The difficult question most all of us... - Advanced Prostate...

Advanced Prostate Cancer

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The difficult question most all of us will face (Part II)

dpowellnt profile image
14 Replies

Three months since I wrote Part I here: healthunlocked.com/advanced....

Let's Update. :)

Shortly after the meeting with my new ONC I had a lesion on my C7 radiated. 13 weeks later I still have a cough. For 7 weeks it was very bad. Had trouble breathing during coughing fits and once even had to pull my car over and throw up. Now it is more of a nuisance. Also my neck swelled up bigger then my head.

I now am awaiting my next appt with ONC over my blood results. My PSA has gone from 10.4 to 55.2 in the last three months. I had a Lupron 4 week injection in August but it doesn't look like it helped. My testosterone was 0.5. I don't know what that means in Canada, but it seems it is still low.

Dr. has told me I do not qualify for any current trials here. Of course traveling during COVID is pretty much out of the question. (My beach is still waiting for me.) He has said he doesn't think Carbazitaxal (sp) will help much looking at my history.

My C7 is beginning to worsen slightly. I can still numb it with Morphine and Cannabis oil. Hydrocortizone doesn't make a dent in the pain.

So here I am. I intend to continue to post while my situation deteriorates. Seems this is the final mile. The ONC's said in August 12 months. It is now 9 months (my ONC said the diagnosis is still the same since my last visit.) The one thing I question is that it seems to me my Doctors have abandoned me. Is that usual? I rarely speak to them and actually had to call my first ONC in Canada (they seem to work in teams and you pass from one to the other) to see what was going on. Just curious if anybody else has seen this after you go into Palliative care.

Thank you all for listening. I will continue to document. Not much else to do.

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dpowellnt
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14 Replies
Kaliber profile image
Kaliber

Hey brother ... take time to look at my “ workarounds “ reply to shooter1 in the amlodipine post ... where I discuss various QOL improving “ workarounds “ for us APCa guys.

💪💪💪👍👍👍❤️❤️❤️

I’m sorry about the pain and suffering . It’s amazing how much we can suffer . There s no limit to it . All stage #4 treatments are considered palliative care .. We are all deteriorating at different degrees ... I’m sorry that the doc s are bailing on you .That s not nice either .. Lupron and morphine ? Mama Mia! What a combo! My doc gave me a bs limited time left on this earth prognosis early on . We cant listen to that . APC and treatments are a brutal ride . Cannabis oil is my friend also . Take care

Wassersug profile image
Wassersug

Where in Canada are you located? Here in Vancouver there are lots clinical ritual underway for advanced PCa patients.

Richard W.

Dostoevsky profile image
Dostoevsky

“... not much else to do”

We are doing everything we can. No more can be asked ... I asked myself “could I do more”? Yes we can. We, are holding you to the promise ... and your next entry will be another testament to help us do the right thing.

drmoose profile image
drmoose

This is a long shot, but take a look at the work of Costello and his recently proposed therapy for advanced hormone resistance PCa.

ncbi.nlm.nih.gov/pmc/articl...

and a recent case study pubmed.ncbi.nlm.nih.gov/312....

Costello and Renty have been publishing on this for 20 years (zinc and citrate in prostate cancer). No clinical studies, just a single case report, so yes an unproven approach.

But: 1) low risk, unlikely to have major side effects 2) ready available 3) low cost 4) legal!

And you can do it in parallel to whatever mainstream choices you make.

all the best.

mikell profile image
mikell in reply to drmoose

Not to sure about the Gabergoline treatment part. Read the following:pubmed.ncbi.nlm.nih.gov/112....

Haniff profile image
Haniff

Don’t throw in the towel yet Bro 😎

Search for an oncologist that will take up your case and work with you, hang in there. I know this may not help but be strong and positive in mind and body.

My best to you

Haniff

Doseydoe profile image
Doseydoe

My heart goes out to you. Don't forget your second, third and fourth wind. Thoughts and prayers for fair winds 🌬️and following seas 🙏

Brackenridge profile image
Brackenridge

I don’t think your situation with unresponsive docs is all that unusual. I’ve had more “put downs” from my dads onc team than I care to mention. But I remain a firm believer in “squeaky wheel gets the grease” AND that most time frames are a bit arbitrary so if you have energy (and maybe a co-pilot) maybe keep being proactive in getting more timely answers or information from your care team. Fingers and toes crossed for you and sending many wishes for comfort and pain relief.

MateoBeach profile image
MateoBeach

Agree with Brackenridge and others. Directly confront disengagement from the MOs. Say Hey don’t give up on me while I’m still fighting. Let’s look for another option or trial. In the meantime maybe take your copilot and go visit your beach.

j-o-h-n profile image
j-o-h-n

Work around those nasty self centered M.O.'s..... Forget about time frames.... they're just guestimates...Fight on...........

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 11/16/2020 9:59 AM EST

monte1111 profile image
monte1111

A most difficult question. I don't have an answer. Sorry. I also rarely speak to my doctor. Maybe a redo of Taxotere? Jevtana (even though the dr. doesn't think it will work). Take someone with you to next appointment? A loud, pushy ex-girlfriend would be best. Demand some answers. Take care. Best of wishes. Monte

j-o-h-n profile image
j-o-h-n in reply to monte1111

or a loud, pushy ex-wife.....

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 11/16/2020 7:34 PM EST

Jbooml profile image
Jbooml

What you’re describing is inexcusable....you’re the patient that the system is meant to treat most vigorously. Can you start a new relationship with a local GP advocate to promote your therapeutic needs. I’m a Canadian as well and having not reached CR am apppalled

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