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@sriddle1

Sorry for late reply - we are located in the Bay Area and we are receiving care at local UC hospital (SF). Those hospitals tend to be extremely busy but they offer really good care ONCE you push yourself into the system and I mean literary "push". Do not hesitate to call as many times as needed and ask questions without reservations. Unfortunately "squeaky wheel gets all of the attention" so squeak away ; ). Yes - try UCLA by all means.

@ucla2025 suggested a book - absolutely try to buy it ASAP and read as fast as you can.

Regarding PSA after RP - PSA after surgery is falling by half every 3 days and it should be undetectable after 6-7 weeks in your case. My husband had almost exact PSA as yours before surgery and by week 7 it was less than 0.014. You should insist on ultra sensitive test (one that checks PSA with 3 decimals after 0 due to having such aggressive cancer and the first PSA also has some prognostic value, even if undetectable (according to new studies).

I know exactly what you are talking about when you mention aloof attitude of your partner and as @ucla2025 stated, it is defensive mechanism - cancer looks less scary when one does not acknowledge it's "scariness". On the other hand, it puts tremendous pressure on a partner/wife since all decisions that are basically "life and death" decisions are placed in your hands and that is huge responsibility. Not to mention that one has to balance information sharing which needs to be dosed in small increments while situation requires 5 -alarm fire sirens and immediate actions. It would be like explaining that perhaps one needs to look into buying life-west and one is already half way under water and needs not only a west, but boat and food supply for 3 mos at sea. Anyhow - I was in this limbo since February and am still not even close to be out of it . I am not complaining, I love this man immeasurably and I do not care about sleep or no sleep, I am just trying to say that I understand you 100% and as you see, it is not unusual for a person to have hard time accepting and acknowledging such a scary diagnosis. At the same time, I am grateful that he is not effected by it since if I saw him crying or being sad I would just loose it, honestly. Seeing his smile and him being upbeat kept me sane all of these months < 3 . You can do it !!! Love conquers all ! 😉

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Replies to "@sriddle1 Sorry for late reply - we are located in the Bay Area and we are..."

@surftohealth88 hi and thank you so much for taking the time to reply to my post.

I listened to yours
and others’ advice of being persistent and demanding the care that we feel we deserve. I sat on hold for much of the day yesterday, but I was able to get us in to see the surgeon that performed his RP. If nothing else, it felt good to at least meet with the surgeon that actually performed the surgery and not a nurse practitioner for our first visit postop.

We also received the results from his PSMA scan and it indicated that there was no detection of cancer in his bones or other organs. Strangely enough, or maybe it’s common, it also mentioned that there was no cancer found in nodules a.k.a. lymph nodes. Since we’ve received the postop pathology, we do know that in fact, he does have lymph node involvement in addition to SVI and bladder neck involvement. The doctor told us that the PSMA scan is only 40% accurate, which is mind blowing as it’s the best most accurate scans they have to date. How wild

I was able to reserve that book at my local library so hopefully they’ll have it for me soon. I appreciate your opinion of that as well. Even though I’m not quite the reader, I will delve into this as soon as possible.

I hope my partner is as lucky as your husband has been with his PSA levels. It gives me a lot of hope and thank you for sharing that with me. These chat room/online support groups are actually quite beneficial and I appreciate all the knowledge I am getting.

Thanks again,

SR