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The road starts here

User
Posted 21 Feb 2024 at 15:46

I was diagnosed with prostate cancer, gleason 3+4, T1, N0 M0,  3 years ago, and at that time the agreement between the urologists, my wife and myself was to embark on active surveillance.  No problems were raised at all for the next 3 years, all PSA's were stable.  My wife, being a retired health professional, and having read about this  to the n'th degree, insisted  I should have another scan to see how things were going.  The urology consultant was OK with this.

Fast forward  3 months to now.  The scan showed something 'that needed to be looked at under a microscope' - their words.  So a biopsy.  Results of this, much to their, and obviously my surprise,  were now locally advanced to the capsule, Gleason 4+5, T3a, N0 M0.  Not to the seminal vesicles or anywhere else thankfully.  So much for stable PSA's. Thank goodness for the wife's persistence.  Action was  sprung into immediately, Bicalutamide prescribed to start THE SAME DAY, and  first Prostap injection 2 weeks later,  for at least 6 months, but almost certainly longer.  Then radiotherapy, not for at least 6 months, and maybe a bit longer.  The plan is to cure this, and although they did give me information about surgery, I could tell, without them saying so in so many words, they were leading me to this treatment plan.  Given that I am 76, i have high blood pressure and slight asthma, a general anaesthetic probably isn't the best plan.  

So here I am.  I'd love to hear from anyone who is about to, or is in the middle of travelling this same road.  As yet, I have no little to no symptoms  from the hormone treatment, but of course it's very early days.   Anything anyone can tell me, who is further down the road than I am.  

The thing  that's causing me the most frustration though?  Travel insurance.  I had a policy attached to a bank account, which now declines to insure me at all.  I would have been happy if they'd just covered everything else an exclude the prostate, after all what's going to happen with it any time soon.   The questions asked in the searches aren't the right questions, i.e. am I waiting for treatment, not really, in as much as I am not on a waiting list and could be called any time.  I know I won't get radiotherapy for at least 6 months. 

I have searched in vain for a policy that will exclude it, and if anyone out there knows of one that does, I'd love to know about it.  I can get a policy, just for a week mind you, that costs half as much as the holiday costs.  I'd not mind just going with the GHIC card as it's europe we're going, but of course you have to consider those unlikely events like having to be repatriated, not covered by the health card.  Can you buy a simple policy just covering repatriation and nothing else?  Seemingly not.  I get the feeling sometimes that once you develop something like this, those 'out there' that make the decisions, think you should just stay at home and vegetate.

Anyway, rant over.  I am really happy to converse with, and indeed rant with, anyone who is having the same or similar frustrations.  Ranting is really good for you sometimes, especially with like minded people.  

User
Posted 21 Feb 2024 at 15:46

I was diagnosed with prostate cancer, gleason 3+4, T1, N0 M0,  3 years ago, and at that time the agreement between the urologists, my wife and myself was to embark on active surveillance.  No problems were raised at all for the next 3 years, all PSA's were stable.  My wife, being a retired health professional, and having read about this  to the n'th degree, insisted  I should have another scan to see how things were going.  The urology consultant was OK with this.

Fast forward  3 months to now.  The scan showed something 'that needed to be looked at under a microscope' - their words.  So a biopsy.  Results of this, much to their, and obviously my surprise,  were now locally advanced to the capsule, Gleason 4+5, T3a, N0 M0.  Not to the seminal vesicles or anywhere else thankfully.  So much for stable PSA's. Thank goodness for the wife's persistence.  Action was  sprung into immediately, Bicalutamide prescribed to start THE SAME DAY, and  first Prostap injection 2 weeks later,  for at least 6 months, but almost certainly longer.  Then radiotherapy, not for at least 6 months, and maybe a bit longer.  The plan is to cure this, and although they did give me information about surgery, I could tell, without them saying so in so many words, they were leading me to this treatment plan.  Given that I am 76, i have high blood pressure and slight asthma, a general anaesthetic probably isn't the best plan.  

So here I am.  I'd love to hear from anyone who is about to, or is in the middle of travelling this same road.  As yet, I have no little to no symptoms  from the hormone treatment, but of course it's very early days.   Anything anyone can tell me, who is further down the road than I am.  

The thing  that's causing me the most frustration though?  Travel insurance.  I had a policy attached to a bank account, which now declines to insure me at all.  I would have been happy if they'd just covered everything else an exclude the prostate, after all what's going to happen with it any time soon.   The questions asked in the searches aren't the right questions, i.e. am I waiting for treatment, not really, in as much as I am not on a waiting list and could be called any time.  I know I won't get radiotherapy for at least 6 months. 

I have searched in vain for a policy that will exclude it, and if anyone out there knows of one that does, I'd love to know about it.  I can get a policy, just for a week mind you, that costs half as much as the holiday costs.  I'd not mind just going with the GHIC card as it's europe we're going, but of course you have to consider those unlikely events like having to be repatriated, not covered by the health card.  Can you buy a simple policy just covering repatriation and nothing else?  Seemingly not.  I get the feeling sometimes that once you develop something like this, those 'out there' that make the decisions, think you should just stay at home and vegetate.

Anyway, rant over.  I am really happy to converse with, and indeed rant with, anyone who is having the same or similar frustrations.  Ranting is really good for you sometimes, especially with like minded people.  

User
Posted 21 Feb 2024 at 17:09

Hi John,

That must have as a shock to you but at least they’ve been quick at getting treatment started. I am on the same treatment plan as you and you can read about ‘MY Journey through HT and RT’.

I have had many side effects from HT but by far the worst is joint ache, which I’m trying hard to manage…with limited success. All the other side effects I can live with. a I didn’t get any real side effects from RT except a little trouble controlling my bowels towards the end of my treatment. many men though aren’t really bothered  by side effects and if you’re only on it for a limited time then hopefully you can escape. I’m on it for 3 years I’m told and I’m 20 months into it.

With regards to Travel insurance I used AllClear as I found their web site easy to navigate and the questions were clear. I also had insurance with RBS but computer said NO! when I asked them to add this😡 When I took out the policy last year I hadn’t started RT and it cost £300 for the year, this year I have just renewed for £107. The question they ask exclude HT as a treatment and also exclude spread to Seminal Vesicles which is good for me as I am T3B. I don’t include cancellation as we have a place in Fuerteventura and all we lose is the price of a Ryanair flight should we need to cancel. Your high blood pressure will certainly increase the premium but I had other health issues as well….just make sure you declare EVERYTHING as  it seems ALL insurance companies do everything they can to avoid paying out.

I would advise you to stay as active as possible, if you’re a member of  gym, get going and don’t stop during HT treatment, even during RT if you can. If not buy some resistance bands and do weight bearing exercises.

all the best,

Derek

 

User
Posted 21 Feb 2024 at 18:05

Originally Posted by: Online Community Member

I was diagnosed with prostate cancer, gleason 3+4, T1, N0 M0,  3 years ago, and at that time the agreement between the urologists, my wife and myself was to embark on active surveillance.  No problems were raised at all for the next 3 years, all PSA's were stable.  My wife, being a retired health professional, and having read about this  to the n'th degree, insisted  I should have another scan to see how things were going.  The urology consultant was OK with this.

Fast forward  3 months to now.  The scan showed something 'that needed to be looked at under a microscope' - their words.  So a biopsy.  Results of this, much to their, and obviously my surprise,  were now locally advanced to the capsule, Gleason 4+5, T3a, N0 M0.  Not to the seminal vesicles or anywhere else thankfully. 

A very warm welcome to the forum John. Your journey almost exactly mirrors mine. I have often stressed on here the unreliability of PSA checks and the need for follow up MRIs when on active surveillance. It would appear that your Trust like mine breached NICE guidelines in not giving you a follow up MRI 12-18 months after biopsy. It's dis graceful.

I'll attach a link to my case, I think you'll be amazed by the similarities.

https://community.prostatecanceruk.org/posts/t29997-T2c-disease-and-active-surveillance

 

Edited by member 21 Feb 2024 at 18:10  | Reason: Not specified

User
Posted 21 Feb 2024 at 22:37

Thanks for the response. It’s been a bit of a roller coaster ride the last few weeks but it’s sinking in now and it’s a matter of getting on with it. My wife keeps telling me that now I’ll know how menopausal women feel!!

She is trying to get me to join the gym she goes to, as is the specialist nurse, but I’m not sure. I’ve never seen it as my kind of thing. I enjoy walking but currently, to add insult to injury, I’ve developed a dodgy knee, which is preventing too much walking. Hopefully I’m getting this sorted soon. 

have checked out all clear insurance and they will cover me but v expensive  will have to bite the bullet soon though

I’ll find your posts on here and have a read through them  I’m going to be interested in other people’s experiences and how they managed them 

 

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User
Posted 21 Feb 2024 at 17:09

Hi John,

That must have as a shock to you but at least they’ve been quick at getting treatment started. I am on the same treatment plan as you and you can read about ‘MY Journey through HT and RT’.

I have had many side effects from HT but by far the worst is joint ache, which I’m trying hard to manage…with limited success. All the other side effects I can live with. a I didn’t get any real side effects from RT except a little trouble controlling my bowels towards the end of my treatment. many men though aren’t really bothered  by side effects and if you’re only on it for a limited time then hopefully you can escape. I’m on it for 3 years I’m told and I’m 20 months into it.

With regards to Travel insurance I used AllClear as I found their web site easy to navigate and the questions were clear. I also had insurance with RBS but computer said NO! when I asked them to add this😡 When I took out the policy last year I hadn’t started RT and it cost £300 for the year, this year I have just renewed for £107. The question they ask exclude HT as a treatment and also exclude spread to Seminal Vesicles which is good for me as I am T3B. I don’t include cancellation as we have a place in Fuerteventura and all we lose is the price of a Ryanair flight should we need to cancel. Your high blood pressure will certainly increase the premium but I had other health issues as well….just make sure you declare EVERYTHING as  it seems ALL insurance companies do everything they can to avoid paying out.

I would advise you to stay as active as possible, if you’re a member of  gym, get going and don’t stop during HT treatment, even during RT if you can. If not buy some resistance bands and do weight bearing exercises.

all the best,

Derek

 

User
Posted 21 Feb 2024 at 18:05

Originally Posted by: Online Community Member

I was diagnosed with prostate cancer, gleason 3+4, T1, N0 M0,  3 years ago, and at that time the agreement between the urologists, my wife and myself was to embark on active surveillance.  No problems were raised at all for the next 3 years, all PSA's were stable.  My wife, being a retired health professional, and having read about this  to the n'th degree, insisted  I should have another scan to see how things were going.  The urology consultant was OK with this.

Fast forward  3 months to now.  The scan showed something 'that needed to be looked at under a microscope' - their words.  So a biopsy.  Results of this, much to their, and obviously my surprise,  were now locally advanced to the capsule, Gleason 4+5, T3a, N0 M0.  Not to the seminal vesicles or anywhere else thankfully. 

A very warm welcome to the forum John. Your journey almost exactly mirrors mine. I have often stressed on here the unreliability of PSA checks and the need for follow up MRIs when on active surveillance. It would appear that your Trust like mine breached NICE guidelines in not giving you a follow up MRI 12-18 months after biopsy. It's dis graceful.

I'll attach a link to my case, I think you'll be amazed by the similarities.

https://community.prostatecanceruk.org/posts/t29997-T2c-disease-and-active-surveillance

 

Edited by member 21 Feb 2024 at 18:10  | Reason: Not specified

User
Posted 21 Feb 2024 at 22:37

Thanks for the response. It’s been a bit of a roller coaster ride the last few weeks but it’s sinking in now and it’s a matter of getting on with it. My wife keeps telling me that now I’ll know how menopausal women feel!!

She is trying to get me to join the gym she goes to, as is the specialist nurse, but I’m not sure. I’ve never seen it as my kind of thing. I enjoy walking but currently, to add insult to injury, I’ve developed a dodgy knee, which is preventing too much walking. Hopefully I’m getting this sorted soon. 

have checked out all clear insurance and they will cover me but v expensive  will have to bite the bullet soon though

I’ll find your posts on here and have a read through them  I’m going to be interested in other people’s experiences and how they managed them 

 

User
Posted 22 Feb 2024 at 00:05
I think you are possibly answering the questions incorrectly. You have already started treatment, you are on HT. You don't have advanced prostate cancer. You should be able to get affordable insurance (without having to exclude the prostate cancer) unless you are going to the USA. Have you tried InsuranceWith and Staysure?
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 22 Feb 2024 at 13:51

Just to add to the discussion about insurance... my circumstances are slightly different in that I had prostatectomy last October and PSA is now undetectable. I have high blood pressure, managed by meds. I'm 70 years old. 

I'm going to the USA for a week in March and have taken a single trip policy with InsuranceWith at a cost of £76. They also offered an annual multi trip policy for about £500.

I didn't think those prices were too bad. 

User
Posted 22 Feb 2024 at 16:05

I have spoken to an insurance company today. I was very clear that my treatment has started, ie HT, and the radiotherapy will take place after several months as part of the treatment plan. I am not on a waiting list. But the answer to the question, excluding hormone therapy( ?) are you waiting for treatment, the answer is to be yes 

don’t ask!!  It makes no sense. The young lady could understand where I was coming from but the system algorithms define what is a correct answer and what is not. The insurance industry is so far behind the curve here it’s crazy. To double the price of a policy because they determine I’m on a waiting list, which I’m not, is madness. But I’m not sure what I can do about it 

User
Posted 29 Feb 2024 at 14:33
So I’m new to this forum, sadly, my husband is just starting his journey with prostate cancer, but he is already living with Neuroendocrine cancer stage 4, 4 years since diagnosis but stable.

Insurewith, staysure and a few others do insure BUT you have to ring for a quote. The Neuroendocrine nurses also suggest to ask for a quote which covers everything not connected to your cancer/treatment. So luggage, flights, accidents etc.

User
Posted 29 Feb 2024 at 16:06

I have looked at insurewith, and it seems that for me at least, that is going to be the best option.  I have done a quote with them online where the best price is to be found, and it is  significantly cheaper than anyone else.  Some of the questions are a bit tricky to answer, especially the one that refers to waiting for a routine appointment.  I have no idea what they mean by a routine appointment.  None of mine  are emergency appointments so is that what they mean?  No idea.

So, I have the quote number and will have to call them to get clarity.  Sadly, the one area they fall down on is how quickly  they answer the phone.  Not very quickly  at all unfortunately.  I was holding on for almost an hour before giving up.  They do offer to call you back, but if you are not always available at the end of a phone, that's a difficult option.  

I am not travelling for a few weeks, so hopefully I can manage to get through before the day for our holiday comes.  Ironically, my wife, who has less serious medical conditions than I have can get a cheaper quote via compare the market!!  So for the first time, we are going to have to insure separately.  

 
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