So with so many having good news this week with their PSA scores I had hoped to follow suit. Well the news is ok but the trend remains upward for me coming in at 19.1 today (up from 11.1). But there are some caveats - it's not doubling, (41/2 months), it was taken shortly after an infection and antibiotics so my consultant believes this could impact on it - and there are no other signs of issues/concerns. So the conclusion is business as usual carry on as before.
My consultant believes that it is inevitable that my PSA will rise over time as I have, what he called a high grade cancer. (G9) We considered casodex but he was happy to leave it in the box for now, given the additional side effects it may cause. He was keen to help me continue to work and believes that the side effects of casodex might be debilitating given the levels of fatigue I sometimes have with the current HT.
It was a good session and I feel reassured that for now some of the more invasive treatments can wait as I am not yet hormone resistant. He confirmed that I would likely get more UTIs (four in last nine weeks) as it is an occupational hazard of self catherising. But interestingly he suggested that when/if it returns I should increase my catherising to four times a day so the bacteria is removed quickly and this might aid recovery. I had not done that so if it comes back (7 days post antibiotics for now) I shall try that. He also gave me enough antibiotics to keep me going so I can tackle it quickly.
Feel relieved and can continue on for the next four months, enjoy the summer and look forward to my daughter's wedding and work trips to Hong Kong and New Zealand before Christmas. Good enough reasons to stay well. Two and a half years on, despite the bone mets, life goes on. As others face difficult times, and we have sadly lost our dear friend, Mick, this week, I feel lucky to continue on.