Randolph Ortlieb



Personal data - diagnosis

Personal data

Visible name: Randolph Ortlieb
Ctry: United States of America
State/Province: California
Year of birth: 1960
Age: 58
Occupation: Attorney
Hobbies: Hiking, biking, baseball
My Website: www.BallparkforEscondido.org

Data at initial diagnosis

Date: 15.07.2011
Age at diagnosis: 51
PSA: 6.70
Biopsied? Yes
TUR-P? No
Gleason Score: 3 + 3 = 6
TNM-Stages: T2b
Remark: Maybe t1c

Maximum measured prostate volume

Date: 15.06.2011
PSA: 8.10
Volume in ml or cm³: 32cc (est. from ultrasound)

Postoperative pathological data

Date: 07.09.2011
Gleason Score: 3 + 3 = 6
pTNM-classification:
Margins: clear
p-L-V-P-G-Findings:
See stories of:

Prostate cancer treatments

** PSA level at the start of the treatment
from to PSA** Type Clinic City
01.09.11 02.09.11 6.70 Open surgery Brady Urological Institute, Johns Hopkins Hospital Baltimore, MD



Drugs

NEM = Nutritional supplement
from to Medication Quantity / unit of time
01.09.11 09.02.11 Dilaudid Microdoses - Up to 12 per hour
01.09.11 07.09.11 Advil (ibuprofin) 600 mg. 3x per day with meals
13.09.11 10.10.11 Cialis 2.5 mg/day
10.10.11 Viagra 100 mg/as needed
Quantity per D / M / Y etc.


PSA-History    ng/ml    logarithmic

PSA-History    ng/ml    linear

PSA doubling times in years

Doubling time is greater than previous period.
Doubling time is smaller than previous period.
* Calculated backwards for 1, 2, 4 and 8 periods.

Limit = 3 years


Calculation of doubling times in days

Doubling time in years:
Doubling time in days:
Date PSA 1* 2* 4* 8*
10.05.11 8.10
07.06.11 6.70 --
12.11.11 0.10 -- --
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
Date PSA 1* 2* 4* 8*
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

My Story

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Date Δ 

Last PSA from

Personal stories

       
15.07.2011 6.70 07.06.11
Received the riveting news from my local urologist Paul Polishuk that the estimated 56% chance of having prostate cancer (printed on my previous PSA report) was now 100%. In other words, I had prostate cancer. My wife was with me and was quite upset partly due to having just lost her Mom the previous month to colon cancer. I was pretty calm as #1 my business partner went through prostate cancer detection and surgery only two years ago and is doing well, and #2, I had prepared in advance of the meeting by doing research online about treatment options. Dr. P did two very good things that day - #1 he assured me that although I had stage t2b cancer that because of my relatively young age and good health, surgery would probably give me an excellent outcome; and #2 he gave me a copy of "The Survivor's Guide to Prostate Cancer" by Dr. Patrick Walsh. He told me keep the book and return it when finished and he would then loan it to another fellow who needed it. Very gracious and intelligent. Then, to make a long story short, I was convinced after studying this book by the godfather of RRP surgery (Dr. Patrick Walsh) that an "open" RRP surgery was our best option and the best place (only place?) to get one was the Brady Urological Center at Johns Hopkins Medical Center in Baltimore, Maryland, USA. We got really lucky and were able to consult with Dr. Walsh's protege, Dr. Edward Schaeffer, MD, PhD, on less than a week's notice. He does both "open" and "robotic" RRP surgeries. Scheduled surgery for September 1 and then got the good news our health insurance (Anthem PPO) allowed us to obtain treatment from anyone included in their nationwide plan, wherever located. So all it required in the end was a simple e-mail to Dr. Walsh and two round trip tickets to Baltimore from San Diego to obtain the optimific level of skill and care.
       
07.09.2011 6.70 07.06.11
Today September 7, 2011 I received the best possible post-operative pathology report synopsis from Dr. Edward Schaeffer (surgeon at Johns Hopkins Hospital in Baltimore). I underwent an open RRP by Dr. Schaeffer and his team on September 1. He left a voice mail for me today the 7th that the report was "great" and "super". When we talked later he told me the surgical margins are "clear", the cancer is "organ confined", with an unchanged Gleason score of 6 (3+3). I checked the Johns Hopkins website for the "Han Table" and learned that my chances of having undetectable PSA after 10 years are about 94%. I couldn't be happier with the result and I thank God for medical science, early detection, and the optimific urology cancer team at the Johns Hopkins Brady Urological Institute in Baltimore, Maryland, USA. They have an entire recovery ward devoted exclusively to urology surgery patients, so the entire staff - doctors, nurses, orderlies, nutritionists, etc. - each of them understand exactly what each patient is going through and what they need. If this sounds like an endorsement for them, well so be it. It is the truth. If you can have your surgery at Brady - do so.
       
12.10.2011 6.70 07.06.11
It's been 30 days since catheter removal, and here are some highlights:

1. Back to work full time since September 15th, going to gym 2-3 times per week, physical strength about 90% and stamina also about 90%.

2. Bladder control 90-95%; dry at night, nearly dry standing, and occasional "stress leaks" when sitting or standing up. Still doing Kegel contractions for 10 seconds 2-3 times during each evacuation. Using no pads at home and thin pad during day at work for peace of mind.

3. ED medication was 25 days of 2.5 mg Cialis (daily dose). Switched to Viagra 100 mg as needed about October 9th and had no effect whatsoever after first dose, except mild nasal congestion. Took second dose a couple days later and experienced marked improvement, from nearly nothing to a 4/10 response. Not perfect but encouraging. The literature says to be very patient so I will count my blessings and remain patient.

4. First post surgery PSA test is in a month, I am not worried because of the positive pathology report. I will update after that :)
       
12.11.2011 0.10 12.11.11
First post-surgery PSA test result, verbal report from doctor's secretary of less than 0.1 (non-detectable?). I will have a consultation with the surgeon in about a week. Recovery has been good, less incontinence and cautiously hopeful about gradual return of sex function.