Conversation: The conversation between human and AI assistant.
[|Human|] I am a 20% disabled veteran and qualify for VA health. My PSA is over 18, no lumps on prostate but biopsy reviewed I have cancer. I have chosen to have a prostatectomy that is scheduled for removal August 20th.I have left the message via phone and not gotten a response: My one niece is getting married September 21 in California & I live in Colorado. Would it be reasonable to fly out, staying for several days to attend her wedding?
[|AI|]  Hello and welcome to Chat Doctor, Prostate cancer is known to metastasize to the bones especially the vertebral column. The PSA level above 18 NG/ml is a high value. The amount of PSA per unit weight of prostate, rate of increase in PSA levels (PSA velocity) are more important than absolute PSA value. Get these parameters done besides total PSA levels. It is advisable to get cancer prostate as soon as possible since the cancer may spread to distant sites like vertebrae. A high PSA density and rising PSA velocity suggests possibility to early metastasis. So, get operated for cancer prostate. Thanks and take care Chat Doctor.