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Dad diagnosed and had open prostatectomy

User
Posted 22 Oct 2018 at 16:37
Okay so that is a rapid rise and indicates that the cancer is now hormone independent (also referred to as castrate resistant) - in other words, the cancer has learnt how to survive without testosterone. I imagine they will now offer him chemo and / or abiraterone or enzalutimide, two hormones that work particularly well on castrate resistant PCa.

It does seem that your dad has a particularly determined form of prostate cancer but try not to let your worry overwhelm you - we have men here who have done well on abi or enza for two or three years so all is not lost yet. I think I would want to see the oncologist rather than settle for the views of that nurse again though.

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

User
Posted 22 Oct 2018 at 17:23

hi, thanks for the prompt reply and I’m so sorry for appearing very pesomistic, do you mean some men have only lived for three years after starting the other hormone or chemotherapy??

User
Posted 22 Oct 2018 at 17:31
You don't need to apologise for being sad - this is a terrible disease. No, I meant that some men do well and live for three or more years after they have become castrate resistant. Some will not do that well. The sooner dad sees the oncologist the sooner you will have the information you need to be able to understand what is happening. Dad could ask for a scan to see where the active cancer is - that may lead to other specific treatment.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 22 Oct 2018 at 21:00

Thanks again for the reply. You just don’t know what to do and everything is so unpredictable . He’s very tired at the moment and think that’s making him worry that it’s cancer making him tired rather than side effects from hormone treatment. I just wish I could give him the answers and know exactly what to do for the best. We booked a holiday for December (we have done this every year apart from last year as he started his treatment) and he is so looking forward to it and I just hope and pray he will still be able to go. 

User
Posted 22 Oct 2018 at 21:53

The cancer is unlikely to be making him tired if his PSA is only 2.7 so it is most likely to be the hormones, particularly as they added bicalutimide recently. But don’t always assume that everything is cancer related - has he checked he isn’t anaemic?

I doubt very much that it could stop the holiday - even if the oncologist responded with blue flashing lights and said ‘let’s go for chemo’ I don’t think anyone would say it had to be done immediately. Some oncologists would wait until the PSA goes higher before introducing another new treatment.

I would definitely be pushing for a new scan though.

Edited by member 22 Oct 2018 at 21:54  | Reason: Not specified

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

User
Posted 23 Oct 2018 at 17:56

My dad spoke to the nursing staff at the cancer hospital, who had liaised with my dads oncologist and he has to stop his hormones (bicalutamide) and go back to see him in january. Does this sound like a correct course of action at this stage??

User
Posted 24 Oct 2018 at 16:47
Suzy, his hormone therapy hasn't been stopped, merely the bicalutamide supplement. The oncologist wants to get that out of his system and see how his health generally improves, as well as note the effect on his PSA. Sounds sensible to me. Relax!

AC

User
Posted 24 Oct 2018 at 16:53
When the hormone injections stop working, bicalutimide is often added to give the injected version a boost. Once the bicalutimide is withdrawn again the cancer cells get very confused and this can improve the situation - the oncologist wants to wait until January to see if the PSA falls.

It is called anti-androgen withdrawal syndrome and you should be able to find old posts about this by using the search function.

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

User
Posted 24 Oct 2018 at 16:55

This is what a quick search pulled up

https://community.prostatecanceruk.org/search?search=anti-androgen+withdrawal&advanced=false#0|10 

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

User
Posted 10 Nov 2018 at 22:53

So my dad was told to stop taking the tablets and continue on the 3 monthly hormone injections and has an appointment with his oncologist on 25th January. Yesterday he started to have abdominal pain and pain in his kidney and went to GP and tested his urine and said he had kidney infection so given antibiotic. This morning he was then passing blood in his urine and still experiencing a pain. Should we be overly worried that its something more sinister?? He’s feeling really fed up now and thinking of cancelling going on holiday in 3 weeks time. Any advice is gratefully accepted.

User
Posted 11 Nov 2018 at 00:25
If the GP diptested his urine and said it was positive for an infection then you can be pretty confident it is just an infection.

Hopefully he will feel in more of a holiday mood in a couple of days; UTIs do make people feel very unwell.

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

User
Posted 11 Nov 2018 at 11:28

hi, further update. My dad has been admitted to hospital and they have said he has a major infection and are treating him for sepsis. Worried sick but he’s in the best place and they’ve started him on fluids and IV antibiotics. Don’t know what more they can throw at him before he’s had enough. 

User
Posted 22 Nov 2018 at 19:03

well, what a terrible 11 days we have just endured as a family. Initially my dad was admitted to hospital as per my previous post with sepsis, however his blood pressure was dangerously low so he was sent for a CT scan and at that point they found a bleed in the muscle in his back and an infarction and clot at his kidney. There was no sepsis. By this point he was very ill and had to be given blood and blood products as he was still actively bleeding. The consultants could give no explanation as to why this has happened.

In hinsight now my dad has been very tired for weeks and I kept advising him to have his iron levels checked but the practice nurse wasn’t authorised to do this when doing his blood for PSA checks. He had also been having some pain on his back but assumed this was from doing DIY (prob doing too much). He was feeling bloated but again attributed this to lymphedema.

we later found out all these symptoms were from him bleeding. He was admitted to adult critical care and given more blood. We Were then told there was a vascular procedure available but unsure if he was suitable. The next devastating news was that if he didnt get this and the bleesong didnt stop then there was nothing more they could do.

he was suitable and went for the procedure, however wasn’t actively bleeding so they couldn’t see where to plug but inserted 15 coils to vessels in the area they had seen the bleeding on the CT.

He survived the procedure and kept in critical care for a few days receiving 14 units of blood in total and released from hospital yesterday. He’s knackered and worried now and we Were told there had been nodules found during the CT.

has anyone experienced anything similar. They havent directly attributed this incident to the cancer but did say his vessels may have been weakened with radiotherapy. His kidneys took a hit too. He’s never had any monitoring of his kidneys or liver throughout his treatment, which I think he should have.

sorry this is so long but I’ve tried to summarise

User
Posted 03 Jan 2019 at 10:40

I wanted to pass on the sad news that my dad has lost his fight against this horrible disease. In a matter of 8 weeks the disease had spread throughout his body and he passed away surrounded by his family on Sunday 30th December. if there is any comfort i can take, its the fact that from diagnosis, through surgery and treatment, he kept well. he was active and fit and never once suffered or let the situation get him down. we knew it was an aggressive form he had and our only wish was that we had caught it earlier but who knows if that would have made much of a difference. my dad was a wonderful man and we will always remember the good times and not this horrible disease. 

User
Posted 03 Jan 2019 at 13:01

So sorry to hear this  Suzy.  Sincere condolences to you.   Lost my dad to prostate cancer in Jan 18 so I know what you're dealing with.  Take care x

User
Posted 03 Jan 2019 at 13:23

Really sorry to hear about your Dad Suzy.

My thoughts are with you.

 

Ido4

User
Posted 03 Jan 2019 at 14:28

Suzy

So sorry to hear of your loss, please accept my condolences.

Thanks Chris

User
Posted 03 Jan 2019 at 17:23

So sorry to hear this Suzy. As you say remember the good times with your wonderful dad.

Ann x

 
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