Princess Margaret Hospital visit; saw Dr. Ian Tannock - Blood Labs
30-Jan-02
PSA=5.99
02-Feb-02
Dr Trachtenberg - follow up on BMD; agreed Zometa would be a good thing. Asked us to have our GP call him about it. No further appointment booked. A letter was sent to Dr Kelly with request.
28-Feb-02
PSA=6.50
07-Mar-02
Dr Hess, - Cardiologist: Results of Echocardiogram on 28-Nov-01 insufficient - need Angiogram.
04-Apr-02
Angiogram Diag: Main Arteries 50%, 70% & 50% blocked. Rx Heart by-pass surgery
24-Apr-02
PMH visit Dr Tannock and Gord "agree" to try without Lupron for 3 months as "probably castrate" Bone scan & T. taken before - no plan for PSA until 3 months up! Got them anyway through local GP
24-Apr-02
PSA=6.85
07-May-02
Dr Chen MD: blood work in preparation for EDTA chelation (Gord has decided against by-pass surgery)
09-May-02
TOTAL BODY BONE SCAN: [Comparison with prior studies
20-Apr-99 & 11-Oct-00]
Faint activity involving Right SI joint superiorly as well as left ischium are unchanged in the interval. Increased activity on the left
at L5-S1 is also stable and may be related to degenerative change. The
ribs, skull, and thoracic spine appear within normal limits at this time.
No new foci of disease are identified.
30-May-02
START EDTA Chelation (I.V.) weekly
30-May-02
PSA=8.1
19-Jun-02
PSA=10.4
24-Jun-02
Dr Arts, Neurologist - is concerned about high blood pressure; will be writing GP Dr Kelly to suggest ace inhibitor.
17-Jul-02
PMH Dr Tannock; we reported the scary interim PSA's and asked to go back on Lupron
PSA=13.56 He suggested we cease getting PSA's - we "worry too much" we are to call next week for Testosterone results.
24-July-02
Received call from Dr Tannock re elevated T suggested return to Lupron q 28 days. After asking about possible flare he prescribed casodex 50 daily for 14 days.
25-Jul-02
Start Casodex 50 daily
02-Aug-02
Dr Kelly - blood pressure medication prescribed. Re Zometa - thinks it would be better prescribed by specialist ie Dr Trachtenberg. Attempted to e mail Dr Trachtenberg, will not discuss via e mail
03-Aug-02
Start Diovan 80mg daily
07-Aug-02
Stop Casodex 50 daily
PSA=8.8
Start Lupron q28 days.
13-Aug-02
Dr. Tannock told of Aug 7 PSA - it is obvious we are getting a secondary response to Casodex. We ask if he can continue daily Casodex as long as it is driving PSA down. He agreed.
14-Aug-02
Start Casodex 50mg daily
07-Sep-02
Stop Diovan
Start Altace 5mg daily
11-Sep-02
PSA = 2.54
09-Oct-02
PSA = 1.8
16-Oct-02
Stop Altace 5mg daily. Start Altace 10mg daily.
06-Nov-02
PSA = 1.8
15-Nov-02 Event:
LegPain Details: increasingly painful Left Hip/lower lumbars
04-Dec-02 Diag: BloodXRay Report:
Princess Margaret Hospital - Blood work and: Diag. X-ray
REPORT (VERIFIED 2002/12/05)
LUMBOSACRAL SPINE, PELVIS AND HIPS COMPARISON STUDY:
This exam is reviewed in conjunction with the
report of a prior bone scan from May 2002, In the
lumbar spine there is fairly extensive new bone along the anterior aspect
of the lower thoracic and entire lumbar spine. This has the appearance of
DISH (diffuse idiopathic skeletal hyperostosis). I see nothing to suggest
metastases within the lumbar spine or sacrum. I cannot see
any abnormality along the sacroiliac joints. I do note slight
alteration in trabecular pattern in the left ischium. This is perhaps
associated with slight increase in trabecular markings although the degree
of sclerosis is not very marked. Nevertheless I think this is an area of
abnormality and it does appear to correspond to bone scan changes. This
maybe a metastatic-lesion. Perhaps there are additional outside
films to compare to see if there has been any interval change, If
not it might he reasonable to consider either CT or MR to further
assess the character of the left ischial change. OPINION: There is
skeletal hyperostosiB in the lumbar spine. I note a mixed lytic and
slightly sclerotic change in the left ischium which maybe a metastatic
focus. PCI/E001,TB Verified By David C. Salonen, MD
04-Dec-02
PSA = 1.33 (PMH)
31-Dec-02
Hip pain has resolved with Chiropractic care Diag: per D.C. Inflamation of Ileo-lumbar ligament
