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User
Posted 27 Nov 2021 at 13:54

Hi Leila,

You are not having to wait too long for the MRI and CT scan, if you start pushing for a PSMA scan you may delay these two useful scans, and as many people have posted on this site a PSMA scan can be cancelled several times due to problems with the tracer. So I would go with the flow, and once those two scans are done start pushing for the PSMA.

I can see that this is a lot more hospital visits than David would like. Maybe you should offer him a treat every time he goes to hospital. I'm told a trip to Peppa pig world is very good🐷.

Dave

User
Posted 27 Nov 2021 at 14:05

Dave, you’ve made my day! Peppa Pig World it is then. 

We have been chatting and decided to try and talk to the urologist  calling his secretary Monday morning. 

What we want to know is will having both scans and the PSMA scan over load  him with radio waves. I don’t want a glow in the dark husband. 😉

Leila 

Edited by member 27 Nov 2021 at 15:17  | Reason: Not specified

User
Posted 27 Nov 2021 at 16:41
I am with Dave & the urologist here - go with the MRI and CT scan and then push for PSMA - the data from all three is much more reliable than the data from just one of them as we have seen with other men on here.

I think the risk from the prostate cancer is greater than the risk from the scans, and more short to medium term!

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

User
Posted 18 Dec 2021 at 14:58

Tomorrow is the third scan, David’s has had a CT,MRI and tomorrow he’s having an radioistropic scan. He seems to have recovered well from his heart attack in July, and been signed off. I hope one day the different medical teams will talk to each other, this doesn’t seem to happen now, sadly. His last PSA was 2.3, we hope to see the urologist in January to discuss the outcomes of his three scans. Fingers crossed for a good outcome and the appointment not being cancelled again. 

We have been doing all our usual stuff, David feels well, and we are planning a small but good Christmas with a few celebrations. 
We have been part of this group for over five years, a group that given us smiles tears, support, good advice and clear information.

So, may we wish you all a Merry Christmas and a Happy New Year, and a heathly, 2022 to  each one of us.

Thanks for being there all of you.

Leila x

 

 

User
Posted 20 Dec 2021 at 11:01

Hi Leila. 
Hope the scan went ok yesterday, and you get to see/hear from your consultant. I always felt my consultant was on top of things and knew all that was happening. I wonder if some hospitals are not so good at communicating internally amongst their own staff as others.
Good news David had recovered well from the heart attack. A weight off your minds.

Wish you and David a Merry Christmas and a Happy New Year. Let’s hope 2022 is a better year for everyone.

Phil

User
Posted 20 Dec 2021 at 14:45
And a happy, sociable and safe Christmas to you Leila
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 20 Dec 2021 at 21:36

Hi Phil,

I was a day in front with my post, we were at the hospital today. Just got home, the hospital with this scanner is over an hour and a half away in Pembrokeshire. All done, and a letter posted to the consultant suggesting an appointment in January. We’ve done all we can do for now, just enjoy our  Christmas. 
While he was being scanned I secretly bought a cheeky bottle of champagne 🍾 

Hope you and yours have a good Christmas and New Year, thanks for your support Phil, it makes a difference.

Leila x

 

 

User
Posted 20 Dec 2021 at 21:41

Thanks Lyn, We are planning a pleasant sociable safe Christmas, leaving all the scan stuff till next year.

I hope you and yours have a Safe Sociable and Happy Christmas.

Thanks for holding us together, your advice, common sense, and practical approach amongst all the emotional angst that can sometimes swamp us is invaluable. 

oh, I forgot the blessed humour and dry wit. 

Leila 

 

User
Posted 20 Dec 2021 at 21:50
🤣🤣🤣

I don't think there are many head teachers or local authorities who would describe me as humorous right now - rough time for anyone who isn't doing their absolute best to protect children :-(

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

User
Posted 20 Dec 2021 at 22:00

I’m sure you are the right gal for the job. I’m not practicing these days or having to make such decisions. I’m doing some supervision and other bits…. It’s hard times Lyn, keep doing the right thing.
Leila

 

Edited by member 20 Dec 2021 at 22:01  | Reason: Not specified

User
Posted 20 Dec 2021 at 22:13

Always gotta do your best for the kids , I should know . Respect for your work 👏

User
Posted 21 Dec 2021 at 01:13

Quite, and we always will

Leila x

 

User
Posted 21 Dec 2021 at 10:35

Originally Posted by: Online Community Member

I’m sure you are the right gal for the job. I’m not practicing these days or having to make such decisions. I’m doing some supervision and other bits…. It’s hard times Lyn, keep doing the right thing.
Leila

 

If you ever fancy taking on a bit more, we should talk - I have a waiting list of supervisees! 

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

User
Posted 09 Feb 2022 at 17:54

David had his PSMA pet scan last week, and yesterday he had a call from the urologist. The cancer has woken up sadly and spread to his lymph nodes. His situation will be discussed at the next MDT mtg and he will be referred to an oncologist. 
Not what he wanted to hear. It seems treatment options are doxetaxel with hormone treatment of some sort, or enzalutamide. The urologist wasn’t sure if enzalutamide is funded in Wales, anyone know? 

David is not keen on chemo, he’s seen what it can do,but it will be discussed with the oncologist.
The scan results report will be posted to us, and we can have a good read, as the phone consultation is hard going, we were not prepared, and it was a bit difficult to digest all the information  with the emotional feelings washing about.

The urologist is good, but he dashes off his answers, takes questions and responds, but it’s hard to take it all in an unplanned call. 
I'm not sure why the urologist is recommending enzalutamide as David was doing well on prostrap for three yrs, it seems it is usually for castrate  resistant men, he was not resistant to prostrap at anytime.He is not an oncologist so, we have to wait and discuss when we can.

Im am pi##@d off and upset, but gathering my thoughts and questions.

Thanks for being there all.

Leila 

 

User
Posted 09 Feb 2022 at 18:17

So sorry to hear this Leila. I know how you must feel. Hope you get the treatment sorted out. I myself am just on Zoladex , nothing else , for the time being anyway..

Thinking of you both .

Phil

User
Posted 09 Feb 2022 at 19:19

Thanks Phil, these lymph nodes are a pain aren’t they. Seems you ‘boys’ are on a similar path. Please let us know how you get on.
Keep in touch and stay strong 💪 you G9 lads are magic.

Leila  

 

 

User
Posted 09 Feb 2022 at 19:36

Let’s hope those paths are long …. I don’t mind winding either 🙃

User
Posted 09 Feb 2022 at 22:09

Sorry to hear this news Leila, it really is a rollercoaster ride.

When Rob (hubby) was initially diagnosed with advanced PCa he was put straight onto prostap. When we spoke with oncology they offered him docetaxel or enzalutimide to have along the prostap.

My understanding was it was an alternative to chemo and it was for Rob to decide which he wanted first. I remember Lyn advised me at the time that because of covid they were offering enza instead of chemo because of risk of catching the virus….before this enza wouldn’t have been offered because of cost.

Wishing you both all the very best with all future treatment.

Elaine

User
Posted 10 Feb 2022 at 00:25

Hi Leila, a number of different things going on here. Until fairly recently,
- chemo was only offered at end stage to reduce symptoms / prolong life - then research showed that if you give it early, the HT can be more effective and many men live longer
- as a result, chemo (docetaxel) at diagnosis (advanced PCa) or at recurrence with new mets became the norm in many areas
- enza / abiraterone - originally licensed / approved by NICE only for men who had become hormone refractory and only after they have tried docetaxel
- research then showed that abi / enza given early (while men are still hormone dependent) can make HT more effective for longer - but NICE declined to approve it (because it costs a lot more than docetaxel) except for men who are hormone refractory and have alreaady had chemo or can't have chemo for some reason
- then Covid happened and hospitals didn't want to be bringing men in for chemo if they could avoid it, so enza was approved by NICE on a temporary basis even for men who are hormone naive or hormone dependent

One of the few silver linings of Covid! I suspect that NICE will withdraw permission in the near future for enza to be used this way but while it is still available, it seems to be a no-brainer to me. All Wales Protocol has also approved enza for newly diagnosed / newly recurrent, hormone dependent men - see here https://openrepository.awttconline.uk/app/serve/resource/pcpr7195 

There is also now apalutimide as well as enza and abi but apalutimide is not approved in Wales as a Covid alternative to chemo

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

User
Posted 10 Feb 2022 at 11:53

Hi Lyn, Thanks for that. I'm hoping he can access the enzo, as I doubt he'd cope with the chemo very well. He gets a jippy tummy very easily, skin rashes, he is a sensitive soul, unlike me. 😉Now in the waiting game for MDT to discuss options.

Currently wishing I was still a smoker, but thankfully I have none in the house!I gave up 25yrs ago. The craving seems strong today. I might have to go into town and stand downwind.

Thanks again.

Leila 

 

 
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