Not Good News after prostate biospy when MRI didn't look too bad

Well last week was a full week of visits to doctors, mostly because they say I had a TIA a few days after the two surgeries in less than 10 hours. Took the prostate out and then decided to repair inguinal hernia (4 hours) first surgery. Then at 2am cut me open again to stop a bleeding artery. I think all that is why I had a TIA if I really did have a TIA? ER visit showed MRI and CT of brain fine, but still wanted me to follow up with neurologist, urologist surgeon, heart doctor and I already had appointment with oncologist already planned. All in same week!
Neurologist said because of trouble talking, I most likely did have a TIA. He wants me to have a Transthoracic echocardiogram (which they still haven’t scheduled been almost a week). Then If transthoracic echocardiogram is without significant abnormality, consider TEE, loop recorder for possible subclinical atrial fibrillation. That loop recorder is a small thing they stick in you for 3 years. It’s a tiny thing they showed me, that sits under skin and calls into the office. Told doctor I didn’t want that. They said think about it.
Next went to urology surgeon who pretty much said nothing, said pathology not too bad and we would do a PSA test in couple months. No he wouldn’t send me to Pelvic PT until I healed up more maybe 3 months. Not to worry about all my leakage, it’s still early. He is the one that tried to make my visit with a phone call, but I insisted on office visit. Think surgeon just wants to cut on you, he is not known for being a great people person, but supposed to be good at surgery.
Next went to oncologist, he was really great! Young guy just not long out of med school at KUMC, but working here in Topeka. He wants uPSA in 2 weeks which is 6 weeks from removal of prostate. Much sooner that surgeon, which I think is good idea. Said PSA should be undetectable (less than 0.1 ng/mL). Would then watch my PSA every 3 months. If it does not decrease to undetectable or it recurs (past 0.1 ng/mL per NCCN, 0.2 per AUA), would consider salvage radiation given his multiple high risk features. Also, doing Anemia work up plus lots of other blood test as I lost so much during multiple surgeries. This guy really listen and seems to be great.
Then my last doctor visit of the week was heart doctor as the ER people told me to go to. Right away, he wanted to do the TEE, loop recorder for 3 years. It must be some standard if they think you had a TIA. Told him I really didn’t want it. Then he reviewed the reasoning for the transesophageal echo recommended by Neurologist. Since I didn’t want the TEE Loop recorder, he said he wanted me to do at least 30-day mobile telemetry. Some kind of holter monitor that actually sends live data back to the office. I said okay, it will arrive in a couple weeks and I am suppose to put it on myself. I had a 5 day one a couple months ago and all was normal, but they didn’t care. Want to see if I am having Afib or something like that.
Lots of test coming up, but no doctor visits next week. Well I may have to go in if they ever schedule the Transthoracic echocardiogram. Prostate removal is bad enough, didn’t need this TIA thing and it has to be because of those multiple surgeries with a 79 year old man. And there is no way to know if I really had one.

Well last week was a full week of visits to doctors, mostly because they say I had a TIA a few days after the two surgeries in less than 10 hours. Took the prostate out and then decided to repair inguinal hernia (4 hours) first surgery. Then at 2am cut me open again to stop a bleeding artery. I think all that is why I had a TIA if I really did have a TIA? ER visit showed MRI and CT of brain fine, but still wanted me to follow up with neurologist, urologist surgeon, heart doctor and I already had appointment with oncologist already planned. All in same week!
Neurologist said because of trouble talking, I most likely did have a TIA. He wants me to have a Transthoracic echocardiogram (which they still haven’t scheduled been almost a week). Then If transthoracic echocardiogram is without significant abnormality, consider TEE, loop recorder for possible subclinical atrial fibrillation. That loop recorder is a small thing they stick in you for 3 years. It’s a tiny thing they showed me, that sits under skin and calls into the office. Told doctor I didn’t want that. They said think about it.
Next went to urology surgeon who pretty much said nothing, said pathology not too bad and we would do a PSA test in couple months. No he wouldn’t send me to Pelvic PT until I healed up more maybe 3 months. Not to worry about all my leakage, it’s still early. He is the one that tried to make my visit with a phone call, but I insisted on office visit. Think surgeon just wants to cut on you, he is not known for being a great people person, but supposed to be good at surgery.
Next went to oncologist, he was really great! Young guy just not long out of med school at KUMC, but working here in Topeka. He wants uPSA in 2 weeks which is 6 weeks from removal of prostate. Much sooner that surgeon, which I think is good idea. Said PSA should be undetectable (less than 0.1 ng/mL). Would then watch my PSA every 3 months. If it does not decrease to undetectable or it recurs (past 0.1 ng/mL per NCCN, 0.2 per AUA), would consider salvage radiation given his multiple high risk features. Also, doing Anemia work up plus lots of other blood test as I lost so much during multiple surgeries. This guy really listen and seems to be great.
Then my last doctor visit of the week was heart doctor as the ER people told me to go to. Right away, he wanted to do the TEE, loop recorder for 3 years. It must be some standard if they think you had a TIA. Told him I really didn’t want it. Then he reviewed the reasoning for the transesophageal echo recommended by Neurologist. Since I didn’t want the TEE Loop recorder, he said he wanted me to do at least 30-day mobile telemetry. Some kind of holter monitor that actually sends live data back to the office. I said okay, it will arrive in a couple weeks and I am suppose to put it on myself. I had a 5 day one a couple months ago and all was normal, but they didn’t care. Want to see if I am having Afib or something like that.
Lots of test coming up, but no doctor visits next week. Well I may have to go in if they ever schedule the Transthoracic echocardiogram. Prostate removal is bad enough, didn’t need this TIA thing and it has to be because of those multiple surgeries with a 79 year old man. And there is no way to know if I really had one.

@diverjer
Have they put you on a blood thinner? They put me on one shortly after I had an afib event from Zytiga. That can prevent a stroke, which an afib can cause. I had a continuous afib for three days, that they put me in the hospital for. The fact that I was on a blood thinner allowed me to avoid a stroke.

If they think you had a TIA then it sure would seem to make sense To avoid another one.

@jeffmarc
They put me on Plavix 75mg for 21 days and a baby aspirin forever.

This prostate surgery seems too have taken someone in good shape for 79 and did more harm than good.

Still feel weak and light headed, but I still get out and walk, did 3 miles yesterday. Doesn't bother me at all, doc said I could start lifting weights again, but limit to 40 pounds. That seems a waste, they will laugh at me at the gym. Haven't went back to any weights yet because I know there will be lots of stress incontinence. Darn peeing issues drives me nuts. Never feel like need to pee during day unless I sit or lie on couch and read book for an hour, then pee just a little bit. Mostly just drip and stress incontinence at the slightest movement all day long. Strangely not much leakage after I get walking, but no feeling of needing to go after walk.
Now at night while sleeping I have the urge to pee really bad, 4 - 6 times and shoot a stream out like a teenager! But still leak all night and sometimes have to change the overnight Depends around 4 or 5 am. Why I have an urge at night and not during the day is a mystery. Drink lots of water during day. I stop drinking liquid around 7 or 8 PM and go to bed around 11PM to 11:30PM.

@diverjer
Don’t worry about using lower weights. What you want to do is enough reps that you can’t do anymore, that’s the key to getting a buildup of muscle. Your doctor having you do the lighter weights just because you are recovering. Once you are fully recovered from the surgery, you can move back up in weight.

Hopefully the incontinence will get better over time. It usually does.

Though I will leak really Heavily if I’m moving around a lot, I don’t leak it all laying down unless I sneeze or cough.

Yours should get a lot better, He does for most surgery patients.

@diverjer Please do the loop recorder! It is tiny and not bothersome, placed under the skin. You need that data transmitted and monitored constantly. Please reconsider your refusal--don't take a huge unnecessary risk.

@lag
Get the loop monitor installed Friday. Said I could use app on phone or have bedside thing that automatically uploaded data daily. I said I would use the bedside monitor. She thought that would be easier. I guess I could switch to app if I wanted? Don't know what you do if traveling, will ask. Said they would call if something showed up bad, otherwise I would never ever hear from them. I kind of wonder if a person even looks at the data or where it's sent. I would bet not local office? Just some computer program in some big corporations office. I will ask, said I could drive myself home. Some weight lifting and bathing restrictions for week or so.