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Kidney failure

User
Posted 12 Oct 2022 at 23:39

He had his tattoo marked tonight so radiotherapy tomorrow . . Not sure how long the spinal cord compression has been there as since Saturday he’s only had a sciatic style pain down one leg .toilet ok so hopefully fingers and toes crossed he is ok .

 

his psa was 398 and 5 weeks on Abi it went up to 430 and now 9 weeks 530 oncologist said it’s not going up as fast as before but definitely not coming down so I’m guessing that is failing ??? He started end of July so within 3 months .

 

 

 

 

User
Posted 12 Oct 2022 at 23:40

Thank you for your message I will ask oncologist , we are based in London 

User
Posted 13 Oct 2022 at 13:55

Originally Posted by: Online Community Member

He had his tattoo marked tonight so radiotherapy tomorrow . . Not sure how long the spinal cord compression has been there as since Saturday he’s only had a sciatic style pain down one leg .toilet ok so hopefully fingers and toes crossed he is ok 



 

Best of luck for today, hope the RT goes well for Gary x

User
Posted 13 Oct 2022 at 23:12
Gary had his radiotherapy today , it had to be remarked as they had it wrong yesterday …..

I spoke to the doctor on the ward and she told me they are giving radiotherapy to the whole spine . 10 sessions ( not Saturday and Sunday )

He also had a physio come around before the radiotherapy and made him get out of bed and walk around after the nurse telling him off for sitting up ! I think arse and elbow comes to mind …. Gary has turned into a grumpy old man so I didn’t say anything .

He’s a little tired and said he’s sweating ( he sweats quite a lot anyway ) and the heating is on in the hospital .

I rang the oncology nurse and left a message , as scans in the summer clearly said no spinal compressions so are since starting Abi which would suggest it’s failing

User
Posted 15 Oct 2022 at 17:54
I just wanted to update as feel totally useless and helpless.

Gary called me today and said he had no feeling in his legs and when asked to move them he couldn’t , his bum is numb too .

He had two sessions of radiotherapy to whole spine (Thursday and Friday ) and it looks like it’s made it worse ? Am I thinking radiotherphy is not working or is it to early to tell that this happened before it gets better .

User
Posted 15 Oct 2022 at 19:20

Sorry to see this Fiona.

I’m sorry I can’t help to answer the question too, hopefully someone will come on to do that soon.

Really hope it is just a case of it getting worse before it gets better 🤞🏼 must be worrying all the same x

 

User
Posted 15 Oct 2022 at 21:04
I really feel for you. My OH is in a similar place, having just had his second SCC and possible skull mets - but our kids are grown. With both SCCs it has taken time to respond fully to the radiotherapy, but he is out of hospital with regained mobility now. 10 sessions is a lot (my oh had 1 first time then 5 second) so presumably there is a lot to treat. I hope you are getting some support from local palliative care team (if not, ask for it) because they have hooked us up with so much practical support (eg local physio) and it’s so great to know they are there. I will be thinking of you.
User
Posted 15 Oct 2022 at 21:15
Forgot to add that you are doing an amazing job for Gary - being there, reading all the painful scan reports (my OH won’t read his!) and coping with everything at home
User
Posted 16 Oct 2022 at 10:44

Thank you , I’m trying to keep it together for my 4 year old ,who doesn’t really understand and don’t really have any extended family apart from my brother who went on holiday yesterday for a week . I have some very good friends 

I spoke to gary last night and he has urine retention so have fitted a Catheter, 

Gary has skull mets , they showed on a scan in June , I didn’t tell him I knew as I wanted to carry on as normal . They have repeated a CT head scan on Thursday so I’m sure we will find results in the next few days . 

I will try and seek some help , I left my jacket on the tube on Thursday , didn’t realise until I got to the hospital , stupid tired and stressed . 

User
Posted 16 Oct 2022 at 21:54
Completely understandable. We have a scan on Thurs too - good luck!
User
Posted 16 Oct 2022 at 22:39
Hopefully, the paralysis is a temporary thing as the RT can cause some inflammation to the area. The urinary retention could be linked to the paralysis - if so, bowel problems are also likely. Hoping things look brighter tomorrow.

Have you told the oncologist or oncology nurse that the ward nurse and physio provided conflicting information? I would want some assurance that the physio had read the notes and knew what s/he was talking about :-/

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Oct 2022 at 20:57

Gary seems much brighter today , pumped full of steroids . I hadn’t seen him since Friday . He can lift both legs up but has not tried to stand yet as they have told him to stay in bed . 

unfortunately the head scan he had yesterday showed cancer in the lining of the brain . They are still awaiting the pelvis scan results but it’s not looking good . The ward doctor has asked if I can speak with gary’s oncologist to see if treatment can be changed .Urology nurse said she hopes something can be done but also be prefer for the worse .

Out of sheer dispair do you think it is worth asking about privately funding the luituim  177 , would he be considered .

im not giving up on him. 

User
Posted 17 Oct 2022 at 22:03
Has he had a PSMA scan previously? He would need to be PSMA reactive for the luituim 177 to be viable. Your onco is best person to ask TBH..
User
Posted 17 Oct 2022 at 22:18
Like franci says, he needs to be tested to see if he is PSMA+ first and I am not sure you have time to arrange those scans as you would have to wait until he is stabilised and out of hospital before you could arrange for him to go to a centre which offers PSMA scanning (unless of course the hospital where he is an inpatient happens to have PSMA scanning capacity). Only once you know that he is PSMA+ is it worth exploring NHS availability and private options but in reality, as Lut 177 is often given once every 3 months, he would have to survive for a year to get the benefit and that, sadly, is looking less likely now. Also need to ask whether the brain cancer affects suitability - it may be that the potential side effects of delivering RT direct to the lining of the brain would just be too great.

More immediate change might be if you can persuade the onco to switch to apalutimide on the basis that the abiraterone failed within 3 months. If the onco says that isn't possible because you are now 14 weeks on, ask about stilboestrol, an old fashioned treatment but sometimes comes up trumps for men who are unsuccessful with abi / enza / apa.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 20 Oct 2022 at 16:56

Today has been probably one of the worst days of this horrible cancer journey .

I went into see gary and the doctor on the ward came around , she said it was highly unlikely now gary would regain any walking abilities, or bladder or bowel control . And sending him home would provide a high level of care. 
I just thought I would ask if they are still giving him the abiratarone and she said no . It’s failing and I ask if anything else they could do  to be honest I was so shocked I sobbed and couldn’t even think what to say . 
gary said “ is that it ?” and she said unfortunately yes , to put his affairs in order and spend what ever inheritance he was going give.then drawn the curtain back and on to the next patient . 


I probably somewhere in me knew that gary was not on a good place but to hear it out loud and so matter of fact , 

they are still continuing radiotherapy to his spine and another doctor /radiologist came to talk to me . He is going to give fart radiotherapy to the skull base as he has numbness in his lip and chin and cancer growing behind his eye to relive pressure.5 sessions .he added they will add bicalutamide ( which I’m sure gary has had) to the mix .

after all the radiotherapy they discussed coming home I assume to die . 

my beautiful husband , 55 years old will probably not see Christmas and a 4 year old who will be robbed off her dad . I feel so utterly destroyed 

 

 

 

User
Posted 20 Oct 2022 at 17:23

Hi

That's terrible news to hear,I am 6 months into my journey and it makes my head drop when I hear stories like yours,I felt I needed to message and I'm thinking of you both.I know it's easy said but please try to be strong for your other half and child.

Regards Phil 

User
Posted 20 Oct 2022 at 17:49
I am so sorry Leahy. The bicalutimide may give his HT a bit of a boost and slow down the progression.

I can't remember whether you said you were already receiving PIP but if not, ask the hospital team to fill in their bit of the application urgently as that money will help you to pay for whatever is needed to be able to care for Gary - home care assistance, a medical bed / air mattress to prevent pressure sores, etc. You may be eligible for carer's benefit which will also help. A difficult conversation to be had about where G would like to die, at home or in a hospice. The hospital will begin liaising with local authority social services to put together a care plan - don't agree to him coming home without a care plan in place.

Macmillan have some good resources for helping to explain to children and your local hospice may also have advice on this or even a children's support worker. Finally, Macmillan, Maggie's and/ or your local hospice should be able to offer support to you over the coming weeks and months.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 20 Oct 2022 at 19:22

So sad to read this latest post, have been thinking of you both and had hoped we might hear some better news soon.

Can only imagine what you are going through. Hope you manage to get all the support you can to help care for Gary and your little girl. And hope Gary can remain comfortable and pain free.

Our thoughts, love and best wishes are with you x

 

 

User
Posted 20 Oct 2022 at 20:01

So sad to hear this news my thoughts are with you it is totally shocking news hopefully you will have the care needed at this time gaz

User
Posted 26 Oct 2022 at 06:59

Very sorry to read this. Thinking of you and hoping you are getting some support.

 
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