Consultant review

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Hi, today my husband had a three monthly review, over the telephone, with his oncologist. All good news except that my husband’s PSA level has raised for the third time…each three monthly review it is a little bit higher. It has gone from 1.5 to 3.5 in six months. Consultant says he isn’t overly concerned about it but if it rises again by next review he will need to scan my husband. My husband can’t walk due to metastasis in spinal cord. He is learning to stand through physiotherapy. The consultant says that my husband must start going out in his wheelchair so that he can attend hospital appointments rather than have phone calls. To date my husband has been out only once. The palaver of hiring a wheelchair taxi overwhelms him and he didn’t like /feel safe travelling in the chair in the taxi. Has anyone ever heard of a mobile CT scanner that can come to our home?

My husband is a panicker and scared stiff of hospital. He is trying hard to cope with the news of raised PSA but is frightened by the thought of going to the hospital for scans. 

His mental health isn’t good and consultant says this may be a side effect of the monthly Degarilix infection. My husband can’t walk, this makes him very depressed.moods change quickly . He needs to use a commode, has a catheter and has lymphoedema in his legs. Physio was supposed to be an in hospital care program but due to ward closure he is having it at home a couple of times a week. He is described as remarkable because he can stand for about 1/2 minutes. Doctors said he would never stand or walk ! He is pinning his hopes on being able to walk again. 
I am disappointed in myself that I can’t make him feel better and I am not coping well with being the only person he wants with him 24/7. Family are all too busy or far away to help.I am struggling with the impact on his emotional state and his reliance upon me for every aspect of his life and health.
Any  information and advice/support will be greatly welcomed and appreciated very much. 
Thank you for reading all this. x

  • Hi  , so sorry to read about your troubles.  I guess the increase in PSA is not unexpected but definitely unwanted!  Although you can’t make him feel better you seem to be doing an amazing job and I hope that your OH appreciates that.  You need to make sure that you have some time to look after yourself, it is not indulgent but necessary to recharge your own batteries.  He may want you 24/7 but time for yourself is really important.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • You obviously have help for your husband, because you mention carers coming in.

    You mention his depression, which would seem to fit with quite a lot of what you said. I hope that his GP is taking this seriously, and that anti-depressants have been discussed.

    My real worry is about you. You are your own person, and not what earlier generations would have called a "body slave". You need to take care of yourself, so that you can get that sense of relief which comes from a short term break.

    Can I recommend you join this forum?

    https://forum.carersuk.org/

    They are a part of this charity:

    https://www.carersuk.org/

    The web pages are devoted entirely to people in your position, and you will be able, on the forum, to discuss your problems with people who have already been down that road..

    They have a helpline here:

    https://www.carersuk.org/help-and-advice/helpline-and-other-support/

    If you want to find local support you can use this page:

    https://www.carersuk.org/help-and-advice/support-where-you-live/

    Your position is one of those cases where talking to people is your only refuge. Talk to anyone who will listen. If things really begin to overcome you, then call the Samaritans on 116 123. No one listens better, and just talking not only helps to relieve the pressure, but allows you to order your own problems in your own head.

    Best wishes,

    Steve

    Changed, but not diminished.
  • You obviously care very deeply for your husband and whilst you physically can't make him better you do it in other ways. Could you speak to your GP re counselling either as a couple of individual. Take care