Progress from diagnosis to now

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I was shocked when, just before Christmas, I received the results of a blood test showing PSA of  58.9. I had been feeling very fatigued and slightly unwell for a while, so my GP decided to check for anaemia and prostate problems.

the following day, I was given a rectal exam, which showed significant swelling, and was referred urgently to Urology. After Christmas came MRI, X-ray, CT scan, which showed a massively inflated prostate, and PSA of 55. Also indications that the cancer had started to spread beyond the prostate a bit 

Next step was biopsy. That was extremely painful and unpleasant, and over half the samples were positive for cancer. My Gleason score was 5+4, so not good. Consultations then with Oncology and Urology, and it seems the only viable treatment is hormone therapy, which started 6 weeks ago. I had 4 weeks of tablets, and then the first of a quarterly series of injections. The idea is to kill off the outlying nodes.

if successful, then it’ll be intense radiotherapy every weekday for a month, and then hormone therapy again. If not, it’ll be an extra hormone treatment to stabilise and slow down the cancer. Surgery is not viable.

And here I am. It’ll be the end of April before I know what the future holds, so I’m trying not to think about it. My PSA has dropped slightly to 49.7, so that’s encouraging, and I’m just crossing my fingers and hoping.

It’s seemed an endless process, but actually it’s only been about 12 weeks from initial diagnosis. I’m very fatigued, feel unwell, and my joints and bones ache. I’m also experiencing severe night sweats and waves of depression. It’s not nice, but it passes.

 I think there’s a danger of allowing the process and the cancer to take over my life and define who I am and what I do, but I’m fighting against that, with help from the mental health team, my GP, and my wife.

On Monday, we’re going to Malta for a week, because we’ve never been there and because we can. There’s nothing to do but fight against worry about the future, and avoid brooding.

Thank you, MacMillan for providing this place to vent. It helps to keep things in perspective 

  • Hi  - you’ve come to the right place.  We love a fight. Have you had whole body CT and whole body bone scans yet?  Anyway, you’re set on the classic HT and radiotherapy treatment- this may well be with the intention to cure, so don’t give up yet!    AW

  • Good Afternoon Bruce ( 

    A warm welcome to the Macmillan Online Prostate Community, although I am so sorry to find you joining us. I am Brian one of the Community Champions here at Macmillan. I am on the 4th year of my personal prostate cancer journey.

    Like you I am a member of the Gleason 9 club and have just completed my first 3 year journey on Hormone / Radiotherapy and you can read my entire journey by clicking on my name or avatar.

    You look like your treatment plan is sound and that you have a decent team looking after you - don't forget our Support Line is available to you and your wife should you need any help and support on 0808 808 00 00 (8am to 8pm 7 days a week). I am pleased to read your mental health is being looked after.

    As you are on Hormone Therapy, make sure your GP has given you a prescription for Calcium/ Vitamin D Tablets as this treatment can weaken your bone structure. As for the Hot sweats, mine were horrific but Sage Tablets put them on hold and I haven't had any more - although these don't work for everyone.

    I do hope the above helps, please feel free to ask any questions - nothing is too trivial.

    Best wishes - Brian.

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  •  I think there’s a danger of allowing the process and the cancer to take over my life and define who I am and what I do, but I’m fighting against that, with help from the mental health team, my GP, and my wife.

    Good man.  I note that you’ve had the CT scan, but the fact you’re having just 4 weeks radiotherapy may mean that any escape is just in the vicinity of the gland itself (it doesn’t look like they’re doing the whole pelvic area) - so good news.  I love the fact you’re going on holiday- just the tonic you need. I hope the sun and warmth of Malta will soothe those aches and pains.  Think about it like going back to your corner during a heavyweight boxing match.  Rest, recuperate and come back FIGHTING.  We are your trainer, coach and support team!    AW

  • Great response @Alpine Wanderer.

    Steve

    Changed, but not diminished.
  • I have. The last one in the series was a PET scan, which showed cancer in the lymph nodes around the prostate, but not elsewhere 

  • I like that analogy. Thanks 

  • I’ve never heard of sage tablets. I’ll seek them out. Thanks for taking time to suggest them 

  • So you’re on a curative pathway.  Now you’re on HT, just watch that PSA plummet!   AW

  • Hello Bruce ( 

    Mine are "Menoforce" you can get them in branches of H&B in 30 or 90 day jars. They are on Amazon too in the 90's. They are a tad expensive but they work for me.

    Best wishes - Brian.

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.

  • I get mine in Amazon too, Sage Leaf Extract 3000mg tablets.  £5.98 for 120 tablets.
    AW