Day 5,188 – A Wee Problem

I’ve been debating whether to write this post but figured that I’ve never shied away from sharing the gory details of the total prostate cancer experience. So if you don’t want to read about my latest adventure with incontinence, you can check out the trip report of my trip to Death Valley last week.

In fact, the issue began as a result of my trip to Death Valley.

After four days of standing in the middle of the desert pretty much solo the entire time, I returned home Wednesday evening. Thursday morning, I can off to the clinic for my PSA test (it took 7 minutes and 38 seconds from check-in to walking out the door). But by Thursday afternoon, I was feeling a bit wonky.

By Thursday night, I was down for the count with a full-blown head cold/flu. I was both baffled by how I contracted it, and annoyed that I had. It had been several years since I’ve had a cold or flu.

Unfortunately, one of the symptoms that hit me hard and caused the incontinence issues was a nagging tickle in the back of my throat that had me coughing pretty consistently and, in many cases, pretty intensely. It sucked.

It sucked because coughing is perhaps the greatest trigger for my stress incontinence. The harder I cough, the more I leak.

I wear Depend Shields in my daily life, and I can get by with one or two pads a day. But by the weekend, the coughing and resultant leaking exceeded their capacity. I had one coughing fit that had me fill the pad, overflow, and soak my jeans. Not fun. Through the weekend and into early this week, I was going through multiple pads a day and doing several loads of laundry.

I toyed with the idea of running to the store to get Depend Guards, the pads with more absorbency and capacity, but I didn’t want to risk embarrassing myself in the middle of Aisle 12 at the grocery store. Plus, I was probably as contagious as Typhoid Mary, so that wouldn’t have been a good thing, either.

I was taking some cold/flu medicine that helped reduce the cough—the root cause of my issue—and I just rode out the storm for a few more days. Today, a week after this all kicked in, I’m back to my good ol’ self getting by with the occasional drip and dribble.

The lessons learned for me are to keep the cough medicine on hand to help reduce the root cause, and to keep a supply of Depend Guards on hand to do a better job of controlling the mess.

Now you know why I may have been hesitant to share this. But, hey, it’s for educational purposes, right?


On a related note, I was successful in getting my appointment to review my PSA results moved to an earlier date. It’s now 18 February 2025 (four weeks is better than four months). I’m okay with that.


Unless you’ve been living under a rock the last two weeks, you already know that southern California has been ablaze with wildfires. Luckily, up until this point, they have stayed clear of San Diego for the most part. Until today.

This little gem popped up about 6 miles / 10 km from my house this afternoon:

View of the Border Fire on Otay Mountain taken from the vacant lot down the street from my house.

It’s grown to about 600 acres / 240 hectares in about six hours, and we’re expecting high Santa Ana winds this evening. It’s in a very mountainous area, and air crews have been working the scene all afternoon. Luckily, it’s adjacent to a large reservoir, so there’s plenty of water for the helicopters to access. We also have rain in the forecast for the weekend for the first time in months (San Diego has had the driest start to the wet season since they began keeping records in 1850. We’ve had only 0.14 inch / 3 mm of rain since 1 July 2024.)

Of course, I’m concerned and I’ve made preparations to leave if need be. But given the location, the fact that the reservoir is between me and the fire, and the prevailing winds are keeping the smoke south of me, I’m hopeful that my neighborhood will be unaffected.

I’ll keep everyone updated over the next day or two.

Be well.

Header image: Courtyard at The Ranch at Death Valley National Park, California

5 thoughts on “Day 5,188 – A Wee Problem

  1. lcran226@aol.com's avatar lcran226@aol.com

    Hi Dan, I have been following your blog for awhile now. Initially I found you when my then boyfriend went through a Prostatectomy. I am no longer with him but still follow you. I have a little suggestion that worked for my then boyfriend, pelvic floor therapy. He did it both before and after and it helped tremendously. I don’t know if you remember, but my daughter lives in San Diego and happens to be a pelvic floor therapist. She has helped men and women through various degrees of incontinence. I am taking the liberty of attaching a link to her physical therapy office.. Her name is Jessica. I hope you don’t feel like I am overstepping. My husband died from cancer 11+ years ago (different, rare kind) and ever since I have been involved in the cancer world. Lisa C http://shefitpt.com/

    Sent from the all new AOL app for iOS

    Liked by 1 person

  2. J.C.'s avatar J.C.

    Hi Dan- Just want to second Lisa’s suggestion about PVT. The standard Kegel exercises that we’re all told to do are fine, but during my therapy, I learned about variations on and different timings and situations for those “clinches” that seem to have helped with the slight uptick I had in drippiness after radiation. Just to reiterate, I had surgery in 2016 in my early 50s and came through about 99.5% dry except for small leakage when running. Fast forward to last year when I had salvage at 0.16 after which the problems got worse during running and sometimes bled into every day life. I’m on my second month of therapy now and back to where I was before zapping with a (reachable, according to the PT) goal of complete dryness. Yeah, it’s embarrassing and a bit weird doing this stuff, but it helps. Just my two cents. Anyway, I hope your appointment this month goes well- how does a scan, a localized finding, a quick dose of rays, and undetectable forevermore sound? Thanks for keeping us all up to date and take care!

    —J.C.

    Liked by 1 person

  3. Charles McGill's avatar Charles McGill

    Hi Dan, I know you keep yourself well informed – I just think the opportunity may be available for you to get the best imaging as part of the CLARITY trial using a Copper isotope instead of the Gallium or Fluorine isotopes as it is being run in a number of centres in the USA (as well as Australia).

    See this latest review https://www.urotoday.com/trials-in-progress/clarify-trial/videos/mediaitem/4497-clarify-trial-multiday-64cu-sar-bispsma-pet-scans-refine-prostate-cancer-assessment-luke-nordquist.html?utm_source=newsletter_13869&utm_medium=email&utm_campaign=uroalerts-prostate-cancer-weekly Certainly worth discussing with your physicians (in my humble opinion). Best regards Charles

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