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Just diagnosed - feeling broken

User
Posted 06 Oct 2022 at 13:17

Hi all

Posting on here for my hubby who is 51, fit & healthy, he is never ill. 

Had symptoms of getting up peeing at night, gp appointment 13/9/22 digital examination prostate felt abnormal, bloods done PSA of 200! Prescribed bicalutamide

21/9/22 MRI, told it was cancer and spread outside of prostate (uncontrollable crying from me) had biopsy, bone scan and CT scan across the following week, tough week telling our girls (22 & 16)

 Appt today with urologist:

gleason 9 (4+5), T 3b, N2,M1, cancer spread to pubic bone and lower back 

absolutely devastated 

Treatment :hormone injection and chemo / injection given today of Prostap.

Appointment with oncologist next week 

if it wasn’t for this group I wouldn’t have known what to ask  (scores) but now feeling terrified 

Hubby says he is still here and plans to be for a long time  

I am broken 

 

Tracey 

User
Posted 09 Oct 2022 at 22:02
Hi , sorry you are both here . I have not posted for ages but logged on and felt compelled to reply to you.

I was diagnosed 8 years ago age 49 T4N1M1A, PSA 342 . Tears all round on diagnosis , spread to lymph’s outside the pelvis and inside.

Biclutamide did nothing for me but zoladex from the start then docetaxl chemo followed by radiotherapy to the prostate . About a year later after PSA had dropped to around 1 it started rising again . Started abiraterone and PSA dropped to around 0.1 . Stayed there until recently and has slowly risen however still only 0.25

So , number 1) life has been great for 8 years 2) I always ran a bit but since diagnosis I have run around 15,000 miles all over the world in 250k races . I even ran 2 marathons on chemo .

There are no guarantees of course but I have learnt to make the most of every day . My wife always says to me “if you wake up and feel ok it’s going to be a good day”. Even on a bad day I feel “ok” so what’s not to love ? I am 57 now so please don’t focus on the rubbish too much but instead enjoy the now because there will be plenty more now’s I am sure.

Dream like you have forever, live like you only have today Avatar is me doing the 600 mile Camino de Santiago May 2019

User
Posted 06 Oct 2022 at 15:09

Thanks Michael, it’s good to hear that you are receiving great care.

trying to stay positive 

Tracey 

Tracey 

User
Posted 06 Oct 2022 at 16:04

Loads that can be done Tracey stay positive I was gleeson 9 with a high psa 2years on after radiotherapy and 2 years off hormone therapy psa now 0.01. met a fellow whilst having treatment his starting psa 10 years ago was 5000 he is incurable but it still here and reasonably ok  gaz 👍

User
Posted 06 Oct 2022 at 22:36

Hi both

Read my profile,be strong stay positive,it will get better but its a roller coaster.

Best wishes to you both 

User
Posted 08 Oct 2022 at 01:38
Rowey, don't get your hopes up that a second opinion is going to make a difference in your case. I have been a member here for 13 years and Elaine's is only the second case I can remember of bone mets being diagnosed and then another consultant saying this is wrong. In your case, with a G9 and mets to lymph and at least two bones, it isn't going to turn out to be a diagnostic error
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 06 Oct 2022 at 14:53

Hi Tracey 

Sorry to hear this and you and husband must be in some degree of shock.  I have a similar story to your husband and am receiving great care from oncology.  There is a lot they can do and you will see from many stories here that even with when things have moved out the prostate treatments can control things a for good length of time. 

I do wish you and your husband well and I am sure others will be along as well to tell you about many of the success stories and longevity.  

Take your time processing things and look after each other. 

Best wishes

Michael 

User
Posted 06 Oct 2022 at 17:17

so he should be with your backing he will be fine keep us informed great community with some sterling advice off some very knowledgeable people 👍

User
Posted 07 Oct 2022 at 16:12
Hi Tracey ,I feel your anguish. My OH Gary aged 55 had lower PSA(23) but Gleason 4+5 spread to lymph nodes ,that was 7 yrs ago ! He had early chemo which thankfully he sailed through,managing to continue working. He’s been on Abiraterone and enzolutamine (in a trial) plus prosap since and has had PSA reading of undetectable since about the 3/4 th chemo session.

He still works ,just slower .Keep the faith and hopefully once treatment kicks in the PSA should start to come down .

I remember Gary being told about the cancer in the November and I kept thinking he’d be dead by Christmas!!

Lots of useful info and people on this site . Make sure you take time for yourself as well .

Best wishes

Debby

User
Posted 08 Oct 2022 at 13:07

Yes of course Lyn is right and every situation is different.

Although Rob is also G9 and had lymph node spread his initial PSA was 8.3 and they had said about 1 bone area in his pelvis.

The only thing I sometimes think of is if we didn’t get the second opinion he would have had chemo/enza and hormone treatment for life….it would have just appeared that he was responding well to treatment and we would never have known it was never there to begin with….I’m sure this must happen to others.

The main reason I got the second opinion was because I wanted to see if someone would operate regardless and then deal with the bone met later (similar to Atlanta trial). I don’t think I initially questioned that it might be wrong but of course it was very welcomed news x

User
Posted 02 Nov 2022 at 20:53

You need to ask why RT will not benefit you when it has been proven to improve overall survival. See this link:
https://prostatecanceruk.org/prostate-information/treatments/radiotherapy-for-advanced-prostate-cancer/#:~:text=It%20won%27t%20cure%20your,in%20your%20pelvis%20or%20spine.

Ask your oncologist why it won't benefit you..

Recent trials have also shown benefit with treating distant bone metastasis too.

Edited by member 02 Nov 2022 at 20:56  | Reason: Not specified

User
Posted 02 Nov 2022 at 22:09

Just realised I had a typo and said more than 5 could be done instead of couldn’t 🤦🏻‍♀️ sorry! I’ve changed it now.

I know others seem to have only got three mets targeted on the NHS, although if they give RT to the whole prostate area maybe some would be covered there? Not sure what Atlanta offers. It’s difficult to know what is available but it’s got to be worth asking, and I know in the same situation I would still be pushing for the best treatment in hope of cure.

Best of luck with your next appointment x

 

User
Posted 03 Nov 2022 at 00:38
Quote:
Quote:

 

Everyone needs hope but it should be realistic; metastatic cancer can't be cured.  

 



I possibly have watched too many American YouTube videos 🤦🏻‍♀️ It’s always stuck with me that he said you should always aim for cure (within reason of course), they were usually working with up to 5 mets including bone….I assume they were meaning remission but it seems they have sometimes seen very lengthy ones. 

 

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User
Posted 06 Oct 2022 at 14:53

Hi Tracey 

Sorry to hear this and you and husband must be in some degree of shock.  I have a similar story to your husband and am receiving great care from oncology.  There is a lot they can do and you will see from many stories here that even with when things have moved out the prostate treatments can control things a for good length of time. 

I do wish you and your husband well and I am sure others will be along as well to tell you about many of the success stories and longevity.  

Take your time processing things and look after each other. 

Best wishes

Michael 

User
Posted 06 Oct 2022 at 15:09

Thanks Michael, it’s good to hear that you are receiving great care.

trying to stay positive 

Tracey 

Tracey 

User
Posted 06 Oct 2022 at 16:04

Loads that can be done Tracey stay positive I was gleeson 9 with a high psa 2years on after radiotherapy and 2 years off hormone therapy psa now 0.01. met a fellow whilst having treatment his starting psa 10 years ago was 5000 he is incurable but it still here and reasonably ok  gaz 👍

User
Posted 06 Oct 2022 at 16:35

Thanks Gaz, hubby is positive 👍🏻

Tracey 

User
Posted 06 Oct 2022 at 17:17

so he should be with your backing he will be fine keep us informed great community with some sterling advice off some very knowledgeable people 👍

User
Posted 06 Oct 2022 at 22:36

Hi both

Read my profile,be strong stay positive,it will get better but its a roller coaster.

Best wishes to you both 

User
Posted 07 Oct 2022 at 16:12
Hi Tracey ,I feel your anguish. My OH Gary aged 55 had lower PSA(23) but Gleason 4+5 spread to lymph nodes ,that was 7 yrs ago ! He had early chemo which thankfully he sailed through,managing to continue working. He’s been on Abiraterone and enzolutamine (in a trial) plus prosap since and has had PSA reading of undetectable since about the 3/4 th chemo session.

He still works ,just slower .Keep the faith and hopefully once treatment kicks in the PSA should start to come down .

I remember Gary being told about the cancer in the November and I kept thinking he’d be dead by Christmas!!

Lots of useful info and people on this site . Make sure you take time for yourself as well .

Best wishes

Debby

User
Posted 07 Oct 2022 at 17:46

Thanks Debby, it’s great to hear that you & Gary are getting through it .  I’ve had the same thoughts (how long will I have him) but hearing stories like yours is really helping us.  
 
staying positive x

Tracey 

User
Posted 07 Oct 2022 at 21:28

It’s such a difficult time Tracey. Like Debby, when my husband was diagnosed July last year I didn’t think he would be here at Christmas either 😢

He was initially diagnosed T3a N1 M1b. Thankfully for us after a second opinion and PSMA pet scan they said it wasn’t cancer in his bone. He then had RARP to remove prostate and lymph nodes. He currently has an undetectable PSA but still worry a lot.

Just give it everything and always believe it will all be ok, so much that can be done these days and I think having a positive attitude really helps. You will of course still get your bad days….hopefully you can get support here and from other places too.

Wishing you both all the very best x

User
Posted 07 Oct 2022 at 23:03

Thanks Elaine , can I ask did you seek a second opinion or was the second opinion from the existing medical team ?

Tracey 

User
Posted 08 Oct 2022 at 00:54

Hi Tracey,

Yes we did seek the second opinion and they disagreed with our local hospital x

 

User
Posted 08 Oct 2022 at 01:38
Rowey, don't get your hopes up that a second opinion is going to make a difference in your case. I have been a member here for 13 years and Elaine's is only the second case I can remember of bone mets being diagnosed and then another consultant saying this is wrong. In your case, with a G9 and mets to lymph and at least two bones, it isn't going to turn out to be a diagnostic error
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 08 Oct 2022 at 13:07

Yes of course Lyn is right and every situation is different.

Although Rob is also G9 and had lymph node spread his initial PSA was 8.3 and they had said about 1 bone area in his pelvis.

The only thing I sometimes think of is if we didn’t get the second opinion he would have had chemo/enza and hormone treatment for life….it would have just appeared that he was responding well to treatment and we would never have known it was never there to begin with….I’m sure this must happen to others.

The main reason I got the second opinion was because I wanted to see if someone would operate regardless and then deal with the bone met later (similar to Atlanta trial). I don’t think I initially questioned that it might be wrong but of course it was very welcomed news x

User
Posted 08 Oct 2022 at 15:45
"The only thing I sometimes think of is if we didn’t get the second opinion he would have had chemo/enza and hormone treatment for life….it would have just appeared that he was responding well to treatment and we would never have known it was never there to begin with…."

It is also possible (and statistically more likely) that your second opinion was wrong and the side effects of radical treatment could have been avoided. But given the opportunity of radical treatment, it made sense for you to grab it

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

User
Posted 09 Oct 2022 at 14:35

Originally Posted by: Online Community Member


It is also possible (and statistically more likely) that your second opinion was wrong and the side effects of radical treatment could have been avoided. But given the opportunity of radical treatment, it made sense for you to grab it

 

Yes I still often think that could be the case so never like to get too comfortable with his undetectable PSA scores as I know things could change at any point. 
I know this might sound strange (probably because he has recovered so well from the op) but we seemed to find the HT a more radical treatment than the RARP. Yes he has ED after the op but he was never remotely interested in me on HT anyway, so it’s been nice having my husband back.

Sorry for taking over your post Tracey 🤦🏻‍♀️ Wishing you and your husband all the very best with the upcoming appointments and get a treatment plan in place x

 

User
Posted 09 Oct 2022 at 17:18
Hi Tracey, I am so sorry to hear about your husband's diagnosis . My husband although much older than yours had a similar diagnoses this year. Since May when he was diagnosed he has been on Bicalutamide, Decapeptyl injection six monthly and is now on his 4th chemotherapy treatment. Since then his PSA has dropped to a stable 0.02 and his Alkaline Phosphatase has dropped to a normal 60UL. I was also in a similar emotional state and was so shocked, however what kept me going and staying positive was this wonderful forum. I have to say I am not sure how I would have managed without their support, their words of encouragement and above all reading about their experiences. I know you will also benefit from this forum .

Mike is doing well on his treatment, he is very positive and continures to play tennis and badminton. Staying active has really helped along with a good healthy well balanced diet. Also I have had great support from the prostate cancer specialist nurses.

Be strong and stay positive, thinkning of you and your husband.

Sending you positive vibes

Maud

User
Posted 09 Oct 2022 at 18:17

Thank you Maude

sending you and Mike all our best wishes, you are right this forum is a fantastic support network and has helped both of us to be positive .  It’s great to hear that treatment is going well.

stay positive xx

Tracey 

User
Posted 09 Oct 2022 at 22:02
Hi , sorry you are both here . I have not posted for ages but logged on and felt compelled to reply to you.

I was diagnosed 8 years ago age 49 T4N1M1A, PSA 342 . Tears all round on diagnosis , spread to lymph’s outside the pelvis and inside.

Biclutamide did nothing for me but zoladex from the start then docetaxl chemo followed by radiotherapy to the prostate . About a year later after PSA had dropped to around 1 it started rising again . Started abiraterone and PSA dropped to around 0.1 . Stayed there until recently and has slowly risen however still only 0.25

So , number 1) life has been great for 8 years 2) I always ran a bit but since diagnosis I have run around 15,000 miles all over the world in 250k races . I even ran 2 marathons on chemo .

There are no guarantees of course but I have learnt to make the most of every day . My wife always says to me “if you wake up and feel ok it’s going to be a good day”. Even on a bad day I feel “ok” so what’s not to love ? I am 57 now so please don’t focus on the rubbish too much but instead enjoy the now because there will be plenty more now’s I am sure.

Dream like you have forever, live like you only have today Avatar is me doing the 600 mile Camino de Santiago May 2019

User
Posted 09 Oct 2022 at 22:25

Fantastic post irun very heartwarming long may you and all off us continue to be positive and plough on well said  👍

 
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