12-Jan-09: TGH – Dr. Bailie for ear treatment; said I could now get a hearing aid for right ear.
13-Jan-09:
LifeLabs:
Creatinine=96 umol/L; (62 - 115)
eGFR=65 mL/min/1.73 m2 (60 - 89);
Sodium=140 mmol/L (135 - 147);
K=3.8 mmol/L (3.5 - 5.5); ALT=15 U/L (12 - 49).
14-Jan-09: TOTAL PSA=13.40 ug/L * Hi (assayed using DPC Immulite 2000, CIA)
19-Jan-09: Visit at ListenUp to have right ear checked for possible hearing aid. Would have to be moulded type to force the sound in - Approx $2,000; DVA suggested as possible source of funding. RESULT: L - mild to mod-severe sensorineural hearing loss.
R- severe mixed hearing loss. SRT's are consistent with PTA's.
Hearing loss is consistent with but not limited to noise exposure.
>> L & R Hearing aids.
19-Jan-09: Dr Seward for blood test results. His concern over rising PSA mirrors our own – he is sending note to Dr. Tannock for his recommendations. Gord has upped his AHCC to 6 daily.
20-Jan-09: Follow up chest xray at Stevenson Memorial
22-Jan-09: Phone message from Dr Tannock:
"I did have a message from Dr Seward about your PSA slowly inching up and I do think it would be appropriate to stop the nilutamide because of that. I personally don't think that starting another medication is the best thing to do because I think we're then treating the PSA and not treating the person."
22-Jan-09: Stop nilutamide (Anandron)
09-Feb-09:
PSA= 10.9;
25-Hydroxy vitamin D = 95 (Normal 75 - 250)
Creatinine=95 (62-115 umol/L);
eGFR=66 (60-89 mL/min/1.73 m2)
Sodium=142 9135-147);
Potassium=4.4 (3.5-5.5 mmol/L);
ALT=16 (12-49 U/L)
20-Feb-09: Dr Bailie @ TGH for Right ear aspiration & Gentian violet treatment.
04-Mar-09: Saw Dr Tannock @ Princess Margaret; offers nothing, suggests Gord stop both Lupron and Avodart. Gord complies. We ran all Dr Sartor & Dr Strum's possibilities before him, but he shot each one down in turn.
04-Mar-09: Stop Lupron
05-Mar-09: Stop Avodart
09-Mar-09: PSA=20.4; 25-Hydroxy vitamin D = 135
13-Mar-09: Gord writes in his date book, "Shocked today with a PSA of 20!"
14-Mar-09: Start back on Avodart without asking doctor!
24-March-09: Dr Fialla - Dermatologist, burned a bit more of Gord's nose for pre-cancerous lesion.
06-Apr-09: Total PSA=23.9 (using Immulite 2000, CIA assay) New regulations allow Gord to now get his PSA blood draw at the same Lab as other blood work so they only have to probe once! BLESSING!
03-Apr-09: Dr Bailie - urges Gord to try a hearing aid in Right ear - we are waiting to see if veterans may pay for same.
Creatinine = 96
eGFR = 64
Sodium = 140
Pottasium = 3.9
ALT = 15
Hemoglobin = 143
Hematocrit = 0.44
WBC = LO (fax unreadable)
RBC= 4.62
MCV= 95.5
MCH= 31.0
RDW= 13.7
Platelet Count = 187
Neutraphils = 2.8
Lymphocytes = 0.6 LO (1.0 - 3.5)
Eosinophils = 0.1
Basophils = 0.0
Iron = 16
Iron binding capacity = 62
Saturation = 0.26
Cholesterol = 4.28
LDL (calculated) = 2.36
HDL = 1.20
Cholesterol/HDL Ratio = 3.6
(Unreadable) = 1.59
Creatine Kinase = 128
03-Apr-09: Dr Bailie for Ear treatment
29-Apr-09: Dr Bailie for Ear treatment - no longer need to take ear drops at home.
04-May-09: PSA = 23.1; 25-Hydroxy Vitamin D = 127 ( 75-250 )
07-May-09: Echo Cardiograph & Holter Monitor for one day.
01-Jun-09: PSA = 28.4 ug/L (Assay = DPC Immulite 2000, CIA);
25-Hydroxy Vitamin D = 122 ( 75-250 )
03-Jun-09: To TGH - Dr Bailey for ear cleaning & assessment. Doing well.
03-Jun-09: To PMH - Dr Ian Tannock, Oncologist - no treatment offered, still thinks Gordon will succumb to something other than Prostate Cancer; will only offer treatment if he has measurable symptons or scans - has booked CT Scan with contrast for noon on August 19, 2009.
08-Jun-09: Saw Dr Seward to get blood work results of June 1st, needed prescription renewals and re-book for late July.
10-July-09:PSA = 31.3 ug/L; 25-Hydroxy Vitamin D = 116 ( 75-250 ); Creatinine=99; eGFR=63; Sodium=142; Potassium=4.2; ALT=16
20-July-09: Dr Amarnath - Annual eye checkup. Very little change.
30-July-09: To TGH - Dr Bailey for right ear cleaning & assessment.
31-July-09: To Atrium Barrie for heart monitor to be worn for 2 weeks.
12-Aug-09: PSA = 34.6 ug/L
13-Aug-09: Return heart monitor to Cardiac clinic in Atrium.
19-Aug-09: To PMH - CT Scan with contrast media.
26-Aug-09: To PMH - Dr Tannock Oncologist - No treatment at this time. Since no pain or symptoms not worried about climbing PSA.
27-Aug-09: Dr. Seward to get report of Aug PSA.
01-Sep-09: PSA = 42.2 ug/L; 25-Hydroxy Vitamin D = 155 ( 75-250 )
Creatinine = 96
eGFR = 65
Sodium = 140
Pottasium = 4.0
ALT = 21
Alkaline Phosphatase=60 (45-129)
02-Sept-09: DVA lady "Tammy" arrived and told me that I was eligible for Blue Cross coverage. and also DVA would pay for gardening, snow removal, housekeeping, etc. Praise the Lord!!
14-Sept-09: Dr. Seward to get Lab reports.
18-Sept-09: To TGH - Dr Bailey for ear cleaning and assessment. Cortisone shot in the ear. (very painful).
01-Oct-09: PSA = 48.6 ug/L; 25-Hydroxy Vitamin D = 130 ( 75-250 )
2-Oct-09: to TGH - Dr. Bailey for ear cleaning and assement. He said that the shot last time seems to have been effective and so he gave me another one, just as painful. He also told me that he is going back to Ireland to practice.
13-Oct-09: Dr. Seward to get lab reports. Started 2 Anamu twice daily.
30-Oct-09: PSA = 49.1 ug/L; 25-Hydroxy Vitamin D = 140 ( 75-250 )
29-Oct-09: Dr Fiala Dermatologist - She scraped my nose for cancer cells.
09-Nov-09: Dr Patel Chiropodist - Toe nail care.
12-Nov-09: Dr. Rutka - Ear, eye, nose specialist, taking over for Dr Bailey. Suctioned my ear and examined it and told me that the growth in my ear could be operated on to remove it, but it would not improve the hearing. I am to decide on it.
16-Nov-09: Dr. Seward to get my lab reports. Got annual Flu shot.
19-Nov-09: Dr Hess Cardiologist Newmarket - Checked my heart for fibrillation. He said it is not true fibrillation, but is a stage before fibrillation, eg prefibrillation. So he put me on Plavix.
20-Nov-09: Dr Seward for H1N1 shot.
23-Nov-09: PSA = 57.9 ug/L
24-Nov-09: Dr Cybulski - Dentist for teeth cleaning. Put through DVA.
02-Dec-09: PMH - Dr Tannock, Oncologist - He has scheduled a Bone Scan on Jan 12/10, and a CT Scan on Jan 28/10.
03-Dec-09: Dr Dyck - Chiropractor, for an adjustment.
07-Dec-09: Dr Seward - for results of lab tests of Nov 23. He renewed all my meds, and gave me a requisition for more lab tests, including cholesterol.
07-Dec-09: Dr. Dyck - Chiropractor, for an adjustment.
