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Question about upcoming PSA
SteveK364
Posted: Sunday, December 30, 2018 9:26 AM
Joined: 6/26/2018
Posts: 70


This may be a dumb question, but I need to get a PSA soon for my upcoming 3-month PCa checkup. Does it matter whether I have this done by my regular doctor (GP) or should it be handled by a urologist? I don't want to make any mistakes as I get ready for my first PCa followup. Thanks.

SteveK364


radsrus
Posted: Sunday, December 30, 2018 9:29 AM
Joined: 10/10/2008
Posts: 4435


That does not matter, but it is generally best to get them all done by the same lab if possible since results can vary slightly from lab to lab

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
SteveK364
Posted: Monday, December 31, 2018 6:04 AM
Joined: 6/26/2018
Posts: 70


Great. Thanks, much!

SteveK364


JAV
Posted: Monday, December 31, 2018 12:23 PM
Joined: 10/29/2010
Posts: 801


Steve : I get mine done at my local lab for the reason Dr. Medberry stated and have it ordered by my FP Dr.. My Uro and RO appts. have been about 6 months a part, so for the first several years I would get a PSA done about every 6 months a few weeks before each appt. BTW, if you are on on Medicare, make sure the second one of the year is coded for a "symptomatic/diagnostic" test. It's the same exact test as the "screening" PSA test, but coded differently. Medicare will only pay for one "screening" PSA per year, but there is no practical limit if the code is for a "symptomatic/diagnostic" test. Jim V.

Treated with CK 4-2011.  Gleason of 3+4 , PSA 3.7 , two cores positive, 5% & 12%
 PSA on 7-13 0.3  PSA on 11-13 0.3 PSA on 5-14   0.3  
PSA on 7-14   0.2 PSA on 11-14  0.2 PSA on 3-15 0.2
PSA on 7-15, 0.2 PSA on 7-17 0.1 PSA on 1-18 0.13
SteveK364
Posted: Monday, December 31, 2018 12:46 PM
Joined: 6/26/2018
Posts: 70


Hi Jim, Thanks for the good info. No, I'm not on Medicare yet. Still a couple years away. One curious thing: after my last CK treatment, the nurse told me to have a PSA done 2-7 days before my first followup appt with my RO on Jan 22. But, I'm wondering if this would be enough time to get the results? Don't the results of a PSA normally take a couple of weeks? Hope you're doing well. Thanks, Steve

SteveK364


JAV
Posted: Monday, December 31, 2018 5:00 PM
Joined: 10/29/2010
Posts: 801


It takes the lab at my local hospital about a day or two to have the results posted. It's a very common test that is done at every hospital, I bet. And my local hospital has only about 25 beds. The chemical analyzers can do a lot more than just a single type of test these days. "Back in the day" , I maintained several chemical analyzers in the 1,000 bed hospital I worked at. But testing has evolved a lot since then, by measuring the degree of polarization of light and by using immunoassays. If you want to learn more about the test, go to : https://labtestsonline.org/ and https://labtestsonline.org/search?keywords=PSA and http://clinchem.aaccjnls.org/content/43/5/843 Jim V.

Treated with CK 4-2011.  Gleason of 3+4 , PSA 3.7 , two cores positive, 5% & 12%
 PSA on 7-13 0.3  PSA on 11-13 0.3 PSA on 5-14   0.3  
PSA on 7-14   0.2 PSA on 11-14  0.2 PSA on 3-15 0.2
PSA on 7-15, 0.2 PSA on 7-17 0.1 PSA on 1-18 0.13
SteveK364
Posted: Tuesday, January 01, 2019 5:52 AM
Joined: 6/26/2018
Posts: 70


Thanks, Jim. I wasn't aware of the quick turnaround on the lab results. So, that's news to me. Cheers!

SteveK364


 

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