Prepare for a Doctor visit
What tests to request with the next Doctor visit.
Do I really need all tests?
Example of how important it is to take all tests before you start any treatment.
I never took any PSA test before I found out that I have prostate cancer. This is a big problem, let me explain that and why. If the PSA number goes slowly down, your total cancer cells go down also. They generate some of the PSA number, the other PSA number gets generated also by other factors.
let’s assume you killed all cancer cells, no more PSA generating cancer cell. But your PSA number still did not go to zero. This is what I call “PSA Base Line” without cancer. If you know that number, you can estimate at what point your cancer is gone. This is meant as a guideline and it is not absolute.
Remember: Everything is dynamic and changes with the type of cancer, age, aggressiveness, type of treatment.
Norby
Texas: Minimum tests are needed. Part1
| Dr. Visit. Texas needed tests Part1 | |
|---|---|
| # | Group Needed Tests. |
| 1. | Hemoglobin A1c (GNC) |
| 2. | Vitamin D, 25-Hydroxy (GMC, IHC) |
| 3. | Urinalysis (UA) with refl;ex to Microscopic (P-UA) |
| 4. | General Health Panel (P-GHP) |
| 5. | PSA Free and Total (P-PSAFT) |
| 6. | Lipid Panel (P-LIPID) |
| 7. | Apolipoprotein B (P-APOLB) |
| 8. | Estimated Average Glucose (GLUAV) |
Texas: Request all tests. Part2
| Dr. Visit. Texas needed tests Part2 | |
|---|---|
| # | Individual Needed Tests. |
| 1. | MPV |
| 2. | NEUT% |
| 3. | LYMPH% |
Texas: Request all tests. Part3
| Dr. Visit. Texas needed tests Part3 | |
|---|---|
| # | Individual Needed Tests. |
| 6. | MONO% |
| 7. | EOS% |
| 8. | BASO% |
| 9. | NEUT# |
| 10. | MONO# |
| 11. | EOS# |
| 12. | BASO# |
| 13. | IG% |
| 14. | IG# |
| 15. | NRBC# |
| 16. | Immature Granulocyte Automated |
| 17. | Serum parathyroid hormone (PTH) |
| 18. | Globulin, Total |
| 19. | Anion Gap |
| 20. | Testosterone, Total (GMC), 84403 |
| 21. | Ferritin Levels |
| 22. | Iodine |
| 23. | T-Cells |
| 24. | Iron |
Utah: Minimum tests are needed. Part1
| Dr. Visit. Utah needed tests Part1. | |
|---|---|
| # | Group Needed Tests. |
| 1. | CBC with Auto Diff (GMC IHC) |
| 2. | Vitamin D, 25-Hydroxy, I (GMCHC) |
| 3. | TSH Rfx on Abnormal to Free T4 (GMC) |
| 4. | Testosterone, Total (GMC), 84403 |
| 5. | Lipid Panel (P-LIPID) |
| 6. | Hemoglobin A1c (GMC) 83036 |
| 7. | CMP Comprehensive Metabolic Panel (GMC) 80053 |
| 8. | Urinanalysis (UA) with reflex to Microscopic (P-UA) |
Utah: Request all tests. Part2
| Dr. Visit. Utah needed tests Part2. | |
|---|---|
| # | Individual Needed Tests. |
| 1. | PSA Free |
| 2. | fPSA PCT |
| 3. | Cholesterol/HDL Ratio |
| 4. | Non-HDL Cholesterol |
| 5. | LDL / HDL Ratio |
Utah: Request all tests. Part3
| Dr. Visit. Utah needed tests Part3. | |
|---|---|
| # | Individual Needed Tests. |
| 6. | Basophils Automated |
| 7. | PSA Free and Total (P-PSAFT) |
| 8. | Eosinophils Automated |
| 9. | Hemoglobin A1c (GNC) |
| 10. | T-Cells |
| 11. | Iodine |
| 12. | Serum parathyroid hormone (PTH) |
| 13. | Metastatic hormone sensitive prostate Cancer (mHSPC) |
For Doctors Eys only
Progress is the spice of life!
Date: 04-11-2026
What we need to talk about with the next Doctor visit.
Comments:
We are moving in the right direction.
1. PSA (02-16-2026 TX3) PSA 5.86 to PSA 4.87 (03-16-2026 TX1)
2. MRI (02-12-2024 TX4 ) PSA Density 0.24 to 0.12 ng/ml/cc (03-10-2026 TX4)
3. fPSA PCT changed, was 12-17-24 17.64% now 03-16-26 is 21.77% with the 4.87 PSA.
Observation:
1. Observation Volume change from 37.2 cc to 47.4 cc
2. Is that a big problem and what can be done to make it grow slower or even reverse it?
3. I am wondering if that can not be changed over time.
More information:
See Max/Min tables for additional information: