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FormerMember
FormerMember
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Hi, my name's Tim and I'd like to introduce myself.

The story so far.

In August 2020 following two CT scans, I was diagnosed by urologists with advanced prostate cancer.  This was because several abdominal and pelvic lymph nodes were found along with one in my neck, plus a possible lesion in my liver.

However, an oncologist disagreed with this diagnosis and requested further investigations.

An MRI showed two possible metastases in my liver.  A biopsy of the neck node showed renal cell carcinoma.

In Nov 2020 I started a combination of a targeted therapy and immunotherapy.  I'm a bit fuzzy about this but I thonk I had about 7 cycles.  I had to have a break at one point because of side effects the main one being severe sorenss at both ends of my gastrointestinal tract.

At first I was told lymph jodes were stable.  However after that it seems with each successive scan things got worse.

Two new lymph nodes left lung

Lymph node on left adtenal gland progessing, over 40mm

Area of thickening in left femur.

The first line treatment was stopped and now I'm on my third cycle of cabozantinib.

Meanwhile, my PSA hovering under 0.1 for 9 years decides to take off!  So now I do have advanced prostate cancer.

I recently had a PSMA scan to see if they can tell which metastases are renal and which are prostate.

There has been talk of starting hormone therapy, but I might just refuse it because the renal thing will kill me before the prostate thing.  So why have two lots of side effects.

I'm finding this process of dying quite liberating in some ways,  possibly.  I can now eat whatever I want without worrying about heart attack or stroke.  Don't have to save up for a rainy day.  i've even given up some  moral scruples and no longer worry about the environment as global warming won't effect me.

Isn't that terrible.

I feel guilty about some things.  One is I don't have a bucket list!  Shouldn't we have a list of exciting things to do before we die?  I tried to think of something, but nothing comes up.

I struggle to be positive about this.  I'm sure others have experienced the same, but the side effects of the treatment designed to prolong my life is at the same time making that life less worth living.

I don't know what I'm trying to day really except, this me, this is where I am and wouldn't it be good to actually enjoy something.

  • FormerMember
    FormerMember in reply to Tony73

    Thanks Tony.

    I  like it, life is a bucket list!  A good point.

    Bucket list is also the name of a film with Morgan Freeman and Jack Nicholson which is where I first heard the term.  In the film the Morgan character went with the rich Nicholson all over looking for fulfilment, but Morgan finally found it back at home where it had always been.

  • FormerMember
    FormerMember in reply to FormerMember

    I did not have a lot of chance there Tim. Dosveydanya tovarich.

  • FormerMember
    FormerMember in reply to FormerMember

    Thanks again Patricia, your advice is appreciated.

    No,   Kytril requires a prescription here.  The oncologst refused it because it causes constipation.  But believe me,  that would be welcome compared to what I have now.

    I cannot take dopamine antagonist anti-emetics or sedating anthistamine anti-emetics because I have restless legs syndrome (RLS) and these drugs trigger it..Believe me, RLS is worse than nausea.

    This, sad to say includes more or less all the ones you've mentioned.

    Neither can I safely take any antidepressant, any neuroleptic, most antacids, beta blockers, most blood pressure meds and have to avoid alcohol, sugar and caffeine.

    My GP (PCP)  however has prescribed me Ondansetron, which you may know as Zofran.  Ideally I'd like medicinal cannabis, but it's not so easy to get that here.

    My fatigue actually preceded my treatment by 3 months and isn't entirely due to any treatment.  They cannot explain it!

    I'm not entirely defeated.  Joining the community has allowed me to have a good moan. 

    Today fatigue has failed to prevent me from doing something I found rewarding and the zofran has started to help.

    Thanks for your concern

    Tim

  • Hey i did learn russian to lol...Minja savut Pet, i schiwuve Australia,

  • FormerMember
    FormerMember in reply to Pet1968

    zdraste Pet.  Ya zhivu v anglia

  • Hello manjus, So sorry you have to be in this club, but rest assured you can come on here and there will be others who will know exactly how you feel. Have a moan and get things off your chest. I don't have a bucket list either. I've pretty much done everything I wanted to and don't really want to exhaust myself chasing around here and there to no good end. We all have differing priorities depending on how we are made and what our situation is. Try to think of what you used to enjoy before you became ill. I'm immunosuppressed so can't go to the concerts I used to enjoy (Covid not withstanding) but I get a lot of pleasure watching concerts on DVD, which to me is a lot better than just listening to the music. So you might find some calm in watching a favourite thing rather than participating.  Hope you find a peaceful place to be.  Rainie x

  • FormerMember
    FormerMember in reply to Rainieday

    THanks Rainie

    Nice thoughts

  • Hi Tim, welcome and commiserations on being here.

    I didn't think I wanted a bucket list, but if I see something I'd like to do I write it down it has helped me to plan days doing nice things. I love your comment about really appreciating when you can do something nice though.

    I hope that you are able to see that your wife is secure here, that must be a horrible anxiety for you.

    Good luck managing your symptoms and side effects

    Best wishes 

    Sarah 

  • FormerMember
    FormerMember in reply to Salis

    Thank you Sal

    Tim

  • Dear Tim, You are certainly going through the mill and I wish you all the strength to emerge the other side into a peaceful and restful time. I share your view about the human species and what is happening to our once beautiful planet and all the life on it - I used to use a lot of my energies fighting against the cruelties of this world but you get to a stage when you realise you just can't do it anymore. I am a great fan of the band The Eagles and especially of their singer/songwriter Don Henley, who has also been a great campaigner for the environment. I'm having this song played at my funeral. Below is an extract and some of the words may strike a chord. It's called 'My Thanksgiving'. Give it a listen on youtube.  Rainie x                                                                                                                                         'Have you noticed that an angry man
    Can only get so far
    Until he reconciles the way he thinks things ought to be
    With the way things are

    Here in this fragmented world, I still believe
    In learning how to give love, and how to receive it
    And I would not be among those who abuse this privilege
    Sometimes you get the best light from a burning bridge

    And I don't mind saying that I still love it all
    I wallowed in the springtime
    Now I'm welcoming the fall
    For every moment of joy
    Every hour of fear
    For every winding road that brought me here
    For every breath, for every day of living
    This is my Thanksgiving '