So it’s appointment time again with another long day at the hospital. But some good news and maybe some actions which will improve things. Good news is cancer remains in good control, PSA was 12.76 and so treatment continues. Nothing to worry about with the kidneys. I need to see urologist to check nighttime problems. We then discussed how I have felt which has not been good, high level of fatigue and also some anxiety and she thinks part of this could be linked to low haemaglobin, down again to 84. They thought a blood transfusion would help. Decided to go for it, happening tomorrow. All in all ok just six hours of blood transfusion tomorrow. i could be a new man by then but it will be a long day. After a difficult few weeks feel like there are plans in place.