Wednesday, April 22, 2020

Spring 2020 PSA

April 22, 2020 -- Had a blood draw today at  a nearly empty lab at Kaiser Permanente. A very short wait. The results:

PSA (Beckamn)  My value: 0.630 ng/mL       Standard Range:  0.0 - 6.5 ng/mL

This puzzles me. Perhaps the standard has changed over time, because I thought the standard range was 2-4, not 0.0-6.5. And when compared to my prior values, it appears that my PSA is on a gradual decline. Is that normal for a health prostate as a man grows older? Is this the result of atrophy?

April 30 phone consult:

Telephone consult with my gp: the bicalutamide and Lupron treatments were indended to block my testosterone. A shrinkage of the associated organs was to be expected. This is likely a permanent conditions. The good news is that the PSA numbers are so low (but far below the norm, I note). Exercise can build up muscle mass, which can increase testosterone, he observes. And I could talk to my oncologist about shots to address e.d. Compared to pills which cost a few dollars, the disposable needles that administer the shots are expensive, I say. Sex is getting increasingly expensive.

I point out to him that he's a young man, so now he knows what he has to look forward to. I also note that, ironically, Group Health sent out a publication years ago about the health benefits for older people enjoying sex.


Winter 2020: Long Term Impacts

Feb 11, 2020 --What are the longer term impacts of prostate treatment? One of the concerns is impotency, but that's not the only consideration. Radiation can result in reduced semen production, and diminished libido. I'm reminded of the story of the old man who continued to chase women, but forgot why.

For the frustrated, an Internet search yielded these foods that allegedly increase semen production:
  • walnuts.
  • citrus fruits.
  • whole wheat and grains.
  • most fish, especially wild salmon, cod, and haddock.
  • most shellfish, especially oysters.
  • vitamin D enhanced milk and milk products.
  • dark chocolate.
  • garlic.
  • gensing
  • bananas
These are likely to be far less expensive than rhino horn or the spleen of the black bear. Or . . . was that the gall bladder?