I took my friend to see the urologist, who was not best pleased when he found Chris had been referred him as a two-week emergency case in case he had prostate cancer, when in fact he has had it for around five years.
‘When will these GPs get their act together?’ he muttered, whilst glaring at his computer screen. (I could have told him a few things about GPs, but decided not to on this occasion).
‘How would I know, he’s not even my patient!’ When I asked if Chris had ever had an MRI scan. Not the best ‘bedside manner’.
When he calmed down, he arranged an ‘urgent’ CT scan, which radiology tell me takes up to four weeks. He said a CT is better than mpMRI for potential lymph node metastases. He discussed the possibility of Abiraterone and Docetaxel in the future, and in the meantime prescribed 1mg of Diethylstilbestrol, which Dr Wikipedia tells me harks from 1938 and is rarely prescribed nowadays due to to its hideous side effects including ‘cardiovascular morbidity’ = death?
I have told Chris to stop taking them if he has any hint of side effects at all. In fact he’s been very lucky as he’s been on Zoladex for over four years, and Bicalutamide for two, and his only side effect has been the reduction in his PSA from over 300 to under 10.
In fact the urologist said Casodex usually only works for an average of twelve months, before the cancer becomes resistant, so Chris was lucky again.
Chris is a sprightly 87 year old, with a bit of hip trouble and backache, but otherwise a walking miracle.