Re: Recurrence after surgery, questions

[Guest guest]

" mccartney_7@... " wrote:

> Had surgery in Feb. 06. Biopsy and pathology reports were very

> positive, no penetration, clear margins, no invasions, etc.

> Urologist had very positive outlook. PSA undetectable at less

> than 0.05 until recent annual checkup. Got a PSA reading of

> 0.07. Doctor (GP) not overly concerned and said we need to

> watch this. Watch my a... I about fell off my chair. So a

> couple questions to start with:

I'm sorry to hear about this. I don't have authoritative answers

to your questions, but I'll share some thoughts on some of them.

> 1. How accurate would the testing be at this level?

There are different testing methods and, as I understand it, they

differ in both accuracy and precision. You'd have to find out

exactly what test the lab is using and then find some way to look

up the accuracy range that it provides, as established by fancy

analytical chemistry techniques.

However, it is possible that the PSA really did go up, but is not

really a recurrence. It is my understanding that there are other

minute sources of PSA in the body besides prostate tissue.

It is also, of course, possible that the test was imperfectly

performed - the test tube was slightly contaminated, the

temperature was off, the concentration of reagents was off, who

knows what.

Finally, it is possible that the test was accurate, you do have a

recurrence of the cancer, but it isn't dangerous. You might live

15 or more years with no further treatment and no symptoms

whatever. This is not completely reassuring if you're 50 years

old, but might be if you're 75, or 60 and with a serious heart

condition.

Further testing will help to tell.

> 2.Is it usually possible to get a " walk in " PSA test at another

> hospital? I'm thinking a big city cancer center.

Do a Google search on PSA testing. There are companies offering

home PSA testing for $40 using a finger prick to get a few drops

of blood. There are others with nationwide walk-in labs.

When my PSA went up after radiation, the doc put me on a monthly

test so he could see just what was happening. If you can get

your doctor to do that, I'm guessing it won't take more than 2 or

3 months to find something out. Either the PSA will go down, or

it won't.

Getting it through your doctor has several advantages:

The doc will be on board with the program. I think this is

the key advantage.

The results will use the same testing technique as your

previous and future tests with that doc.

Your insurance might pay.

> 3. Is there a more accurate PSA test for this? I'm thinking of

> the PSA2 test I had for the initial condition back then.

I don't know the answer to that.

> 4. At what point would treatment be necessary? Seems like

> sooner rather than later?

I agree. See point 5.

> 5. I've heard of " salvage radiation " , is this the usual

> procedure for a recurrence after surgery?

Yes. A " local " recurrence is not uncommon and can be completely

cured by salvage radiation. Unfortunately, the only way to know

if your recurrence is local and treatable is to try the

treatment. With a PSA as low as yours, the cancer, if there is

some, will be so minute as to be undetectable by any current

means of body scanning.

One study I read said that the chance of success with salvage

radiation declines precipitously after the PSA reaches 1.0, and

works best when the PSA is below 0.4. The chances of success

when PSA is below 0.4 are just under 50%, presumably because,

even with a very low PSA, the cancer cells could still be outside

the treatment area. But that was just one study. I don't know

how well it represents the full reality.

It seems to me that you want to get radiation as soon as possible

after determining that you really, really do have a recurrence,

but not one minute before that! Radiation is invasive. You only

want it if you know you need it.

That's why I think monthly PSA testing is a good idea.

If the radiation fails, or if there is evidence that it won't

work and shouldn't be tried, then ADT is the preferred treatment.

I once posed some questions about recurrence to Dr.

" Snuffy " Myers, a leading PCa medical oncologist. Here are his

answers:

http://prostatecanceradvice.org/about/myers/androgen-deprivation-therapy-after-s\

urgery-or-radiation/

> 6. Anyone had this? General description of the treatments and

> side effects? Or a blog or write up would be appreciated.

I recommend checking Terry Herbert's website:

http://www.yananow.net/

I expect there are some personal stories there.

> Just getting started on this deal.

Here's hoping the PSA goes down again and you're finished before

you have to really start.

Best of luck.

Alan

[Guest guest]

 

Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:

1. How accurate would the testing be at this level? Ultra sensitive tests are accurate at this level.

2. Is it usually possible to get a " walk in " PSA test at another hospital? I'm thinking a big city cancer center. You will need a scrip for the test.  The problem with this is that different labs (and hospitals) might use different reagents so the results are not always comparable.

3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. The only test at this point is a PSA.  A PSA2 test can not be performed on you as it involves manipulating the prostate and you don't have one. 

4. At what point would treatment be necessary? Seems like sooner rather than later? After radical prostatectomy many experts believe that a serum PSA concentration greater than 0.2 ng/ml constitutes a recurrence, some institutions use 0.1 ng/ml and others use 0.4 ng/ml.  Looks to me that you have had a recurrence

5. I've heard of " salvage radiation " , is this the usual procedure for a recurrence after surgery?Yes, it is, but you will need to have an MRI and bone scan to confirm that it has not settled in any location outside the prostate bed (the most common first stop).  However, even these tests are not full proof.  If these test are clean then salvage radiation is the next best step.  Salvage radiation is most effective if it is performed prior to having a PSA level of 1.1 or so and many docs are also adding a course of hormone therapy with the radiation.  

6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. I write a Malecare blog and moderate an advanced prostate cancer group on-line support group of over 500 people.  The blog is at www.advancedprostatecancer.net and you can join the support group at: http://health.groups.yahoo.com/group/advancedprostatecancer/join

It is time that you move your care to a medical oncologist who treats men with advanced prostate cancer.  You need to do this quickly. 

Having recurrent prostate cancer is not the end of the world, many of us live for many many years being basically healthy and happy.  

Just getting started on this deal.

-- T Nowak MA, MSWDirector for Advocacy and  Advanced Prostate Cancer Programs, Malecare Inc. Men Fighting Cancer, TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers

www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer

http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer

[Guest guest]

said:After radical prostatectomy many experts believe that a serum PSA concentration greater than 0.2 ng/ml constitutes a recurrence, some institutions use 0.1 ng/ml and others use 0.4 ng/ml. Looks to me that you have had a recurrenceI think mis-read you post as PSA 0.7, not 0.07. At 0.07, I would not jumpt to any conclusions -- it's my understanding that PSA levels, particularly with the ultra-sensitive test, can jump around without any real signficance. This doesn't mean you haven't had a recurrance, but it certainly doesn't mean you have, either -- you simply can't know until subsequent tests show a consistent rise and velocity. It might be something, it might be nothing.I had robotic surgery in late '07, and a recurrance in late '09. Had 37 IMRT salvage radiation treatments last fall, with 6-month dose of Lupron ADT. Side effects were there, but entirely tolerable. During the radiation I never missed a day of work -- went in at 8am every day for treatment, then on to work. The Lupron lasted three-months post radiation and the side effects have been minimal.I live with the uncertainty that my next PSA might show the radiation didn't work -- post-surgery I lived with the uncertainty that the surgery might not work. Before diagnosis I lived with the unertainty that a yearly visit to the doc might reveal something unwanted. We all live with uncertainty -- getting older, its one of the few things that IS certain. Whatever my next test shows, I plan on being around for a long time, so I'm not going to waste too much time worrying./stephen> To: ProstateCancerSupport > Date: Fri, 28 May 2010 15:29:54 +0000> Subject: Recurrence after surgery, questions> > Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a "walk in" PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. > 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of "salvage radiation", is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. > > Just getting started on this deal. > > > > ------------------------------------> > There are just two rules for this group > 1 No Spam > 2 Be kind to others> > Please recognise that Prostate Cancerhas different guises and needs different levels of treatment and in some cases no treatment at all. Some men even with all options offered chose radical options that you would not choose. We only ask that people be informed before choice is made, we cannot and should not tell other members what to do, other than look at other options. > > Try to delete old material that is no longer applying when clicking reply> Try to change the title if the content requires it

[Guest guest]

Thanks for the replies, sure appreciate your time and information. I'm really

aggressive with this after watching my dad die of PCa, perfect health otherwise.

Twisted the doctor's arm some and have an appointment with a urologist first

off. Doc didn't think an oncologist was needed at this point. We'll see I

guess. And it is good to hear that the treatments can be tolerated to the point

that I can keep working while having them.

[Guest guest]

Thank you for catching that. 

 

said:After radical prostatectomy many experts believe that a serum PSA concentration greater than 0.2 ng/ml constitutes a recurrence, some institutions use 0.1 ng/ml and others use 0.4 ng/ml.  Looks to me that you have had a recurrence

I think mis-read you post as PSA 0.7, not 0.07.  At 0.07, I would not jumpt to any conclusions -- it's my understanding that PSA levels, particularly with the ultra-sensitive test, can jump around without any real signficance.  This doesn't mean you haven't had a recurrance, but it certainly doesn't mean you have, either -- you simply can't know until subsequent tests show a consistent rise and velocity.  It might be something, it might be nothing.

I had robotic surgery in late '07, and a recurrance in late '09.  Had 37 IMRT salvage radiation treatments last fall, with 6-month dose of Lupron ADT.  Side effects were there, but entirely tolerable. During the radiation I never missed a day of work -- went in at 8am every day for treatment, then on to work. The Lupron lasted three-months post radiation and the side effects have been minimal.

I live with the uncertainty that my next PSA might show the radiation didn't work -- post-surgery I lived with the uncertainty that the surgery might not work.  Before diagnosis I lived with the unertainty that a yearly visit to the doc might reveal something unwanted.  We all live with uncertainty -- getting older, its one of the few things that IS certain.  Whatever my next test shows, I plan on being around for a long time, so I'm not going to waste too much time worrying.

/stephen> To: ProstateCancerSupport > From: mccartney_7@...

> Date: Fri, 28 May 2010 15:29:54 +0000> Subject: Recurrence after surgery, questions> > Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:

> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a " walk in " PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then.

> 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of " salvage radiation " , is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated.

> > Just getting started on this deal. > > > > ------------------------------------> > There are just two rules for this group > 1 No Spam > 2 Be kind to others

> > Please recognise that Prostate Cancerhas different guises and needs different levels of treatment and in some cases no treatment at all. Some men even with all options offered chose radical options that you would not choose. We only ask that people be informed before choice is made, we cannot and should not tell other members what to do, other than look at other options.

> > Try to delete old material that is no longer applying when clicking reply> Try to change the title if the content requires it

[Guest guest]

We all wait after surgery to see if the PSA raises. As someone already said a

0.2 and 0.4 is the critical decision points. My PSA reading only says <0.1, it

is not as precise as your reading. I was talking to a friend that had the

surgery 2 months before me. His PSA went from <0.1 to =0.1. He waited for the

next PSA test and it went back to <0.1. Don't start sounding the alarm yet.

Wait for your next PSA.

Tony

>

> Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no

penetration, clear margins, no invasions, etc. Urologist had very positive

outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a

PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch

this. Watch my a... I about fell off my chair. So a couple questions to start

with:

>

> 1. How accurate would the testing be at this level?

> 2. Is it usually possible to get a " walk in " PSA test at another hospital? I'm

thinking a big city cancer center.

> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I

had for the initial condition back then.

> 4. At what point would treatment be necessary? Seems like sooner rather than

later?

> 5. I've heard of " salvage radiation " , is this the usual procedure for a

recurrence after surgery?

> 6. Anyone had this? General description of the treatments and side effects? Or

a blog or write up would be appreciated.

>

> Just getting started on this deal.

>

[Guest guest]

In my case, the surgeon had me wait for three months before the post surgical PSA sample was taken. The level was unmeasurable and continues to be. Surgery was Sept. 13, 2006.

Louis. . .

To: ProstateCancerSupport Sent: Sat, May 29, 2010 9:23:30 PMSubject: Re: Recurrence after surgery, questions

We all wait after surgery to see if the PSA raises. As someone already said a 0.2 and 0.4 is the critical decision points. My PSA reading only says <0.1, it is not as precise as your reading. I was talking to a friend that had the surgery 2 months before me. His PSA went from <0.1 to =0.1. He waited for the next PSA test and it went back to <0.1. Don't start sounding the alarm yet. Wait for your next PSA.Tony>> Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we

need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a "walk in" PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. > 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of "salvage radiation", is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. > > Just getting started on this deal.>

[Guest guest]

In my case...the oncologist is telling me he will take the first psa FOUR MONTHS after my last radiation treatment..on June 21st. Sure looking forward to and hoping for that .01 psa number. I'm 73 and would certainly recommend this procedure hormone/external radiation

for anyone my age. I'm told that in WAUKESHA, WIS...80% of all men over 70 elect to have this method of treatment. Non invasive..and a much faster recovery time! My wife has gotten

me a couple of packages of pads..and so far have not used one. I get up several times a nite...which I had never had to do...have the hot flashes....and burns when I pee some of the time..but very manageable. To recap...my psa went from 2 to 16 in 9 months...my gleason

score was 7..4-3... If any questions or concerns that I could help with or answer, please feel free to ask!

HAPPY MEMORIAL DAY WEEKEND!

Jim

Subject: Re: Re: Recurrence after surgery, questionsTo: ProstateCancerSupport Date: Sunday, May 30, 2010, 2:27 AM

In my case, the surgeon had me wait for three months before the post surgical PSA sample was taken. The level was unmeasurable and continues to be. Surgery was Sept. 13, 2006.

Louis. . .

From: tonyinjersey2001 <sureshot8yahoo (DOT) com>To: ProstateCancerSuppo rtyahoogroups (DOT) comSent: Sat, May 29, 2010 9:23:30 PMSubject: [ProstateCancerSupp ort] Re: Recurrence after surgery, questions

We all wait after surgery to see if the PSA raises. As someone already said a 0.2 and 0.4 is the critical decision points. My PSA reading only says <0.1, it is not as precise as your reading. I was talking to a friend that had the surgery 2 months before me. His PSA went from <0.1 to =0.1. He waited for the next PSA test and it went back to <0.1. Don't start sounding the alarm yet. Wait for your next PSA.Tony>> Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07.

Doctor (GP) not overly concerned and said we need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a "walk in" PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. > 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of "salvage radiation", is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. > > Just getting started on this deal.>

[Guest guest]



Hi Jim,

Good luck with that first PSA test when you have it, but I think you should know that so soon after radiation (4 months) your level is very unlikely to be that low. It can take anything up to 18 months (and often longer) to reach your lowest PSA level. At 18 months out any number below 0.9 is considered a good result for radiation. At 4 months out a level of 2.0 would be considered very good. Discuss with your Doctor before you complete your treatment what PSA level you should be expecting at your first test.

Best of health,

Malaga,Spain

[ProstateCancerSupp ort] Re: Recurrence after surgery, questions

We all wait after surgery to see if the PSA raises. As someone already said a 0.2 and 0.4 is the critical decision points. My PSA reading only says <0.1, it is not as precise as your reading. I was talking to a friend that had the surgery 2 months before me. His PSA went from <0.1 to =0.1. He waited for the next PSA test and it went back to <0.1. Don't start sounding the alarm yet. Wait for your next PSA.Tony>> Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a "walk in" PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. > 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of "salvage radiation", is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. > > Just getting started on this deal.>

[Guest guest]

HI CHRIS..thanks for the HEADS UP. Was not sure what to expect...and obviously had my EXPECTATIONS to high! THANKS AGAIN..sure enjoy the TIPS I GET FROM THIS SITE!

Jim... HAPPY SUNDAY from a SUNNY WAUKESHA WISCONSIN USA!

From: Louis Carliner <lcarlineryahoo (DOT) com>Subject: Re: [ProstateCancerSupp ort] Re: Recurrence after surgery, questionsTo: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Sunday, May 30, 2010, 2:27 AM

In my case, the surgeon had me wait for three months before the post surgical PSA sample was taken. The level was unmeasurable and continues to be. Surgery was Sept. 13, 2006.

Louis. . .

From: tonyinjersey2001 <sureshot8yahoo (DOT) com>To: ProstateCancerSuppo rtyahoogroups (DOT) comSent: Sat, May 29, 2010 9:23:30 PMSubject: [ProstateCancerSupp ort] Re: Recurrence after surgery, questions

We all wait after surgery to see if the PSA raises. As someone already said a 0.2 and 0.4 is the critical decision points. My PSA reading only says <0.1, it is not as precise as your reading. I was talking to a friend that had the surgery 2 months before me. His PSA went from <0.1 to =0.1. He waited for the next PSA test and it went back to <0.1. Don't start sounding the alarm yet. Wait for your next PSA.Tony>> Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch

this. Watch my a... I about fell off my chair. So a couple questions to start with:> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a "walk in" PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. > 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of "salvage radiation", is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. > > Just getting started on this deal.>

[Guest guest]

elhorizonte wrote:

> Good luck with that first PSA test when you have it, but I

> think you should know that so soon after radiation (4 months)

> your level is very unlikely to be that low. It can take

> anything up to 18 months (and often longer) to reach your

> lowest PSA level. At 18 months out any number below 0.9 is

> considered a good result for radiation. At 4 months out a level

> of 2.0 would be considered very good. Discuss with your Doctor

> before you complete your treatment what PSA level you should be

> expecting at your first test.

In Jim's case, the Lupron he took may still affect the PSA at 4

months. However I think your general point is right. It took me

over three years before I reached PSA nadir.

Alan

[Guest guest]

I am nearly 14 years after rising PSA after surgery. Still battling, now on Zoledex + Diethyl Stilbesterol + Clopidogrel

Recurrence after surgery, questions> > Had surgery in Feb. 06. Biopsy and pathology reports were very positive, no penetration, clear margins, no invasions, etc. Urologist had very positive outlook. PSA undetectable at less than 0.05 until recent annual checkup. Got a PSA reading of 0.07. Doctor (GP) not overly concerned and said we need to watch this. Watch my a... I about fell off my chair. So a couple questions to start with:> > 1. How accurate would the testing be at this level?> 2. Is it usually possible to get a "walk in" PSA test at another hospital? I'm thinking a big city cancer center.> 3. Is there a more accurate PSA test for this? I'm thinking of the PSA2 test I had for the initial condition back then. > 4. At what point would treatment be necessary? Seems like sooner rather than later?> 5. I've heard of "salvage radiation", is this the usual procedure for a recurrence after surgery?> 6. Anyone had this? General description of the treatments and side effects? Or a blog or write up would be appreciated. > > Just getting started on this deal. > > > > ------------------------------------> > There are just two rules for this group > 1 No Spam > 2 Be kind to others> > Please recognise that Prostate Cancerhas different guises and needs different levels of treatment and in some cases no treatment at all. Some men even with all options offered chose radical options that you would not choose. We only ask that people be informed before choice is made, we cannot and should not tell other members what to do, other than look at other options. > > Try to delete old material that is no longer applying when clicking reply> Try to change the title if the content requires it

[Guest guest]

> I am nearly 14 years after rising PSA after surgery. Still battling, now

> on Zoledex + Diethyl Stilbesterol + Clopidogrel

For the Yanks, clopidogrel = Plavix.

Regards,

Steve J

[Guest guest]

Steve

As you know, this is instead of warfarin or aspirin to minimise risk of blood clots

B

Re: Recurrence after surgery, questions

> I am nearly 14 years after rising PSA after surgery. Still battling, now> on Zoledex + Diethyl Stilbesterol + ClopidogrelFor the Yanks, clopidogrel = Plavix.Regards,Steve J

[Guest guest]

On 5/30/10, Metcalf replied to me:

> As you know, this is instead of warfarin or aspirin to minimise risk of

> blood clots

Which can be caused by the DES (diethylstilbesterol).

Yup, one problem solved, another crops up. (sigh)

Regards,

Steve J

> ----- Original Message -----

>

>

> > I am nearly 14 years after rising PSA after surgery. Still

> battling, now

> > on Zoledex + Diethyl Stilbesterol + Clopidogrel

>

> For the Yanks, clopidogrel = Plavix.

>

> Regards,

>

> Steve J