“Sit-Rep .. No.35” “Slight Change of Plan” I said I wouldn’t post until something happened that indicated a change. Well something has changed. Some of the change is tangible and part of it has more to do with the thought process, so I guess that’s intangible. It did however lead to some real tangible changes. Okay, enough with the “word salad”. The last two weeks have definitely been eventful. There was the cancer-related death of one of the really good people in my league. He was 44 years old and the epitome of Jimmy V’s phrase “Never Give Up!” His doctors decided it was time to put him in hospice care. He passed away 24-Hrs later. That really hit hard for so many reasons. He had done everything possible to beat cancer and… That happened while I was having some trouble with pain management. I had just had Labs done and a follow-with my Oncologist. The PSA had risen from “23.08” on 22.July to “69.42” on 22.October. It had tripled in three months. ‼️Spoiler Alert‼️ I continually advise you guys not to play “Internet Detective” but…🤷🏽♂️ I can’t help myself 🤡 This is what I found… not that I didn’t already know .. and not that my very capable Doctors at the VA hadn’t already told me… Quick Course in PSA (Prostate Specific Antigen) Indications for those who are unfamiliar with the term as it pertains to Cancer. 🤔 Cancer Borderline … When does Cancer jump to the front of the line in diagnosis? PSA above 4.0 in anyone over age 60, or above 2.5 in anyone younger than 60. 👉🏽 PSA doubling time: - A doubling time of less than three years is a strong indicator of potentially aggressive prostate cancer, even if the absolute PSA level is not yet high. For example, a PSA rising from 2 to 4 in 18 months is more concerning than a stable PSA of 6 PSA that triples in 3 months Suggests aggressive activity This pattern is something doctors treat as urgent, not something to “wait and see.” 🙄 Okay … enough of that! So, my PSA tripled in three months, which meant that it might not be a coincidence that the discomfort and various pains have been increasing.