In an earlier post I mentioned a vertebral fracture of my thoracic spine that was discovered only because my General Practitioner ordered X-rays because I'd been complaining of back pain for a very long time. I'd told my Onco-team as well. They shrugged it off every time I mentioned it saying, your psa is steady, you're on xgeva (maintenance dose every 3 months) so we don't suspect it's your mets.
After the X-rays revealed the fracture, my GP ordered a dexa scan, where Osteopenia was discovered, as well as being right on the cusp of osteoporosis , I informed my Oncology Team, they determined(without images, only a written report) the fracture was "Osteoporotic", and NOT cancer related.
So last week I had a scheduled Oncology appointment for my injections (Eligard and Xgeva) and during my visit I asked if there was anything we can do to help strengthen my bones. The answer was, No....your psa is steady, and you're already doing all you can with the calcium, d3, magnesium, and Xgeva. Needless to say, I was disappointed.
My question is, are they too caught up in "Standard of Care" and is that why they didn't even offer the e-2 patch, or even talk about it for that matter? I asked why there wasn't a dexa prformed before I started on the ADT and she said, that wouldn't matter, you've probably been osteopenic well before your treatment began. Of course, I disagree. Should I be shopping for a new cancer doc?, not just for answers I want to hear, but for a second opinion.