A GREAT NUMBER

Hi all, yesterday I had my quarterly update on PSA and bloods. It was a phone conversation due to coronavirus protection measures.

I had the usual scanxiety in the lead up, not helped by the fact that there was no scheduled time for the call. I just had to wait until the call arrived at 1pm.

But it was worth the wait. Bloods are OK. PSA was 17, down from 32 in December! There is no known reason for the reduction. Not that much has changed in my life. Maybe the PSA was rising for several months after the radiation therapy on the tumour in my chest last year, and it is finally settling down. Maybe not. Either way, one number is not a trend, so we will wait for the next quarterly check up to see what transpires.

I was absolutely over the moon yesterday. I do not know how long it has been since my PSA was 17 or lower.

Good health and happiness to all. Cheers, Phil

 

 

IT PAYS TO PAY ATTENTION

I have read a bit about monoclonal antibodies before. I do not fully understand what they are. If I am correct, the treatment targets certain proteins or cells responsible for cancer growth and spreading. It either alerts the immune system to kill the protein or cell, or it inhibits the growth of affected cells. I considered this a bit of futuristic stuff that I may encounter one day.

For some time now I have been receiving “bone strengthening” medication. It involves a four weekly injection of Xgeva in the belly. I visited the chemo/renal unit at the hospital today for my injection. Much to my surprise I learned that Xgeva is in fact a monoclonal antibody! It is used, amongst other things, to stop bone degradation in cancer patients where cancer has spread to the bones.

I guess I should have had a better understanding of the treatment, but no big deal. It is pretty cool, though.

Good health and happiness to all. Cheers, Phil

TGIF

It has been a long week. We returned from a short holiday on Sunday, and I have been laid up with fatigue and a head cold all week. Plus the usual scanxiety leading up to the oncologist meeting today for result of scans and blood tests. And the news is….drum roll….excellent!

In a nutshell everything is OK and we have scheduled a meeting in April for a periodic review.

The scan showed: –

• Neck – no evidence of metastatic disease
• Chest – improvement in appearance from previous with reduction in size of the AP window mass and adjacent preaortic lymph node. No new evidence of metastatic disease. (The tumour that caused loss of voice has reduced from 53 x 48mm to 40 x 33mm)
• Abdomen and pelvis – stable appearance to the soft tissue in the right retroperitoneum and pelvis. Stable skeletal metastases

PSA had increased from 27 to 32 but the oncologist is not concerned about this.

The oncologist said the blood tests were all OK (last time I had mild anaemia). Now that I have read the reports I can see that the indicators for anaemia are all low, so there has been no improvement here.

I stopped psychiatric support last year when the shrink stopped visiting our town. There is a new shrink visiting now, so I have asked for this to re-commence. I really struggle with any sort of stress and I am emotionally unstable, so hopefully they can help.

The antidote for fatigue is activity, so I need to get busy.

It is huge relief and I hope I get a good sleep tonight.

Good health and happiness to all. Cheers, Phil

RETURN OF THE BIG BLACK DOG

I have been struggling with depression lately and I am having difficulty getting out of it.

Not helped by a very long period of dry, hot, windy weather. Today we finally got a cool change. A top temperature of 31 degrees. Only a couple of days relief before the temperature goes back up to mid to high 30s. It was 41 degrees last Monday.

Certainly not helped by scanxiety. I was supposed to have a neck, chest, abdomen and pelvis CT scan early January for a meeting with my oncologist mid January. The oncologist brought the appointment forward to early January so I re-scheduled the scan for today. It arrived with the usual scanxiety and worry about what the results may be. I would have preferred to deal with this after Christmas.

And there has been a fair bit of stressful stuff on the home front, and I really struggle to handle any stress these days.

I feel like an exhausted emotional train wreck lately. I get bogged down in nothingness, and I am unable to do much. Anger and tears come easily. With Christmas so close and lots to do I need to be upbeat and busy, but it is not happening. Very disappointing.

Hopefully I can extricate myself from this funk and get on with life over the Christmas and the new year period before focussing on the medical stuff.

Best wishes for good health and happiness to all over the festive season. Cheers, Phil

 

 

WHAT HAPPENED TO 2019?

Hi all,

Time for those (almost) end of year reflections!

This time last year I had completed six cycles of chemo and another four had been abandoned. So I entered 2019 pretty confident cancer would take a back seat for a while and I could get on with life. As usual, cancer had other ideas.

Increasing bone pain was treated with ongoing bone strengthening medication.

Anti depressants were tried and failed.

PSA started rising, but I was not informed.

I lost my voice in January. There were stories of a virus going around which caused temporary loss of voice, so I did not worry too much. It lasted for about a month then went away. It came back all too soon and it took a while for my medical team to join the dots and conclude that the cause was a tumour in my chest pressing on the left vocal cord nerve, rendering it useless.

Radiation therapy was recommended and, with a pretty negative prognosis, we did ten sessions over two weeks. Fortunately, it seems to have worked. After about six months of no voice I seem to have recovered. I say “seems” because a neck, chest, abdomen, pelvis scan in mid January will tell us more.

While we were working on the problem I started on a second layer of hormone therapy. I was very relieved when we agreed to drop it after radiation therapy was selected as the treatment. I am always happy to have another treatment up my sleeve!

How has all this affected me? Well, I have to confess that I have struggled. I have been depressed, fatigued, lacking sleep and drinking too much. The good news is that I am dealing with the alcohol thing, and it will probably help the others. Also, sometimes it is little things that help. I went to the health food shop recently to re-stock my supply of magnesium supplements. I take these for leg cramps. They often occur at night and obviously affect my sleep. Although recently I had leg cramps during the day while fire fighting. The lady at the shop suggested that I take them at night instead of the morning, and before I go to a fire call. Pretty simple really. It is early days, but it seems to be helping.

Volunteering has also helped. When I started with the rural fire service and at the cafe I was making a contribution and getting out, learning new skills and meeting people. Fatigue made these tasks challenging but it was worth it. However, circumstances have changed and I am not sure if I can continue with these activities. Time for some think music while I work out what to do.

And………I decided to learn the guitar. Helped by the fact that a good neighbour is a blues singer, song writer and guitarist. Plus he has a full blown studio and teaches guitar. I had an assessment and first lesson last week. I have been practicing chord progressions all week prior to my next lesson tomorrow. I am not quite nailing it but I have made surprising progress.

I talk a lot about me and not much about my wife and daughter. I want to keep this site personal and they can post articles if they wish. However, they are with me every step of the way and they suffer as well. I have struggled to be the man that I want to be remembered as. But I am feeling better over the last few days and I hope this continues. Then I can launch into 2020 with a new perspective. And if I can keep carving out more years to live life the way I want then cool!

We are going on a short holiday over Christmas for a well earned break and will eagerly await what 2020 brings!

Best wishes for good health and happiness over the Christmas and New Year period. Cheers, Phil

 

 

 

 

 

QUICK UPDATE

Hi all,

Good news from the meeting with the oncologist today. PSA has reduced from 28 (August) to 27. Otherwise blood tests were OK, except for mild anaemia. I have ongoing issues with a nagging cough, plus pretty bad fatigue, but apart from this I feel pretty good.

Next steps involve a meeting mid January to review PSA results and the outcome of a neck, chest, abdomen and pelvis CT scan. This will tell us what is happening with the tumours. Plus exercise to combat fatigue.

It will be nice to park everything medical until the new year.

Good health and happiness to all. Cheers, Phil

YOU KNOW YOU MAKE ME WANT TO SHOUT!

Hi all, well I think I have something to shout about. And even better, I have the voice to do it!

My voice has been slowly recovering over the past few weeks, and it is almost back to normal. My speech pathologist has signed off that I do not need to see her again. Her last bit of advice was not to strain my voice and keep hydrated. All good.

My throat still feels a little bit funny and my voice is sometimes a bit scratchy, but nothing much to worry about. I still get the occasional coughing fit. Not pleasant, but OK.

So, after today’s visit to the chemo ward for my monthly bone strengthening injection, I can take some time out until next month’s PSA test and scan to see how the radiation treatment has impacted the tumour. Great news and I am in high spirits

Once again I am very fortunate to be able to deal with whatever cancer has thrown at me. I forgot to mention in previous posts about an early discussion with my radiation oncologist. She was reviewing my medical history prior to treatment, and commented “Gee, you have really had some bad luck!” I disagreed, and stated that I am one of the luckiest people alive. Despite all the speed bumps I can still enjoy an active and interesting life, supported by great people. Bad luck indeed!

Good health and happiness to all. Cheers, Phil