My Urologist Visit

On Jan 11, I went to see my Urologist in Pueblo. A took him the copy of the CD of my CATScan in the ER. Donna went with but was tired so she slept in the Escape while I had fun.

I got my shots of Firmagon, which were painless. So I have two lumps on my belly (my depots) which became tender to pressure and itch. The doctor somehow sited them perfectly so that when I press against the kitchen counter, I back right off! Doc told me these two shots were 120mg each but my next one will be only 80 mg. It is NOT oil based but water based; the subcutaneous siting inhibits the uptake so it lasts a month.

He had someone set up the CD of my innards while he shot me. After I was dressed, he asked me out to look at it with him. He pointed out the “mass” in my bladder which was more like a gray shadow and showed me the small stone hanging in my kidney. Then he casually asked me if it were OK to take a look in my bladder while I was there. I agreed since Donna was sleeping.

It was interesting how the doctor’s demeanor changed. He was less assured about the cancer treatment, not in the sense he seemed incompetent but more like he could not assure me the injections would cure me. But once we got into regular urology stuff, he was The Doctor! (My GP later explained that is common since cancer is generally incurable and “life extension” is not what doctors wanna do. He didn’t want to take over my injections!)

I returned to the waiting room while they worked me in for another exam. Which didn’t take long. Then I was taken to a different exam room and told to lower my pants.

[Lurid details skipped]

After his looking around, he connected the scope to a TV thingy so I could see. He explained my bladder shows signs of damage, presumably from my radiation therapy; the damage made the walls look like tiles, not smooth as they should be. There was no sign of the mysterious shadow thing. My prostate looks battered and pink.

It took me three days to get over this exam! But it went well and he will get me ultrasounded in the near future. Unless I develop kidney pain if the “cloud” blocks my ureter.

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