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psa increase, steroid change arbirat

User
Posted 02 Feb 2018 at 20:43

Hi

partner diagnosed july 2016 with spread to bones and lymphnodes. had kidney problems with drain, then stent. they took that out nov 2016 and started chemo which contained the cancer. by 2 months later his leg was swollen and in pain. they said sciatic pain and gave moprhine and gabapentin. in june 2017 had video with oncologist who decided leg was blocked lymphnodes (which made more sense than the head scratching that had been going on). so then started on Arbiraterone with predisimole, which we thought was doing great - well it did for a while as had more mobility. Just had video with oncologist on tue and told psa on the rise and has spread withing the skeleton. the positive is its not spread to any organs. so next is switching the steroid and seeing if that helps any and if not then will start radium.

hes not been feeling great for weeks, had an infection of some kind last week and was in bed for weeks (which is most unlike him). he had high pain at start of dec and they put morphine up to 100mg twice day but after sleeping for few weeks our gp put it down to see if that would help him stay awake.  Hes still tired and had bouts of high pain eg just took 45ml oramorph to be able to stop pain.  Wed morning he had a high temp and was yelling when pee but district nurse dropped past and said he was fine.(but then i was in town for a little while to finish off some work so he prob told them he was fine)

ive currently been signed of from my work as was struggling to juggle so i supose what i would like to know is what effect can i expect from the steroid change?

should i keep pressing them to do something with pain?

how does radium go? 

and what on earth do i do about my work in the longer term

User
Posted 02 Feb 2018 at 23:55

If not already done so, ask for a referral to your local hospice team or Macmillan nurses - they tend to be much more specialist when it comes to pain management.

Also, it might be time to have a conversation about how long he may have left; if someone is considered to be terminally ill and under a certain age, they are entitled to financial help from the government - technically it is payable if someone may have 6 months or less but many oncologists will sign the paperwork if they think it could be 12 months. I know that sounds terrifying and it isn’t meant to upset you - simply that too many people are unaware of the entitlement and never claim and it might take the pressure off if you are going to be off work for a long time. Alternatively, if he is entitled to any benefits, the money could be used to pay for careers so that you can continue working.

Some women on here have felt it was important to maintain their job knowing that financially they will not be secure when their partner goes. Others have taken sick leave for as long as it takes and in a couple of cases have been able to negotiate redundancy or early retirement. Macmillan and hospices often have advisers who can give you financial advice.

On a happier note, some men find a new lease of life on the steroids.

Why do you have video meetings with the onco? Do you ever attend a real appointment where he gets a proper check up?

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

User
Posted 07 Feb 2018 at 13:42
Hi

We have regular visits to local macmillian for bloods. We live on islands off north of scotland so they thankfully do video conf connection with specialist for check ins and treatment changes. ( saves a 14 hour day trip)

 
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