11-25-2015: Blood Test was administered by Exam One
12-3-15 @ 1:59 PM Found out PSA was high (7.5) from Tim Yurek- Insurance agent
12-8-15 appointment with my GP Dr. Puffenberger.Took a second blood sample @ Clinic. Had a DRE exam by Dr. Puffenberger-Negative, no lumps and Prostate is small.
12-10-15 Found out PSA number wen up to 8.7. made appointment with Dr Michael H Rittenburg @ Riverview Urologic Associates, 423 3rd Ave #B, Kingston, PA
12-14-15 Had initial Consultation with the Urologist (Dr. Rittenburg), he did a DRE, which did not show any nodules, but did feel somewhat enlarged. He felt there was adequate concern to schedule a biopsy. He scheduled it for 1-8-15 in the morning. I fid find out at this appointment that when I turned 50 my PSA test was 5.7 and my GP never told me. Should have been on watchful waiting back in 2013.
12-22-15: PSA test at LabCorp-7.4. Scheduled this test myself. Independent of Doctors requests.
12-28-15: Called Fox Chase in Philadelphia & Sent in Online Form request.
12-29-15: Set up an appointment with DR Marc C. Smaldone-Urologist
1-11-16 Fox Chase initial appointment with Mark Smaldone
2-5-16 scheduled biopsy for 2-5 at FCCC
2-12-16: Phone call from Dr Marc Smaldone (Kim heard as well):
- 4 of the 12 cores were positive for PCa
- Confined to half of the prostate.
- 2 had Gleason score of 6
- 2 had a Gleason score of 7
- Staging: T1c.
2-17-16: Meet with Dr Smaldone to review treatment options; Sugery vs Radiation
3-8-16: MRI at Fox Chase-Tumor shown to be closer to the edge of the capsule and possibly capsule extension.
3-9-16: Consultation with Dr Mark Hallman- Radiation Oncologist & Marc Smaldone-Urologist. Dr Hallman did another DRE, couldn't feel any nodule, however the MRI showed the Tumor to be closer to the edge of the capsule and possibly capsule extension. Upgraded staging to T3a. Now became High Risk.
3-15-16: Pre Admission testing-CT Scan & Bone Scan. All tests were clear. I made my descsion to go with surgery this day, and scheduled it for 3-28-16.
3-28-16: Surgery-Surgery went well, no visual evidence the tumor escaped the capsule
3-30-16: First Day Home- Swelling in Stomach & Groin area, Visiting nurse stopped by.
4-6-16: Catheter Removed.
General Note: very good control of my bladder and have very little need of Pads. Only lasted 2 weeks.
6-8-16: Dr Smaldone Apt @ 9:15 Huntington Pike-PSA Testing-Undetectable
9-14-16: Dr Smaldone Apt @ 9:15 Huntington Pike Ultra-sensitive PSA @ 0.03
12-14-16: Ultra-sensitive PSA @ 0.07
12-14-16: Appointment with Dr Mark Hallman-radiation Oncologist @ Fox Chase-Dr Hallman did another DRE, couldn't feel any issues. However he suggested I start Radiation Therapy-Wanted me to have the procedure at Fox C. Didn't seem interested in working with a clinic other than Fox Chase.
12-16-16: Appointment with Dr Marc Smaldone-Said my decision but waiting till next PSA test results would be ok. He said I should go find a Radiation Oncologist closer to home, and he would stay my Urologist and work with them directly.
1-22-17: Meet with Dr Christopher Peters Radiation Oncologist at Northeast Radiation Oncology in Scranton. Recommended having 39 sessions of radiation. Didn't recommend ADT.
1-24-17: had PSA test again, PSA @ 0.1. So it is increasing.
Scheduled imaging/mapping for Radiation Treatments for 2/15/17
Charles's e-mail address is: firstname.lastname@example.org