (“Thank you!” you say.)

I’m coming to the end of the six months since my last PSA test (and the first six month test frequency in many years), so it’s almost time for my next visit to Dracula. I’m looking at my calendar and I’m thinking that I’ll go somewhere around 7 or 8 October, but anticipation may have me try to squeeze it in a little earlier. Perhaps even the tail end of September. Either way, I have an appointment with the urologist on 22 October to review the results.

I’m not even going to try and predict where the next marker on the chart will land. My spreadsheet failed me wonderfully last time out. As I recall, it predicted a value of around 0.14, and I came in at 0.10. One result at a time…

As a refresher here’s my PSA chart:

PSA 20190326

Last week, I stumbled across a comment in a Facebook prostate cancer support group that talked about rising PSA, and the author recommended reading/viewing Dr. Charles “Snuffy” Smith’s article, “When Recurrent PCa isn’t Cancer.” Dr. Smith is the editor-in-chief of the website, Prostapedia.

The video was published four years ago, but Dr. Smith seemed to reinforce the notion that my continued surveillance of my PSA without taking other action may not be as crazy an idea as many may think it is (including myself, on occasion). Of course, I’m sure there are plenty of others out there who would argue otherwise, too.

Even though there are a thousand opinions out there, we patients sometimes forget that we really can control our treatment path, as long as we do it in a well-researched and well-thought out way, assessing the risks and rewards. I get to decide what to do in the end. It’s my body and my life, after all.

Stay tuned.

3 thoughts on “Month 106 – Almost Time

  1. Hi, Dan. You and I are on similar schedules. I’m going in October for my six-month PSA. I’ll be thinking of you and encouraging that number of yours to decline into oblivion–or minimally go absolutely nowhere. Hang tough, my friend!


  2. Dr Gregory L. Kofman

    Dr Charles “Snuffy” Myers. From the looks of yours graph you may just have benign margins that are registering PSA but, not active. This seems to be the case with myself Dx: 10/2011 PSA 26.4 10/12 cores positive 1/12 lymph positive. Prostatectomy 2/13/2012. Used a Vantis(ADT) implant for 7 months. Dr. Myers advised the removal of it. I’ve been on Snuffy’s Prostate cancer remission diet since. Dr. Myers was one of my prostate oncologists, along with Dr. Scholz & Lam. Miss his input but, I have a subscription to Prostatepedia on line.


    1. Thanks for your comment and input.

      I get my care through the VA, and each time I go for an appointment with the urology department, I usually see a different doctor. That can be both good and bad. I receive multiple opinions, but don’t get to establish a relationship with him or her.

      Interestingly, only a small number have, like you, suggested that my detectable PSA may be the results of benign tissue left behind. Most see it as a biochemical recurrence.

      There are a few questions that I have from a lay person’s perspective on the benign tissue argument. If some prostate tissue was left behind after the surgery, why didn’t my PSA remain slightly elevated reflecting that? Why did my PSA go undetectable for 54 months if that tissue was there all along? If it’s only benign tissue, why has my newly detectable PSA doubled?

      We’ll see what the next results are and what the next doctor says.


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