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Why can’t they treat my Lymph node PCa

User
Posted 15 Jan 2025 at 07:39

Hi Phil,

Just catching up on threads after being away for a while. I’m really Sorry to hear that things haven’t been good for you recently. I can’t offer you any advice I’m afraid but I just want to wish you the best of luck and hope you manage to get the pain under control.

Derek

User
Posted 15 Jan 2025 at 10:44

Hi guys.

Thanks for your replies πŸ‘ appreciate it. 

i took half a sleeping tablet last night and it worked well. I woke up around 3am for a pee but went straight back off after. 

No leg pain so that was good. Gonna pop to my Badminton later so hope I’m ok there. Couple of games and a cup of tea at half time. 

For some reason feeling a bit tearful today. I imagine it happens to many of you guys as well. I might try to get a couple more counselling sessions after my next hospital consultation. 

take care peeps, 

Phil

User
Posted 15 Jan 2025 at 10:53

Hi Phil.

I'm sorry that you're feeling blue today. I hope the badminton lifts your spirits. 

I'm glad that you are managing to get some decent kip. Since my diagnosis, I seem to sleep like a baby. Crying and peeing myself all night. 😁

 

User
Posted 15 Jan 2025 at 11:47

Hi Adrian. 

Yeah can’t shake it off today. Badminton will help I’m sure. 

Getting some decent kip will help as well . 

You made me laugh there about being like a baby.  πŸ€£πŸ€£

Cheers

Phil

User
Posted 16 Jan 2025 at 12:27

hahaha

User
Posted 11 Feb 2025 at 17:29

I have been reading your story as my husband has just been diagnosed and it already spread to his lymph nodes. You are truly inspirational Phil and wish you all the very best. Taz x

User
Posted 12 Feb 2025 at 14:21

Hi Taz.

Hope you can get on a treatment plan that works for your husband. it’s a rollercoaster of a journey but this forum is magic. There are some very knowledgeable people on here to help and advise. 

 

I had my Degarelix injection Monday and boy is it painful. I’ve had to skip badminton today as if I catch my injection site it’s agony. My poor nurse really tries her best to get the injection in the best place but it’s the drug mixture which is the problem. I also seem to get extra tired for a few days after.  

 

Took our goddaughter to the pictures last night which was lovely and had a hotdog in 5 guys after…. Wouldn’t have been our first choice for food but was her choice and she enjoyed it. I did have a sneaky Bud too…! 

 

Less than a week now to seeing my consultant so a bit nervous. Hoping for either no rise or minimal so he might leave any more treatment for another couple of months. Which means our travel insurance is ok and we can go on our Portugal holiday middle of April…. 

 

Im now taking paracetamol 4 times a day for the back pain as prescribed by my palliative nurse. Seems to be working but I’m suspecting my consultant will book some scans anyway to see what’s going on. It could just be old age etc or the start of the spine mets playing up. 

Looking forward to warmer weather now so I can get outside or in the garage to tinker or just sit in the garden with a beer or a wine.

 

Hope everyone is ok ? 

Must pop my head in the Virtual Pub and see who’s in 🀣


cheers

Phil

 

User
Posted 12 Feb 2025 at 17:19

Thanks Phil. Your attitude to this whole scenario is just amazing and I so hope  my husband and I can follow your example. Waiting for results of pet scan next week and see where we go from there. Good luck with your forthcoming appointment. Take care x

User
Posted 12 Feb 2025 at 18:08

Phil, that injection does not sound nice ,I am due to start zoladex soon. I have originally opted for monthly ,might have to go for three monthly. 

Best wishes and thanks for your support.

Thanks Chris

 

User
Posted 12 Feb 2025 at 18:50


Hi Chris.

I don’t recall having any issues with the Zoladex other than it not working… Hoping it does the trick for you πŸ‘

I had 3 monthly injections. It is annoying having to have the Degatelix every month. 

Good luck

Phil

User
Posted 17 Feb 2025 at 10:33

Morning all, 

 

Well a weeks gone by since my last Degarelix injection and my tummy has finally softened somewhat. Injection site still has a big lump and a bit tender but better than it was. 

Seeing consultant tomorrow so gonna ask if he thinks the Degarelix is doing anything at all. I suspect I am Hormone resistant now so theoretically it’s not helping. Likewise the Dexamethazone steroid. When I came off it in September I was still having chemo so difficult to say if it’s doing anything or not other than giving me a fat face and belly 🀷🏼

All questions to ask tomorrow. I’m very nervous as not really had any treatment to hold back the cancer since the chemo was stopped. So no idea what to expect, but obviously hoping for a miracle 🀣… I suspect they’ll want more scans again. 

So anyway still hoping whatever they bring on that I can still keep my travel insurance and have our trip to Portugal in April plus anything else we can think up πŸ™‚. Gotta have something to look forward to . 

 

Will keep you up to date πŸ‘

 

Take care

Phil

 

User
Posted 17 Feb 2025 at 11:00

Good luck tomorrow Phil. Let us know how it goes ,mate πŸ‘

User
Posted 17 Feb 2025 at 12:18

Good luck Phil, I hope your holiday plans are unaffected. 

Cheers, 

Kev.

 

User
Posted 17 Feb 2025 at 13:08

I have recently heard from an oncologist that the injection site reaction to Degaralix can be due to getting some of the injection on your skin surface, but I doubt that accounts for all cases.

There is an alternative which was approved by NICE last year, Relugolix, which is a daily tablet GnRH Antagonist (Degarelix is also a GnRH Antagonist). If you are getting severe injection site issues to Degarelix, then you could ask if you can have Relugolix instead. [Disclosure - I am a patient consultant to Accord, who sell Relugolix.]

The hormone therapy is almost certainly still working in terms of preventing growth of some cancer cells. What happens when you become castrate resistant is that new cancer mutations which are resistant to the actions of the existing drug start growing. However, the existing drug is still holding back the original cancer cells. It's only if the hormone therapy and chemo have wiped out the original cancer cells (which can happen) that the hormone therapy is no longer beneficial, but usually you stay on it.

You have to come off anti-androgen drugs like Bicalutamide, Enzalutamide, and the other *utamides if they stop working, because one way they can stop working is that the cancer learns to use them instead of Testosterone.

Edited by member 17 Feb 2025 at 13:12  | Reason: Not specified

User
Posted 17 Feb 2025 at 13:12

Good luck for tomorrow Phil. I'll be thinking about you mate. 

User
Posted 17 Feb 2025 at 13:15

Cheers guys. 

Thanks for the info Andy . Very interesting. I’ll look up Relugolix right now πŸ‘. 

I think I was trying to make the cancer too simplified and it obviously isn’t that simple… πŸ€”… 

Thanks

Phil

User
Posted 17 Feb 2025 at 13:38
Great info from Andy62. Good luck Phil. Everything crossed for you ok πŸ‘Œ
User
Posted 18 Feb 2025 at 16:55

So, latest update from my consultation this afternoon.

PSA doubled to 34.5 from 19 in November. He’s not overly concerned about that. I’d rather it hadn’t gone up but with only the Degarelix treatment it was bound to happen. I asked about Relugolix instead of Degarelix but he said he wants to stay with it. But he’s reducing the Dexamethazone from 2mg to 0.5mg over a month . 

Booking an emergency CT scan and an appointment at the heart clinic because of my wheezing chest. Doesn’t think it’s cancer but wants to check. Bone scan as soon as it’s allowed. ( 4 months gap ?)

Radium 223 to be started probably as soon as we are back from holiday on 28th  April. Also mentioned Alendronic acid with it. 

Next appointment 4 weeks… 

So could’ve been a lot worse   😬… 

Oh, also he’s not heard of the Amgen trial Phil_1969 is going on but he’s gonna look it up. πŸ‘

So, onwards and upwards…. 

Take care chaps

Phil

 

User
Posted 19 Feb 2025 at 12:18

Hi Phil 

Not the greatest of news but it seems like you have a plan in place for the coming months and that's the main thing moving forward.

Trial windows are closing and opening all the time,I'll find out which arm of the trial I'm on in the next few days and I'll update on my thread.

Wishing you all the best....Phil 

User
Posted 19 Feb 2025 at 14:18

Cheers Phil. 

Was expecting the PSA rise really. You just don’t like to hear it do you  … 

Looking forward to reducing the steroids though πŸ‘. 

Just booked my CT scan for this coming Sunday afternoon. Get that over with and hopefully my heart and lungs are ok. 

Best of luck for the trial. If you ever want to pm me that’s fine. Sometimes you just need a rant… 

Take care

Phil

User
Posted 19 Feb 2025 at 23:03

Not the news you wanted Phil, good to see you’ve got your holiday booked. You boys are amazing. I hope the radium treatments isn’t too hard going. 
Leila. 

Edited by member 20 Feb 2025 at 21:33  | Reason: Not specified

User
Posted 20 Feb 2025 at 11:10

Hi Leila. 

Yes not sure about the Radium treatment. They are going to check I have no spread to organs as they can’t do the radium then. 


I did ask about Cabazitaxel and he said that would be after the radium. As it is another chemo drug I’m not sure how I’d get on with it as I wasn’t well at all after 7 sessions of Docetaxel. 

Im slowly getting my head around where I am on this journey. It’s hard to accept but it’s the only way forward. Taking strength from the guys who’ve already trodden this path before me.

 

Hopefully a few more holidays yet but unlikely to be abroad again . Still plenty left to see in good old Blighty πŸ‘

 

take care all, 

Phil

 

User
Posted 22 Feb 2025 at 08:52

Hi Phil

Gotta get in to your head that your having treatment and that everybody reacts differently to different treatments,what doesn't work for some may work for others and visa versa and treatmente keeps it under raps longer for some people than others.

Keep the faith...all the best Phil 

I'm going up the Villa v Chelsea game today with my son,one last blast before treatment starts Wednesday.

Edited by member 22 Feb 2025 at 08:54  | Reason: Not specified

User
Posted 22 Feb 2025 at 10:45

Cheers Phil. 

Thanks for your thoughts and kind words. 

Mostly at the moment my breathing is causing me the most issues… Hopefully reducing my steroids will help. 

Good luck at Villa today. Hope you can grab all the points . Enjoy yourself’s.

Will be thinking of you Wednesday πŸ‘

Phil

User
Posted 10 Mar 2025 at 16:48

Hi guys, just a very mini update … 

Had my Degarelix injection this morning so just waiting for the pain and bloating to start …! I managed to walk home uphill afterwards which is a result. Only stopped 3 times … It’s about 1/3 mile 🀦🏼

Still feeling really tired and sleepy. I know the reduction in steroids takes a while to work so I’ve just gotta wait and see what happens. Big belly still getting me down . I tried to get a pair of trousers on yesterday but was no chance so ended up in joggers again. I look like a right slob. 

Blood test tomorrow ready for my consultant appointment next Tuesday. 

Going to ask about Cushing’s syndrome which is related to Dexamethazone use . It’s where the body creates too much cortisol and I have just about all the symptoms. I even had the nurse this morning ask about the bruises on my forearms. 

So I’ll update again after next weeks appointment. 

Cheers

take care

Phil

 

User
Posted 10 Mar 2025 at 19:22
Degarelix is the Devils Semen in my book , glad to h.ave finished it now , mind that never got my T below 1.

Found isome injections worse than others , hope this one is less sore this time .

Mike

User
Posted 14 Mar 2025 at 10:06

Well hello guys. 
I have ended up in hospital these last few days. Hoping to be released today but not sure yet. 

Had my Degarelix on Monday morning. 

 Monday evening I just felt so rubbish and tired and breathless I went to bed at 8. Wifey came up to check on me and ended up calling 111. They sent an ambulance and they ended up taking me into hospital. 
A&E said I had low oxygen saturation and probably fluid on my lungs and stomach.  So they booked an X-ray , echocardiogram and CT scan. 
Doctor yesterday said no fluid on lungs but some on my stomach . I’d had my Degarelix Monday and he didn’t like the swelling and redness so I’m on antibiotics for that. Not sure that will help as it seems normal with Degarelix. I will ask about injecting in my thigh or back of my arms as I’ve seen on Dr Google … 

Presuming my heart is ok as he didn’t mention it.

Also put my Dexamethazone back up to 2mg for 2 weeks to help with breathing. 

Just want to know they are sure what’s wrong before they kick me out. No one’s mentioned the possibility of my extra weight in my tummy pushing up into my diaphragm. Another question to ask. 

See my oncology consultant next Tuesday so hopefully I’ll get some more answers. Just gotta sort out a blood test before as I missed my appointment this week. 

At least they don’t think it spread of cancer to my lungs… which I was worried about. 

Anyway I’ll keep you lot posted πŸ‘. 

My tea lady had just appeared … 

Take care friends, 

Phil

User
Posted 14 Mar 2025 at 10:23

Hi Phil 

Bloodyhell your having a rough time at mo,I hope everything settles down and you can get some kind of normallaty back in your life.

Keep us updated all the best Phil 

User
Posted 14 Mar 2025 at 10:36

Originally Posted by: Online Community Member
My tea lady had just appeared … 

Hi Phil

If you'd gone private, you'd have got your own Goblin teasmade.

Joking apart, mate. You and your good lady are going through a very torrid time. My heart goes out to you both. Hopefully they'll let you out and you'll soon be back home. πŸ‘

 

User
Posted 14 Mar 2025 at 19:58
Thinking of you as ever Phil. Sorry you’re going through it mate πŸ€—
User
Posted 15 Mar 2025 at 00:45
My heart goes out to you and your wife, Phil. What a horrible time you’re having! Thinking of you and hoping you get home very soon. Take care.
User
Posted 15 Mar 2025 at 10:09

Hello everyone. Well I’m home now and thank you all for your lovely wishes. Still tired but the antibiotics will hopefully do something soon. Was so nice to have a bath this morning … 

When I first went in on Tuesday my CRP was measured in my blood test. Anything over 10 indicates a significant infection. My reading was 215 which is severe sepsis area… luckily it’s gone down to 60 which though still high is much better. 

Anyway the sun is shining and I’m sat at home so not complaining πŸ™‚

Cheers everyone 

Phil 

User
Posted 15 Mar 2025 at 10:34

Phew, pleased you are home, enjoy the sunshine and take it easy.

Leila 

User
Posted 15 Mar 2025 at 12:12

Good to hear your out Phil,and always look at positives rather than the negatives,it keeps us going.

All the best looking forward Phil 

User
Posted 16 Mar 2025 at 11:57

Pleased to hear you’re back home Phil and sounding so positive.  We feel for you and your family and can only imagine how difficult it’s been for you.  Keep pushing through, you’re amazing !!

Ange x

User
Posted 16 Mar 2025 at 13:30
Pleased you are home, always feel better in your own bath and bed. Rest up.
User
Posted 17 Mar 2025 at 18:48

Hello guys , lovely to hear from you all. 

Just a quickie. My missus just spoke to my palliative nurse and she’s coming to see me Thursday morning. But she’s seen my bloods and my PSA has gone down from 35 to 30. Wasn’t expecting that. Might be a blip but I’ll take that. 

I’ll update with more tomorrow.

Cheers

Phil

 

User
Posted 18 Mar 2025 at 18:33

Ok been into see my consultants team today. Was in with them over an hour. 
So my breathing is apparently caused by my lower lung lobes having collapsed. They could’ve told me that while I was in hospital last week.  Being referred to heart/respiratory unit urgently to see how I have to deal with it. 
PSA has dropped to 30 which they think could be that they upped the Dexa back up to 2. So they said reduce down to 1mg and we’ll see how that goes. 
Holding off the Radium till later. 
Gonna cancel my holiday as I can’t travel like this and my missus will be so stressed. 
Hopefully I’ll get me travel insurance money back if I cancel that too… I know I can get hotel money back and BA are good with flight refunds. 

So there we go 🀷🏼…. 

Just processing it all at the moment. 

I’ll be back with any more thoughts. πŸ™‚

Take care everyone 

Phil

User
Posted 19 Mar 2025 at 00:08

Bless you Phil, you’re having a rough time of it. So sorry you’ve had to cancel your holiday as I’m sure you could really do with a break away from it all, but likely not worth the stress and anxiety just now. Fingers crossed things improve for you and you can get away later in the year. 🀞🏻🀞🏻🀞🏻. Thinking of you and your “missus”.  

User
Posted 19 Mar 2025 at 01:38

Oh Phil, you HAVE had such a tough time, but you are an inspiration to us all, keeping us posted through this..hopefully the support we can give you in words and thoughts helps a little. Having to cancel your holiday must be a real downer for you both but perhaps you can get away somewhere local…I think it’s so important to just get away from it all and have some fun every so often  

wishing you and the missus all the best and hope things get easier for you.

Derek

User
Posted 19 Mar 2025 at 07:22

Hi Phil, 

That's a real blow after you've been through, you and your wife really deserve a break. 

Fingers crossed that you fully recover from the infection and that your PSA continues to fall. 

Best of luck. 

Kev.

User
Posted 19 Mar 2025 at 07:24

Hi Phil 

Always disappointing when you have to cancel holidays I've been there myself,this whole ordeal can be a big strain on home life with problems you don't need at mo,I'm sure you'll pull through this episode and you'll still have better times,perhaps in this country tho not abroad.i still have worldwide insurance until September this year but having a kidney stent fitted yesterday and with also starting chemo again I think my flying days are over.

All the Best Phil 

User
Posted 19 Mar 2025 at 07:42

Goalhanger, sorry to hear about your situation, I hope they come up with some action to improve things. Take care.

Thanks Chris 

User
Posted 19 Mar 2025 at 09:41

Cheers guys. Yes a bit of a bummer . Doesn’t appear to be much they can do for collapsed lung nodes. Just breathing exercises. I’ll see what the respiratory unit say.

Funny the missus told her Mum last night and she said oh that’s good you know what it is now. I don’t think she has any idea how serious any of this is. Tried to explain to her once that her daughter needs some support too. She cried for a minute then got over it 🀷🏼… 

We suspect it happened back in October/November when I was pretty poorly after my last chemo. 

Cancelling the holiday will be hard as we were so looking forward to being pampered a bit and spending time with our oldest’ family. We will have some time away in the uk though. 

Phil, I hope you’re feeling ok with the cabazitaxel and the kidney stent is working well. 

Will be interesting to see what happens with my PSA now… I can’t see it dropping any more but I’ll take a miracle πŸ‘. 

Take care everybody,

Phil

User
Posted 19 Mar 2025 at 13:06

Thinking of you and your family. I don’t think some people realise how complex and difficult this disease is, you look ok, you sound ok, what’s the problem, maybe the fear of cancer is too great for some people to process. 

I sometimes wonder if some folk think it’s catching, or they are more at risk if they talk about it. 

Take care, and enjoy the sunshine. 

Leila 

User
Posted 19 Mar 2025 at 16:21

Hi Leila. Yes, I think most people just want to put their fingers in their ears and go ‘la la la ‘ ….

Just the mention of the word cancer and people go all tongue tied. 

I have a friend who when I told him my PCa was incurable asked me if I’d done a bucket list . Well i laughed , it was so funny and brave to say. I said I hadn’t but it was a good idea … πŸ‘

Yes, sun is still out β˜€οΈ . Yay . 

Phil

 

User
Posted 22 Mar 2025 at 19:50

Hello guys and gals. I’ve stopped the flucloxacillin a good day now but I still feel rubbish. Really tired and no appetite. If fact nothing tastes nice. A bit like the chemo mouth. 
it’s getting me down to be honest and I can’t wait to see the nurse Wednesday. 
Any ideas ? 

cheers

Phil

 

User
Posted 22 Mar 2025 at 20:08

Try some Probiotic yogurts to help restore your gut  flora .

Eat whatever you fancy mate .

Best wishes 

                        Mike

 

User
Posted 24 Mar 2025 at 11:16

Hi Mike, guys. 

My lack of appetite is also obviously affecting my eating . Last night I had 1 small piece of chicken, half a small baked potato and some sweetcorn. I didn’t have any lunch either but I had a nearly 4 hour nap in the afternoon . 

My nurse is doing a blood test Wednesday so we’ll see what shows up. 

Can’t see anything cancer related doing this. Latest CT scan showed up nothing in the torso area. My PCa is in my spine/ribs/pelvis and lymph nodes from stomach to upper chest area, LHS. 

 

So at a bit of a loss to explain it all. The CRP infection marker in my blood will show if my infection has gone away. Not sure how long the fluclixacillin takes to disappear. I was on a very high dosage. 

 

So hoping today is a bit better πŸ‘

 

Cheers

Phil

 

Edited by member 24 Mar 2025 at 11:38  | Reason: Not specified

User
Posted 24 Mar 2025 at 15:47
Not sure where you stand on alcohol but maybe a

aperitif may help ; half an hour before main meal ?

 
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