What’s next

[Bobcat64]

Just finished with PMSA scan. psa went from 1.58 to 3.03 in 60 days. A node is showing new activity. Plus seminal activity has increased since last scan. No reccuance of 2 sites in bones since proton Theapy a year ago. Was on Xtandi but the SE were terrible my wife diagnosed with pancreatic cancer and she is being treated at Vanderbilt 4 hours away. I could not drive that far while on the drug. Also had several falls. Just looking for help on what’s next

[Tall_Allen]

Maybe you'll have fewer SEs from Zytiga.

[Bobcat64 in reply to Tall_Allen]

Thanks TA upmost respect for your help.

[Seasid]

Enza is known to promote falls. It can be dangerous. I am only firmagon but already had 2 falls. Mainly related to my weekend muscle. I have to focus when I am going down the stairs. Can you try chemotherapy maybe just 2 to 4 cycles (depending from side effects) you can do it with the weekly cycle and not the 3 weekly cycle if required) and continue with Abiraterone plus prednisolone or Enzalutamide. Even if the scans don't show anything you could have micrometastases. I am not a doctor but I would check with the oncologist if you could do chemotherapy. You can always stop it at any time. Weekly cycles are milder. If may work for you.

[Bobcat64 in reply to Seasid]

Thanks

[Spyder54]

Wow Bobcat! Both diagnosis’. You are a very tough place in life. You MUST put out a request for all family and friends. People want to help. It gives them purpose. In your early 80’s, I cannot imagine the energy required. You can get through this, but it will require a tightly organized calendar, with food, transportation, housing assisted by everyone. Take it one step, one day, one week at a time.

Meditate on making good decisions each day. Hydrate, Hydrate, Hydrate.

The Medical answers will come as you go. One decision at a time.

Best of Luck Brother,

Mike

[Bobcat64 in reply to Spyder54]

Thanks, we’ve been at this for over a year, but the clock seems to be ticking faster lately

[j-o-h-n]

Shit....... You're 81 years old and facing a mountain of problems. Do you have any family that can assist you and your dear wife? Oh how I wish I had a magic wand........Please, Please get help..... j-o-h-n Sunday 03/06/2022 9:34 PM EST

[Fightinghard]

Not a Dr …….. Did you try taking half dose (2 pills) of Xtandi? Some here say that might still help you while reducing side effects.