dbmcclellan.com
….be unique, like everyone else!
Tag Archives: prostate
Prostate Cancer Update
Well, here it is seven months since my prostate was removed. The malformed cells inside the gland were apparently caught in time to disallow their entrance into the lower abdomen….and this is really good news! To prove this, the medical community has decided a blood test to check for Prostate Specific Antigens (PSA) returning small or really small numbers….or in my case super small non-existent unmeasurable numbers….will show the cancer did not spread and was fully removed when they ripped the little walnut-sized organ out of my gut. Since those numbers were ZERO POINT ZERO, they say all is well with me. Which is awesome if your name is Dave!
And this marks the third test with really great results, and they tell me this is most likely because we have successfully removed cancer from my body. Me? I like to think I’ve kicked cancers ass and it won’t be back anytime soon.
Thank you to all of you who have wished me luck and sent kind thoughts my way. You have made a positive difference in my life and I appreciate the well wishes!
HowzitGoin’ David?
First, I have a couple of anniversaries to note:
September 12, 2011 – Two Month Anniversary of my first bicycle ride (7/12) after a nine month medical leave
September 20, 2011 – Four Month Anniversary of the day my prostate was removed
And then, this is how things are going on the bike:
My comfort in the saddle is finally getting manageable and the amount of energy I have post-ride is a lot better than before. I can do longer rides without too much struggle and the 9 mile morning/evening commute is getting a little faster all the time. I can take the pain of a hard effort better this week than last, and the recovery time seems to be a little shorter too. All of that is really good news!
On the flip side; Man is it depressing how much fitness I still don’t have! If a glass of water is my level of fitness, and FULL is where I was nine months previous to July 12th; I was EMPTY. Up 16 pounds, soft jello-like muscles, and no cardio to speak of, I was just empty. Nothing to offer but a new reality to endure.
Currently, the fitness glass is either half-full or half-empty, depending how you see things, and filling slowly. I have lost 6 pounds and the cardio is on its way back. The soft jello-muscles are slowly transitioning their way into the hard-working pistons they were – way back in October, 2010. And, as an added plus, my resting heart rate is down around 58 bpm. Good news!
“Think of what you want most, then become it”. June is when I began thinking.
When Doc said I could begin walking, I walked. If you read this bLog while I was recovering you know I walked several times and each time was better than the time before. I remember the first time I couldn’t get down to the end of the street without having to turn around and practically RUNNING back home to get in to the bathroom! A week or two later, I was down the street and around the corner for a 3 mile walk. After that a 7 mile jaunt. When you dedicate your life to a thing, nothing is terribly difficult!
After the first post-surgery PSA blood test I was told I could ride, so I rode. And it hurted me….but I hung in there anyway. And I rode every day for as long as I could handle the pain. I think the first ride was about 12 miles. After my neck muscles allowed it, I was back on the bike for a little longer ride of 18 miles. After my butt stopped feeling like I had left the saddle inside it, I was out again for more. I don’t recall the progression now, but suffice it to say I rode EVERY chance I got. And while I was not working, it was so easy!
After one month of riding as often as I could, on August 15th, I was back to work. After three months off (two of which were all about healing, the final about getting strong), I was back on the job. Which is when the bike commute began anew.
To refresh your memory, the bicycle commute takes me along the top of a really flat and paved levee for 3 miles before dropping on to our local river-hugging bike trail. Fully paved, lined, and marked for runners/walkers/bicycles there are no cars or motorized vehicles of any kind on any part of this ride, and that goes for another 4 miles. Then, I pick up another levee on the other side of the river that winds over to the downtown area where I integrate on to an actual road for a half mile and find myself at work with 9 miles logged. It is a nice ride of 30 minutes and it doesn’t hurt all day like it did one month ago….which is really good news because I turn around and go back the same way after work, and do this every workday! I make the commute as difficult as I can handle by keeping constant pressure on the pedals, and about half-way thru going into Time Trial mode for a dose of true effort. The commute is anything but mundane and it helps make me strong again.
Work is the thing I do between rides.
Health Stuff
Just yesterday I went to Vampire House where they drew blood from my arm again. PSA test and hoping for zeroes. Results next week….wish me luck!
And OK boys and girls, this is the serious part. If you don’t want to know the details about what happens when a doctor removes a man’s prostate, read no further.
Seriously….if you don’t want to know, stop reading.
I’ll wait.
{insert music here. Use the theme from “Jeapordy”}
OK, if everyone is gone who should be/wants to be gone, and the rest of you are interested in the embarrassing details, here you go:
Peeing. This WAS a problem. And I did not think it would ever get back to normal. They did the surgery and left a catheter in to allow the urethra to heal. They cut and reattach this pipe during surgery. After ten days they removed the catheter and I was certain I would never control my pee again. Maybe I wouldn’t be able to…wow, there’s a thought. Or maybe I would be in that awkward 10% of folks who never get that control back. Wear diapers? Ugh, THERE’S a lifetime of embarrassment! What a bummer it is to even THINK like that! Fortunately I did not need to harbor those thoughts as it became less and less of a problem to control starting/stopping and when/where for the next session in front of the porcelin. Today I have about 99% of that control back and have little concern knowing it will completely heal the way it should. I’ll put a check in the box marked “Success” for that problem.
Erection. Nope. None to report. It is easy (and disappointing) to report this as the one malady I currently endure. This was/is a concern they prepare you for and they also seem to think it will work itself out over the first year or so. I guess the nerves – even though they were spared during surgery – take time to heal. I guess. Fantastically, my wife is very supportive and has no concern either way. And really truly, me too. I mean, I don’t NEED an erection, but it is still weird I don’t get them anymore. After a lifetime of success, failure is the new reality. So I’ll put a check in the box for “Hopeful”. Not a complete failure yet. They say it needs more time. And apparently, thanks to the surgery, I’ve got that. Thanks doc!
Hello World!
I’m back.
Yes, my existence is all about a lot of things, but riding and getting healthy and making my legs take me places instead of sitting around thinking about stuff is what I am now focused on. The medical emergency of my recent past, is in my recent past. It has been locked up until it can be of use at a later time. Maybe I’ll be able to use the memory as an incentive to do something new and/or impossible. Or maybe I’ll help someone get their PSA blood test done so they don’t have to go through what I did. Hmm, have you checked YOUR PSA? If you haven’t, do it. It could save your life! Anyway, my rides have always helped me deal with what’s going on. Stuff like projects, life changing news, family situations, work….all sorts of stuff gets ironed out on these rides. And I have got to say, I have missed the rides!
Since you are here for a visit, you most likely know I am a bicycling fanatic and charting a fresh hundred miles a week is fairly average for me. Commuting to work, riding with friends, and challenging myself can really add up. If you didn’t know this before, now you do.
And this week, different than the past 36 weeks, I logged a couple of rides. Tuesday, July 12th, the ride was an up-and-back to Beal’s Point at Folsom Lake. This is a ride of 40 miles and has little tiny hills to climb when you get close to the Lake. Today, July 14th, the journey was a round trip from my house to downtown Sacramento. The ride is pancake-flat and winds on for just about 40 miles as well. Saturday, the plan is to get another 20 miles making the total mileage for the week a nice round hunskie (100).
And just in case anyone is reading this and wondering how David feels after today’s ride, it is like this; OUCH. The legs complained the entire way home. I told them to SHUT UP (just like Jens Voigt does, but he’s a pro and his legs probably listen). The lower back was guilty of noises too, and the neck is just about able to look up at the ceiling again. But you know what was giving out the most nonsense? My butt. Man-o-man, from the time I got on the bike to the time I called it done….that thing was hurtin’ for certain! Which is really unusual. Back about 9 months ago, when I last rode, I could sit on a 2×4 for 100 miles without too much complaining. But that was then…..
It amazes me how the body gets used to doing something physically demanding. I used to build fences and decks, and a trellis every now and again. In the heat of Summer it was nothing to begin a job at 7:30 a.m. and pound away until dinner. Yes, I was seriously hot at the end of a day and yes, I was tired and a little sore too. But it was never too much for my body and I was ready for more the next day. Amazing.
And riding a bicycle is like that too. Your arms get used to holding you up for hours on end, your neck takes care of all the bobble-headed things your skull goes through – including holding up a helmet all day. Your legs go hard when they must, and your lungs burn and your heart beats so hard it feels as if it could come out of your chest! And so on and so on.
Well, today’s ride today was almost too much and I could have easily quit at mile 30. There are a couple of shortcuts a rider can take which will easily cut 10 miles off this ride. Anytime I am riding late and need to make up time I take it, so it’s not like it’s some confusing route or something. But quitting just ain’t my bag and I really need these miles. And some of these so-called base miles best be a challenge if I am going to ride the way I want to!
Which is what today’s ride was all about: the challenge. And I did it. And I liked it!
Seriously; I’m back. Hello out there!
PS I’m not bald anymore, I still have really short hair, but I’m not bald. It’s not that I didn’t like the look, it just takes too much time! To those of you who shave your head, I tip my hat to you…..you look mahvelous!
Top Secret. SHHHHhhhh!!!
Be vewy vewy quiet……please. Nobody tell my Urologist! Today I did a no-no and went for a ride on my bike. I RODE my bicycle today. CashFlow is out of the house!
OK, there, it’s out, and it is a Secret no more. I don’t feel better about telling that lie yet though. Oh wait, I haven’t really told a lie, it’s just that I went against doctor’s orders. Against his very direct statement, “you can ride your bike after 6 weeks. Not sooner.” Bother.
Here is what I know. The Six Week Rule (SWR) is all about letting the previously abused-during-surgery parts and pieces fall back into place and let them realize they have a little more room than before. And to let the tube that was cut and sewn back together get healed up again for long-term duty. And previous to the newly made-up SWR I’m pretty sure he also said everything looks good, and to just go about life. So, I changed the SWR to the new and improved FWR (Five Week Rule). And then I went for a ride.
And it was good.
I am here to tell you, it was REAL good! Now, I say that because I’m not bleeding, and I didn’t fall off the bike, and I didn’t hurt my muscles too much by riding hard, and so far so good…..and it FELT really good while I was on the bike. Now that I am off, it feels as if I went for a ride. No aches or pains to report, and nothing went Bump while I was out.
Oh sure, I forgot some things about riding a bike. As an example, I forgot:
- about the bike seat penetrating my butt like I was a new convict at the prison just after Lights Out
- about how much energy is required to actually move forward faster than granny using her walker to get across Fair Oaks Blvd
- how difficult it is to haul the added 12 pounds around when you’ve been off the bike for NINE MONTHS!
- how great it is to be back on the bike
So I knew this is how it would be too….but that doesn’t make it any easier! And I have to think CashFlow (the name of my bike) didn’t know what happened.
After months of slumber some dude who looked like the previous owner is pumping up the tires for the first time in months, and lubing the chain, and adjusting and primping the derailleurs, and it seemed like time for a ride! But the dude who climbed on to do the pedaling was fat and didn’t seem to know how to miss a pot-hole in the road, and couldn’t possibly have been the same guy. I felt bad for making CashFlow carry my fat butt around Carmichael!
And now I am happy to report, in spite of riding sans prostate (or perhaps BECAUSE of it), my life just got better…..again. Man it’s good to be me!
PS – on a dare from my nephew, I shaved my head. Picture that!
PSA Update: 06/28/2011
I have GREAT NEWS to report! The PSA results are in, and they are: 0.1 ng/ml
And this is exactly what doc Chan had told me to expect. Since reality can be different than the dream state I currently reside, I was waiting for some awful scenario to make itself known. But instead I got this wonderful news that the surgery was a complete success. Yay!
Here is the stuff that caused me great consternation: the IF’s.
- IF the surgery successfully removed ALL of the cancer-laden prostate
- IF the cancer had not spread to a distant organ
- IF the blood test came back negative for PSA
- IF I was now “cancer free”
then and only then would I have a PSA in the nearly undetectable arena of zero-point-something instead of the upward trending #’s I was accustomed to seeing.
So, here I am happily typing away this entry and letting you know that the numbers of 0.1 ng/ml substantiate Dr. Chan’s claim of “I got it all”. Meaning the cancer is gone. Meaning…..all I need to do now is get myself healed up. And it is true, I can finally relax and get on with life. Get back to living and doing that thing I do.
Thanks for your interest and positive thoughts, they helped!
A Failure to Communicate
Famous Quotation: “What we have here, is a failure to communicate” Can you guess where that line came from? Anyone? Beuller?? Leave your comments below.
This “failure to communicate” on this site is very one-sided. It’s all me spewing verbiage about how things are going in my life and all that. Well, I am not one to apologize for the way things are; so let’s get this started.
May 20th, just 27 days ago, my physical being changed. Got a faulty part removed. The doc said to do it, and he did it. Easy. Right? Nope. Perhaps the extraction was easy (for him), and I guess since all I did was sleep through the entire procedure, the operation was pretty easy for me too. But I am here to tell you, robot assisted laparoscopic removal or not, healing might be the toughest part!
Oh sure, doc said to “the first week, aspire to nothing” (don’t do a thing) and live “a sedentary lifestyle”. Light activities, no lifting, and don’t cough either! The key here is to let the parts and pieces fall back into place and re-connect the way they were before they were surgically violated. Be a good patient and just focus on healing.`
And I gotta tell you, I am a really good patient! You want sedentary? I got that. You want my aspirations to be zero? I can do that too. Didn’t cough or sneeze or lift a finger (thank you Renee!), no not at all. The surgery felt like a punch in the gut, and it was simple to stay “sedentary” that first week.
The second week was easier. The pain was significantly less. I was given a green light for walking. Even VERY LIGHT (less than ten pounds) lifting was authorized. So I walked. Miles at a time, I walked. Since my bladder is still learning how to do its job again, my only constraint was: where is the next toilet? First trip out was around the block, next time it was three and a half miles, next trip about a mile, next trip seven and a quarter miles, and the latest trip was about two miles. Yes, I am good at walking!
Week three was more of the same. Just tried to eat and drink anything that would help me get strong. And sleep too. And I walked some more.
Now I am working on week number four; post surgery. Day 27. More walking and now I am working angled push-ups (using the countertop) into my day and really easy leg-ups. I don’t think I’ll be doing much more until the next visit to the doctor…..which is in twelve days.
And this is what it has all come down to. June 28th is find-out-how-surgery-went Day. One week prior to 6/28 I let the vampires have a go at my veins to draw some blood, then have it checked for PSA numbers.
PSA is Prostate Specific Antigen. If you have a prostate (and are more than 16 years old), you have evidence of it pulsing inside your veins with every beat of your heart in the form of PSA numbers. Detectable amounts are always there, unless you DON’T have a prostate. Like me. And when the PSA levels are measured on June 21st and the results are communicated to me on June 28th, they should be REALLY LOW. If they are, the recent surgical procedure can be deemed a clinical success. Only then will the balloons and confetti fly, champagne with lots of toasting, and speeches and dinners, vacations, etc….all that. Good news like this should come with a parade. Or at least a party!!
If not. It would be a bad sign. The reality is, if PSA numbers are remotely similar to what they were prior to the surgery, the cancer may have spread to another area. Even though the prostate has been removed, the misbehaving cellular activity from the originating cells may continue from their new home (in a kidney or liver or ??). And there we go with the “watchful waiting” and possibly more “treatments”. Ugh.
This may be why I have been a little quiet lately. I’ve been a little distracted…..so that needs to change. I think I’ll just start looking forward to a party!
17 Days
I have been in post-surgery full-on recovery mode for seventeen days. Surgery was May 20th and taking it easy with light exercise and lots of “watching the grass grow” is the new normal for me. And I usually eat with “health” in mind (fruits and veggies along with loads of fiber) and my eating habits have only slightly changed to incorporate “probiotics” into my system via a drink called Kefir.
Kefir is this so-called drinkable yogurt manufactured by a company named LifeWay, and it is delicious! I think the flavor I am working on right now is Lowfat Pomegranate. The theory of drinking this stuff is all about balancing a person’s intestinal “flora”; or the good bacteria naturally residing inside the intestines. When a person is given powerful antibiotics to ward off post-surgical infection this flora is killed off. And it really needs to get back in there! The old saying “time heals all wounds” comes into play here and the flora will grow back without any interference or outside assistance. But, when you know a thing and have an opportunity to fix what’s broken, why not fix that thing? So I drink Kefir.
Here’s a little blurb from the site at LifeWay: “A good remedy for digestive problems such as colitis and IBS, and is particularly helpful in reestablishing necessary intestinal microflora that may have been destroyed by antibiotic or other medical treatment.”
As a little aside: I ran into these guys from LifeWay a few years back when looking for a new stock for my portfolio. They trade on the NASDAQ as LWAY and did me proud for about a year and a half garnering a 25% pop. Delicious products and a stock brokers dream too….who knew?!
So, 17 days later…what is going on? I pee a lot. But you know what? I pee in a toilet! Why is that news? Because after a radical prostatectomy incontinence is normal. As a matter of fact, I have to go right now. Back in a minute. {a short time later} OK, I’m back. So incontinence, or the inability to control the flow/leakage of urine, was a huge fright for me. I didn’t want to be THAT guy…..you know, the old guy at the grocery store wearing the really big clown pants, smelling as if he just left a park bench, and buying a box of Depends. I did NOT want to be that guy….for obvious reasons. And I am not. Thenk Yew!
And what else is going on? I miss my wife being home (she stayed home from work during the first week) and really wish I could sleep during the day. Maybe if I didn’t have my morning coffee I could pull that off. But I do love my coffee! Probably won’t be napping anytime soon.
The Plan
One of my riding cohorts, a friend from way back in High School, asked about the plan to get myself back to health, what is my diversion (this bLog is my diversion!), and what about the bike? I am happy to report, I do have a plan. I want to begin that plan. Must begin that plan.
Here is the “plan” for recovery:
- May 31 – remove catheter, re-learn bladder control, light exercise/walking, no heavy lifting
- June 07 – commence driving, continue exercise with lifting restrictions
- June 20 – PSA test
- June 28 – visit Dr Chan for review – permission to ride my bike
IF everything goes as planned, I will be riding again by month end (June 28). Endorphins await!
Oh sure, there is more to it than what I have written here. Good sleep, eat loads of veggies and not much meat, drink plenty of fluids, and try to follow doctor’s orders. Other than that, I’m just taking it easy and allowing my body to heal….and that takes time.
Long walk; thwarted.
I got cleared yesterday for “normal” activities. No heavy lifting or hard efforts, no bicycle riding, and I still can’t drive. But I could go about my business and finally move around without that crazy bag attached at the bladder. YAY!
So the plan today was to walk. The PLAN was to walk for about an hour then come home to rest up for another walk a little later in the day. Oh, how WRONG could I be??
I slipped on my walking shoes for the first time since May 19th, and they felt goooood. Adjust the tongue, tighten the laces, and I am SO outta here. The door closes behind me and it is one foot in front of the other….for about 20 yards. That’s when I noticed a little hitch in my get-along.
“Ah, it’ll work itself out” I think. And it does. Or does it?
Clouds are piled high in the sky and I’m thinking the weather-guessers are going to earn their pay for today’s forecast. Rain in the afternoon might actually come true. Good for them.
The road stretches out in front of me and I am well on my way past the first ten minutes of walking. Man, this feels great! I’m off work, getting healthy, and going for a walk. It couldn’t get better than this, could it?
Nope, it gets worse….almost immediately.
I’m taking an antibiotic called Cipro. That’s short for Ciprofloxacin. In spite of it being an awesome, top-of-the-chart antibiotic, it has a myriad of side effects. As far as I am concerned the worst of the side effects is: diarrhea. Ugh. Miserable.
So I’m walking like a man recently freed from prison, stepping out like the cares of my world have been lifted, and I am seriously enjoying the outdoor life, and the stomach cramp hits me like a punch in the gut. Knowing it takes a few minutes to become all-encompassing, I look around and note I am exactly half-way from home. The walk has taken me twelve minutes to get where I am right now, and I have maybe five minutes before the dreaded Cipro side-effect reaches critical mass. 5 minutes before I crap my pants!
Now I am walking like a man with a mission. A guy with someplace to go. The pace has lifted. Each step is now a challenge to go bigger, go faster, and do not stop. I’m making great progress and now tighten up the backend for the finish. Almost home. Keys are in hand. Jacket is off.
And I made it….hooray! You didn’t actually think I was going to entertain you with a story about me crapping my pants, did you? Not this time!
Since the Cipro tablet of this morning was the final pill in the bottle, I am done with it and this serious side effect.
Oh sure, I’ll walk again sometime real soon. It will most certainly last about an hour and I will thoroughly enjoy it. Can’t wait.

