My 65 year old husband was diagnosed December 20, 2017 via biopsy. 11cores were obtained; one was 40% and ten were between 60-80% cancerous. Gleason is 5+4=9 and PSA is 34 so he has high risk PCa. Due to bureaucratic hoop jumping with both Medicare and private Medicare Advantage, he hasn’t had scans yet. The abdominal CT scan and the PET bone scan happen this Wednesday, February 21. The first medical oncologist visit is Monday, February 26.
I’ve been immersing myself in both literature and discussion boards and have learned a lot. We’ve also attended support groups. What I haven’t heard yet is how other existing illnesses affect treatment options and outcomes. He’s been hypertensive and on multi meds for almost 30 years. He was diagnosed with Type 2 diabetes a few years ago. He had 3 episodes of congestive heart failure requiring week long hospitalization between 2014-16. He does not have congestive heart failure in progress; rather as cardiologist explained, these were discrete episodes.
As a result, he’s been followed by an endocrinologist for two years. His probable diagnosis is hyperaldosteronism, an adrenal gland hormone issue that can cause all of his other problems. He is casual about his medications running out and is non-compliant with lifestyle changes like diet adjustments and exercise. He’s about 50 pounds overweight. You can imagine that this has caused me no end of frustration and anxiety. I do recognize that I can’t force him to do better.
Now for PCa. We have his endocrinology records for the first oncologist appointment. The scan reports should be ready too. My questions are: anything else we should have for that appointment and what questions should we be asking? Also, does anyone else have experience with having co-morbidities at the time of PCa diagnosis? How does that affect your treatment?
Thank you all for your sharing. It’s immensely helpful. Gung hay fat choy! That’s Happy Chinese New Year to all of you! May the Year of the Golden Dog bring you much improved health and happiness. Mary