Sunday, September 9, 2018

Another UTI

Sept. 9, 2018

Hi, Tracy.
Thought I was done with UTIs, but at this writing I'm struggling to beat one back without resorting to a visit to urgent care. Symptoms of mild pain and frequency were showing up and I wondered whether I was on the verge, and then I went for a hike yesterday and on one occasion had an accident.Today I was passing small amounts of blood, including tiny clots. So I am forcing liquids with the idea that I can flush out the problem. If that doesn't work, it will be back to urgent care.

But I've beaten one in the past with sufficent hydration, so I'm going to try that again.

We'll see.

Love,
Dad


PS:  

Sept. 10: Drank oodles of tea yesterday, and pain and color is now gone this morning. I will keep hydrating.

Tuesday, August 14, 2018

Blood pressure Aug 13, 2018

August 13, 2018

Hi, Tracy.
Had my annual physical today. Check out the blood pressure chart:


For years I was 120 over 68. Then it bumped up a bit at times. Now it's the best it's ever been.

My pulse was 58, but I was sitting up in an exam room.  I'm adding this on Tuesday afternoon at 1 p.m.: I  just laid down on the bed and took my resting pulse. It's between 46 and 48 bpm.

Love,
Dad

P.S. On Aug. 23 I had a return visit. My blood pressure was 138/76 and my pulse was 55.


Friday, July 27, 2018

PSA test, July 26, 2018

July 26, 2018

Hi, Tracy.
Thanks for the birthday call today, and for the inquiry as to what I wanted for my birthday. You were too late, although I didn't know it. I had my blood draw earlier, and it turns out that my present was already delivered: a PSA score of 1. More precisely, it is 1.00 ng/mL, while the standard is 0.0 - 4.0 ng/mL. Last March the score was 0.520 ng/mL.

Here a thumbnail of the score in the last couple years:

Component Value Date
PSA 1.00 07/26/2018
PSA 0.520 03/01/2018
PSA 0.400 11/02/2017
PSA LESS THAN 0.02 04/25/2017
PSA 19 05/09/2016
PSA 16 02/17/2016
PSA 12 09/02/2015
PSA 10 02/23/2015 

I haven't talked to my oncologist yet, but I am confident that this rate is good. The numbers are gradually climbing to the norm at what I believe is a respectable pace. No discernible worries.

Update: Oncologist has scheduled my next blood draw for October.

Love,
Dad

Tuesday, May 15, 2018

Another Pesky UTI

May 15, 2018
Hi, Tracy.
Just when I thought it was safe to go back in the water . . . another pesky UTI. I've been back only a few days from my road trip, and today I felt that tingling that told me something was possibly happening. Then I had to visit the bathroom several times and it became increasingly obvious that that old aggravation was returning. I dropped an AZO pill to keep the discomfort down; that's the pill that produces that really rich yellow color like the freshest and richest of egg yolks. After a while that yellowing effect occurred, but then the color got richer with a healthy infusion of red. No question now.

I've been drinking lots of water and reading up on UTIs. One question I had is whether they can go away on their own. In rare instances they can. You can help this along by forcing water, which tends to reduce the ph of the urine; the closer it is to neutral, the better, according to one source. There are also the nostrums about what to drink to bring it under control, and some of the suggestions are way out. Cranberry juice is a familiar story, but today was the first time I read that you can add a teaspoon of urine to the water you're drinking and it may help.

No thank you.

One time at urgent care I passed a lot of bright red lemonade, and then the urine suddenly ran clear again. The medical staff prescribed antibiotics. My method this time is to see whether it will run its course and stop generating blood. I'm not burdened with incontinence, and the urge to pee hasn't been uncontrollable, so I'm going to treat this as a learning session. I'll eventually contact my urologist, but not until I've seen the progress of this latest aggravation.

May 15, 2018: Postscript


I slept through the night, awakening occasionally to pee, but never with great urgency. I experienced no incontinence. By morning the ASO was out of my system and the urine was clear. Not sure whether all the bacteria are gone from my system, but the symptoms are all gone.


Love,
Dad

Thursday, March 1, 2018

PSA, Testosteron Levels

March 1, 2018
Hi, Tracy. I had my blood draw today, as part of the on-going process to monitor my prostate following radiation and hormone reduction therapy.  Here are the results:

Testosterone:

My value: 295 ng/dL Standard range: 170 - 800 ng/dL

PSA (Prostate specific antigen):

My value: 0.520 ng/mL Standard range: 0.0 - 4.0 ng/mL

In September 2016, my PSA score was 25. In November 2017, seven months after radiation ended, it was 0.4. So the score is recovering toward the normal range, but slowly. I take this as a very positive sign that this will have been a once-in-a-lifetime experience.

Love,
Dad




P.S. Msg from Dr. on March 2:

Your PSA is as follows:

Lab Results
Component Value Date
PSA 0.520 03/01/2018
PSA 0.400 11/02/2017
PSA LESS THAN 0.02 04/25/2017
PSA 25.0 09/13/2016
PSA 19 05/09/2016
PSA 16 02/17/2016
PSA 12 09/02/2015
PSA 10 02/23/2015

We should repeat it in 4 months to see if it remains stable or continues to increase. I will place an order for July 2018.

Chacala, Mexico UTI

March 1, 2018
Hello, Tracy.
UTI's are never convenient, particularly when they occur in a foreign country and your cell phone has become difficult. This was the situation I faced Feb. 13-20 when I visited Joanie in Chacala, Mexico,

Here's a map showing how I got there, and some information from Wikipedia about this little Shangrila on the Pacific Coast of Mexico:

Chacala is a beach-town set in a small cove on the Pacific coast of Mexico in the State of Nayarit. It is located about 100 kilometers (62 mi) north of Puerto Vallarta. The name means "where there are shrimp" in Náhuatl, and is part of the coastline known as the Riviera Nayarita.[1] The population consists of approximately 300 full-time residents, but can swell to over 1000 during Mexico's most popular vacation periods such as Semana Santa, (Easter Week) and Christmas. Chacala is known for its physical beauty, unhurried lifestyle.

Chacala's small bay has a gently-sloped sandy beach ideal for wading out into the crashing waves.


I decided, spur-of-the-moment, to fly there, using airline miles on American Airlines. But after I purchased the tickets, I found myself with preliminary indications of a Urinary Tract Infection. (After a while you learn to see them coming.)  It came in the form of frequent needs to urinate, with a hint of discomfort. I tried to hydrate and clear it out, and it calmed down on my flight to Puerto Vallarta. I arrived, and hailed a taxi to the bus station. But enroute I decided I was tired and taking the bus to Las Varas and then taxis to Chacala seemed like more complication than I needed. So I paid the taxi drier to take me there.

Balking phones and missing passwords

After I arrived, the fun began. My new Verizon phone reads a finger print or requires a PIN for access, and for a while it opted for the PIN, but the interface didn't provide an "action" button once the PIN was entered. When I tried to e-mail Kaiser Permanente, I realized that I had not brought my updated password for my laptop -- had changed the password after losing my original phone in Zurich. Meanwhile, I was enduring sudden urges accompanied by incontinence. I had brought a diaper along as well as several absorbent pads similar to what ladies use. Joanie and I decided to take a bus to Las Varas, where there was a pharmacy where I could purchase diapers and she could have her non-working cell phone fixed. At the cell phone repair facility my phone decided to display its number pad with a new symbol -- a check; to my embarrassment the lady at the counter pressed the check and I was into my phone for the first time in a couple days. That was handy, because Verizon requires your phone to be working so that they can send you a text message so that you can get your phone working. Technology like this is very aggravating when you are in Mexico with a UTI.

There's a small mountain near the beach -- it's actually an extinct volcano, and we hiked to it's caldera.

The caldera of a small extinct volcano overlooking the bay.

Too late the banyo

And down the beach there was a tapas bar protected by a structure with a thatched roof. We went there to read one day, when the urge hit me just before the bar opened for business. The surf and the calm lulled me to a sense of complacency, and I failed to act before the urge hit. By the time the owner had unlocked the bathroom, I was pretty sure it was already too late, and I was right. Afterward I quietly offered her 100 Pesos and apologized to her for losing control and directing fire to the waste can in the banyo. (Where, in Mexico, they normally deposit the tissue due to plumbing problems.) A few days later she joined Joanie and me at our Valentine's day dinner, acknowledging by that gesture her forgiveness and understanding.

The mural urinal

The trip back to the airport was punctuated by several needs to stop -- the advantage of taking a taxi instead of the bus. It also represented an introduction to a Mexican custom -- peeing on a wall in plain sight. We were stopped in traffic and I exited the taxi, crossed in front of stalled cars, descended to a lower street, and looked in desparation for a banyo. The driver caught up with me and direted me to a wall. The next stop was a few miles down the road at a gas station, where he purchased a bag of peanuts. In the car he offered me some and laughed when I noted that this trip came with a meal. There was a significant language barrier, but we were able to share that joke.

Incident on the plane

There were other accidents, of course, and I learned that the best solution was just to walk out into the surf, so that no-one would wonder why my safari pants were wet. That didn't work on the plane home, however, when I made the silly mistake of sipping water while I was waiting for a passenger to exit the bathroom. I was pleasantly surprised at how the absorbent pad had caught most of the urine so that it wasn't obvious to others on the plane what happened to me in the aisle.

Things are better now. I got home, drank lots of fluids, and eventually urinated the offending bacteria out of my system. It was just one more aggravating experience on what I believe will be the final stretch toward recovery.

Later this morning I go to Kaiser Permanente for my blood draw to see what my PSA level is.

Love,
Dad

Saturday, January 6, 2018

Recovery

Dec. 6, 2018

Hi, Tracy.

I went to a movie tonight -- the latest Star Wars episode. I was able to sit through the whole movie without having to get up and rush to a bathroom. I will continue my antibiotics for the next few days, but it appears that my UTI is a thing of the past. I will continue to drink lots of water and do pre-emptive peeing, But I think the bad is over with.
Love,
Dad

Tuesday, January 2, 2018

Another UTI: Managing incontinence

Jan 1, 2018

Hi Tracy

As I explained, two days ago I had another UTI. It came on about 2 p.m. when I was at a phone store, trying to have technical support connect a new phone with my existing phone number. I had just urinated before going there -- yielding up a small amount -- and already it was time to urinate again. And after a few minutes, when the phone assignment had been completed, I had a need to urinate yet again; only this time there was an off color in the liquid -- a trace of pink.

I knew what that meant. I drove straight home, peed again, and first saw blood, and then clots in the urine stream. I went to urgent care, where I passed a small specimen because I really didn't have much in my bladder. (I stopped hydrating so that I could  be dry at my next destination.) I met with a doctor and asked why I was having recurrent problems. She offered the observation that there's a distinct possibility that the microbes causing the problem come from outside the body and work their way up the urinary tract. Recommended treatment -- plenty of flushing activity, attention to bathing regularly and perhaps (my opinion) changing underwear more than once a day.

When I got home I drank water every time I urinated, and tried to pee before I had to. By midnight the urine was clear. I had already started on antibiotics.

However, although the urine was clear, sometimes the urge can accelerate rapidly from a mild sensation of need to an accident. And so I continued the practice of hydrating, but peeing before I even feel the need. In other words, stay ahead of the process.

What I'm finding is that it's also a policy of staying ahead of Dr. Pavlov. The moment I enter a bathroom the urgency accelerates, or in cases where there was no perceived need, an urgency emerges. So, yes, if you were wondering, I keep pads handy while this temporary aggravation exists, and I have been known to wear diapers -- but manly diapers, the kind that remain undetected beneath my trousers.

It has been a full nine months since my last radiation treatment and my second (and last) lupron shot, and the after effects are still being felt. The good news is that, while this effect is aggravating, it is manageable.

Love,
Dad