Re: more on fpsa test and results.

February 4, 2006

Sam,

When you send information for a web source can you send the link to that source please.

Kathy

more on fpsa test and results.

Dr. von Eschenbach, a urologist who is director of the Center for Genitourinary Cancer at the M.D. Cancer Center, Houston, says use of fPSA depends on the context and the patient being evaluated. For instance, a 50-year-old man with a normal size prostate and a PSA of 7.5 ng/mL should undergo an immediate biopsy. On the other hand, a 67-year-old man with an enlarged prostate and the same PSA reading might decide to have a fPSA test rather than a biopsy. "If the fPSA is above 20 percent, it's probably due to benign growth, and we continue to watch and wait," he says.

Catalona, MD, professor of urology at Washington University School of Medicine, St. Louis, and a world-renowned expert in prostate diseases, says he uses fPSA for men with PSA values down to 2.6, because there's a significant chance of cancer even with the lower values. "About 10 percent of the population has a PSA between 4 and 10," he says. "That doubles when you go down to 2.6."

If the fPSA result is above 25 percent, the chance of a positive biopsy for cancer is extremely low. At that point, patients, especially if they're older, might elect not to have a biopsy because any cancer present is slow-growing, he says. If fPSA is under 10 percent, "the chance of cancer is high, and it's very likely that cancer would be aggressive," Dr. Catalona says. Then a biopsy is warranted.

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February 4, 2006

Sure I can try and remember to. This very valuable piece of information dosent seem to be getting around to the Family Practice, Uros, Oncas like it should. A good FP is the first line of defence!Kathy Meade wrote: Sam, When you send information for a web source can you send the link to that source please. Kathy more on fpsa test and results. Dr. von Eschenbach, a urologist who is director of the Center for Genitourinary Cancer at the M.D. Cancer Center, Houston, says use of fPSA depends on the context and the patient being evaluated. For instance, a 50-year-old man with a normal size prostate and a PSA of 7.5 ng/mL should undergo an immediate biopsy. On the other hand, a 67-year-old man with an enlarged prostate and the same PSA reading might decide

to have a fPSA test rather than a biopsy. "If the fPSA is above 20 percent, it's probably due to benign growth, and we continue to watch and wait," he says. Catalona, MD, professor of urology at Washington University School of Medicine, St. Louis, and a world-renowned expert in prostate diseases, says he uses fPSA for men with PSA values down to 2.6, because there's a significant chance of cancer even with the lower values. "About 10 percent of the population has a PSA between 4 and 10," he says. "That doubles when you go down to 2.6." If the fPSA result is above 25 percent, the chance of a positive biopsy for cancer is extremely low. At that point, patients, especially if they're older, might elect not to have a biopsy because any cancer present is slow-growing, he says. If fPSA is under 10 percent, "the chance of cancer is high, and it's very likely that cancer would be aggressive," Dr. Catalona says. Then a biopsy is warranted.

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Have a nice Day!

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February 6, 2006

Sam

What are you doing for that pain?

This needs to be dealt with my friend. I hate to see that you are suffering.

Are you seeing an oncologist or pain specialist?

Best wishes

RE: more on fpsa test and results.

Thank you Kathy, i never thought you didnt.

My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry

February 6, 2006

Yes im going to an onca but he's not helping. My insurance runs out at the end of this month so i guess thats the end, im not going to bankrupt my family. I'll probally get one more psa test in and am hoping to get an injection of elagard from the uro before it runs out. thats $3800.00 usd for each injection but it lasts 6 months. My plan after that is to see if i can get by on casodex. I have Vicodin for the pain and im not sure if its the cancer or the nerves in my back. It dosent feel like a pinched nerve. I see you have had some good luck with the removal. glad to hear it. I dont think im getting all the postings because i didnt know you were even going in for anything. Other postings dont seem to make sence either sometime. I havent heard from RJ in quite awhile. I hope hes well, i know he was having some bone problems also.Mick also seems to have good fortune also. Hes quite happy and im glad for both of you. I

just thought i may have done something to upset you or the group. thanks Metcalf wrote: Sam What are you doing for that pain? This needs to be dealt with my friend. I hate to see that you are suffering. Are you seeing an oncologist or pain specialist? Best wishes RE: more on fpsa test and results. Thank you Kathy, i never

thought you didnt. My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry

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February 6, 2006

Sam

This is the difference with the UK.

We have NHS, it may not be perfect but my daughter who has worked in Private and NHS would choose NHS anyday. She says that often private has old uncalibrated equipment. Also all NHS treatment except for a few reasonable charges is free*** at the point of delivery. This is especially the case for hospital treatment and GP consultations!

*** Dentistry excepted

Just what do you do in the States if your insurance runs out. Surely there should be a way of getting proper treatment!

I really feel for you!

B

RE: more on fpsa test and results.

Thank you Kathy, i never thought you didnt.

My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

February 6, 2006

Hi Sam

My laptop has just recovered from massive email crash and it deleted over 6 months worth of saved emails. And yes I'm having bad back pains but I can't afford any more MRI's or CT scans.

With you about to lose your health insurance----aren't they supposed to offer you an individual policy continuation by law? Yes individual health policies are expensive, but facing medical bills without any insurance would be even tougher... I forget the official term for it but employers are required by law to offer you some form of health insurance continuation under an individual policy perhaps someone here on the group will know more about it than i.

I had another thought----VIADUR (or something like it) is Hormone Therapy implanted surgically under the shoulder and lasts for a whole year....any chance this would be of help before your insurance runs out? i realize that I'm grasping for solutions here but i care about you sam, and am trying to think of something before the month---and your insurance---actually ends.

We'll struggle through this together and try to find some fun in each day to distract us from 2 unwelcome visitors pain and fear....

RJ

RE: more on fpsa test and results.

Thank you Kathy, i never thought you didnt.

My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

February 6, 2006

Here, the middle class get screwed. the rich can afford anything and gov pays for the poor so if your in the middle too bad. Metcalf wrote: Sam This is the difference with the UK. We have NHS, it may not be perfect but my daughter who has worked in Private and NHS would choose NHS anyday. She says that often private has old uncalibrated equipment. Also all NHS treatment except for a few reasonable charges is free*** at the point of delivery. This is especially the case for hospital treatment and GP consultations! *** Dentistry excepted Just what do you do in the States if your insurance runs out. Surely there should be a way of getting proper treatment! I really feel for you! B RE: more on fpsa test and results. Thank you Kathy, i never thought you didnt. My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry Have a nice Day! Relax. Yahoo! Mail virus scanning helps detect nasty

viruses!

Have a nice Day!__________________________________________________

February 6, 2006

CobraRJ wrote: Hi Sam My laptop has just recovered from massive email crash and it deleted over 6 months worth of saved emails. And yes I'm having bad back pains but I can't afford any more MRI's or CT scans. With you about to lose your health insurance----aren't they supposed to offer you an individual policy continuation by law? Yes individual health policies are expensive, but facing medical bills without any insurance would be even tougher... I forget the official term for it but employers are

required by law to offer you some form of health insurance continuation under an individual policy perhaps someone here on the group will know more about it than i. I had another thought----VIADUR (or something like it) is Hormone Therapy implanted surgically under the shoulder and lasts for a whole year....any chance this would be of help before your insurance runs out? i realize that I'm grasping for solutions here but i care about you sam, and am trying to think of something before the month---and your insurance---actually ends. We'll struggle through this together and try to find some fun in each day to distract us from 2 unwelcome visitors pain and fear.... RJ RE: more on fpsa test and results. Thank you Kathy, i never thought you didnt. My pain is getting worse and my psa has jumped again from thousand's into

the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry Have a nice Day! Relax. Yahoo! Mail virus scanning helps detect nasty viruses! Judy Thurman "What I

do you cannot do; but what you do, I cannot do. The needs are great, and none of us, including me, ever do great things. But we can do small things, with great love, and together we can do something wonderful." Mother

February 6, 2006

Hi Sam,

THAT'S IT---COBRA----That's the word I was trying to remember---THANKS to Judy Thurman once again----

Sam, Your employer is required to offer you individual COBRA Health insurance coverage---even though it is expensive it is likely to be less expensive than the kinds of bills we PCa patients face----and this will be a once-only opportunity to obtain it or to lose it.

Thanks again to Judy for recalling the name of Cobra Insurance required of employers.

RJ

RE: more on fpsa test and results.

Thank you Kathy, i never thought you didnt.

My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

Judy Thurman

"What I do you cannot do; but what you do, I cannot do. The needs are great, and none of us, including me, ever do great things. But we can do small things, with great love, and together we can do something wonderful." Mother

February 6, 2006

yes im aware of cobra but they want just a tad over $800.00 per month and i just cant afford that. I will not force my family into bankruptcy court. I know that this may sound abit stubborn on my part but im trying to get my two sons through college just two more years to go! Abit cheeze but "the needs of the many outweigh the needs of the one" Spock. I'll try and get by on casodex every now and then from my family doc. until something else comes along. I think i'll search out a drug company that may cut me some slack. We'll see what happens. My last visit to my URO is coming up, so RJ suggested the implant that lasts 1 year. Im gonna see if thats available to me. Thanks to all Judy Thurman wrote: Hi Sam My laptop has just recovered from massive email crash and it deleted over 6 months worth of saved emails. And yes I'm having bad back pains but I can't afford any more MRI's or CT scans. With you about to lose your health insurance----aren't they supposed to offer you an individual policy continuation by law? Yes individual health policies are expensive, but facing medical bills without any insurance would be even tougher... I forget the official term for it but employers

are required by law to offer you some form of health insurance continuation under an individual policy perhaps someone here on the group will know more about it than i. I had another thought----VIADUR (or something like it) is Hormone Therapy implanted surgically under the shoulder and lasts for a whole year....any chance this would be of help before your insurance runs out? i realize that I'm grasping for solutions here but i care about you sam, and am trying to think of something before the month---and your insurance---actually ends. We'll struggle through this together and try to find some fun in each day to distract us from 2 unwelcome visitors pain and fear.... RJ RE: more on fpsa test and results. Thank you Kathy, i never thought you didnt. My pain is getting worse and my psa has jumped again from thousand's into

the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry Have a nice Day! Relax. Yahoo! Mail virus scanning helps detect nasty viruses! Judy Thurman "What I do you cannot do; but what you do, I cannot do. The needs are great, and none of us, including me, ever do great things. But we can do small things, with great love, and together we can do something wonderful." Mother

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February 7, 2006

Sam

I came in late to the discussion, but if

you’re out of money and insurance and you need a cheaper option to control

late stage PC a then you should be looking at DES. It is not easy to obtain,

but not impossible and the cost per month is in tens of dollars, not thousands.

You have to be aware of the potential using this has for causing thrombosis,

but that can be dealt with by using warfarin, another drug that is down the

scale in costs.

All the best

Terry Herbert

in Melbourne Australia

Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason

3+3=6: No treatment. June '04: TURP. Dec '05 PSA 26.80 fPSA 25%

My site is at www.prostatecancerwatchfulwaiting.co.za

It is a tragedy of the world that no one

knows what he doesn’t know, and the less a man knows, the more sure he is

that he knows everything. Joyce Carey

From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of sam mcdaniel

Sent: 07 February 2006 04:53 PM

To: ProstateCancerSupport

Subject: Re:

more on fpsa test and results.

Thank you Kathy, i never thought you didnt.

My pain is getting worse and my psa has jumped again from thousand's

into the 10th range in two months so im worried. I understood what you were

saying but probally came across wrong. Sorry

Have a nice Day!

Relax. Yahoo! Mail virus

scanning helps detect nasty viruses!

Judy Thurman

" What I do you cannot do; but what you do, I cannot do. The

needs are great, and none of us, including me, ever do great things. But

we can do small things, with great love, and together we can do something

wonderful. " Mother

Have a nice Day!

Brings words and photos

together (easily) with

PhotoMail

- it's free and works with Yahoo! Mail.

February 7, 2006

Thanks Terry I'll look into it.Terry Herbert wrote: Sam I came in late to the discussion, but if you’re out of money and insurance and you need a cheaper option to control late stage PC a then you should be looking at DES. It is not easy to obtain, but not impossible and the cost per month is in tens of dollars, not thousands. You have to be aware of the potential using this has for causing thrombosis, but that can be dealt with by using warfarin, another drug that is down the scale in costs. All the best Terry Herbert in Melbourne Australia Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason 3+3=6: No treatment. June '04: TURP. Dec '05 PSA 26.80 fPSA 25% My site is at www.prostatecancerwatchfulwaiting.co.za It is a tragedy of the world that no one knows what he doesn’t know, and the less a man knows, the more sure he is that he knows everything. Joyce Carey From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of sam mcdanielSent: 07 February 2006 04:53 PMTo: ProstateCancerSupport Subject: Re: more on fpsa test and results. yes im aware of cobra but they want just a tad over $800.00 per month and i just cant afford that. I will not force my family into bankruptcy court. I know that this may sound abit stubborn on my part but im trying to get my two sons through college just two more years to go! Abit cheeze but "the

needs of the many outweigh the needs of the one" Spock. I'll try and get by on casodex every now and then from my family doc. until something else comes along. I think i'll search out a drug company that may cut me some slack. We'll see what happens. My last visit to my URO is coming up, so RJ suggested the implant that lasts 1 year. Im gonna see if thats available to me. Thanks to all Judy Thurman wrote: CobraRJ wrote: Hi Sam My laptop has just recovered from massive email crash and it deleted over 6 months worth of saved emails. And yes I'm having bad back pains but I can't afford any more MRI's or CT scans. With you about to lose your health insurance----aren't they supposed to offer you an individual policy continuation by law? Yes individual health policies are expensive, but facing medical bills without any insurance would be even tougher... I forget the official term for

it but employers are required by law to offer you some form of health insurance continuation under an individual policy perhaps someone here on the group will know more about it than i. I had another thought----VIADUR (or something like it) is Hormone Therapy implanted surgically under the shoulder and lasts for a whole year....any chance this would be of help before your insurance runs out? i realize that I'm grasping for solutions here but i care about you sam, and am trying to think of something before the month---and your insurance---actually ends. We'll struggle through this together and try to find some fun in each day to distract us from 2 unwelcome visitors pain and fear.... RJ RE: more on fpsa test and results. Thank you Kathy, i never thought you didnt. My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong.

Sorry Have a nice Day! Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

Judy Thurman "What I do you cannot do; but what you do, I cannot do. The needs are great, and none of us, including me, ever do great things. But we can do small things, with

great love, and together we can do something wonderful." Mother Have a nice Day! Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail.

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

February 8, 2006

Hi Sam,

Terry is right on about DES , however let me add that Estradiol Patches are reported to be safer from Thrombosis (blood clots) because the Estrogen is absorbed through the skin and never passes through the liver which is the case with oral DES. It is believed that oral estrogens are higher risk for blood clots for that reason and that is why the patches are safer.

But on the down side, Dr. Israel Barken reports that Estradiol Patches are somewhat less effective than Oral Estrogen. However, I'd be inclined to try the safest path first---indeed that is what I am seeking by shopping various doctors, because both solutions are about one-tenth as expensive as conventional Hormone Therapy for PCa. The "catch" is trying to find a doc who will prescribe Estrogen therapy because the docs are worried about liability if you get a blood clot. I'm hoping to find a doc who will allow me to sign a waiver or release that will remove his/her risk of repurcussions.

Best wishes to you my friend, as we plod along through the darkness of this disease and the many paths we have to choose from.

RJ

RE: more on fpsa test and results.

Thank you Kathy, i never thought you didnt.

My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

Judy Thurman

"What I do you cannot do; but what you do, I cannot do. The needs are great, and none of us, including me, ever do great things. But we can do small things, with great love, and together we can do something wonderful." Mother

Have a nice Day!

Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail.

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

February 9, 2006

have you tried Canada? I found Casadex far cheaper than here.RJ wrote: Hi Sam, Terry is right on about DES , however let me add that Estradiol Patches are reported to be safer from Thrombosis (blood clots) because the Estrogen is absorbed through the skin and never passes through the liver which is the case with oral DES. It is believed that oral estrogens are higher risk for blood clots for that reason and that is why the patches are safer. But on the down side, Dr. Israel Barken reports that Estradiol Patches are somewhat

less effective than Oral Estrogen. However, I'd be inclined to try the safest path first---indeed that is what I am seeking by shopping various doctors, because both solutions are about one-tenth as expensive as conventional Hormone Therapy for PCa. The "catch" is trying to find a doc who will prescribe Estrogen therapy because the docs are worried about liability if you get a blood clot. I'm hoping to find a doc who will allow me to sign a waiver or release that will remove his/her risk of repurcussions. Best wishes to you my friend, as we plod along through the darkness of this disease and the many paths we have to choose from. RJ RE: more on fpsa test and results. Thank you Kathy, i never thought you didnt. My pain is getting worse and my psa has jumped again from thousand's into the 10th range in two months so im worried. I understood what you were saying but probally came across wrong. Sorry Have a nice

Day! Relax. Yahoo! Mail virus scanning helps detect nasty viruses! Judy Thurman "What I do you cannot do; but what you do, I cannot do. The needs are great, and none of us, including me, ever do great things. But we can do small things, with great love, and together we can do something wonderful." Mother Have a nice Day! Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail. Have a nice Day! Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

February 9, 2006

info@...RJ wrote: Hi Sam, Terry is right on about DES , however let me add that Estradiol Patches are reported to be safer from Thrombosis (blood clots) because the Estrogen is absorbed through the skin and never passes through the liver which is the case with oral DES. It is believed that oral estrogens are higher risk for blood clots for that reason and that is why the patches are safer.

Have a nice Day!

Relax. Yahoo! Mail virus scanning helps detect nasty viruses!

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