The "New" Prostate Cancer InfoLink Social Network

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Mike Reser
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  • Tiffin, OH
  • United States
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A member asked if we could start a group where we could share knowledge about access to information resources. So here it is!
June 24
When PSA stays high after RP
June 24
Optimizing functional recovery and what to do if there are problems
June 24
Statistics and stories about scalpels, sutures, and surgeons -- everything you want to know about prostate cancer surgery.
June 24
Mike Reser updated their profile photo
June 24
Mike Reser is now a member of The "New" Prostate Cancer InfoLink Social Network
June 24

Comment Wall (3 comments)

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At 4:41pm on June 25, 2009, Arnon Krongrad, MD said…
Hi Mike (Reser),

Welcome to the network. I want to be sure we're clear. "Undetectable" is not a specific value and different people use it to imply different specific values. Many doctors say "undetectable" when the lab slip shows any specific value that is <0.1 ng/ml.

When the PSA is undetectable (any value <0.1 ng/ml) we may see fluctuations, including literal doubling. Thus, one day there may be a 0.003 reading and the next it may be 0.006. This is literally doubling but still "undetectable." In this case, the doubling is without any apparent meaning, probably reflecting natural low-level variations and/or assay background noise. If improperly interpreted it causes anxiety but does not provide us with any useful clinical handle.

Before Mike and Mike engage in pursuit of a doubled PSA, may I suggest we learning very specifically what are the PSA values at hand and, as importantly, what the surgical pathology report showed?

Arnon
At 7:37pm on June 24, 2009, E. Michael D. ("Mike") Scott said…
Hi Mike:

Sorry to hear about the rise in PSA after 4 years. That's a real bummer!

A critical issue will be your PSA doubling time. You may want to talk with your doctor about "doing nothing" for a couple of months and having PSAs taken each month to see if you can determine that value. If you have a look at this article on the main web site, you will get a clear understanding of why. In particular, read the material beginning "Antonarakis et al. (abstract no, 5008) presented data ..."
At 7:27pm on June 24, 2009, George A. Brown said…
Hi Mike, Sorry to hear about the PSA showing a rise. But, welcome to the web site. Lots of similar rises here for sure as well as friends support and info. Glad to have you as a part of us. Look forward to sharing when your file becomes available. Click on my picture as see some info. Will check back with you. George

Profile Information

Have you been diagnosed with prostate cancer?
Yes
What brings you to the New Prostate Cancer InfoLink social network?
4 years post-LRP ... PSA suddenly shows a value other that "Undetectable"
Would you help us grow the network? Would you tell others about it?
Sure
About Me:
55 years old... LRP 6/10/05... will add more details later when i have my file with me for specifics
 
 

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