When To Get Back on Bike after Prostate Biopsy
#126
Newbie
Keep on riding.
#127
Newbie
Treatment complete

#128
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Last week Wednesday I went in the local cancer center for my latest hormone injection and PSA test. My oncologist says that because my PSA number is so low at 0.02, and continues to be very stable, that this is likely the final injection that i will need.
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#129
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Join Date: Sep 2013
Location: Massachusetts
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Maybe I should update.
They took me off treatment at the end of 2021 due to very rare cognitive side effects.
All indications were all the local treatments worked, there was no evidence of disease, so it made sense to stop treatment, maybe we got it all, and if we didn’t, it might be a long time before there was evidence of disease.
Wouldn’t that have been nice?
I had a biochemical failure (obsolete term), biochemical recurrence, or biochemical relapse last spring.
My PSA became detectable, and was doubling every month. Not good.
It didn’t take too long before I did a bunch of scans. PSMA PET scan, cat scan, bone scan.
Cat scan found some areas to follow up on, bone scan found nothing.
A PSMA PET scan then was equivocal
I had to wait six months to rescan.
In the fall repeated all the scans and the PSMA PET scan confirmed I now have stage 4 metastatic prostate cancer, in a few vertebras, two locations in my pelvis (iliac crest and pubis), and a couple of distant lymph nodes.
Started new drugs, and my testosterone is undetectable, PSA nearly undetectable.
The longer the new drugs keep my cancer from growing again the better, but there will come a day that they will fail.
The cancer has been kind so far, no pain. But the side effects are still hard.
I may get brief vacations from treatment to manage side effects (more formally, intermittent ADT), but for now, it’s wait.
-mr. bill
They took me off treatment at the end of 2021 due to very rare cognitive side effects.
All indications were all the local treatments worked, there was no evidence of disease, so it made sense to stop treatment, maybe we got it all, and if we didn’t, it might be a long time before there was evidence of disease.
Wouldn’t that have been nice?
I had a biochemical failure (obsolete term), biochemical recurrence, or biochemical relapse last spring.
My PSA became detectable, and was doubling every month. Not good.
It didn’t take too long before I did a bunch of scans. PSMA PET scan, cat scan, bone scan.
Cat scan found some areas to follow up on, bone scan found nothing.
A PSMA PET scan then was equivocal
I had to wait six months to rescan.
In the fall repeated all the scans and the PSMA PET scan confirmed I now have stage 4 metastatic prostate cancer, in a few vertebras, two locations in my pelvis (iliac crest and pubis), and a couple of distant lymph nodes.
Started new drugs, and my testosterone is undetectable, PSA nearly undetectable.
The longer the new drugs keep my cancer from growing again the better, but there will come a day that they will fail.
The cancer has been kind so far, no pain. But the side effects are still hard.
I may get brief vacations from treatment to manage side effects (more formally, intermittent ADT), but for now, it’s wait.
-mr. bill
Last edited by mr_bill; 01-31-23 at 12:37 PM.
#130
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Join Date: Jun 2013
Location: SW Fl.
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Maybe I should update.
They took me off treatment at the end of 2022 due to very rare cognitive side effects.
All indications were all the local treatments worked, there was no evidence of disease, so it made sense to stop treatment, maybe we got it all, and if we didn’t, it might be a long time before there was evidence of disease.
Wouldn’t that have been nice?
I had a biochemical failure (obsolete term), biochemical recurrence, or biochemical relapse last spring.
My PSA became detectable, and was doubling every month. Not good.
It didn’t take too long before I did a bunch of scans. PSMA PET scan, cat scan, bone scan.
Cat scan found some areas to follow up on, bone scan found nothing.
A PSMA PET scan then was equivocal
I had to wait six months to rescan.
In the fall repeated all the scans and the PSMA PET scan confirmed I now have stage 4 metastatic prostate cancer, in a few vertebras, two locations in my pelvis (iliac crest and pubis), and a couple of distant lymph nodes.
Started new drugs, and my testosterone is undetectable, PSA nearly undetectable.
The longer the new drugs keep my cancer from growing again the better, but there will come a day that they will fail.
The cancer has been kind so far, no pain. But the side effects are still hard.
I may get brief vacations from treatment to manage side effects (more formally, intermittent ADT), but for now, it’s wait.
-mr. bill
They took me off treatment at the end of 2022 due to very rare cognitive side effects.
All indications were all the local treatments worked, there was no evidence of disease, so it made sense to stop treatment, maybe we got it all, and if we didn’t, it might be a long time before there was evidence of disease.
Wouldn’t that have been nice?
I had a biochemical failure (obsolete term), biochemical recurrence, or biochemical relapse last spring.
My PSA became detectable, and was doubling every month. Not good.
It didn’t take too long before I did a bunch of scans. PSMA PET scan, cat scan, bone scan.
Cat scan found some areas to follow up on, bone scan found nothing.
A PSMA PET scan then was equivocal
I had to wait six months to rescan.
In the fall repeated all the scans and the PSMA PET scan confirmed I now have stage 4 metastatic prostate cancer, in a few vertebras, two locations in my pelvis (iliac crest and pubis), and a couple of distant lymph nodes.
Started new drugs, and my testosterone is undetectable, PSA nearly undetectable.
The longer the new drugs keep my cancer from growing again the better, but there will come a day that they will fail.
The cancer has been kind so far, no pain. But the side effects are still hard.
I may get brief vacations from treatment to manage side effects (more formally, intermittent ADT), but for now, it’s wait.
-mr. bill
#131
Newbie
Maybe I should update.
They took me off treatment at the end of 2022 due to very rare cognitive side effects.
All indications were all the local treatments worked, there was no evidence of disease, so it made sense to stop treatment, maybe we got it all, and if we didn’t, it might be a long time before there was evidence of disease.
Wouldn’t that have been nice?
I had a biochemical failure (obsolete term), biochemical recurrence, or biochemical relapse last spring.
My PSA became detectable, and was doubling every month. Not good.
It didn’t take too long before I did a bunch of scans. PSMA PET scan, cat scan, bone scan.
Cat scan found some areas to follow up on, bone scan found nothing.
A PSMA PET scan then was equivocal
I had to wait six months to rescan.
In the fall repeated all the scans and the PSMA PET scan confirmed I now have stage 4 metastatic prostate cancer, in a few vertebras, two locations in my pelvis (iliac crest and pubis), and a couple of distant lymph nodes.
Started new drugs, and my testosterone is undetectable, PSA nearly undetectable.
The longer the new drugs keep my cancer from growing again the better, but there will come a day that they will fail.
The cancer has been kind so far, no pain. But the side effects are still hard.
I may get brief vacations from treatment to manage side effects (more formally, intermittent ADT), but for now, it’s wait.
-mr. bill
They took me off treatment at the end of 2022 due to very rare cognitive side effects.
All indications were all the local treatments worked, there was no evidence of disease, so it made sense to stop treatment, maybe we got it all, and if we didn’t, it might be a long time before there was evidence of disease.
Wouldn’t that have been nice?
I had a biochemical failure (obsolete term), biochemical recurrence, or biochemical relapse last spring.
My PSA became detectable, and was doubling every month. Not good.
It didn’t take too long before I did a bunch of scans. PSMA PET scan, cat scan, bone scan.
Cat scan found some areas to follow up on, bone scan found nothing.
A PSMA PET scan then was equivocal
I had to wait six months to rescan.
In the fall repeated all the scans and the PSMA PET scan confirmed I now have stage 4 metastatic prostate cancer, in a few vertebras, two locations in my pelvis (iliac crest and pubis), and a couple of distant lymph nodes.
Started new drugs, and my testosterone is undetectable, PSA nearly undetectable.
The longer the new drugs keep my cancer from growing again the better, but there will come a day that they will fail.
The cancer has been kind so far, no pain. But the side effects are still hard.
I may get brief vacations from treatment to manage side effects (more formally, intermittent ADT), but for now, it’s wait.
-mr. bill