Had meeting with Oncologist today - the news could have been better. PSA up to 820 (was expecting somewhere between 400-500) and advise that I've pretty much reached the end of the line in terms of treatment. Radium 223 not an option now, or in the future. Only chance of more meds is clinical trials - Lutetium 177 was mentioned, but currently only available privately in the UK (about £4000 per shot). Vague possibility that it may become available on the NHS in the not too distant future. So I need to last that long. Oncologist pointed out that I'm realitively young for this kind of cancer, and otherwise in good health, so that's my best hope for the time being. Scans planned for near future (my travel plans for hoofing it to Latin America delaying that by a few weeks, but no regrets there). So I guess now it's "wait and see".
The specialist nurse talked to me afterwards and said that PSA is a bit like smoke from a fire. Some fires burn furiously, but produce little smoke, others smoulder away with little flame but loads of smoke. Some cancers are extremely aggressive, but produce little PSA, others are less aggressive but produce huge amounts of PSA. Hope I fall into the second category.
I can't wait to fly out at the weekend - the weather out there looks like a nuclear winter, and it feels like one too... If ever I needed some blue sky and sunshine it's now... u-r-g-h-h-h