Survived A Heart Attack..Now Prostate Cancer

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  • wu-dai clan
    Smooth Operation
    • May 2017
    • 12904
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    Originally posted by Boltjolt View Post

    Hmm, what is the stuff he as you taking?
    wu has created some stuff
    in the lab.
    Analytics.
    It'll make you pee clean
    and lift mountains.
    You don't know ball

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    • Fleet 1
      TPB Founder
      • Jun 2013
      • 2108
      • Kauai
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      Originally posted by Boltjolt View Post

      Hmm, what is the stuff he as you taking?
      MNM Pro Complete

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      • Bolt-O
        Administrator
        • Jun 2013
        • 32157
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        Originally posted by Bolt-O View Post

        Thanks, I'm good, and also the same for you from me. The good thing about my health issues is that there is no pain involved for now, but there are annoyances and some level of regret over eating choices that could have been a cause of the initial heart attack.

        I'm now waiting for the results of the 2nd heart monitor, and hopefully there won't be anything that needs a procedure like an ablation. As a part of the Active Surveillance protocol, I also have a PSA test to see if there is a possible change where I would have to act on the prostate cancer sooner than later, but the heart issue is more important.
        Sorry that I replied to myself, but it saves on typing. Updating, the results of the event monitor was reviewed, showing I do get rare V-tach, and PVCs, and besides staying on the current meds, no more actions are anticipated, and because I have no incidents of dizzyness or lightheadedness since I dropped the Flomax, the cardiologists aren't worried that fainting will recur. I did have a run of 13 beats that produced a 228 bps heart rate (about 10 sec), but reviewing what I was doing... I just started on a long walk, which takes me by a very protective pitbull behind a fence, lol. Please Chargers... no double fumbles again.

        My PSA test did come back as 'high' at 4.5, which is lower than the last one...it probably means no change in the prostate cancer, just early stage and not urgent. Next scheduled step is another MRI in February.

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        • Riverwalk
          Registered Charger Fan
          • Nov 2021
          • 1896
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          Originally posted by Fleet 1 View Post

          MNM Pro Complete
          MNM or NMN?

          I take NMN daily but haven’t heard of MNM.

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          • wu-dai clan
            Smooth Operation
            • May 2017
            • 12904
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            Nicotinamide mononucleotide.
            You don't know ball

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            • Fleet 1
              TPB Founder
              • Jun 2013
              • 2108
              • Kauai
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              Yes sorry NMN.

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              • Bolt-O
                Administrator
                • Jun 2013
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                Update on my Prostate issue...

                In February, I had my PSA checked with the annual check-in with my PCP, but is a part of my Active Surveillance protocol... number was high, but kind of expected. Next step on the protocol was another MRI, which was done in March, but I also had another MRI done at the same time for my pancreas... which showed a longer than expected tail in a CT scan when I was getting worked for my syncope episode back in August.

                First thing, usually when they do an MRI, they do it with a contrast that is injected via IV, which makes a better image for the radiologist to find issues. The contrast has micrometalic particles that show up well with magnets, (and are supposed to be excreted normally by your body... but maybe not, so they give you a warning paper about that.) However, I found out that they couldn't do the contrast on two different locations. The tech said he could do one or the other, but not both. I picked the prostate as the more pressing issue, but obviously if something was really wrong with the pancreas, it would be a reason to come back. Well, the pancreas scan was normal...whew. This time though, the MRI on the prostate didn't find any obvious masses that could be classed as cancer. I though I was good for the year on AS. However in my meeting with my Urologist, the team thought it best to do a targeted biopsy on the suspect areas. I was already warned that this might happen last year, as I already had confirmed small amount of Gleason grade 4, which put me on the fence for treatment. The saving grace... Prostate Cancer is very slow growing, just don't want metastasis

                So fast forward to today... I did have the biopsy, but this time it was what is called a Trans-Perineal targeted MRI fusion biopsy (TP), My last one was a Trans-Rectal biopsy (TRUS), If you need details, there are some good You Tube vids on both, but the big advantage is that the TP is more accurate, and they were going to do more than 12 cores in the systematic TRUS, and has a much lower possibility of infection from transfer of poo . So, if you are in this situation, and are faced with doing a biopsy, try to do the TP. But the negative... it is done under General Anesthesia. So the first time in my life, I went under. The good part... I don't know what actually happened, other than a dressing where they did the punctures... which is between your scrotum and anus and a little sore throat because of a breathing tube...my case.. a LMA which just goes beyond your tongue, vs an endotracheal tube that goes past your vocal cords. The TRUS last year was under a local, so I was completely aware of the sampling, which wasn't that painful, more like getting tapped on you sensitive parts.

                In two weeks, I'll find out more about my future journey with the results of the procedure. I'm not worried that that its life-threatening... but more of a quality of life thing. If you find you are in a situation after a PSA screen that is a little high, don't hesitate to reach out to me. Fuck Cancer. lol.

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                • Bolt-O
                  Administrator
                  • Jun 2013
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                  Update on the results... biopsy actually found less cancer than the previous one. One core found Gleason 3+3 in about 30% of the core, but it was from the same area that found 3+4 before. The Urologist said that they took samples between the areas that were done with the systematic 12 core biopsy, The two areas that were suspect and where they took additional samples just showed benign prostate tissue. So, the plan is to continue with PSA testing every 6 months, and no immediate treatment due, unless the PSA increase is overly rapid.

                  I do have some bleeding, but its normal. I probably don't have to do another biopsy next year, hopefully,

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                  • Bolt-O
                    Administrator
                    • Jun 2013
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                    6 Month update... PSA results were good, came down from 5.5 to 2.9. Finally after being on Finasteride for 2 yrs, its now being effective in reducing the size of my prostate. It also shows that the small amount of prostate cancer is not yet a concern. Next check will be a PSA in 6 months. Heart is ok too, my latest EKG was normal.

                    I will be transitioning my care to UCSD Health from the VA Health for urology, but that shouldn't be a big issue ... Most of the specialists care is done by UCSD or Scripps at the VA. My case, as it is pretty straightforward, has been handled by UCSD/VA residents, but today I met with a staff doctor from UCSD, that is a urology oncologist. Nothing wrong with the VA, as all the work done by residents are monitored by UCSD attending. Being dual eligible for VA and Tricare makes this possible... one of the benefits of being a military retiree.

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