Die Another Day

Last week I mentioned (in passing) I was troubled with some medical issues. These issues were in addition to the cellulitis, which has now subsided. (Thanks to DocRambo for his expert advice, by the way.)

Any hoo, my last blood test found an elevated level of PSAs. What are PSAs? I had no idea, so I looked it up.

PSA: Prostate specific antigen. A test for PSA may be used to screen for cancer of the prostate and to monitor treatment of the disease.

PSA is a protein produced by the prostate gland. Although most PSA is carried out of the body in semen, a very small amount escapes into the blood stream. The PSA test is done on blood. Since the amount of PSA in blood is normally minute, the PSA test requires a very sensitive method based on monoclonal antibody technology. PSA in blood can be by itself as free PSA or it can join with other substances in the blood as bound PSA. Total PSA is the sum of free and bound forms. This is what is measured as the standard PSA test.

Yeah, scary. The urologist appointment was yesterday, and after an hour of poking, prodding, and (unfortunate) poking, the doc believes I’m in a good place. The prostate is a normal size, and there are no red flags as of yet. The doc will, however, keep on top off the PSA count, and I’ll be continuing with follow-ups. So, good news.

Oh, the (unfortunate) prodding was exactly what you’d think. The ol’ finger in the butt. Dude didn’t even buy me dinner first.

I was able to snare the video of the examination’s aftermath. It’s below the fold.

10 thoughts on “Die Another Day

  1. Both my father and my father-in-law had prostate cancer. Both were cured and my dad’s doc told him that if a man lives long enough he almost certain to end up with it. (I think the odds overall are something like 1 out of 7 men) My father-in-law just passed a few months ago at 92 (from Alzheimers). Glad you had a good outcome at the doc exam and stop worrying. Concentrate on the positives like the up close and personal exam. How often do you get one of those???


  2. Hope this is all a big nothing burger, friend. (Great video clip, btw – I imaging Peter going home and typing #MeToo into Twitter…)


  3. Ronni – Usually they buy me dinner first, but I did enjoy the doc bringing in a pinball machine to bend me over. I felt like Jodie Foster in The Accused. 🙂

    Toothy – It’s one of the funniest Family Guy clips of all time.


  4. At least my doctor is a good looking female babe. She is also my wife’s doc. After my exam, upon my return home, there are always a few comments made about the “other woman” being intimate. But, it’s still pretty much just like Peter. Glad you got a clean bill of health.


  5. RG – My doctor looked like Harvey Weinstein, which was not comforting. The nurse, however, was tall, brunette, and Russian. My god, that Russian accent… *drools*

    Tam – Heh, nice. I had a colonoscopy when I was 40. Doc had concerns back then. They put me out for it, so it wasn’t too terrible.


  6. No physical is complete without a rectal exam or a pelvic exam…many physicians are just as uncomfortable as their patients in performing (undergoing) such exams..too often, patients and doctors forgo the pleasure only to have it come back and bite them in the a$$–literally, when a treatable issue is missed and goes too far for treatment to be effective..I’ve had to remind my internist on more than one occasion to finish the exam with a rectal..it is a necessary part of any physical exam..


  7. Doc – Understood. It is fun talking about it. I told my coworkers the doc put on some Barry White and lit a candelabra. 🙂 Thanks again for all your help, by the way, It is truly appreciated.


  8. Good luck with everything. One of my best friends had an elevated PSA score recently and had to do another more specialized blood test. It was a 4K test and it came back OK. They will keep an eye on him but doesn’t seemed to be a cause for alarm yet. Also early detection means most prostate cancers are totally treatable nowadays.


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