Went into the VA Hospital in DC for my monthly Zometa and to get my PSA checked. Quite honestly I expected it to go up and was not disappointed, well heck sure I was but it was what I was expecting.
PSA came in at 149. Spoke with my oncologist who is head of Oncology for the VA facility in DC. I knew from all I've learned here that the next steps were going to be some chemo. I really did not want to go on Docetaxel (taxotere) but would if thats what my Doc said would be for the best. But he said he would prefer I went to Abiraterone. I agreed:)
I'm starting Abiraterone (zytiga) tomorrow - 4 tabs once a day. A single tab is 250 mg.
Will also be taking two Prednisone. One in the morning and one in the evening.Anyone have any guidance on Abiraterone (zytiga) and Prednisone? Expected side effects? Anything?
On 3 April I go in have blood work to make sure the Zytiga is not hurting liver functions.
Will also have a "trace" PET scan done as they saw something in my right lung. The Pulmonary doctor has started me on a anti-biotic to rule out any infection before actually doing the scan. I asked well what if it is cancer? He said very calmly we will take care of it, but lets not even talk about
"what if" until we do the scans. - Ok I'm good with that:)
25 April will be next PSA and Zometa (my monthly) and Eligard (three month). Assuming the PSA stays the same on goes down will continue with the Abiraterone (zytiga).
The date actually fell on 23 April, but I'll just be coming back from GFMPH Cajun style. I told my transfusion nurse about
GFMPH and she said "Thats really important! The 25th is fine"
I was a little concerned starting with Abiraterone before Docetaxel (taxotere) could be problematic if the Abiraterone (zytiga) does not work as so many medicines are stipulated for use "after chemo failure". My oncologist said not to worry about
that he will make sure I get whatever is needed as soon as it is available
We also spoke about
MDV-3100, my Oncologist is looking forward to its approval. once it is approved I'll probably go on that also.
I brought Provenge up - My Doc said Very Expensive, like $100,000 where Zytiga is $6,000 a month. ALSO - Provenge can't be used if the prostate cancer critters have already spread to the bones. I did not argue that with the Doctor but I've not seen anything that says that. Anyone know if Provenge can't be used if the PCa has spread to the bones?
I /will/ beat this thing! Its just a number!
64 as of April 2012
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
12 Jul 2011 - PSA 1447 (It's just a number! )
Scans showed active prostate cancer widespread in bones
Started HT treatments Casodex, Zoladex and Zometa for bone
Last Casodex - 29 August
31 Oct 11 - PSA 46.6
25 Jan 12 - PSA 75
22 Feb 12 - PSA 99 - Restarted Casodex
22 Mar 12 - PSA 149 - Start Zytiga