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!

  • Hi Myrtlle

    Unfortunately I'm only at the beginning of this journey as I've only had 2 of the 6 cycles of chemotherapy, the 3rd is next Friday, so not past my expected sell by date yet, but I'll get there.

    I very much doubt that my consultant would have told me had I not pushed him on it. Again personally for me as my cancer is not cureable and they are quite literally managing it in order to try and give me as long as possible but also a better quality of life, I am happy for it to be called 'terminal' which it is in my eyes, I should add it is myself rather than my consultant who has called it this, even my wife called it the same when telling close friends.

    From the initial diagnosis I have had the same attitude in that I'm not going to let it win easily and it will have to fight me all the way. A very good long standing client of mine when I told her said 'never forget it's mind over matter 80/20 in favour of positivity' she is very much into yoga and Buddhism and that is exactly the way I'm handling this. I've no intention of being morbid or being negative as it won't alter the fact that I have cancer and will only drag me down. However I understand that we are all different and have our own way of handling these situations.

    Anyway that's enough from me, it's time to walk the dog, just a shame it's still raining 

  • Oh I'm sorry, I read you wrong! When you said your consultant underestimated you by a few years, I presumed you had outlived the prognosis... but you will!

    At the very first appointment with the oncologist, I mentioned the word terminal. The oncologist stopped me right there and said that the situation here wasn't terminal, there are many options to treat and give my OH many many years (without mentioning how many, and we didn't ask). I cried. I hated the word terminal, still do. So I was relieved that, according to this oncologist, it wasn't the right term to use.

    Yes, mind over matter! Dogs are the best to lift us up, enjoy your rainy walk and all the best with the treatments.

  •  Hi  , hope your chemo has gone ok and next 4 are trouble free.  Good luck on Friday.  You have a great attitude and that will carry you a long way.  Best wishes, David

    Best wishes, David

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

  • Many thanks. The first was ok apart from the pain in my bones which they are putting down to the Filgrastim injections, I joked with my consultant that had he told me I would have to self inject for 7 days after chemotherapy then he wouldn't have seen me ever again, as it was the first I knew about it was after I'd had it and the nurse handed me a bag of needles telling me what I needed to do. I'll be honest come the Sunday I simply couldn't do it and neither could my wife so it was a call to my GP's out of hours service and they arranged for a nurse to come out, she made it seem so easy and I didn't feel a thing so I said when she comes the following day I'll give it a go and see if I can do it, since then I've done it and not needed the nurse to visit.

    The second cycle I had similar pains but otherwise felt okay until day 6 when I have never felt so fatigued/lethargic, this lasted for almost a week and did knock me for 6. I'm hoping this was possibly a reaction to having had a serious bout of COVID which delayed the second cycle by a week as whilst I was clear the nurse did say my infection levels were still slightly raised in the blood samples

    Time will tell, but it is what it is and if it means I have a lazy week so be it

  •   I hated the injection part at the beginning and my OH administered them reluctantly.  I was needle phobic  for 67 years but soon grew out of that once treatment started.  Chemo is progressive so if you feel more tired at day 6 you must rest, as your body needs to divert all energy to keep you going.  Hopefully you will sail through the rest but do listen to your body until you are through round 6.  Plenty of time to get fit once the final chemo has been administered.  Best wishes, David

    Best wishes, David

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

  • Met with oncologist today .

    She said psa in march 31.5

    Today 0.4 .been prescribed some tablets and she as also referred me to radiotherapy 

    Back in six weeks time 

    Best day so far onwards and upwards but not PSA 

    PS Forgot name of tablets already choice of two .starts with letter A I think ,side effect can be a rash ?

  • That’s great to see your PSE is 0.4

    is it Aburaterone ?  

    Best wishes

    Liz & OH x 

  • Hello  

    Well that's a post from a happy bunny - it looks like your oncologist is on top of your case. 

    The tablets may well be Abiraterone as skin rash is one of the side effects. Here's our guide to Abiraterone:

    https://www.macmillan.org.uk/cancer-information-and-support/treatments-and-drugs/abiraterone#:~:text=Abiraterone%20is%20used%20to%20treat,help%20reduce%20some%20side%20effects.

    Let us know how you get on and good luck with the treatment.

    Best wishes - Brian.

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  • Yeah that's the one they are getting delivered as farmacy was closed

  • Thanks ,that's the one