Advanced Prostate Cancer and life expectancy (rant + sharing our approach)

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Hi everyone,

I posted a few weeks ago when we found out that my partner has metastatic prostate cancer spread to lymph nodes and bones. I received incredible responses and support. I am very thankful for that! We were shocked and a bit devastated by the news but we both got back up pretty quickly.

This is a bit of a rant; I hope it’s ok!

I am fed up with doctors and specialists who think it is right to put a time stamp on someone’s condition.

I have been a silent reader here for the past few weeks and I am horrified to read about people having been told that they have “this much left to live”.

The truth is that they absolutely DO NOT KNOW. Yes, there are stats, but remember that stats are based on a small sample of the population and that there are always new treatments coming up that would affect those stats.

In my mind, if you tell someone: You have 2 to 3 years left, there is a psychological effect by which this time frame will be stamped in their mind and inevitably, they will not make it over 3 years.

No. This must stop.

I would like to share with you how my OH and myself are approaching this terrifying diagnostic of Advanced Prostate Cancer.

Some might say we are fooling ourselves, but I like to think they are wrong.

First of all, we have agreed a treatment plan that we trust: Triplet therapy.

But that’s not all. We lived a relatively healthy life, but made further adjustments based on a lot of reading and vlog watching about advanced caner (not limited to prostate). I am happy to share the readings, etc. if anyone is interested.

I share everything that I find with my partner. We have a positive mind and when one of us is having a bad day (they do happen), we lift each other up, we do something we like, etc.

We have changed our diet to have less meat (we do love a good steak every now and then), more vegetables, eliminate sugar as much as possible and have more superfood that are believed to interfere with the cancer. MY OH was very active before but even more so now, cycling between 50 and 70km every two days.

We stay away from the negative as much as possible. We have a great oncologist who agreed that we should treat this as a chronic disease rather than a nasty illness that is going to kill him soon.

He said Advanced Prostate Cancer (at least here, in my OH case) is not TERMINAL (I used this word myself early on). This term also must stop being used. It is treatable and there are lots of options in case the cancer stops responding to one of the treatments.

 

We don’t have all the answers, far from. But keeping a positive mind and working together against this disease is the best we can do. Life is normal-ish, we have just been on a two weeks holiday, we go out to concerts, restaurants, etc.

We chose not to give this nasty disease so much importance in our lives, we refuse to give it the power to govern our lives. We are in charge.

 

Wishing everyone a great mid-week!

  • Thanks for the update  .

    What a good reduction in PSA at this stage. As the others have said, it is possibly Abiraterone which is given with a steroid to reduce side effects but there is also Apalutamide which can also cause a rash. There are several on the forum who are taking either and will be able to give you first hand information on them once you know which one it is. Even more have been down the radiotherapy route with good results. Celebration time.

  • Hi Brian thanks for info .

    There seems to be a lot of possible side effects .

    I hope to dodge these 

    Lost a stone in weight ,hope to keep that off 

  • Hello  

    Your PSA is down, your oncologist is doing great, it's in your court now. Try and keep as fit as possible and remember we are all here for you.

    Have a read on the other threads how it's affected other people, but remember we are all different and react in different ways.

    You can do this - Muscle.

    Best wishes - Brian.

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  • That is a great summary. It really annoyed me to see that Chris Hoy had been give 3 years to live.  I'll bet he is still kicking around long after 3 years.

    I was first diagnosed 10 years ago but was recently found to have a metastasis on the spine and advance prostate cancer.

    My oncologist, when asked following the advanced diagnosis, gave me, with a bit of a shrug,  a life expectancy of 5 years. To put this into perspective a normal male at age 78 has a life expectancy of 10 years but these are just statistics.  Who is normal or average?

    Terminal sounds so definitive and even the insurance companies don't seem to use it for PC.

    I have never really got on with gym but I now have a strong motivator

  • About 15 years ago I was working with one of the big life assurance companies (the bank that was my actual employer owned it), and at that time there was much discussion about a number of cancers.

    The was an insurance product, used to protect mortgages, called critical illness insurance, which paid out if you had an illness critical to life. Although I wasn't paying a huge amount of attention I noted that there was considerable amount of talk about whether breast cancer or prostate cancer should be covered under that type of policy.

    Steve

    Changed, but not diminished.
  • Reading this post has just brightened my day and given me some food for thought. When my husband who is 62 and diagnosed with advanced PC with " low level " spread to pelvis and a couple of lymph nodes back in February this year I was so devastated but also angry that something like this dare disrupt our lovely life . I took the attitude that this is NOT going to rule our life and most of the time it doesn't prevent us from doing all the things we did before diagnosis but I have this constant niggle " like toothache" that just won't go away and some days ( not many ) I struggle . Try my hardest not to think what the future holds but have days where I overthink things and think the worst.  Husband is coping well with HT daily and every 3 month injections and has just completed radiotherapy  to prostate but for last 4 or 5 weeks of having radiotherapy has been complaining of rib pain which he didn't have before . I am thinking the worst , or could it be due to the radiotherapy ? Any thoughts ? Thank you 

  • Hello  

    I am pleased you and your husband are "doing well".

    The rib pain is a new one on me. 

    I think it's something you should bring up with his oncology team and if it's nothing to do with the Radiotherapy of the Prostate Cancer they will suggest that you contact your GP.

    Best wishes - Brian.

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  • Hi Millibob

    If you read my profile, extreme pain in the ribs was the only reason I went to my GP, I had no other symptoms whatsoever other than a very slight niggle in my right shoulder which I put down to needing a new 3 piece suite. Chris Hoy apparently also only had shoulder pain

  • Hello  

    It's a standard instruction, any new pain arising check with your oncology team and if it's nothing to do with Prostate Cancer then to your GP. My reply was worded the way it was as  said:

    has been complaining of rib pain which he didn't have before

    so the inference was that it had been caused by the Radiotherapy.

    I have had the same issues myself, at one of my 3 monthly meetings with oncology I mentioned a change to my shoulder as it was giving me some pain - a rotator cuff injury diagnosed there and then!.

    I trust you are doing OK yourself.

    Best wishes - Brian.

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  • Apologies I read it differently ( I blame the augustiner helles as I'm in Germany). However yes I agree about any new pain needs investigating, I had hip pain a couple of months ago and they sent me for x-rays which showed nothing, it eventually cleared after about 6 weeks