MY HEALTH STATUS AND OTHER ISSUES
As a patient I guess I see this differently than the doctors. But we are talking it has been about a month and a half since the PSA pointed towards cancer. Communication with the doctor's office is difficult.
I want to make a point clear, you can have the best available doctor, but if his staff drops the ball and fails to understand the message, you will be denied staff. In the years I defended a lot of doctors on the issue of malpractice, the number one problem was a failure to control their staff. Amazing doctors got caught up in malpractice because of the staff and not the actual conduct of the doctor. It was always sad to see this when it happened.
So, the advanced PSA came back indicting cancer. There is no diagnosis until a biopsy comes back positive for cancer. But I can tell you it is nerve-racking. My brother tells me it was 1 month from the date the first PSA came back high to his biopsy. His was a bit over 5, my initial was 18.4.
The advanced PSA is called Free PSA. It takes several days for an outside lab to review the sample.
The key mark is 25. Above 25 it may be an inflamed prostate. If it is below 25 it points to cancer. Mine came in at 18. But it can still be very negative for cancer. But it is nerve-racking there is no sense of urgency from the doctor. For me it is urgent. Most days I spend 16 hours in bed, The computer screen is no friend when you are this sick.
As to the doctor I have no way of knowing if his staff have him the lab results I brought to the office. For a day and a half, I could not get through on the phone.
I think my doctor is very good, based on our initial meeting. But I cannot control his staff.
ON MONDAY I MAY BE ABLE TO PROCEED TO THE FIRST BIOPSY
I am being treated with an issue related to the bursa sac in the hip area. This is commonly misdiagnosed as bursitis when in fact it is mediatized prostate cancer. I am being treated for bursitis with injections. I get another set on Monday.
I will discuss what is happening with the prostate to see of the orthopedic surgeon thinks he should do the hip biopsy to rule out mediatized prostate cancer. If he does and it comes back positive, it will ensure my further treatment will be in San Antonio and not locally.
I want to stress I have a very good local specialist. But in Brownsville, the quality of office staff is consistently really bad.
I AM WORKING HARD TO HAVE THE CASE AGAINST THE COB REMANDED TO STATE COURT
The COB motion to dismiss the lawsuit is entirely without merit. The city hired an attorney who makes lots of mistakes. She has admitted in her pleadings the enforcement of the code is not discretionary, but mandatory. She just does not know it. The city has a board of appeals according to her, which can reverse the decision of the code enforcement officer. This means it is not discretionary., but mandatory.
By Monday I promise a post which will be read throughout the entire state. The COB will look really bad. I am working on the federal filings. It is hard because of the way I have to use PACER to reference specific claims by the city.
I am off to a nap, and then to hopefully finish what needs to be filed in federal court. There is no delay in finishing the federal filing. It is a different process. While moving between several screens of federal filings, and research, they tend to cause me to become fatigued very fast. Typing this is just typing.

