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Ever Decreasing Circles part three

User
Posted 12 Dec 2017 at 15:46

Thanks for the update Paul. It's good to hear that clinically you feel better on the enzalutamide. Also good that the scans show no change and that pain is lower.

Here's hoping with more time and an increase in the steroid dose your PSA reduces.

It is indeed a very uncertain journey we are all on, these last few weeks have been difficult for so many.

Enjoy your Christmas lunch!

Best wishes, Ian.

Ido4

User
Posted 12 Dec 2017 at 15:52
Enjoyed reading your update Paul. Good luck with the next part of your journey, hope you get some good news regarding your PSA. In the meantime have a great Christmas.

Debbie x

User
Posted 12 Dec 2017 at 17:06

Hi Yorkhull
Thanks for the update. As you say after the losses over the last few weeks it's good to hear something positive. My husband isn't as far down the line as you, only diagnosed in March this year so following what is happening to you with interest. He did early Chemo which seemed to have worked well at the time but a couple of months later his PSA has doubled in 5 weeks so we wonder what the next treatment is going to be. Next Onco visit is March unless she picks up on latest PSA.
I really hope you have a good Christmas and are able to enjoy it.

User
Posted 12 Dec 2017 at 19:13

I was diagnosed before early chemo was the protocol so various forms of HT and steroid have kept me going for nearly six years. The toolbox is emptying though so I remain realistic about the future. But we shall see what 2018 brings.

User
Posted 12 Dec 2017 at 19:20

A 6 week respite and the joy of a Christmas dinner without limits - small things to be thankful for. Really pleased that the pain has reduced recently xxx

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 12 Dec 2017 at 19:26

Hi Paul
Best of luck on the enzalutamide .
I'm now entering my 4th year with it. Psa still down at .05 and I'm still active.
I take it with Prostap so I can't tell which is working.

Anyway best of luck I'm gunning for you.

Paul

User
Posted 12 Dec 2017 at 19:56

Paul, 4 years that’s good. I have been on prostap from the start and still on it. I think it does a job but with limitations once you are hormone resistant. So I had casodex for a year, then dexamethosone and now enzalutimide. So I think because of the way it works and I can only think of a simple phrase as I cannot describe the medical argument, enzalutimide deals with the residual cancer hopefully preventing the metatestes growing further. I doubt whether, given the rises will give me 4 years but hopefully a while longer. Have a good Christmas

User
Posted 13 Dec 2017 at 07:07

Good news that recently things have been quite steady for you and that your pain has been significantly lowered. In any case it’s nice to get through this winter period and xmas and darkness with as little extra aggro as possible. Enjoy yourself Paul and best wishes

User
Posted 13 Dec 2017 at 20:25
This has nothing to do with PCA .

I am just watching Masterchief the Proffesional and the Narrator sounds just like you , a kind of sexy Mr Kipling 😉

The chocolate mousse must be served warm with a slice of coconut twist and a budgie Bon Bon , finished of with a quinell of asparagus ice cream .

So just a slice of Raduim will be a doddle .

Once again XMas is here enjoy with your family my dear friend and enjoy a quinell or two on me .

Oh chuck in a few salted caramel fudge twists . 😜

BFN

Julie X

NEVER LAUGH AT A LIVE DRAGON
User
Posted 14 Dec 2017 at 08:22

Lovely message Julie. You know I always enjoy a good quinelle or two. Though difficult, hope you do too with the boys.

User
Posted 14 Dec 2017 at 22:31
I was just thinking today that at least we can relax now that John’s fifth Radium jab has been given Paul. PSA now 77 but no more consults until after the festive season somthat in itself is a relief. Wishing you a very Merry Christmas. If you get Radium it should be a doddle. Talking to the oncologist this week, they say that many oncologists are misinterpreting NICE guidance and waiting far too long to introduce Radium and that it’s effects are better when used earlier. John has done well, apart done the PSA rise, though some of that will be inflammation. Good luck for the next phase of treatment, I’m sure we will be put on a new treatment in 2018.

Take care

Devonmaid xxx

User
Posted 15 Dec 2017 at 18:35

Thanks Allison and a good Christmas and new year to you and JOHN. I know my onco team liked radium 223 as it was trialled in Sheffield before approval. And he has mentioned it to me as a next stop. I do hope that the enzalutimide lasts a good while longer because I have reduced pain and it seems to be doing its job, just the PSA slowly rising is frustrating. I hope the steroid will help as it did last year.

Will stay positive and certainly enjoy the holiday break.

User
Posted 23 Jan 2018 at 11:28

Ok time for an update. For those reading for the first time a brief, hopefully positive summary. It is now 6 years since I was diagnosed. Firstly PSA 7.5; Gleason 9 (5+4) and CT Scan showed no soft tissue spread. In February 2012 a promising curable prognosis was changed when my bone scan revealed bone metastestes. Incurable prognosis and an intitial prognosis of two years. This always seemed a tad pessimistic and six years on feel I may still have a year or two left. You can see the range of treatments I have had on my profile.

So oncology appointment today. Been on enzalutimide for about 9 months now and clinically it feels good. However PSA has risen each check up though a slow rate. This time up to 10.83 so approaching the baseline of 11.98. Onco keen though not to ignore the clinical progress and for the first time said he would try and keep me on enzalutimide beyond the baseline of clinically progress is maintained. Good to hear. Have upped dexamethosone since last visit to support keeping PSA down. Now proposing in 4 weeks to add zometa/zoledronic acid into the mix. This could support my bones and I know lots of people have this. No experience of it so we shall see how it goes.

Overall some encouragement I think and the journey continues. I do get quite tired and my walking is poor but tiredness does not lead to as much ‘fuzzy headiness’ I am experienced before and with my scooter I am hoping to stay well enough to enjoy ‘scooting’,around this summer.

So I hope an optimistic report for those starting their journey especially but also friends on here.

User
Posted 23 Jan 2018 at 14:45

Very optimistic Paul.

Good luck and Best Wishes

Sandra

We can't control the winds - but we can adjust our sails
User
Posted 23 Jan 2018 at 15:22
Thanks for the update Paul. Best wishes, Ian.

Ido4

User
Posted 23 Jan 2018 at 16:41

It is surprising that you have never had zometa until now - if you can get past the initial bone pain flares you might be whizzing around without your scooter by summer. I assume you have a dental appointment booked before you start? And I seem to remember Alathays saying that if you can get them to do the infusion over 45 mins rather than 30 mins the side effects are easier to manage.

2 years - 《pah》

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 23 Jan 2018 at 16:56

Ironically I already had a dental appointment booked for today so urgent work to be done before this all starts. Any relief re walking will be great though just hope I can settle to it with few side effects.

User
Posted 23 Jan 2018 at 17:11

Best wishes, Paul. I'm fascinated with the increasing and effective dosage of dexamethasone you have been given. my own oncologist, when I taxed him about increasing the standard dosage of 0.5 mg, because it was obviously ineffective, said there was no evidence that a higher dose would be more effective. I thought at the time that this bloke plays it by the book (he is much less experienced than the guy I saw for my first nine years). My reaction, now, as Lyn would say "pah"!!

AC

User
Posted 23 Jan 2018 at 17:54

Hi Paul,

Not to bad at all, nice to see at long last you are getting Zometa but i can not understand oncologists reluctance to give Denosumab yes it is more expensive but one is a simple injection and the other is an infusion, if they added the cost of nurses giving it then its a no brainer.  

See you soon mate

 

Si 

Don't deny the diagnosis; try to defy the verdict
User
Posted 23 Jan 2018 at 18:15

I did Si ask him about denosumab but it was his view it was more used for other cancers and this was his preferred one. It will be interesting to see it’s impact and hope the side effects are limited.

AC, dexamethosone has been effective for me whilst also helping me feel better. So I am happy to continue, it remains a low dose though.

 
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