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Barry's daughter
Regular Member
Joined : Nov 2010
Posts : 34
Posted 1/10/2013 7:50 PM (GMT 0)
Hi all,
I haven't posted on her for a while, but I'm in need of some advice please. Just to recap, my dad was diagnosed in Oct 2010 with advanced pc with a PSA of 1100 (yes you read it right)! and a Gleason of 9. He was immediately started on HT and added diestilbestrol tablets in April last year as PSA rose a little. So far he has stayed so positive, even when he caught legionnaires disease from the hot tub in the holiday home we stayed in when we took him on a family holiday in the summer.
Over the past few months PSA had continued to decrease despite a couple of wobbles, and just before he got legionnaires was at 180 which although still v high considering what is was was good enough for us. The past couple of months however it is on the rise again and is currently at 299.
We are due to see oncologist on the 22nd of this month and wondered if anyone can help with what treatments may be on offer to him. I am we'll aware of NHS cutbacks and that some treatments are not offered as the don't appear to be cost effective! I know chemo is an option but didn't know if anyone had experience with anything else. I'd be so grateful for any help or advice please as I'm dreading appointment.
Thanks
Lisa
A Yooper
Veteran Member
Joined : Jul 2012
Posts : 2150
Posted 1/10/2013 8:02 PM (GMT 0)
Just want to welcome you Lisa, although I can't provide much experience to you there are other guys out here that have/are dealing with very high PSA's - I'm sure they'll chime in soon.
Best to you both as you continue to fight the beast.
RobertC
Veteran Member
Joined : May 2011
Posts : 1336
Posted 1/10/2013 8:05 PM (GMT 0)
I guess you use NHS in the United Kingdom. How old is he?
If the PSA is going up on hormone therapy than the patient would be castration resistant.
In America, Zytiga might be an option. Keto. Chemo (Taxotere). Maybe Xtandi after chemo. Spot radiation if there is bone spread. And clinical trials.
I hope the NHS can offer you some help. Good luck.
Barry's daughter
Regular Member
Joined : Nov 2010
Posts : 34
Posted 1/10/2013 10:44 PM (GMT 0)
Thanks for replies, dad is 64. I will look into the treatments you mentioned above.
Thanks so much
Lisa
Raddad
Veteran Member
Joined : Jul 2011
Posts : 1857
Posted 1/10/2013 11:32 PM (GMT 0)
Barry's daughter
On high PSA - I started with 1474. John Keats with 5000. Todd Living Well - with 3216. I know others had high PSA's to start but can't recall names.
Point is the three of us are still around.
Hugs
Bud
We will beat this crap
Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8160
Posted 1/10/2013 11:53 PM (GMT 0)
Lisa,
You prompted me to post this list...
www.healingwell.com/community/default.aspx?f=35&m=2610678
Good luck and thoughts and prayer coming your way...
Tony
Jerry L.
Veteran Member
Joined : Feb 2010
Posts : 3204
Posted 1/11/2013 1:15 AM (GMT 0)
Lisa-we are all here to help. Ask away if you have any questions.
Sometimes Tony-your timing is impeccable.
Barry's daughter
Regular Member
Joined : Nov 2010
Posts : 34
Posted 1/11/2013 6:59 PM (GMT 0)
Thanks all,
Raddad (bud), can you give me some info on your experience with zytiga. The only info we were told was by a very morbid doctor (we swiftly changed) who said it would only give him 4 months extra of life!!!
I've tended not to ask too many questions when we're there and speak to his nurse or use the internet after as I'm petrified the answers are negative and dampen his positive attitude. It's silly I know but i somehow think that it protects him a bit. I know we are in for a battle ahead, just want to be armed with all the facts so we can't get fobbed off
Thanks
Lisa
shar711
Regular Member
Joined : Nov 2012
Posts : 24
Posted 1/12/2013 10:18 PM (GMT 0)
Hi Lisa
Haven't seen any of your posts before, I'm quite new nov last year. My dad too has adv Pca mets on right leg, and we are in uk, Cardiff. My dad is 63. I just wanted to let you know I am in exactly the same situation as you, my dad is very positive and I go to his apps with him, and I too do not want to bring him down with asking questions as well. But there are some things I would like to know as well, it's so hard isn't it. I think it's worth a shot the Zytiga, we were offered a clinical trial with Zytiga but that was before my father started the Ht. he has a PSA test next week, hoping for low numbers. I know I'm not much help just wanted to let you know your not alone x
Shar
Barry's daughter
Regular Member
Joined : Nov 2010
Posts : 34
Posted 1/13/2013 11:42 AM (GMT 0)
Hi Shar,
It's a comfort just knowing we're not alone. Yeah you're right, it's just so hard. Dad is the hub of our family and always just gets on with things and never complains. We're in Middlesbrough and go to James Cook University Hospital. Most of the staff there are great. Dad has an oncologist, urologist and a prostate cancer specialist nurse, who is the one I often call to talk things through after appointments and she's just great. For the past 2 years we've been lucky enough to keep PSA down with HT degarelix injections and then added diethylstilbestrol in April last year. We dread getting to the chemo stage, I think it just scares us to think we are running out of options and that dad will become poorly as so far he's done fantastic. Maybe once we get to that stage it won't be as bad as we think and instead of fearing it we may be thankful that it keeps the cancer at bay? Who knows.
They did mention clinical trials at the last app but at that stage his PSA was still decreasing. I've seen another ht drug ketoconazole that could be used alongside the 2 he is currently on, but that's all the info I have. Not sure if our NHS will offer it? And they seems to be a few new ones popping up to use with or after chemo so we just have to keep our fingers crossed.
The doc mentioned another scan too which again I dread as we know his mets are widespread and that was 2 years ago. Unfortunately the hospital originally picked up that dads PSA was 249 and sent a letter to his GP who failed to read the letter properly and was only picked up when dad was going to Sheffield hospital almost a year later, for a hip replacement (which was what we thought was causing the pain as my dad also has osteoperosis imperfecta, "brittle bones", when we were told is was in fact cancer and his PSA then was 1100. Just been a roller coaster ever since!
I think a positive attitude is half the battle and I just don't want him to keep it and wil do anything I can for him.
How is your dad doing in himself?
Lisa x
SpecialLady
Veteran Member
Joined : Nov 2011
Posts : 1029
Posted 1/13/2013 5:35 PM (GMT 0)
Hi Barry´s daughter, another daughter wants to give you encouragement and strength. It has been 2 years since my Dad was diagnosed, and we are enjoying every minute of the time since. He is also the positive one, I have a lot to learn from him. :) 2nd line HT like ketokonazole would be an option, as well as Taxotere. It seems that the guys who took it handled it OK. Not saying it is easy, but it seems tolerable. If your oncologist suggest that course, it is nothing to fear, another potent weapon, and make sure you relay that message to your dad. All the best.
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 1/13/2013 7:47 PM (GMT 0)
Just to second special lady -Taxotere is mostly tolerable. If you've heard people talk about
it with breast cancer, it's usually given on an every three week basis, rather two week; therefore, side effects not as bad. Tony has given you a lot of options. Good luck with your visit.
shar711
Regular Member
Joined : Nov 2012
Posts : 24
Posted 1/13/2013 10:19 PM (GMT 0)
Hi Lisa
My dad is doing really well keeping positive, but sometimes I just wanna cry cant really believe this is happening to us. I have two young sons as well and I want dad to be around to see them grow up into young men, they worship him. Dad has PSA test next week, keeping everything crossed, last time it was down to 10 from 39 that was in November we were pleased with that as it was only 9days after his first shot.
Hope things go the way you want for your dad at next app..
Regards
Shar x
Raddad
Veteran Member
Joined : Jul 2011
Posts : 1857
Posted 1/13/2013 11:21 PM (GMT 0)
This is really well done - its our brother Southern Comfort experiences with Taxotere (docetaxel).
[url]https://www.healingwell.com/community/default.aspx?f=35&m=2469594[\url]
Hugs!
Bud
We will beat this crap!
Barry's daughter
Regular Member
Joined : Nov 2010
Posts : 34
Posted 1/14/2013 11:16 PM (GMT 0)
Special lady/Passages,
Thank you both so much for replies, it means a lot. I have myself armed with a few more facts, feeling more positive and will speak to him in the next couple of days.
Shar, glad to hear your dad is doing well, but yeah I agree some days are just so hard x
Bud it won't let me
open your link, not sure if its coz I'm on iPad?
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