Tuesday, September 25, 2018

Good News


Bad news travels like wildfire,
Good news travels slow.
         - "Bad News" by Johnny Cash



The doctor called yesterday to inform me that I have prostate cancer.

My wife and I happily hugged at the news!

Good news is in the eye of the beholder, if you'll forgive the mixed metaphor. A word of explanation is certainly in order, isn’t it?

 The absolute best outcome from my prostate biopsy would have been that I was cancer-free. Given recent blood tests (PSA, 4K assay), indications were that I likely had prostate cancer. The 4K assay result was that I had about a 50/50 chance of having an aggressive cancer. As a result, I fully expected to have prostate cancer.

The good news was that I have a slower growing type of prostate cancer. Of the 12 samples that the doctor took during my biopsy last week, only two were cancerous. 

My wife and I have an appointment in late October to discuss treatment options. Radical prostatectomy is always an option with any cancer diagnosis. I guarantee that that option is off the table as far as I’m concerned!

The doctor only mentioned one treatment option in our phone conversation. That was radiation therapy. He said that radiation had improved a lot over the years.

I trust this urologist. We will listen carefully to the possible treatments and make an informed decision on how to proceed.

I have always been a glass half-empty kind of guy. Not really a pessimist, but what I consider to be a realist. Still, it seems ironic to be celebrating a cancer diagnosis. Retired life has certainly been interesting!

Thursday, September 20, 2018

A Biopsy Story


Ah, push it - push it good
            - "Push It" by Salt-N-Pepa


DUE TO GRAPHIC CONTENT, READER DISCRETION IS ADVISED. SORT OF.


I had a prostate biopsy yesterday.

First, I must say that you really shouldn’t believe everything you read on the internet. I was so apprehensive about this procedure based on the horror stories I read online that I was nearly shaking by the time of my appointment. It sounded like everything that could go wrong, routinely does go wrong. In reality, it is more like consumer reviews of a product or store. You see a few positive ones, but many buyers had a bad experience and they want the entire world to know!

I am pleased to report that my experience was not nearly as bad as what I read. Don’t get me wrong. It was unpleasant. It just wasn’t as nightmare-worthy as I came to expect. In fact, it was just another routine medical procedure.

I had to drive 45 minutes to Fort Wayne, Indiana for this adventure. I felt as if I was driving myself to the laboratory of the Marquis de Sade. Actually, I really like my urologist. I have been visiting him for many years due to benign prostatic hyperplasia, also know as BPH. Some guys’ prostates enlarge as they age, causing a reduced urine stream. Like me, most of those men take medicine daily to help them pee better.

When my wife and I arrive, we waited for about 20 minutes before a nurse called me to “come on down.”  I am surprised to learn that my wife is allowed into the crime scene... I mean, exam room. I think she enjoyed the whole procedure, actually. Revenge is a dish best served cold.

The attractive young nurse who called me back explains everything that will soon occur, usually occurs afterward, and has me sign a paper saying that I’ve been warned that other things could also occur if things go awry. She then tells me to strip from the waist down.

I did not hesitate. Some guys might have been uncomfortable in this situation. Usually, I would have been uncomfortable in this situation! Please remember, I am currently terrified, so normal reactions are off the table. I meekly comply, hoping that she is not simply the painful opening act.

The young nurse then asks me to bend over and grab the exam table. What? She then explained that she was giving me two shots of antibiotic, one in each side of my posterior. OUCH! This was not starting out well. Merciful Heavens, she IS the painful opening act!

After positioning me on the table with my butt hanging off the right side, the nurse went and fetched the doctor. The doctor comes in, makes some small talk, and goes to work. Here we go….

He told me that I was about to experience the worst part as he inserted the medical appliance. I cannot think of anything else to call it.  Now, in the letter they send prior to this event, they tell you that the ultrasound/biopsy tool is the size of a finger. They obviously mean the Jolly Green Giant’s finger. As he rudely inserted the device “where the sun don’t shine,” my wife noted that my eyes widened and my jaw opened in a gaping “Oh!” Needless to say, it was NOT a pleasant experience! However, as my urologist mentioned, this was the worst part of the procedure.

My urologist kept me apprised of everything that he was doing, and what to expect. A slight pin prick was felt as local anesthetic was injected into my prostate. He mentioned that after five samples, most patients have pretty much had it. His plan was to take 12 samples of my prostate for pathology. Hurray.

He warned me that he was ready to capture the first sample. A click indicated that a needle had been injected into my prostate at a location selected from the ultrasound view of my gland. Happily, I felt nothing! I even asked the doctor if he was successful in removing a core. He looked to the nurse who was placing my innards into a specimen container, and she acknowledged that indeed a little piece of me was now in her hands, and it sure wasn't my heart!

The dread vanished. This was NOTHING!  Five more followed in identical painless fashion. However, when he started taking samples from the other side of the prostate, I felt a small pressure each time. Not pain, but simply pressure. He explained that this was normal. It was no biggie for me – still a cakewalk.

Soon I was done. The doctor congratulated me on how well I did. He did not give me a lollipop though. Hey, a shot of single malt Scotch seemed appropriate, but I didn’t get that either. He left the room, as the nurse swabbed my behind several times with baby wipes. This was a strange situation, but I guess it was no stranger than the rest of this process. I then got dressed, thanked the young lady, and my wife and I beat a hasty retreat.

We then went to Steak ‘n’ Shake for a late lunch. We love Steak 'n' Shake!

Most men experience blood in the urine and stool for several days following a prostate biopsy. I had neither. Wahoo! I am a little ouchy, buy nothing major. 

I am now awaiting the results of the biopsy. Most find this to be the worst part. Do I have cancer? Am I out of the woods? Sure I want to know. But really, I just wanted to get through the biopsy procedure!  


Confessions of a Retired Band Director - Part II

Way back in July of 2015, I wrote my first blog entry. Though my blog isn’t widely read, I still write occasionally to share some notion t...