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This is one of several essays from my private cancer journal. It is not intended as anything than a record of my states of mind as I struggled with the disease and the effects of the treatment.

Notes From That Wilder Shore:

I Get a New PSA Number

I posted this to several PCa lists on March 19, 2001

illustration of a man in front of a graph I met with my oncologist this morning to get the results of my PSA test last week and it is 30.7, up from 3.6 in mid-January.

Let me start by saying that having been diagnosed 11/23/99 with a PSA they stopped counting at 1000 (with excruciating pain) that then plunges to 1.4 under HT and then back to 88 last June and then down to point-45, one has a different view of what is a "high PSA." It also gives me the mental freedom to play with it for a bit.

We talked about the options. My last 3-month Zoladex shot was a year ago so he said we could go back on Zoladex and up the Casodex from the current 50 mg to 150. I said since the Zoladex is clearly out of my system and the half-life of a daily Casodex has to be pretty short, that this would be the best time to try withdrawal and see what happens. If we get a bad climb, then we can try the Zoladex + Casodex. But to try them first and get no-go, it would be difficult to get a clean withdrawal, so it would seem better to try it now.

He also asked and I told him that there is no pain. I didn't even have any at 88. Too much standing or walking will make me ache and a couple of Advil take care of that. And I do know what PAIN is, going back to what I had at diagnosis. That has never returned.

Anyway, he thought trying withdrawal was a good idea and went and conferred with another oncologist and then came back and said, okay, let's do it.

So no more Casodex for a month. I'll get another PSA and see him in a month and we'll take it from there.

I'm also thinking of increasing the number of ice cubes in my scotch and water to see if that helps. (laugh)

Robert Young

Someone on one of the lists asked why I haven't tried some other protocols. Go to the next essay to see my reply.

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