LET'S END THE RUMOR

Yes, I am on a fast track to confirm or rule out prostate cancer, but there is no diagnosis.

I pushed for a very in-depth set of labs because I knew something was wrong.  I got the call my PSA (prostate blood test for men) jumped.  I was told it was a critical warning.  

Okay at this point I am taking control because the deferential diagnostic process in the wrong hands can be a death warrant.  Protocol should dictate a general practitioner should immediately send a man to a prostate specialist when his PSA comes in at 18.4, but it does not.

To put the 18.4 into context it puts me at 75% chance of prostate cancer, but still at a 25% of being another problem with the prostrate.  

When dealing with possible cancer only a prostate specialist can assess the situation with the deferential diagnostic process.  It is not as mechanical as some doctors treat the process.  One wrong term and you kill your patient.

It is not merely the very elevated PSA. There are two other lab results suggesting cancer.  Then there are the physiological problems. 

Here is where doctors mess up.  "Your prostate must be fine because you never wake up to urinate." If you hear this run, they are so wrong. I never wake up to urinate, but when I do wake up my bladder feels like it is going to bust, and I cannot urinate.  It takes about 10 minutes of me being up an about before I can urinate.

There is also a lot of burning which can be UTI or the prostate.  The prostate burns.  But if the doctor chooses to go with the UTI, a lot of time can be lost.  This is why, once you PCP is given the critical warning of possible prostate cancer, it must go directly to the specialist for the deferential diagnostic process. 

I believe my PSA has never been hirer than 2.4, and even then, my PCP would be concerned it was climbing too fast based on past PSA's.

It is not merely my PSA.  But here is where the problem begins.  The medical community knows very little about how the prostate works.  An impacted rectum can cause the prostate to push on the urethra and block your ability to urinate.  If you do not maintain healthy bowels your doctor will confuse it with an enlarged prostate.  Guys, it is not a major problem if you are over 60 and have an enlarged prostate.  It would be abnormal for you to not have an enlarged prostate at age 60.

It is my understanding on Monday I will be told when the specialist will see me.  I was told they have a Thursday opening.

I am going to push as hard as possible for an immediate biopsy. There is no other option to get a definitive answer.  

Men are basically stupid when it comes to their prostate.  If I am positive if allowed, I will opt for an immediate removal.  It is not the end of the world. I am about to be 68, and I really have no use for the prostate.  I would rather live until age 90 without a prostate than age 70 with a prostate.

If you opt for removal, you need to do your homework on a good surgeon.  With a good surgeon within 6 months, you should be functional again.  The removal of the prostate is not the problem.  The problem is an unskilled surgeon damaging nerve endings.  Do not be afraid to ask the surgeon how many of his patients return to full sexual function. 

I will not go down the poison path.  For years the cancer specialists at Sloan Kettering got it wrong at every turn with my sister. She needlessly suffered so with all the chemo and radiation treatments.  Her last 5 months were her best when she went off all the poisons and lived her life with her grandchildren. 

SO, FOR NOW, I AM MERELY ON A FAST TRACK TO DETERMINE IF I HAVE CANCER.  I DO NOT HAVE A FORMAL DIAGNOSIS OF CANCER

But I will tell you I am tired.  My fatigue came back with a vengeance.  So, I wait and hope they go directly to the biopsy so a game plan can be developed.  My brain fog gets worse by the day.

AS TO JOHN DOE

If the Court of Criminal Appeals refuses to hear his case, it could be in the Thursday's orders.  It is not hard to predict this.  The next group of case numbers with a Refused is ready for a Thursday release. 

I am ready to file the Petition with the Supreme Court and seek an injunction in federal court.  The abstention doctrine will not apply in this case.