Mental Acuity?: I'm 60 years old and... - Advanced Prostate...

Advanced Prostate Cancer

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Mental Acuity?

DarkEnergy profile image

I'm 60 years old and was diagnosed with PCa at 06/06/2018: PSA 1000 and extensive pelvic metastasis, this is accurate as I'm reading my Dana-Farber treatment history report, obviously started ADT treatment. Then added Taxotere on 07/19/19, strategy of being aggressive to the fight.

So, on 02/20/2021, stopped all meds, because PSA is still undetectable, but my mind seems to get lost at times, is this because I'm 60 years old?

Or, did the PCa treatments contribute to my mental acuity issues?

73 Replies

I’m 75 , started with psa 1400-1600 …about the same time as you ..more or less.

My thought is that if you are playing tic-tat-toe with your brain cells and winning , at least, 6 out of 10 .. then you’re still doing ok. Yayahahahaya yayahahahaya

It’s probably hard to definitively say where diminished cognitive mental issues come from in geriatric patients. Obviously it could be from a multitude of sources … Bg treatments, bp meds, glucose meds .. many many other every day meds …..extremely powerful….life altering …. cancer treatment drugs …. normal old age. All the potential interactions … combined side effects … you name it. It’s a sticky stew of things that could contribute.

After 3 years I certainly have noticeable cognitive issues … but I’m still good to go …. I’m just guessing but I suspect my cancer will get me long before those get to critical mass ….

Just say’in 💪💪💪❤️❤️❤️

Lulu700 profile image
Lulu700 in reply to Kaliber

You enjoy every day ! ❤️

Kaliber profile image
Kaliber in reply to Lulu700

One of the best aspects of this group are the great guys like you and so many others …that just try to add a little friendship and support for everyone else to lean on if needed. That’s the name of that tune big guy. You’re the best brother.

Just say’in ❤️❤️❤️

monte1111 profile image
monte1111 in reply to Kaliber

I thought I was the big guy.

Kaliber profile image
Kaliber in reply to monte1111

You have been elevated to “ special “ ….. as in “ isn’t that special “, church lady, SNL.

😂😂😂😂😂

TomTom1111 profile image
TomTom1111 in reply to Kaliber

I was sure my mental acuity was good, but after reading this reply I starting to have doubts. HaHa

monte1111 profile image
monte1111 in reply to TomTom1111

Ha! I'am special.

Kaliber profile image
Kaliber in reply to monte1111

Yes you are ..😁.

🎼special …. Oh so special …..special, witty and nice !!!

….. of course eventually the buzz wears off and it’s back to plain old yucky reality … dang.

It’s hammer time …

😊😊😊😊

TomTom1111 profile image
TomTom1111 in reply to Kaliber

Monte was so special that he drove to school in the short bus.

monte1111 profile image
monte1111 in reply to TomTom1111

I drove that bus for years. I was always polite when I let you on.

TomTom1111 profile image
TomTom1111 in reply to monte1111

Funny and nice acuity

It when you kicked me off the problems ensued.

monte1111 profile image
monte1111 in reply to TomTom1111

Is this a trick?

TomTom1111 profile image
TomTom1111 in reply to monte1111

Why? Are you expecting an reward? Here Monte Monte

monte1111 profile image
monte1111 in reply to TomTom1111

You guys are too much. I'm going to go and curl up in a corner.

Kaliber profile image
Kaliber in reply to TomTom1111

Yayahahahaya yayahahahaya that’s funny ….👏👏👏😂😂😂

Kaliber profile image
Kaliber in reply to TomTom1111

Yayahahahaya yayahahahaya no kidding, scary isn’t it ? Dunno tho …. Sometimes a fresh, clean .. refreshing empty mind is a good thing. Sitting smiling at the brand new day ( 7 th time this morning) … goofy grin on my face, nothing but nothing going on up there ….. ah! What could be better ….. except a ice chest full of Dos Equis and a bag of fresh limes ( maybe my Margarita machine dunno ).

Just say’in 😂😂😂😂 XX

'Brain fog' is not uncommon with ADT. You have stopped ADT, but the drug lingered a while. Importantly, testosterone [T] takes months to recover. Do you know your baseline T - or current T?

If problems persist after T is >600 ng/dL, say, you should investigate non-PCa causes.

My morning coffee ritual at 5 am is a Kakuro puzzle:

amazon.com/Absolutely-Nasty...

Best to start at level one.

With level four, I struggle sometimes. It's the struggle that one needs, IMO.

I used to do the NY Times crossword every day. Monday is easy - Saturday is tough. What I find with ADT is that I sometimes have difficulty remembering words. I don't even bother trying the Saturday crossword these days, though I should make the effort.

In the back of my mind is that I had a MyHeritage DNA test years ago, to try to expand my family tree on my father's side. Nothing very special, medically, about my DNA, except that I supposedly have a higher risk for Alzheimer's.

{Have you heard the old joke? A man goes to his doctor and the doc says that he has some bad news. Doc: "First, you have prostate cancer." Man: "Oh, that's terrible news." Doc: "Second you have Alzheimer's." Man: "Oh, that's terrible news - but at least I don't have prostate cancer."}

Best, -Patrick

Nalakrats profile image
Nalakrats in reply to pjoshea13

Both diseases in the joke can be mediated with High T--according to Dr. Edward Friedman------->Right?

Nal

Lulu700 profile image
Lulu700 in reply to Nalakrats

Calling doctor Friedman ! 😂

monte1111 profile image
monte1111 in reply to Lulu700

Calling Dr. Howard! Calling Dr. Howard. Dr. j-o-h-n has retired.

Lulu700 profile image
Lulu700 in reply to monte1111

I saw Dr John Live .must have been in the wrong place?😂✌️

monte1111 profile image
monte1111 in reply to Lulu700

Probably at the wrong time.

Lulu700 profile image
Lulu700 in reply to monte1111

You know it!😂

Boywonder56 profile image
Boywonder56 in reply to Lulu700

Calling dr. Moe dr. Larry dr. Curley

Lulu700 profile image
Lulu700 in reply to Boywonder56

A trifecta of comedy to us kids back then . I had three old brothers that acted like the stooges and tortured me the kid a bit ,with the stooge techniques..

DarkEnergy profile image
DarkEnergy in reply to pjoshea13

As of 05/19/2021 my T is 9 ng/dl, which is better than the last two years of sustaining <3 ng/dl...

Lulu700 profile image
Lulu700 in reply to DarkEnergy

I’m at 3 ,me myself and I .

Kaliber profile image
Kaliber in reply to pjoshea13

👏👏👏😂😂😂

Interesting I lose words, but I am quick, with substitutes---but when I play Masters Level Bridge, my ability to remember all the cards everyone plays, and calculate what is left in the opponents hand is as good as it was 50 years ago. I assume the math part is controlled by one part of the brain and the word part is controlled by another part of the brain. And then again I am old!

GoBucks profile image
GoBucks in reply to Nalakrats

I will never be able to play bridge with you. In my group none of us can even remember who dealt. We use unusual conventions. Pause/pass. Means guy has 11-12 points and thought he could open but can't. Schvitz opening: guy has 22+ points and starts schvitzing. Playing together with same guys for 47 years. We aren't masters-we're disasters. But have lots of fun.

Lulu700 profile image
Lulu700 in reply to GoBucks

😂 Nal sounds serious 😂

Nalakrats profile image
Nalakrats in reply to GoBucks

I like your Yiddish---where did you learn it. Last night I played a 4 hand series, on the computer, against 3 robots--my partner was also a robot---and there were 5,000+ playing the same hands---and I came in 9th.

Nal

GoBucks profile image
GoBucks in reply to Nalakrats

Good work. Re: learning Yiddish- a bisel here, a bisel there. My parents spoke Yiddish in the house thinking I didn't know they were going to shtup that night. Abi gezunt.

Lulu700 profile image
Lulu700 in reply to Nalakrats

Oh yah!

monte1111 profile image
monte1111 in reply to GoBucks

LOL.

Lulu700 profile image
Lulu700 in reply to Nalakrats

You have a mathematical mind and scientific training . That’s going to stay .

Nalakrats profile image
Nalakrats in reply to Lulu700

So I can talk math but speak in gibberish----I have to think about this. Praying for rain out your way!

Nal

monte1111 profile image
monte1111 in reply to Nalakrats

I thought that was Yiddish.

Lulu700 profile image
Lulu700 in reply to Nalakrats

Thanks🌧🌨

pjoshea13 profile image
pjoshea13 in reply to Nalakrats

It is said that estrogen has a role in language skills, whereas testosterone is required for spacial skill.

-Patrick

Nalakrats profile image
Nalakrats in reply to pjoshea13

So I am now a Space Cadet! Did not know mathematical computations was spacial. Guess Einstein and myself are [Riders In The Sky]--- but, can't remember what song this was from. Was this by the Doors? And if so I know why I may not remember--->this was probably during my spacial days. But I hear the stuff we smoked back in the 60's was a joke compared to today's stuff and their high THC values.

Nal

GoBucks profile image
GoBucks in reply to Nalakrats

Riders on the Storm. Long live the 60's.

Nalakrats profile image
Nalakrats in reply to GoBucks

Thanks for the correction!

Nal

Nalakrats profile image
Nalakrats in reply to GoBucks

I also think I missed a number of months in the 60's--Being in those days a Synthesis Research Chemist--with no DEA, to stop any chemicals I might order---made me dangerous, in-between my regular work.

Nal

Show off

Hey guy! It is both. I too just turned 60 . I’ve been rowing with pc since 3-15.. I think that all geriatric conditions are speed up on us by treatments and no t. I took a hit to cognition and short term memory my first years .. frustrating.. Keep rowing the boat amigo . Try to keep bones strong .. Pc has aged me quickly ..due to mod med we are still here .. thats a miracle 🚣‍♀️ 🚣‍♂️🚣‍♂️🚣‍♂️🚣‍♂️

DarkEnergy profile image
DarkEnergy in reply to Lulu700

I do hear you, the meds have us here today and tomorrow, my T is moving up from zero, albeit slowly, perhaps slow velocity provides a chance to gauge If progression.

My PSA at 02/18/21 was <0.02, stopped taking meds at this time, 05/19/21 PSA at 0.09, concerning?

Why'd you stop do you like to poke the bear

Nope but 6'4" carpenters are another matter altogether.

I don't see many people touching on about the arthritis that seems to be made a lot worse because of the no testosterone why do some people don't work with their hands they work with their brains but the arthritis in my hands is another matter

Some do..Lulu700 discusses his decline after 6 years of ADT. I think the brain issues are more noticeable for some than the joint pain.

Lulu700 profile image
Lulu700 in reply to TomTom1111

I’ve got both .

Lulu700 profile image
Lulu700 in reply to Boywonder56

I’m feeling it too ,Boywonder . 😣

Nalakrats profile image
Nalakrats in reply to DarkEnergy

This is more than a doubling albeit, in the undetectable zone--->but a warning that a BCR may be in your future--watch closely---Like every 30 days! You are at Dana Farber---what do they say?

Nal

DarkEnergy profile image
DarkEnergy in reply to Nalakrats

Dana-Farber scheduled a blood draw at 9AM on 06/25 followed by a virtual consultation a few hours later....oh boy.....

Lulu700 profile image
Lulu700 in reply to DarkEnergy

Brave .. I wish you good luck .. I’d rather be lucky with this disease on our ass. ...... Psa s til death due us part ...Take care .

I had 'brain fog' during ADT - it cleared a few months AFTER I quit ADT - a typical side effect of some forms of ADT ......

I'm 55, so I'm not too much younger than you. I haven't noticed a decline in mental acuity but I have notice an overall lack of interest in doing things. Recall and comprehension is the same as it was before pca.

monte1111 profile image
monte1111 in reply to TomTom1111

Really. J-o-h-n recently asked me if I had noticed Marty's mental acuity decline. I can't remember what I answered.

TomTom1111 profile image
TomTom1111 in reply to monte1111

j-o-h-n? who dat?

monte1111 profile image
monte1111 in reply to TomTom1111

Da G-r-e-e-k. Don't p-i-s-s him off.

TomTom1111 profile image
TomTom1111 in reply to monte1111

I feed him Dove Dark Chocolate eggs...it keeps him calm

I had no mental acuity problems. However, I did force myself to do crossword problems every day and play duplicate bridge every month. Plus I read every day. Keep the mind working is my watchword.

As expected, I suffered temporary short-term memory loss and not long-term memory loss after being on a heart-lung machine.

At some point some should consider early onset of dementia possibilities.

GD

Lulu700 profile image
Lulu700 in reply to gourd_dancer

Dam good gd that you made it of that machine . 👏👏👏👏

After almost 4 and a half years, remembering names, facts and what I just said are just some of my challenges. Will be 71 Friday. Was sharp as a whip when I started, now I just stand around and chew my cud.

TomTom1111 profile image
TomTom1111 in reply to monte1111

How can we be sure you remember your age?

monte1111 profile image
monte1111 in reply to TomTom1111

I call j-o-h-n and ask him.

Lulu700 profile image
Lulu700 in reply to monte1111

Haha 😂😂mmmcud 😋

Okay I'm on Lupron and e r l e a d a and I have a definite decline I've said it before I feel like everything is in the present I can surely remember what I wore to school in high school but it's like you have to reach back for it and there's some things you just forget and yeah they can say it's old age but I think the Lupron and then the e r l e a d a which I guess Works actually in the brain h e n c e the reason you fall and trip add assorted other evils could be due to that fact I'm sure ta could expand on how it permeates the brain I mean I can still tune a piano but I can't tuna fish

Lulu700 profile image
Lulu700 in reply to Boywonder56

😂

So, getting back to the original question....wait, what was I going to say? Something about being on Lupron and Zytiga for 3.5 years. 🤔

Lulu700 profile image
Lulu700 in reply to GoBucks

Wait! What the hell are we talking about again? 😳😳

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