MOTORHEAD JOURNEY

OK, I’ve been to the doctor and the doctor has told me that my PSA is high. What the heck is a PSA and what does it mean that it’s high?

View a video from thevisualMD.com explaining all about your prostrate: CLICK HERE TO VIEW VIDEO

Now the doctor tells me I have to come in for a DRE. A Digital Rectal Exam? What is that for? Bent over, my cheeks spread and the doctor is putting his finger in my anus (Dear Lord–I hope I remembered to clean the rust out of my my tail pipe); feels like I’m going to pee. Now I have to wipe my self, I feel so embarrassed I do not even wipe.
I pull up my shorts as quickly as I can and for the rest of the day I find myself sliding in my pants. OK, now I’ve had a DRE performed. The doctor tells me that there are some hard areas on my prostate. Whoa! What gives? What does this mean? The doctor tells me that I’m going to need a biopsy to determine if my prostate is cancerous? Cancer? Cancer? What do I do, what can I expect, what about my mortality, my family? Where do I go? Who can I talk to? Suddenly my whole world is topsy turvey. The results of the biopsy have come back. Cancer!!! What the hell is a Gleason number? What does it mean?

There are numerous treatments for prostate cancer and each has its own benefits and drawbacks. Patients and their prostate specialist must weigh many factors when determining the best treatment option.Age, Gleason number (measure of aggressiveness), PSA, lifestyle and quality of life issues all play a very important part in the equation of finding the optimal treatment.  Never hesitate to obtain a second opinion!  (Motorhead Jargon—“back-seat driver.”)

 To view videos by a Chesapeake Urology physician on Prostate Cancer and Prostate Cancer options, go to: http://www.chesapeakeurology.com/ and then scroll all the way down to the bottom of the page and you’ll see “Doctor’s Corner,” Select “more videos,” to view “Prostate Cancer Options.”

“Grades of Oil” (Gleason Number)

  • 10 W 30-
    Gleason 2-5.A lightweight oil for lubrication. Numbers that need to
    be watched very closely and monitored by your Urologist.
  • 10 W 40-
    Gleason 6-7.A heavier grade of oil for a more complex engine. A Gleason
    number of 6 or 7 needs prostate treatment as suggested by your
    Urologist.
  • 10 W 50-
    Gleason 8-10. A very heavy grade oil for a well used engine. Get
    to the mechanic (Urologist) before complete engine malfunction.

Depending upon your Gleason number, your Urologist will recommend a treatment plan. Remember, it is advisable and informative, to seek a second opinion (Motorhead Jargon—“estimate”).  There could be up to nine options to choose from which will determine your quality of life:

  1. Watch and Wait: (Motorhead Jargon—“Polishing your car on a rainy day.”)
  2. Prostatectomy: (Motorhead Jargon—“Having your “Wheels” high-jacked”
    1. a. General Surgery—(Motorhead Jargon—“Hand Wheel Wash.”)
    2. b. Robotic SurgeryDaVinci
  3. Patient’s Prostate Removed in First All-Robot Surgery
  4. Doctors at McGill University Health Center in Montreal have performed the first ever robot-assisted surgery on a patient, without any direct doctor-to-patient contact. Of course, robotic surgery isn’t a new approach in medicine, and, no, these ‘bots aren’t autonomous. Dr. Thomas Hemmerling and Dr. Armin Aprikian controlled robots named McSleepy and DaVinci, as they administered anesthesia and removed part of a patient’s prostate. Click on the link below to view this surgery:
  5. Robotic Surgery—da Vinci—(Motorhead Jargon—“Automatic Wheel Wash.”) See video link: http://www.intuitivesurgical.com/specialties/urology/ and http://www.intuitivesurgical.com/products/da_vinci_video_overview.aspx
  6. Brachytherapy (Radioactive Seed Implants):(Motorhead Jargon—“Quartz Beams.”) To view videos by a Chesapeake Urology physician on Prostate Cancer and Prostate Cancer options, go to: http://www.chesapeakeurology.com/ and then scroll all the way down to the bottom of the page and you’ll see “Doctor’s Corner,” Select “more videos,” to view “Prostate Cancer Options.”
  7. LHRH (Hormone Therapy): (Motorhead Jargon—“Synthetic Motor Oil.”) Lupron: is a man-made form of a hormone that regulates many  processesin the body. Lupron overstimulates the body’s own production of certain hormones, which causes that production to shut down temporarily. It reduces the amount of testosterone in men or estrogen in women. Lupron is used in men to treat the symptoms of prostate cancer.  Lupron treats only the symptoms of prostate cancer and does not treat the cancer itself. Use any other medications your doctor has prescribed to best treat your condition. For more Lupron information click on link. http://www.drugs.com/lupron.html. Casodex: is an anti-androgen. It works in the body by preventing the actions of androgens (male hormones).    Casodex is used together with another hormone to treat prostate cancer. To view videos by a Chesapeake Urology physician on Prostate Cancer and Prostate Cancer options, go to: http://www.chesapeakeurology.com/ and then scroll all the way down to the bottom of the page and you’ll see “Doctor’s Corner,” Select “more videos,” to view “Prostate Cancer Options.”
  8. CryoSurgery (Freezing): (Motorhead Jargon—“What happens when you forget to use anti-freeze.”) To view videos by a Chesapeake Urology physician on Prostate Cancer and Prostate Cancer options, go to: http://www.chesapeakeurology.com/ and then scroll all the way down to the bottom of the page and you’ll see “Doctor’s Corner,” Select “more videos,” to view “Prostate Cancer Options.”
  9. Orchiectomy (Removal of the testicles): (Motorhead Jargon— “lug-nut removal.”) Orchiectomy (surgical castration): Even though this is a type of surgery, its main effect is as a form of hormone therapy. In this operation, the surgeon removes the testicles, where more than 90% of the androgens, mostly testosterone, are made. With this source removed, most prostate cancers stop growing or shrink for a time.This is done as a simple outpatient procedure. It is probably the least expensive and simplest way to reduce androgen levels in the
    body. But unlike some of the other methods of lowering androgen levels, it is permanent, and many men have trouble accepting the removal of their testicles. Some men having the procedure are concerned about
    how it will look. If wanted, artificial silicone sacs filled with saline (salt water) can be inserted into the scrotum. These look and feel like testicles.Possible side effects of orchiectomy are:

    • hot flashes (these may go away with time)
    • breast tenderness and growth of breast tissue
    • osteoporosis (bone thinning) which can lead to broken bones
    • anemia (low red blood cell counts)
    • decreased mental acuity (sharpness)
    • loss of muscle mass
    • weight gain
    • fatigue
    • decrease in HDL (“good”) cholesterol
    • depression

    Click here for more information.

  10. Cyberknife (High energy
    controlled radio surgery):
    (Motorhead Jargon—“GPS”) Click here for more information.Click here to see National Institute of Health information on Cyberknife
    clinical trials.
    Click on this link to view Cyberknife treatment
    at Siani Hospital, Baltimore, Maryland.
  11. External Beam (high-energy
    radiation beams):
    (Motorhead
    Jargon—“plasma cutter.”)Click here for more information. Read about Chesapeake Urology’s radiation options. To view videos by a Chesapeake Urology physician on Prostate Cancer and Prostate Cancer options, go to: http://www.chesapeakeurology.com/ and then scroll all the way down to the bottom of the page and you’ll see “Doctor’s Corner,” Select “more videos,” to view “Prostate Cancer Options.”
  12. Proton Beam Therapy–a type of radiation therapy
    that uses nuclear technology to precisely shoot fast-moving ions
    into tumors. Some doctors say proton therapy reduces the risk of
    complications, such as impotence and incontinence, in relation to other types of radiation therapy. (Motorhead Jargon—Octane Booster.”) JohnsHopkins Health Alerts.com US News – HealthLoma Linda University Medical Center: Protom TechnologyMassachusetts General Hospital: Proton Beam Radiosurgery
  13. HIFU (High-Intensity Ultra-Sound—Non-Invasive): (Motorhead
    Jargon— “theft alarm”)Prostate Cancer ResearchHIFU Worldwide Physician Directory

MOTORHEAD JARGON DEFINITIONS

Biopsy Emission Test
Diagnosis Dyno Test
DRE Checking Exhaust Pipe
ED Key on, engine not running
Fatigue 200,000 miles
Gleason Number Motor Oil Designations
Hormone Therapy& Hot Flashes Overheated Engine
Impotence No Get Up and Go
Incontinence Hole in Radiator
Loss of Sex Drive Petal to floor but car won’t go
Orchiectomy Lug-nut removal
Prostatectomy Car-jacked
PSA Emission Test
Radiation Therapy Quartz Headlights
Robotic Surgery Automatic Car Wash
Support Jiffy Lube
Testosterone Octane Boost
Treatment Auto Detailing
Watch & Wait AAA No-show

Motorhead Humor
“Morning Sex”

She was standing in the kitchen, preparing our usual soft-boiled eggs and toast for breakfast, wearing only The ‘T’ shirt that she normally slept in.
As I walked in, almost awake, she turned to me and said Softly,” You’ve got to make love to me this very moment!”
My eyes lit up and I thought, “I am either still dreaming or this is going to be my lucky day!”
Not wanting to lose the moment, I embraced her and then gave it my all; right there on the kitchen, table.
Afterwards she said, “Thanks,” and returned to the stove,
Her T-shirt still around her neck.
Happy, but a little puzzled, I asked, “What was that all about?”
She explained, “The egg timer’s broken.”