Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi I'm Dr. Phil
Can I ask your first name?
My name is***** am asking on behalf of my father
Hi Angela nice to meet you
Are you able to help with my question?
Yes, I can
I don't really understand though
how high was the PSA?
and how old is he?
My father went to the doctors the other day with a urine infection, but he says he has known something not right for a long time. The PSA came back at 50. We know the norm is around 4.5. He is on antibiotics.
He is 66
The doctor is asking him to return for another test after the course of antibiotics has finished as I understand the infection can increase the PSA level but by how much?
or is this definitely cancer?
infection can raise PSA for sure
even 50 is possible
I would wait til the infection clears then check again
if it goes back down then it is fine
The doctor was fantastic, but he was realistic which is exactly what we all wanted. He did a physical examination and felt swelling to one side. Would this be the case with a urine infection?
an enlarged prostate
can cause this
I know my dad is in the right age bracket, but he is also my disabled mothers sole carer and my hero. I know that may sound silly as i'm one of his 35 year old daughters, but I'm so frightened and my dads talking like this is it.
He will be okay
just treat the infection and retest
it is not urgent
even if it is cancer, it is highly treatable at this age
what if the cancer has spread, what is the likelyhood of this in this type of cancer?
I don't think it has
he would have other symptoms like bone pain
Is it possible that it has been dormant for years?
Is it specifically bone pain that he would have experienced?
Not likely but possible I suppose
but everything fits infection
he would have chronic urinary symptoms too most likely
he has had water infection similar symptoms to cystitis for a long time.
we only just found out as he is a very private person and never been in hospital
he is saying he should have gone years ago
I still think it is just an infection from an enlarged prostate though
I appreciate this is not a black and white service, but please be honest with me and not just try to put my mind at rest.
and really there is no other option except treat infection and wait
I am being honest
It is likely from infection
and infection only
I really appreciate your thoughts. Thank you, ***** ***** hope that is all it is. The doctor did say it was very possible that it would be cancer.
did I do good work for you today?
Yes you have put my mind a little more at ease. Could you comment on what the doctor said about the likelyhood of it being cancer?
I don't know what he said
All I know is what I know.
and that is that I don't think it is cancer
Ok, thank you.
you're welcome :)
would you be so kind as to provide a positive rating before leaving? thanks
Yes of course. Thanks again.