Hello and a very happy new year to all!
Today I met with my oncologist, and the news is mostly good!
PSA has dropped from 26 (24/8/18) to 24 (13/12/18). As it should be after the chemo.
Blood tests show a high level (125 vs range of 30 to 115) of alkaline phosphatase, which indicates bone disorders. This fits with the increasing levels of bone pain throughout my body in recent times. I have been getting various aches and pains, mainly in my back, legs and hip. Sort of like bad bruises, but with no evidence of bruising.
I immediately thought that this meant that cancer had spread to my bones. The oncologist confirmed that this is unlikely in the absence of increasing PSA. The solution is an approach referred to as “reducing skeletal related events”. Pretty vague. It means monthly injections of Denosumab (Xgeva), plus a daily dose of calcium and vitamin D. And calcium levels will be monitored as we go. The medication is designed to help prevent changes to the bones that can make them weak (and is also used to slow down the spread of cancer in bones). I have previously been diagnosed as having osteopenia (reduced bone density, on the path to osteoporosis), so I guess this is all related.
So all things considered, it is a good start to 2019.
Wishing everyone good health and happiness. Cheers, Phil