I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error


On going

User
Posted 10 Feb 2022 at 18:30
I have chaired a serious case review today - lots of fags since I logged out and entirely possible that some practitioners will now take up smoking and blame me.

Enzalutimide is technically a form of chemotherapy so it will be important to get a thermometer to monitor his temperature, and to minimise exposure to poorly people (honestly, we are probably all doing that anyway). Fingers crossed for you, my friend x

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

User
Posted 10 Feb 2022 at 19:58

 HI Lyn,

Ooooh, I used to chair referral panel every Thursday in my smoking days I’d puff away afterwards, blimey that was a blast of memories. So I can appreciate the funding issues and the pressures, related to treatments, but as a dear friend said, you are an fu£%ing punter, and he’s yer man. Wales is still quite careful about covid, and still has measure in place, so he might get it. 
I’ve got all the thermometers and such I’m well prepared. I just hoped he’d dodged the bullet, ever hopeful me, don’t worry till I need to type.
When we get the info on the scans we will probably pay and see the professor who did his HDR brachytherapy, he’s a cool sensible man who David likes. We’ve kept in touch with him since then. I’m going to be a bit careful about telling him enzo is a type of chemo, he would get all dithery, David’s an artist and has arty traits, I edit stuff carefully for him. 

ahh thanks Lyn,your advice and support is appreciated xxx

 

 

 

 

 

 

User
Posted 10 Feb 2022 at 20:52
Ah, those darned arty types! No need to stress him out. Chemotherapy really just means 'treatment using medicine' - in cancer treatment, chemo includes any anti-cancer medicine but it is also used in autoimmune diseases - e.g. the drugs John is on for his rheumatoid arthritis are a form of chemo. What David is worried about is chemo using a line into a vein? The challenge with any chemo is that it is applied to the whole body and can't just be directed where it is needed like surgery or radiotherapy.

I have good vibes for you.

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

User
Posted 27 Feb 2022 at 14:38

Thanks, for the replies 

David is  worried about is the toxicity, and side effects of chemo,and the effects on him.He's had  the scan and the results and he has definite lymph node invasion and a dubious shadow on his liver, which needs an ultra sound to check it out.
He saw a locum urologist last week, who was a pleasant guy, but had no information at all, and the letter he gave  us did not match the discussion he had with David, it was quite different. He gave David a prescription for one week of bicalutamide and suggested we talk to the GP. GP has advised we wait to see an oncologist, I can see how cancer kills, it ain’t the disease it’s the system and inefficiency.

The oncologist he has been referred to has evidently left the hospital and no replacement yet appointed, hopefully mid March, we’ve been told. Only found this out as I called the new oncologist’s secretary to be informed he’s off to pastures new.
So, we wait, he has decided to make contact with the prof who did his brachy and see him privately.

David  decided to contact the Care Oncolgy Clinic in London he had a zoom on Friday,  they’ve given him a script of metaformin,continue on the statins and an antibiotic, lots of dietary advice, most of which we do. Evident.y the metaformin and statins regulate the blood sugars…. And go some way to starve the cancer. We read Jane Mc Lelland’s book, How To Starve Cancer, and it seems sensible, she is doing well after two types of cancers.

My faith in the NHS is at a low ebb at the moment. No oncologist, no one able to make a decision, and poor communication from the medics, so we pay for a  private service.


Yes, he’s had a heart attack and he’s now stage four, but he’s rowing 10,000 metres a day, we manage our land chop wood, and he’s abreast of financial, political and current affairs. He informed the GP he isn’t ready for the knackers yard yet, and hopes a plan can be made soon? He did say this with  an edge of cynicism in his voice, I wonder why.

Ok, my moan is over, I’m a bit pi%%ed off David is a bit on the autistic side and doesn’t deal well with poor communication or little or no  plans. He needs exact clear information, time scales and exact honesty. I have to manage his inabilities to manage the lack of planning and exactness and believe me it is not easy. He likes clarity. 
The way things are glowing I’ll be needing a darkroom with a larger glass of wine….. we have both stopped supping wine, me to support him, but I might become a secret  in the barn boozer, on the carrot wine  ( I jest )  it’s disgusting stuff. 
Well that’s us, I’m going to do my gym work out and not hit the carrot whisky.

Thanks for reading if you have.

Leila 

 

 

 

 

 

 

 

 

 

 

 

 

 

Edited by member 27 Feb 2022 at 15:03  | Reason: Not specified

User
Posted 27 Feb 2022 at 15:47
Aww Leila - I am not sure which member has the virtual comfort blanket right now but we will have it in the post to you pretty darned quick as it is much healthier than carrot wine! I can also pop a few Silk Cut purple in the envelope if you think that would help?

Can Mr Brachy prescribe enza perhaps?

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

User
Posted 27 Feb 2022 at 16:07

Haha, the carrot wine is used as a slug killer in the garden, not drinkable, your ok I’m not becoming a lush in the barn swigging home brew.  As for the silk cut don’t tempt me… it has crossed my mind more than once. 
The comfort blanket would be lovely,  please send first class, in the meantime the cats are very cuddly and comforting.My little gym helps too, excercise is my friend these days.

Leila 

User
Posted 11 Mar 2022 at 20:59
Our social life currently seems to revolve around hospital and GP appointments. David had an ultrasound this morning and the radiologist said she couldn't see any shadow, so hopefully that’s something he can tick off as ok. The effects of the HT injection have started to kick in, he’s feeling a bit tired and the libido is diminishing, as long as it brings the PSA down we will manage.

David has a zoom with the Prof on Tuesday morning, he’s a clinical oncologist, he’s stood by David since he was first diagnosed. He’s offered regular advice when asked and kept on touch, so he’s knows David’s situation well.

Also a booked appt with an NHS oncologist the following week, so we can take the dear Pros’s advice and share it with the new oncologist, so fingers crossed it all goes well, and a plan can be hatched and agreed.

David’s holding up well, he hates all this hospital and medical inference, hopefully if he can get a plan in place we will be allowed some time off for good behaviour.

The wonderful comfort blanket has been well used it has having it has helped keep us keep sane, well almost, we are both a bit on the nuts side.😂

I just need to reassure Lyn I’m not laying in the barn slugging the undrinkable carrot wine, or rekindling my long forgotten smoking habit.

Though both habits might help keep me sane.

Thanks for your support, it reassuring.

Leila.

User
Posted 18 Apr 2022 at 13:11
After a lot of faffing about with poor drug to drug interactions David has finally got an answer, to his druggie dilemma. He was on an anticoagulant after his heart attack which doesn’t mix well with the new drug he’s been offered, Apalutamide. He isn’t yet on it, but had his Prostrap injection and within a month his PSA had dropped from 3.9 to 0.3

The delay was because the cardiologist was off sick with Covid, and none of the other specialists were prepared to make the decision, our GP gave us an “ off the record” suggestion from one of his mates, who is a cardiologist 😄 suggestions he’d risk going off the anticoagulant. Thankfully David’s cardio bloke recovered and agreed it was ok to come off the dammed stuff.

He is also doing the Care Oncology Clinic protocols and following a pretty strict eating regime, suggested in Jane Mclellands book, HowTo Starve Cancer.

David loves his food, and credit to him he’s sticking to it, and now has two glasses of red wine a week or a pint, a man who loves life, food and wine he’s determined to give this bl@#%y cancer a run for its money.

He’s is seeing the oncologist at the end of the month to discuss the Apalutamide, and he’s thinking he might delay it as his PSA has gone down quite a bit. He’s read the side effects of it and is considering delaying it for a while, has anyone else delayed it? Views would be welcome. Since going back the Prostrap he suffering joint pains libido has vanished, and he’s tired, he thinking adding yet another’s drug to the cocktail will increase the side effects.

We are still growing our veggies and doing all our normal stuff, just a bit slower. David was ‘ gobsmacked’ to be offered the Apalutamide as it is to say the least a bit on the costly side.

Tomorrow is our wedding anniversary, he might drop off the diet and enjoy a glass of red wine, restaurant booked.

Happy days.

Leila x

User
Posted 18 Apr 2022 at 14:12

Hi Leila, I'm glad things are going reasonably well, particularly the PSA. I can well understand the reluctance to add another drug: apalutamide. Is there any danger that the offer will be withdrawn as we come out of the pandemic? That may err me on to starting it early, having said that, maybe it is best wait until it is definitely needed and then it may be effective longer.

As for the healthy diet, my own personal opinion is that sacrificing the pleasures in life is a bit like waring a hair shirt and saying your hail Marys. Is it really going to make a difference, or is it just a psychological crutch? Not saying he shouldn't follow such a route if he wants, and my opinion is the more people who give up fine food and wine, the more that will be left for gluttons like me, so I'm happy, yummy!

Dave

User
Posted 18 Apr 2022 at 16:05
Hi Dave,

Thanks for your reply. We’ve done a considerable amount of reading about diet and cancer, and it seems the evidence is quite convincing. Have a read of the book and check her out. I’m aware some oncologists say diet does no matter, but there is an increasing school of thought and clinicians saying otherwise.

Also metformin, statins and some strong antibiotics also seem to have some pretty good evidence behind them.

David’s keen to keep well keep do the best for himself….it’s the way he is.

Hope you are doing ok? Everyone has there own way of dealing with this dammed disease, nothings set in stone is it.

Keep going 😉

Leila

User
Posted 18 Apr 2022 at 16:06
Hi Dave,

Thanks for your reply. We’ve done a considerable amount of reading about diet and cancer, and it seems the evidence is quite convincing. Have a read of the book and check her out. I’m aware some oncologists say diet does no matter, but there is an increasing school of thought and clinicians saying otherwise.

Also metformin, statins and some strong antibiotics also seem to have some pretty good evidence behind them.

David’s keen to keep well keep do the best for himself….it’s the way he is.

Hope you are doing ok? Everyone has there own way of dealing with this dammed disease, nothings set in stone is it.

Keep going 😉

Leila

User
Posted 26 Apr 2022 at 00:53

Finally got the okay for the apalutamide today, David can come off the anticoagulant as he’s recovered from his heart attack quite well. He finds being back on the prostrap is giving him aches in his groin but he seems to be doing ok. 
We had a lovely anniversary do and celebrated my birthday, I married him on my birthday so he’d only have one date to remember 😉

So, he’s incurable, enjoying life, and we have some plans.

Long may it continue.

Leila

Edited by member 27 Apr 2022 at 00:25  | Reason: Not specified

User
Posted 16 May 2022 at 14:24
David has been offered apalutamide, but hasn’t yet received it. His latest PSA has come back at <0.1 after he had his Prostrap injection a month ago. He is currently in a dilemma as he’s got a telephone consultation with the oncologist next week and he is not sure whether to delay or have the Apalutamide. He feels well, he’s very active and enjoying life. He want to maintain the current QOL yet not scupper his options later down the line, as he’s chosen not to have the drug offered. Your views would be appreciated.

Thanks

Leila

User
Posted 17 May 2022 at 00:30
I think the onco is best person to talk that through with you - the initial PSA response to HT is great so it might make sense to push the apa back a while?
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 May 2022 at 10:25

Thanks Lyn, that was my gut feeling too.  Life sounds quite complex, I don’t miss chairing meetings, but I do miss some parts of the work. I’m now CP gov at our local school, and doing some vol work locally.  Our recent drug complexities have been resolved and the Prostrap  seems to be doing its thing he doesn’t want to add to his drug intake and rock the boat.  So what’s wrong with bulgar and lentil meals then, 🥴Bon appetite.

User
Posted 17 May 2022 at 15:55
This is a serious case review so lots of agencies involved - it is like herding cats. Safeguarding governor??? You are a glutton for punishment!

Lentils and cous cous are my idea of hell, I am afraid - plus I don't eat anything green and I need food to stay in its own area on the plate and not mix.

You seem to be holding a steady ship right now; enjoy it while it lasts. Hopefully a good summer coming for us all.

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

User
Posted 08 Jun 2022 at 19:27

David’s just received his latest PSA it read <0.1 we are happy with this. The full reading is < 0.1 <ug 6.6 can someone advise me what the <ug /6.6 means… as I can’t seem to find out.

im sure one of you lovely people can help me out.  

Lyn, you’re last post made me laugh, so, my nephew likes his food in a certain way on the plate, no greens, only potatoes.  Me I like me greens, and food in general. Yes, we are planning a good summer, every days a good’un 

Our hot tub is up and getting good use, garden looking good, wine in the cupboard.😃

 

Leila 

User
Posted 01 Aug 2022 at 12:53

David’s score on the doors are still at <0.1 He’s doing ok, has a few aches & pains, one of them being me 😉He’s now a young 72.The quiet shadow  on all this in my mind is, he has never had a high PSA and I quietly wonder what’s lurking around the corner. I know, I’m over thinking, but it’s me. 
He was diagnosed in September 2015 and after 6 months of  HT pills bicalutamide. He had his HDR on April 19th 2016, then  a month of radiotherapy in June…. 3 yrs of Prostrap and 2 years of no hormone treatments. Then up went the dammed PSA and he’s now back on the prostrap along with apalutamide. Along with the heart attack last July his daily drug regime is a right pain. I’m pleased to say we are still running our small holding, both of us growing our veg and living the good life. 
Then I remember our heady days of backpacking around SE Asia, and other interesting places. He l doesn’t  even have passport a these days. This needs to be addressed I think. 


Edited by member 01 Aug 2022 at 13:18  | Reason: Not specified

User
Posted 01 Aug 2022 at 13:18

Hi Leila, great that David’s PSA is still 0.1 👍.  Hoping mine has gone back down at my next test after adding the Bicalutimide. 

Must be hard work running a small holding …. The garden is enough for me plus tinkering in the garage and odd bit of DIY. 

I must admit I feel I need to get more holidays sorted… Just don’t know what’s round the corner… 

We are off to Canada shortly for 3 weeks and regular trips to Jersey to see our boy and his missus. Fingers crossed BA don’t mess it up …  Need to sort something for next year 🤷🏼‍♂️

Get those passports sorted - it’s a big world out there! 

Hoping David’s PSA stays low for many years to come . Good luck .

Phil

User
Posted 01 Aug 2022 at 21:14

Thanks Phil, we seem to manage the garden and David’s quite good at DIY. He is also planning to paint the house. We both love travelling, but we have a much loved elderly cat who can’t cope with being left alone for more than  a night, and he can’t manage the cattery. I know we are softies, but it’s us.  If a family member can come and look after him we’d be off like a shot, but everyone seems too tied up with their own stuff.

if we could get a sitter, we live near the sea in a beautiful valley with wonderful scenery from our garden…. Any offers 😂

 

Leila 

 
Forum Jump  
©2025 Prostate Cancer UK