Three chemo sessions down, three to go.
It's been quite a journey already. My problems started on 27th December with pain in my shoulder and back, just thought it was aches and pains of a 46 year old. Over the following months I had four GP visits and even an MRI in March, but was told to go home and take paracetamol.
Something just didn't feel right, so I pushed for a second opinion. Thankfully, they offered this. Blood tests showed my PSA was 309, my ALP was 4,900, along with numerous other abnormal results. That led to my diagnosis of stage 4 prostate cancer in May, with it spread to my hips, back, spine, shoulder and lung – with no history in the family.
Since then, I've been on Relugolix, Darolutamide and Docetaxel, and I'm now halfway through chemotherapy.
The first cycle wasn't too bad apart from the chronic fatigue (cold cap - which seems to be working - was the worse bit!). The second one hit me a little harder, and after yesterday's third treatment I'm feeling particularly shabby today. But I'm determined to keep fighting.
The results so far have given me a real boost. My PSA is now down to 1.19 and my ALP has fallen to 252, so I'll definitely take that as a huge positive. It shows the treatment is doing its job.
The only lingering issue is the pain in my neck and shoulder. My oncologist has mentioned that, if it continues, I may be offered radiotherapy between chemotherapy cycles.
I have to admit I'm a little apprehensive. If each chemo cycle is going to knock me a bit more, I'm wondering what adding radiotherapy into the mix might be like.
Has anyone else had radiotherapy between Docetaxel treatments for bone pain? How did you find it? Did it help with the pain, and did it make the fatigue or side effects noticeably worse?
I'd really appreciate hearing other people's experiences.
Wishing everyone else on this journey the very best. Keep fighting—we've got this.
Hi MRTWW my view is if you can get through chemo, RT is a breeze, although I haven’t had both together. Any spot RT will be easy I am sure as in my view it is the long term treatment that gets you. I have had 40 RT sessions in all. The first was 37 sessions at 2Gy each but I only felt fatigue after about 15 sessions. My second round was SABR 3 sessions at 13Gy. It did make me tired but not anything major. The key is what Gy you get and how many sessions.
Best wishes, David
Please remember that I am not medically trained and the above are my personal views.
Hi MRTWW, my partner had triplet therapy like you and 20 radiotherapy sessions about 6 weeks after the chemo finished. He coped okay with all of his treatment although recovery from chemo was harder than radiotherapy.he did not have any noticeable side effects from the radiotherapy. Good luck with your treatment and Hooe your excellent response continues.
Hi Tom,
I've had both Chemo and Radiotherapy but again not at the same time and in a different area... Like David said Radiotherapy is easy in comparison, all I can imagine it doing is adding a little more fatigue... It sounds like you're handling the Chemo well, if you're not already try to do some brisk walking most days, it helps a lot with the fatigue and bone ache from the Chemo, and getting out in the fresh air is good for the soul...
Sounds like You are responding well to your treatment, long may that continue...
All the best
Jay
Hi, I was also diagnosed recently with stage 4, fortunately I’ve no pain yet in the spine and rib it resides in so I’ve not done chemo just RT & HT. As a result I can’t offer any specific advice just best wishes from a fellow sufferer and a positive message that this horrible disease may or may not get us eventually but that day will be a very long time coming .
Thanks Jay, certainly agree with getting out and about and been lucky with the weather - factor 50 and cap in tow, but walking more than a few hundred miles is a bit of a challenge on my good weeks, but will try and do a bit more each time, all the best Tom
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