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Help! Advice, anything. Xtandi, Zometa What's next?
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nhwife
Veteran Member
Joined : Mar 2012
Posts : 723
Posted 5/8/2013 4:11 PM (GMT 0)
Day 3 - The horrendous pain is gone, leaving just the "normal" discomfort. He feels fatigued, more than usual. But the treatments are going easily and quickly. As he noted, one fifth of the way done!
I'm tired. hoping for good night sleep tonight.
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/8/2013 6:24 PM (GMT 0)
Hallelujah!!! Was concerned about
him fighting more pain. I know it's not great on the whole, but better
Ocibote
Regular Member
Joined : Jul 2012
Posts : 36
Posted 5/8/2013 7:36 PM (GMT 0)
Nhwife: I am glad to hear that the pain is gone. No wonder you are exhausted. I am too and we have not endured all that you two have.
I did not well for a couple of nights and got totally whipped. John had me up in night and then I couldn't get back to sleep. I have no reserves. Yesterday I had an appointment out of town...an hour away. I really had to struggle with sleepiness. Drank a lot of diet coke in order to manage. Then home in rush hour. Slept better last night but I wonder how I can survive this.
All you wonderful wives: How do you keep going for the long haul?
Ann
littlenm
Regular Member
Joined : Nov 2012
Posts : 320
Posted 5/8/2013 9:16 PM (GMT 0)
Oh nhwife. I am overjoyed to hear that the pain has subsided. May his comfortable discomfort?? continue for a long time.
I feel for all of you as you care for your beloved husbands. I feel very lucky that we are not as far along in the progression of this horrible disease.
Ann asked how you keep going for the long haul and I seriously do not know how you all do it. I don't think I will be able to do half the job that you women do. I hope for my husbands sake i do.
Nancy
Ocibote
Regular Member
Joined : Jul 2012
Posts : 36
Posted 5/9/2013 12:48 PM (GMT 0)
Hi All, Just wondering if you have any suggestions...
John had a bad night...couldn't sleep for any length of time and so is feeling pretty bad today. I read that the nervous system is badly affected by Taxotere and perhaps any chemo? He had chemo last Monday.
He did take Imovane (Zopiclone) last night as well as something called Honopure which is from magnolia root. This was prescribed by an alternative cancer MD we saw some time ago. It usually helps with sleep but not last night.
Any others with this sleep problem? And if so, any solutions? If he sleeps off and on all day will he have same problem tonight?
Thanks, Ann
Jitters99
Regular Member
Joined : Jan 2011
Posts : 222
Posted 5/9/2013 10:23 PM (GMT 0)
Ann
Has your oncologist approved mixing regular meds with alternative supplements. Not saying its wrong..but I know it's not a good idea to mix both for high blood pressure. Why hasn't the doctor given him sleep meds?
Jitters99
Regular Member
Joined : Jan 2011
Posts : 222
Posted 5/9/2013 10:35 PM (GMT 0)
Still recovering from our busy time last weekend. It's taken all week but he says it was worth it. Hospice has been wonderful and can't believe how he has rallied.
I had to go see an ENT doctor yesterday a nodule on the front of my neck that I've put off since Jan taking care of my husbands needs. He wasn't very happy with me but understood...Looked down throat with camera, larynx is not involved which surprised me because I get very hoarse if I talk much or late in the day..that was good news says hoarseness is from reflux, very red irritated throat.
Then he decided I needed a biopsy, three in fact, of the nodule..ouch. Just said it had growned since I had an ultrasound back in December. The radiologist said he looked like a simple enlarged lymph node, ENT..said that's not what he dictated on his report, which I never seen. So now I wait for results...like I need more on my plate, and my family doesn't need any more to worry about
either. Praying for a clean outcome....
LuAn
nhwife
Veteran Member
Joined : Mar 2012
Posts : 723
Posted 5/9/2013 11:26 PM (GMT 0)
Praying for clean report too - this you don't need. Keep us posted.
Ocibote
Regular Member
Joined : Jul 2012
Posts : 36
Posted 5/10/2013 12:50 AM (GMT 0)
Thanks Southern Comfort for your encouragement. John says he feels a bit better today but still very fatigued of course. He had chemo Monday and started feeling the chemo on Tuesday night. I am afraid that this level of fatigue is the new normal but will see.
I hope his sleep will be better tonight.
Jitters99: His oncologist has no idea about
alternative supplements. He does know that John has taken them. John goes to a naturopathic oncologist too and she knows her stuff...about
what goes with what etc. She teaches it at the Naturopathic College here. John has sleeping pills. They don't always work especially when cortisol levels are high.
I am so sorry that you have another concern...this time about
your health. I hope all works out for you. I need to have a colonoscopy and am dreading it....and putting it off. I am to have one every 5 years as my brother had colon cancer. Like you, I don't know how I would cope with another problem. Guess we need to look after ourselves too however.
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/10/2013 1:24 AM (GMT 0)
Ann - as Southern Comfort said - with Taxotere they usually receive the steroids; which can really wire them. It's a mixed and confusing combination with the fatigue that comes from chemo. Also think Jitters made a good point about
mixing types of medicine w/o oncologists knowing. I know a pain, since there may not be a depth of knowledge on alternative medicine.
Jitters - you certainly don't need anything else to even think about
, much less worry about
. Thoughts (prayers too - shhh) that there is no complications or more worries about
it. Please keep us updated.
Nhwife - how was radiation and hubby?
Southern Comfort - thanks for hanging with us.
Ann/Nancy - sometimes exhaustion does just set in, but the strength will come and you both are already doing a great job. I'm really not sure when I get to LuAn and nhwife's stage on this journey how I will be able hang in. I am sure the little ones will have to go to a babysitter, which will make it harder in some ways; but very painful. I've had them since babies. I'm already dreading next year when they are in school full time. School district just changed to full time kindergarten.
Tomorrow is PSA day. Went in for blood test today. Hemoglobin a tad low, but he actually gained weight. First time since he started Xtandi in January.
Take care.
Ocibote
Regular Member
Joined : Jul 2012
Posts : 36
Posted 5/10/2013 1:42 AM (GMT 0)
Passages: We got to chemo on Monday and it occurred to me that John had not taken Dexamethasone pills like he did the first time. They were not too concerned about
that...someone forgot to give him another round of them...and so they gave him the Dexamethasone by IV before the chemo. Then he did not have it that night either. They said to talk to the oncologist about
it before next time.
We did not see the oncologist last time but one of his Fellows. We have now requested to only be "seen" by him.
Good luck on the PSA tomorrow. Always nerve wracking, isn't it? Is your husband on Taxotere again now? In the signature you have it down as 4/19/14. You have had quite a time of it.
Jitters99
Regular Member
Joined : Jan 2011
Posts : 222
Posted 5/10/2013 1:55 AM (GMT 0)
Hospice has put my husband back on the Dexamethasone for his bone pain and nausea, three times a day. His nause is completely gone, but still needing break thru pain meds and very fatigued. They are going to try to wean him off the sancuso nausea patch by adding Zofran..hope it works.
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/10/2013 1:56 AM (GMT 0)
Yes, I just realized it said 2014 (think, thinking of granddaughter's West Point graduation), so it's been changed. He is on Taxotere again, but a milder dose every week; rather than every three weeks. It's kind of last ditch, nothing else out there. This time, because of his problems with sleep, taking smaller dose of steroids and not the one SC mentioned that he took in addition right before, day of, etc. I think that's because of his ONJ from the the Zometa. We are at the end of treatments, but much better - relatively - since off Xtandi. Not enough strength to do basic yard work (oh, my aching back) or do some of his volunteer stuff.
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/10/2013 2:12 AM (GMT 0)
Jitters, so the Dexamethasone is not giving him any energy? It sounds, though, that hospice is really working with you guys. Saying that just made me feel tearful, not sure exactly why; but more "thoughts" and hopes they find the best way to make him comfortable and that it can be for a long - as long as he can have good QOL.
Ocibote
Regular Member
Joined : Jul 2012
Posts : 36
Posted 5/10/2013 1:23 PM (GMT 0)
I am so sorry, Passages. We know a fellow, age 89, CRPC, with lots of bone mets. He almost died when they first put him on Prednisone and now cannot take any treatment which includes Prednisone....which is virtually all of them. He is taking pain meds and actually feeling quite good....is able to enjoy life for the moment.
John is far too fatigued to do much of anything let alone yard work. CCAC, the government agency here came yesterday and will send a PSW (Personal service worker) to help him shower twice a week....not really enough!) They are also sending an Occupational therapist to assess the home for safety and to fit him for a walker "to help preserve his energy." John feels his legs may give way while going down the stairs and so we need to solve that problem. Maybe rent a chair lift for the stairs? Need to look into that.
I think what we all want for our men is that "they find the best way to make him comfortable and that it can be for a long - as long as he can have good QOL.."
nhwife
Veteran Member
Joined : Mar 2012
Posts : 723
Posted 5/10/2013 3:24 PM (GMT 0)
I almost feel our stories are forming one big one..... So much to deal with. At least we have each other and it is so much help.
Week One of radiation therapy is done. After the flare up earlier in the week, all has settled back down with "regular" pains. He has been able to cut back or go back to a meds schedule before the flare up so he still needs assistance with pain. We were told we might see improvement by now. We do see that it is doing something as he feels new pains where the radiation is hitting. We take that as a good sign, that the radiation is doing something.
It was an exhausting week all in all. I look forward to a restful weekend. I don't have to go to my mother's, thankfully.
Jitters - any word on you?
Passsages - psa? (and sometimes i do feel that is irrelevant)
nhwife
Veteran Member
Joined : Mar 2012
Posts : 723
Posted 5/10/2013 5:09 PM (GMT 0)
Passages, just saw your disappointing result. it is so hard, isn't it.
I'm not even sure when we'll get a PSA!
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/11/2013 12:38 AM (GMT 0)
Thought I'd better post on here. I was just doing from phone. What a long day. His PSA went from 241 to 373 and hemoglobin was low. He was so disappointed. He received his chemo, than over to hospital to get one unit and will get other one tomorrow. Usually it goes smoothly - drop girls at their schools, go see Dr. and start chemo, than pick up the one from pre-school and go pick up my husband. She usually works on a jigsaw puzzle for just a bit until his done. She's amazing. We go eat and she and my husband nap., than I pick up the other one. Certainly didn't work that way today, but it worked. Probably when out of school, change chemo dates. Dr. wanted us on Fridays because it's less busy - probably because we had so many questions at first, it set him back.The two little girls at oncologists would not be fun.
Have a good weekend.
SpecialLady
Veteran Member
Joined : Nov 2011
Posts : 1029
Posted 5/11/2013 6:46 AM (GMT 0)
Have you ladies seen the newest video from Dr.Myers? He talks about
the CRPC patient who had a complete resolution of bone mets with a comibation of Zytega+Sprycel? A bit experimental though. Perhaps worth mentioning to your hubby´s doctors. Here is the link:
askdrmyers.wordpress.com/2013/05/10/disappearing-bone-mets/
Ocibote
Regular Member
Joined : Jul 2012
Posts : 36
Posted 5/11/2013 12:39 PM (GMT 0)
Passages: I am so sorry to hear the news about
the PSA rise. You are amazing in how you manage it all with the little girls. I see that you love them dearly and know from my own experience that children help us be in the moment.
nhwife
Veteran Member
Joined : Mar 2012
Posts : 723
Posted 5/12/2013 9:53 AM (GMT 0)
Passages, that is a blow. I hope today is a better day for you. It seems we end each day with tomorrow is another day! meaning we hope for less pain and discomfort.
So far, the radiation is a disappointment. We were hoping he would begin to feel less pain by now - the doctor indicated he might. But instead he's got different pains going! He's trying to hold onto the fact that the radiation is doing something but I can tell he is really discouraged.
This coming week will be the second week of treatment. I can only take him on Monday and Friday. Work is really intruding this week! He may have to talk to the doctor on his own. He takes a notebook but last time he used it to jot down the type of sailboat pictured he saw in the office!
We did have a good day yesterday with a sense of normalcy: chores and conversations.
I hope for a good day today for all of us! Especially the mothers and grandmothers! I don't know how you do it. Happy Mother's Day to you all.
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/12/2013 11:28 AM (GMT 0)
NHwife, thanks, hopefully today will be a good one. Really sorry the radiation doesn't apprear, so far, to help as hoped. Hopefully next week will be better. Hard when you can't be there, buT shouldn't really be anything you can't miss. Hang in there and take care.
smo1
Regular Member
Joined : Jan 2013
Posts : 147
Posted 5/13/2013 4:17 PM (GMT 0)
I think of you ladies so often and have been catching up on what is going on with each of you. My husband is doing well on the Xtandi, so I feel guilty even being here. His Feb. PSA was .21 and March was .19. He has started with more back pain and joint pain, plus continues with the vision problem, but after 6 months on the Xtandi, he really is doing so well compared to most. I do want you to know that you are in my thoughts and I do know our time is probably right around the corner. I hope for strength and endurance for each of you as you do your part for your hubbies in this battle. I feel so bad for each of you, but I also know that we get the strength we need for whatever we are called to endure. Last year at this time my husband was having Taxotere treatments, I was planning my sweet dad's funeral and trying to help my mom as she fell into a deep depression, and I survived, so I know it is possible if we take one moment at a time!
Bless you all and please continue to post!
Passages
Veteran Member
Joined : Sep 2012
Posts : 695
Posted 5/13/2013 10:22 PM (GMT 0)
Smo1, never, never don't post. We're all on the same journey, but different paths. We truly rejoice when something is working for someone. I truly hope your "turn" doesn't come or, at least not for a long time. If you check, I almost always said at some time to remember that I was talking about
our experience. Xtandi is the top of the line right now. Everyone is so different and tha disease is unbelievably different in how it affects all. Nothing is consistent or definite.
You certainly had a hard journey last year. I guess each one of these bumps in life makes us stronger for the next one. Don't like it though.
Zimac
Veteran Member
Joined : Mar 2012
Posts : 600
Posted 5/14/2013 3:31 AM (GMT 0)
Hi Warrior Ladies,
So discouraging to read some of your posts. My heart goes out to you all. It's a long tough road we are on. I pray for each and everyone one of you daily.
My husband has so many different issues its difficult to find out what's what. Today he started taking Cometriq (cabozantinib/XL184). We will see where that takes us.
Thursday he goes for cataract surgery. This should really help him tremendously. So our journey continues.
God bless all of the warrior ladies who deal with their loving husbands with love and compassion 24/7. May we all find the strength and courage to make it through.
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