Some advice?

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Hi Everybody,

it's been a long time and I hope everyone is doing well, this group helped me so much when my dad got diagnosed 2.5 years ago with stage 4. 

My dad was diagnosed with stage 4, metastatic cancer. 
PSA 282 T4 , spread to distant lymph nodes, Gleason 9. 

He has been doing well, he had 6 rounds of radiotherapy, is on ADT and Apalutamide. He also takes venlafaxine for hot flushes.

His PSA hit undetectable within the first 3 months and is stil undetectable last check up in November 2025. 

He had MRI 9 months ago and was told he had an excellent treatment response and all cancer cells were active and were asleep. 

My dad is 73 and is still working as a plumber and will not retire!

However the last month or so he keeps having dizzy spells? So now I'm worried, could it have spread to the brain ? Would this happen if psa is not being detected now. 
Could it be the treatment? Or has anyone else experienced this. 

my dad won't let me speak to the doctor or consultant as he is worrying he will have to stop work, I'm really worried, I just had a baby he is 7 weeks old and am getting married in December and praying my dad will be healthy for it! 

just wanted some advice as a worrying daddies girl. 

many thanks xx 

  • Hello  

    Thank you for your post and congratulations on the arrival of your baby.

    We are not medically trained but I suspect the dizzy spells are not connected to dad's prostate cancer. He should have been told by his cancer team that even though he is doing well with a PSA that is undetectable to report any changes in his health to them. He needs to do this to both his cancer team and he needs to speak to his own GP, so the cause of the dizzy spells can be investigated.

    As we men get older we think nothing is wrong with us - I am 70 and if I jump up out of a chair or get out of bed quickly (not much chance of that!) I can go dizzy as my blood pressure takes longer to adjust from sitting to standing. I would say it's just old age BUT he needs to get it checked.

    Best wishes - Brian.

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  • Hello   If you haven’t already seen it, here’s a link to the NHS web site covering dizziness…  https://www.nhs.uk/symptoms/dizziness/   

    I would suggest, as a minimum, a blood pressure check at his GP or a good pharmacy ASAP, and maybe arrange an age-related ‘MOT’ at his GP as well? Fixing the dizzy spells should help him continue working safely. Ignoring them might not.

    I take my hat off to anyone still enjoying working at 73. That, and his undetectable PSA, is great to hear.