Hi there,
To cut an incredibly long drawn out painful story short, my partner had an MRI scan at our local hospital in July 21. We went to see the consultant in August 21 and he was diagnosed with T2/T3a prostate cancer. He was then referred to another hospital for surgery using the robot assisted technique (RALP). We then went to see the RALP surgeon at the end of September 21 and he talked us through the operation and said that he hadn't actually seen the MRI scan report from our local hospital. Fast forward to the end of November 21 and he had a phone call from the surgeon to say that he's just seen the MRI scans and that the tumour is a lot bigger than they first thought. We've seen a letter from the surgeon to my partner's GP and it now says that it's T3b bi-lateral and 14mm. I've had to try and decipher all the Dr speak on my own and I've asked the hospital was the diagnosis wrong when we were told in August that it was T2/T3a because if the surgeon has said it's a lot bigger than he first thought then surely it must've been T3b bi-lateral back in July 21? They won't answer my questions so I am still in the dark.
He's now taking hormone tablets, Biculatamide 50mg, to try and stop the cancer spreading. The surgeon did say the NM Full body scan that he had done in Oct 21 showed that the cancer hadn't spread to his bones.
He went for his pre-op assessment yesterday because he's finally been given an operation date on 22 December 21. He's had the tests and they took his Blood Pressure 4 times. It was 170/100. He's also been testing it at home and it was 151/102 this morning.
We've finally managed to get an appt with his GP for next Tuesday because if he can't get his BP down then the operation will be cancelled. Is there even a tablet out there that can bring his BP down in 8 days so he can have the operation?
I cannot even begin to write in detail about the horrific journey we've been on trying to sort out appts, with cancellation letters received days after the date of the appt, letters sent out dated 27.10.21 for an appt at 10.45am on 27.10.21 so he didn't get the letter until 4 days later, appt letters sent to the wrong address, the hospital not being able to contact him because they had the wrong phone number, so much so that I'm now on anti-depressants and diazepam.
Not sure what I expect from writing this really, but just wondered if anyone had been through this or anything similar and how did it all pan out.
Thank you for reading this and any advice would be gratefully received. Be honest as I can't feel any worse than I do at the moment.
(I do realise that we are in a pandemic and that the NHS is on it's knees and really struggling but I'm at a loss as to what to do. I also realise there a lot of people who are more ill than my partner).
Hi,
I was in a similar position as your partner. In April I went for a biopsy at my local hospital but when they took my blood pressure it was 177/101. Even after waiting 15 minutes it was still the same. As it was so high the biopsy was postponed. After speaking to my doctor she monitored me for a week. It was still 137/94. I am now on 5mg Amlodipine, my blood pressure is now 117/84. If you check my profile you will see that my situation is quite similar. However I have opted for Hormone Therapy & Radiotherapy as mine has broken out of the prostate and has affected the seminal vesticles. Have you been assigned a Cynical Nurse Specialist? Mine has been so much help, no call is a nuisance call. I see my consultant at the end of the month. Don’t forget that most people have “White Coat Syndrome” which means they are always nervous when seeing anyone medical so it raises the blood pressure.
I hope this helps.
Hi Tyler19,
Yes I've since heard about White Coat Syndrome and I think it could be possible but in this case it was still 151/102 when he was at home this morning. How long were you taking the Amlodipine for before your BP got lower? He has 8 days between next Tues when he sees his GP and the scheduled operation date on 22nd Dec. Thank you.
Hi,
I was on Amlodipine for about a week before I started noticing the change, however I didn’t check my blood pressure before then. Amlodipine is also available in 10mg tablets but doctors like to start you on a lower dose first.
I had my biopsy in June this year. After talking to my surgeon and oncologist they decided my best option was for Hormone Therapy, I have an injection of Prostap 3 every 3 months. I will have this for 3 years. Hopefully I will start radiotherapy in April/May next year. This will be 37 sessions ( Monday to Friday) so just over 7 1/2 weeks. I just try to live life as normal. I have found that this forum has been helpful as everyone is at different stages of PC. One of the best ways of dealing with it is to talk about it. My nurse who gives me my injection said that she has been doing it for 13 years, so it’s nothing new.
my stats was T3B N0 Mx Gleason score 4+3 largest focus 12mm. Bone scan was clear. PSA was 79.39.
Hi Cimu43,
you’ve come to the right place.., read my profile re my partner who sadly has stage 4 with bone and lung mets but the good news is his PSA has come down from 44.4 to 0.4 in two months of hormone tablets/injections.
this group has been great for us. I read him everything relevant and it’s helped us relax.
Sadly the nhs is no longer what it was snd we need to be our own medic and PA often. I also recognise and empathise with your situation… it’s so stressful when all you want is treatment to start. No wonder his BP is up!
the hormone treatment gets to work immediately so it’s making changes now… so remember that!!
much love to you
Hi
Understandable how your feeling, letter sent to wrong address, then wrong phone number as they always txt you about appointments, so in the dark there. Trying to get hold of people can be a nightmare, I always when in doubt phone the secretary of the surgeon or the top oncologist.
Phoning up daily being a polite pest, brings about some results.
Hormone tablets or injections always attacks the PC and brings down the PSA it’s the first line of attack, as so to say. So always ask for reports to be sent to you and your doctor keeps you in the know.
Having said all this, stress at this point, always builds up, you feel helpless as regards no information is coming to you, if it does it seems to be changing from what you’ve been told. The pressure and worry about not getting treatment for your husband just built up, I’m sure after things are sorted that you will be more relaxed, still worrying about your husband of course, but relieve.
Try and keep positive, my wife was an absolute mess when we were told mine was incurable, she worries even after five and a half years. I’ve replied to many spouses like yourself, over the years, so keep writing to us, we will do our best to help.
Stay safe
Joe
Thank you all so much for your very kind and informative posts. Another thing I can't understand is that in the initial diagnosis letter it was T2/T3a and his PSA was 18.6. (Gleason 3+4). Fast forward to November and we saw a letter from his surgeon to his GP saying that it was now T3b bi-lateral and PSA was 14. (Gleason still 3+4). He hadn't started on the hormone tablets yet so how can the PSA have dropped if the tumour is bigger than first thought? I'm now doubting that any of what we've been told is correct but I'm not remotely medically trained so it's just a lot of guess work. His BP this morning is 161/108.
I wish the GP had seen him on Friday but I do understand how over worked they are but my stress levels are through the roof. I can ask his GP on Tuesday about the PSA levels coming down. It seems a lot of your PSA levels were much higher than his. So many questions, so many doubts, so much anxiety - Sorry!!
Morning,
Yes PSA levels are a pain, they fluctuate so much. As I mentioned previously I’m seeing my consultant on 30th December. On my previous meeting with her in early November she asked me to have a blood test done before our next appointment. A couple of days later the form arrived. I waited until 30th November before having it done. A week later I received a telephone call from my CNS saying that I had it done too soon. So I now have another booked for 20th December. I have read that you can have a PSA test done in the morning and then in the afternoon and you will get different results. I forgot to mention in my last post that Bicalutamide has increased blood pressure as one of the its side effects. As I only had to take them for 28 days my GP didn’t seem it necessary to increase my Amlodipine. I’ve been off Bicalutamide for 6 weeks now which is why my blood pressure has stabilized.
When I monitored my BP I always took it at the same time of day & from the same arm. In fact I even sat in the same chair.
Keep us informed of your progress.
I wish I'd joined this forum weeks ago!! That's good to know that Bicalutamide raises blood pressure as maybe this is what's happened. He started taking them on 3rd Dec and out of all the scans, MRI, Thorax abdomen & pelvis and NM Full body scan, they have never taken his blood pressure. They might have taken it when he had the biopsy back in July but he can't remember. I will mention Amlodipine when we see the GP on Tuesday. I'm beginning to feel like I am questioning everything they are doing (or not doing in some instances) but I guess they are used to this. I just don't want to miss any chance or any possible route to take to get this operation done. Thank you Tyler. it's really comforting to read all these posts with people who have experienced PC and so know what they are talking about.
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