I’ve heard what the doctor’s referring to as Stats Angst and for those with prostate cancer, the stat that we are generally angsting about is that notoriously crude measurement: our PSA level.
A while ago, when I was first told I was part of the cancer club, the club that no one wants to join, my PSA stood at 5.03. Hormone therapy precipitated a plunge and within a month it was down to 2.61. Six months later it was 0.8 and following radiotherapy, a test revealed it to be virtually undetectable at 0.07. All good until I went to see the doc again. But before we get to that I want to pause and ask a question.
Follow up conversations are tricky
When having a consultation with your doctor, do you ever struggle to choose the right words?
Having prostate cancer means my talk with medics usually revolves around human plumbing. Here’s the problem: If I talk about excreta or feces, I sound like an uptight first-year medical student. If I talk about poop, I’m using baby talk and if I talk about shit, I’m swearing. Cancer, it’s not just your health you have to worry about, it’s your vocabulary, too. But I’m guessing Americans have a more forthright approach to this and will just laugh at a coy Brit.
Talking of words, I’ve decided my least favorite sentence in the English language is: ‘I’m going to see my oncologist today.’
An unexpected PSA bounce
Back to Stats Angst: A week before seeing the oncologist, the vampires at the hospital took blood and I was hoping my PSA level would be 0.03 or lower, which would classify it as undetectable.
No such luck, the Unwelcome Guest had other ideas and had bumped my PSA up to 0.1. I know that’s a small rise and doctors recognize something they call the PSA bounce after radiotherapy, with the numbers fluctuating, but frankly, it wasn’t what I wanted to hear. Hopefully, this will correct itself but if it were to continue on an upward trajectory and get anywhere near 2.0 then that would be a cause for concern.
Prostate cancer that comes back is called a recurrence. But as my treatment is on-going with hormone therapy still 18 months to run, as of my writing this, we are ways away from that just yet.
Who else gets follow up anxiety?
I have another appointment with the oncologist, as of my writing this. In the meantime, our family is about to go on vacation, but what will the stats on my Stats Angst chart look like after? Pretty much off the scale, I’d imagine. Anyone got advice for an anxious, hard-bitten, sixty-four-year old cynic?
Stats Angst, PSA level, prostate cancer, prostate-specific antigen, health anxiety, prostate screening, men’s health, cancer statistics, prostate health awareness
#ProstateCancer #PSALevels #Men’sHealth #CancerAwareness #HealthAnxiety #ProstateScreening #StatsAngst
Story by By Jim Preen-Opinion
