How was your PSA baseline useful?

How was your PSA baseline useful?

Patient David Perez Transcript

Opening Title: How was your PSA baseline useful?

I was very fortunate to have a GP, a doctor who has followed me for many years, who really believes in PSA testing. And I think at the time I think it was somewhat…almost unusual to start a man in his 40s, at getting PSAs…PSA tests.1 But that provided us with a baseline so that I knew what my PSA was for over a course of several years, and that PSA was about a 1, it bounced from 1, 1.1, 1.2, but stayed in there over a number of years through my mid to late forties.When I got to…let’s see… that would have been… I was 51, and went in for my annual physical PSA test came back just over 2, and my GP looked at that and said, there might be…there might be an issue here, because it doubled, even though 2 was supposedly really low, well within the range, but I had it double year over year.

So he said let’s check it again in 3 months. Three months later it was at 3.5, and he said mmm… this is now very concerning, let’s go to a urologist. Again, it was very fortunate in that I had a urologist who did a blind 12 core biopsy and was able to pick up cancer in 2 of the cores. Gleason 3 plus 3, not a lot of volume in the two cores but he found the cancer. I will always be very appreciative of those two doctors and what they did for me. However, from that point they really because pretty much useless, because they didn’t have much more guidance for me from there other than to start to seek treatment, and I wasn’t ready to do that. They referred me to a surgeon, they referred me to a radiation specialist and I talked to those guys, asked them the same questions, of course they recommended treatment. It wasn’t until I went a university medical center and had the opportunity to talk to them about active surveillance, that they said well of course you can pursue that, and that was the beginning of this journey that I’ve been on ever since, now four and a half years later, five and a half years later.

Closing Title: It may take time to find the right active surveillance program

Patient Dave Perez explains how having a PSA baseline provides a useful tool for tracking the significance of a rising PSA.
Patient Dave Perez

Dave participates in the active surveillance program at the University of California at San Francisco (UCSF). Dave has pursued major changes in his diet while adding supplements and following a vigorous exercise program. He also consults with an independent oncologist. In December, 2014, Dave had an 18-core guided MRI-ultrasound fusion prostate biopsy at UCSF and all tissue samples came back benign. In summary, Dave’s prostate cancer has become undetectable over five years after diagnosis.
Video reviewed and approved by Dave Perez, August 1, 2015