in January i went in for a bone scan, after finishing the Provenge treatment. my PSA started edging up last July, still below 1, but it was time for a bone scan i guess. there was one new spot - in my neck- the radiologist and my MO agreed it looked more like degenerative disease than a met. didn't hurt, so we all felt OK with that decision. since I was in a pretty good spot, the MO decided to wait until my PSA got to 5 before starting me on Zytiga and prednisone, like he had thought of doing right after i finished the Provenge. I had a depression drug change from Zoloft to Duloxetine, and although i still wasn't giggling and giddy, my overall mood was lifted a bit higher.
so the scythe swings back - two weeks later my neck began to hurt a bit, then more. i went in for my 6 week PSA check on the 27th, and it had jumped 70 percent - still below one. my nurse practitioner and i decided we both wanted to know more about my sore neck - so she put me in for an MRI - first available was 3 weeks out, but she had added 'STAT' to the request, and before i left the parking garage, the schedulers called to say they had gotten me scheduled for the 28th. the MRI showed a 'marrow replacing lesion in the C3 vertebrae' extending into the left pedicle and the articular pillar. i had to look those words up, as i only speak English, but the pedicle is that extension on a vertebrae that is shaped something like a wing, and the articular pillar is the base of the ring that goes around the spinal cord. so i was referred to Radiation, i was in yesterday for a CT simulation and the fitting of a plastic mesh mask to hold my head in the correct position for 3 rounds of radiation. i saw my MO after, and after the radiation i get to start the Zytiga. the MO says it is rare that i would have only the one met, there are probably more but too small to detect on the bone scan.
I'm only 2 and a half years in to this fight, but i'm tired. tired of being tired all the time. tired of not feeling good, tired of not having anything that excites me. tired of never having a break from this shat, tired of crying, of seeing my wife cry. i never wanted to know this much about hospitals, or MRIs, or drugs and how they mix or don't mix with other drugs. tired of not having any interest in my wife, or what i eat. i never thought i would have the opportunity to miss my chest hair, or my testicles. I'm tired of going to bed early because my neck hurts, then tired of my neck hurting more when i get up. tired of seeing that total of what we owe the hospital going up every couple weeks. tired of all these pill bottles on my desk. tired of buying gas at the same gas station after each doctor visit, tired of the gray plaid cancer shirt i wear for every visit to my oncologist. tired of coming home feeling tired and dirty from being at a hospital that is clean. tired of seeing all those other sick people. tired of thinking how old the other people in the waiting room look, and then remembering that many are the same age as me. tired. and no break coming up. ever.
how do you guys 10, 15 , 20 years in do this, day in and day out? i'm not giving up, but i am certainly struggling.