PSA Test in Pattaya

[Jumbo1968]

I had a PSA Test at the International Hospital in Pattaya before any treatment for Prostate Cancer, my previous PSA Test in the U.K. was 3.5, I had arranged a consultation as well as the test at the International Hospital.The consultant said my PSA was 9 and was talking about a biopsy as my PSA was high, I said no thank you. I contacted my mentor in the U.K., he said the hospital might have used a different ‘pack’ to check my PSA TBH I didn’t understand what he meant. On my return to the U.K. a few weeks later, I had another test and it was 3.5.

I would like a PSA Test, I am now in remission from Prostate Cancer after radiotherapy, I have an annual review in the U.K. and a once a year PSA Test. I always usually have another voluntary PSA Test myself, is there a reliable place in Pattaya where I can have a PSA Test ?

 

[Sheryl]

If all you want is the test and not a consultation then this lab   http://lifecare.siam2web.com/

 

If you also want to see urologist then this doctor at BPH comes well recommended

https://www.bangkokpattayahospital.com/en/doctor-profile?v_id=205&depid=28

 

Be sure to have no sexual activity of any type for 48 hours before the test, also no bicycle or motorcycle riding and no vigorous exercise as all of these can affect the results

 

[peleid]

I know quite a bit about PSA/Prostate Cancer. I find those PSA readings very strange, I have had 3 done in Thailand (3 different hospitals) all very close readings, mine were 16, YES. Feeling a bit concerned went to Bumrungrad, Bangkok, first words the doctor said to me was do not panic and put my readings to one side. Regarding PSA readings if they jump significantly, that is not a good sign, also if prostate cancer runs in the family that also is not good. I have a enlarged prostate also I did not empty my bladder properly, so he recommended an operation, which I had. Result, no cancer and reason my PSA was high was the amount of stones in my prostate. Hope that has been some help

[Oztruckie]

I had the big C few years ago myself  and had the 40 sessions of radiotherapy which done the job quite well,afterwards, i was required to do PSA tests twice a year and my oncologist advised me always use the same pathology service, different pathology services can show completely different numbers, my readings got to 4.5 thats when the oncologist advised its time for further action,yet i had a mate his readings were about 17 prior to further treatment.

[Jumbo1968]

1 minute ago, Oztruckie said:

I had the big C few years ago myself  and had the 40 sessions of radiotherapy which done the job quite well,afterwards, i was required to do PSA tests twice a year and my oncologist advised me always use the same pathology service, different pathology services can show completely different numbers, my readings got to 4.5 thats when the oncologist advised its time for further action,yet i had a mate his readings were about 17 prior to further treatment.

When I was diagnosed my PSA 7, active surveillance only, my PSA was 3/4 after that. a biopsy a couple years later revealed the tumour had grown and recommended treatment. I had a new radiotherapy treatment 5 sessions, my last PSA test was less than 1 last December.

[Oztruckie]

2 minutes ago, Jumbo1968 said:

When I was diagnosed my PSA 7, active surveillance only, my PSA was 3/4 after that. a biopsy a couple years later revealed the tumour had grown and recommended treatment. I had a new radiotherapy treatment 5 sessions, my last PSA test was less than 1 last December.

My mate in Oz was telling me just recently his PSA shot up again last year after going below 1 after the treatment,can't remember how high it went,his oncologist gave him the hormone injection and now its dropped back to more appropriate levels,i haven't had the test now for nearly 2 years due not being able to go back to Oz,time to take Cheryls advice and go up to Lifecare for a test.

[tinca tinca]

BLOOD TEST AT LIFECARE LAB.....COSTS ABOUT 400 BAHT.....had mine done a few weeks  ago    3.9 was the reading

[yuznmeez]

PSA went from 4, to 6 then to 10. I Pretty much ignored it. I started taking the "mish cocktail" and over

3 months, PSA went from 10 to 1.7.  

 

[KhunBENQ]

6 hours ago, peleid said:

so he recommended an operation, which I had.

At Bumrungrad? What operation? TURP? Or some new technique?

[yuznmeez]

oppps, forgot the link. 

Mish Cocktail.

https://mishtalk.com/economics/cancer-free-i-beat-prostate-cancer-mish-the-guinea-pig

[allanos]

5 minutes ago, yuznmeez said:

PSA went from 4, to 6 then to 10. I Pretty much ignored it. I started taking the "mish cocktail" and over

3 months, PSA went from 10 to 1.7.  

 

Please explain the meaning of a "mish cocktail".

 

[yuznmeez]

just posted the link above.

Here it is again.

 

https://mishtalk.com/economics/cancer-free-i-beat-prostate-cancer-mish-the-guinea-pig

 

[allanos]

A recent PSA test came back with a level of 5.9. My doctor has diagnosed prostate cancer and feels it is at an early stage, with no particular planned treatment ahead.

 

I would be interested in comments from others who have had a similar diagnosis, and what steps they may have taken to contain it.

 

My thanks in advance.

[Jumbo1968]

3 minutes ago, allanos said:

A recent PSA test came back with a level of 5.9. My doctor has diagnosed prostate cancer and feels it is at an early stage, with no particular planned treatment ahead.

 

I would be interested in comments from others who have had a similar diagnosis, and what steps they may have taken to contain it.

 

My thanks in advance.

My PSA was 7, after a scan which revealed the cancer was contained in my prostate, a biopsy revealed my Gleason score was at a level where treatment wasn’t required. I continued with active surveillance, a PSA test every 3 months and an annual biopsy. When after a biopsy my Gleason score had increased treatment was recommended.  I had radiotherapy and now an annual review with PSA check.

[Sheryl]

48 minutes ago, allanos said:

A recent PSA test came back with a level of 5.9. My doctor has diagnosed prostate cancer and feels it is at an early stage, with no particular planned treatment ahead.

 

I would be interested in comments from others who have had a similar diagnosis, and what steps they may have taken to contain it.

 

My thanks in advance.

Cancer canmot be diagnosed baded on PSA alone. And PSA level you mention can often have other causes. Did you have a biopsy?

[allanos]

Thank you for your kind reply, Sheryl, and no, I have not had a biopsy yet. I am trying to evaluate all of my options before an invasive approach. My diagnosis came just over 3 weeks ago.

 

For your information, I am 76 years old. It has been said to me that I am more likely to die of old age, or some other factor, than from the prostate cancer.

Edited May 20, 2021 by allanos
typo

[allanos]

1 hour ago, yuznmeez said:

oppps, forgot the link. 

Mish Cocktail.

https://mishtalk.com/economics/cancer-free-i-beat-prostate-cancer-mish-the-guinea-pig

Thank you for posting. I have copied and pasted the "cocktail" supplements, some of which I am already taking, but not all.

 

Would you mind sharing over what period you took yours, to achieve your lowered and normal PSA score?

 

Do you maintain the same dietary regimen?

 

Thank you.

[Sheryl]

8 minutes ago, allanos said:

1. Thank you for your kind reply, Sheryl, and no, I have not had a biopsy yet. I am trying to evaluate all of my options before an invasive approach. My diagnosis came just over 3 weeks ago.

 

For your information, I am 76 years old. It has been said to me that I am more likely to die of old age, or some other factor, than from the prostate cancer.

You could not possibly have been diagnosed with cancer if you have not even had a biopsy yet. Are you sure this is what your doctor told you (as opposed to cancer being one of several possibilities)?

 

Where are you being treated? Was it a urologist who said this? Based on what besides PSA? (Majority of PSAs in that range are not due to cancer).

 

 

[peleid]

1 hour ago, KhunBENQ said:

At Bumrungrad? What operation? TURP? Or some new technique?

It was TURP, operation no problem but a few side effects nothing to do with operation, I am fine now. It was at Bumrungrad, expensive but good

Edited May 20, 2021 by peleid

[allanos]

5 minutes ago, Sheryl said:

You could not possibly have been diagnosed with cancer if you have not even had a biopsy yet. Are you sure this is what your doctor told you (as opposed to cancer being one of several possibilities)?

 

Where are you being treated? Was it a urologist who said this? Based on what besides PSA? (Majority of PSAs in that range are not due to cancer).

 

 

Thanks for the interest and for taking the time to reply, Sheryl.

 

It was told me by my GP, who made a point of a late evening cell call to give me the results of the PSA.  He has stated that I can see a urologist if I so wish, mentioning an ultrasound scan and an internal examination to confirm. However, I got the distinct impression that he was dissuading me from this course of action as perhaps being unnecessary, as he was quite firm in his opinion already. I may be wrong, of course.

 

 

[Sheryl]

16 minutes ago, allanos said:

Thanks for the interest and for taking the time to reply, Sheryl.

 

It was told me by my GP, who made a point of a late evening cell call to give me the results of the PSA.  He has stated that I can see a urologist if I so wish, mentioning an ultrasound scan and an internal examination to confirm. However, I got the distinct impression that he was dissuading me from this course of action as perhaps being unnecessary, as he was quite firm in his opinion already. I may be wrong, of course.

 

 

This is making no sense whatsoever and if you understood him correctly seems  an extraordinary thing to say.

 

See a urologist. A manual digital exam will be first step and very helpful in that it will indicate how large the prostate is and whether its shape is smooth and regular.

 

Trans rectal ultrasound might or might not then be recommended.  If this looks OK and the prostate manual exam feels consistent with BPH sometimes they will wait on that and just follow the PSA at say 6 monthly intervals  rather than proceeding to biopsy.

 

Majority of men with a PSA of 5.9 do not have cancer. Common causes are benign prostatic hypertrophy (BPH) and prostatitis.  Also if you had sexual activity or heavy exercise in the 48 hours before the test this could have givenan elevated reading.

 

I can't say you don't have cancer but I can say that unless there are findings not mentioned, it is far from sure or even probable.

 

See urologist. It soynds like you ate not in Thailand?

[yuznmeez]

35 minutes ago, allanos said:

Thank you for posting. I have copied and pasted the "cocktail" supplements, some of which I am already taking, but not all.

 

Would you mind sharing over what period you took yours, to achieve your lowered and normal PSA score?

 

Do you maintain the same dietary regimen?

 

Thank you.

When my PSA hit over 10, 14 to be exact and I was getting up 3 and 4 times a night to pee, I began taking the "mish cocktail". I took it for approx. 3 months. In addition, I also was taking about 10,000 mg of liposomal Vit. C. I did not take normal vit C tablets. I made my own liposomal vit C with sodium ascorbate and sunflower lecithin in a small jewelers vibrating cleaner.

Steamed veggies at all 3 meals, tablespoon of olive oil with curcumin 3 times a day. 

10,000 IU's of Vit D-3.

Normal PSA (1.7) in approx. 3 months. Now, I never get up at night to pee. Yea!!!

[allanos]

26 minutes ago, Sheryl said:

This is making no sense whatsoever and if you understood him correctly seems  an extraordinary thing to say.

 

See a urologist. A manual digital exam will be first step and very helpful in that it will indicate how large the prostate is and whether its shape is smooth and regular.

 

Trans rectal ultrasound might or might not then be recommended.  If this looks OK and the prostate manual exam feels consistent with BPH sometimes they will wait on that and just follow the PSA at say 6 monthly intervals  rather than proceeding to biopsy.

 

Majority of men with a PSA of 5.9 do not have cancer. Common causes are benign prostatic hypertrophy (BPH) and prostatitis.  Also if you had sexual activity or heavy exercise in the 48 hours before the test this could have givenan elevated reading.

 

I can't say you don't have cancer but I can say that unless there are findings not mentioned, it is far from sure or even probable.

 

See urologist. It soynds like you ate not in Thailand?

Thanks again, Sheryl, for your considered and expert response.  I shall act on your advice.

 

No sexual activity immediately prior (I wish), no heavy exercise nor bicycle riding.

 

Because of the call I received from my GP, and having no knowledge whatsoever of any immediate consequences of his diagnosis, I scheduled an appointment to see him on the Monday following his call to me on a Friday night.  I had a number of questions I needed answers to, and had, earlier that morning, taken a look at the American Cancer Society website for a bit of additional information.

 

I have certainly not misinterpreted what the doctor had to tell me.  He may have advanced his medical opinion based on a PSA test I had in 2014 or so, which was returned as normal.

 

One test he didn't perform, which is a PSA ratio test, I have asked him to test for me when I next visit him in around 7-10 days' time. He told me he didn't run this particular test because he was trying to keep my out of pocket costs down, which I accept.

 

I am not in Thailand currently.

Edited May 20, 2021 by allanos
typo

[Sheryl]

Going from normal to 5.9 in a span if 7 years is not a basis for diagnosing cancer.  Even if it had happened in the space of a year, there would still be other possibilities.

 

Insist on seeing a urologist.

[simple1]

3 hours ago, yuznmeez said:

When my PSA hit over 10, 14 to be exact and I was getting up 3 and 4 times a night to pee, I began taking the "mish cocktail". I took it for approx. 3 months. In addition, I also was taking about 10,000 mg of liposomal Vit. C. I did not take normal vit C tablets. I made my own liposomal vit C with sodium ascorbate and sunflower lecithin in a small jewelers vibrating cleaner.

Steamed veggies at all 3 meals, tablespoon of olive oil with curcumin 3 times a day. 

10,000 IU's of Vit D-3.

Normal PSA (1.7) in approx. 3 months. Now, I never get up at night to pee. Yea!!!

 

Prostate cancer indication should be taken seriously. e.g. in Australia prostate cancer it is the number three cause of death by cancer in men.

 

https://www.canceraustralia.gov.au/affected-cancer/cancer-types/prostate-cancer/prostate-cancer-australia-statistics#:~:text=In 2018%2C there were 3%2C264,will decrease to 3%2C152 deaths.&text=In 2018%2C the age-standardised,24 deaths per 100%2C000 males.

 

IMO it is inappropriate to promote a 'cure' which is not supported by published medical peer review. As a  heads up you may like to review the content at the URL below:

 

https://sciencebasedmedicine.org/mishtakes-were-made-another-misguided-cancer-testimonial/

[Nakdontree]

2 hours ago, simple1 said:

https://www.canceraustralia.gov.au/affected-cancer/cancer-types/prostate-cancer/prostate-cancer-australia-statistics#:~:text=In 2018%2C there were 3%2C264,will decrease to 3%2C152 deaths.&text=In 2018%2C the age-standardised,24 deaths per 100%2C000 males.

Pretty disturbing marketing campaign. And by the way, after a routine blood test my dad was diagnosed "probable prostate cancer" at the age of 69. High PSA figures, lateron "enlarged prostate" according to some CT scan a.s.o.
After talking to his GP again he ignored all the recommendations of those high-salary surgeons. Instead, he paid a bit more attention on his diet. Lower fat intake, sufficient amount of vegetables. Last year my dad died at the age of 92 in the middle of the night, while sleeping. "Age-related cardiovascular arrest" if I remember correctly.

 

A remarkable statement by his GP at those times: "Always ask your surgeon what his/her net income is per year. If you don't get an answer, run away as fast as you can."

 

[simple1]

6 hours ago, Nakdontree said:

Pretty disturbing marketing campaign. And by the way, after a routine blood test my dad was diagnosed "probable prostate cancer" at the age of 69. High PSA figures, lateron "enlarged prostate" according to some CT scan a.s.o.
After talking to his GP again he ignored all the recommendations of those high-salary surgeons. Instead, he paid a bit more attention on his diet. Lower fat intake, sufficient amount of vegetables. Last year my dad died at the age of 92 in the middle of the night, while sleeping. "Age-related cardiovascular arrest" if I remember correctly.

 

A remarkable statement by his GP at those times: "Always ask your surgeon what his/her net income is per year. If you don't get an answer, run away as fast as you can."

 

 

Please do not self indulge in conspiracy nonsense on such an important health issue. The report is not a 'marketing campaign', it is an analysis by a specialist Australian government department concerning prostate cancer. 

 

Prior to returning to live in Oz, I had a PSA test in Pattaya which showed no PSA presence. (my urologist in Oz, an Indian, suggested to me the fee was taken, but test not acted upon), A few months later back in Oz, out of curiosity, I had another PSA test which indicated a very high count. Had a biopsy which demonstrated advanced, aggressive prostate cancer. Unfortunately the cancer had spread so for the past six years I have required quarterly injections of hormone treatment to contain further spread. My urologist informed me he had had a number of patients who had declined treatment, which they deeply regretted a few years later.

 

The point of my story is do not be complacent, as previously mentioned, prostate cancer is the number three killer of men with cancer

Edited May 20, 2021 by simple1

[Sheryl]

10 hours ago, Nakdontree said:

Pretty disturbing marketing campaign. And by the way, after a routine blood test my dad was diagnosed "probable prostate cancer" at the age of 69. High PSA figures, lateron "enlarged prostate" according to some CT scan a.s.o.
After talking to his GP again he ignored all the recommendations of those high-salary surgeons. Instead, he paid a bit more attention on his diet. Lower fat intake, sufficient amount of vegetables. Last year my dad died at the age of 92 in the middle of the night, while sleeping. "Age-related cardiovascular arrest" if I remember correctly.

 

A remarkable statement by his GP at those times: "Always ask your surgeon what his/her net income is per year. If you don't get an answer, run away as fast as you can."

 

 

Not remotely a "marketing campaign"

 

There are slow growing, non-aggressive prostate cancers and there are very aggressive prostate cancers. It is not a "one size fits all" situation.

 

in addition, most PSA elevations and prostate enlargements are not due to cancer.

 

Your father could not possibly have been diagnosed with prostate cancer based on a bloodtest, this is impossible. Nor can it be based on blood test and CT scan. More likely he had an elevated PSA  and scans showed enlarged prostate (as is to be expected) and a biopsy was suggested and declined. 

 

He likely had BPH, not cancer, or else a very non-aggressive cancer.

 

There are indeed pros and cons and room to debate about whether/when  to do a biopsy. On the physician side, fear of liability/malpractice suits has more to do with unnecessary biopsies than does profit motive.

 

This does NOT mean that prostate cancer is not serious and can be safely shrugged off.

[Nakdontree]

11 hours ago, Sheryl said:

He likely had BPH, not cancer, or else a very non-aggressive cancer.

Yes, I agree. This was most likely the scenario.
The disturbing part of the story was that these so-called specialists had put enormous pressure on my father to agree to a lucrative series of treatments. Buzzwords like "life expectancy", "probability calculation", "peace of mind" etc. were dropped, if I remember correctly.

[Sheryl]

2 hours ago, Nakdontree said:

Yes, I agree. This was most likely the scenario.
The disturbing part of the story was that these so-called specialists had put enormous pressure on my father to agree to a lucrative series of treatments. Buzzwords like "life expectancy", "probability calculation", "peace of mind" etc. were dropped, if I remember correctly.

 

Are you sure these were not said regarding recommendation to have a biopsy?

 

I really, really doubt they were trying to sell him on a whole course of cancer treatment based on a PSA test.