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Prep work begins for CK treatment
SteveK364
Posted: Wednesday, August 08, 2018 3:12 PM
Joined: 6/26/2018
Posts: 70


Hello, I will begin receiving CK treatments at St. Joes Hospital in Ann Arbor, Michigan around the end of September. In the meantime, they want me to come in for a physical and an EKG. A few days later, they plan to "install" (is that the right word?) the SpaceOAR. With that in mind, I have a few questions for the doctors: 1. Is it normal to give a patient a physical and an EKG before beginning CK treatments? I was kind of surprised at this request. 2. Is the installation of the SpaceOAR painful? Do I need to be anesthetized? 3. How effective has SpaceOAR proven to be? Thanks. Steve

SteveK364


radsrus
Posted: Wednesday, August 08, 2018 3:17 PM
Joined: 10/10/2008
Posts: 4435


I suspect the EKG is due to the moderate sedation you will require for the SpaceOAR placement. You don't want to do it awake. In terms of CK treatment, SpaceOAR essentially eliminates the rectum as a risk structure.

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
JAV
Posted: Friday, August 17, 2018 2:37 PM
Joined: 10/29/2010
Posts: 801


Makes sense. Obviously I did not have SpaceOAR back in 2011 at the same facility and I don't recall having an EKG done either.

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
JAV
Posted: Saturday, September 22, 2018 5:23 AM
Joined: 10/29/2010
Posts: 801


Steve : Please give us an update. Thanks, 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: Saturday, September 22, 2018 6:25 PM
Joined: 6/26/2018
Posts: 70


Sure, Jim. Thanks for your interest. Here's the latest: This past Monday, they implanted six fiducials and the SpaceOar. I was given general anethesia, so I was asleep for the entire process. Things went very well, and except for a little blood in the semen for a few days, I've had no negative side effects. On Thursday, they did the MRI and CT scan ("simulation", I believe), which also went very smoothly. I was a bit concerned about possible claustrophobia with the MRI, because the nurse navigator told me that my head would be enclosed during the process. So, I got a sedative from my doctor and had someone drive me. To my surprise and delight, they put me in feet first in the MRI machine, so my head was barely in the machine and I could even see the ceiling tiles. On the other hand, I was a bit aggravated that I was told otherwise. Is it common to put patients in feet first for a prostate MRI? If so, the nurse navigator needs to be informed about this and not give patients wrong information. Also, they did not use a catheter, which I was also thankful for (for obvious reasons!). The actual CK treatments will begin Oct 10th. Dosage will be 36gy. So, except for the miscommunication with the MRI, things have gone very smoothly. I just hope and pray that the treatments go equally as well. Thanks again for your interest, Jim, and I hope all is well with you. Steve
JAV
Posted: Monday, September 24, 2018 4:59 PM
Joined: 10/29/2010
Posts: 801


Thanks for the update, Steve. I asked for a foley catheter with my MRI. Insertion was the worst part of the whole procedure. But they let me remove the foley - piece of cake coming out. 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, September 24, 2018 5:26 PM
Joined: 6/26/2018
Posts: 70


Sure thing, Jim. Dumb question: Why would you ask for a catheter? I wasn't given a choice. They just didn't use it.

SteveK364


JAV
Posted: Tuesday, September 25, 2018 1:42 PM
Joined: 10/29/2010
Posts: 801


A foley was placed for the CT Scan . Maybe they wanted to be certain my bladder was empty. And Dr. Medberry back then said there was a technical advantage having a foley in place for the MRI. So I requested that it remain in place for the MRI. But apparently, you say it's not used for the CT scan anymore. Remember I was treated way back in 2011. 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
 

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