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Caregivers Corner, Treatments for Advanced Disease, Results, Side Effects, etc. (Part 4)

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redheadskier
Regular Member
Joined : Feb 2014
Posts : 215
Posted 3/16/2015 5:51 AM (GMT -8)
Good morning all you wonderfuls.

Thanks for all the good thoughts I can feel coming my way from everyone of you...it's a comfort knowing
you're out there and understand.

Frank's latest PSA test last Monday shows that it is rising while on docetaxel. We see medonc on Thursday
and, I'm assume this means the docetaxel is not working for him. Very, very disappointing because
the side effects of tx have been hard. He said yesterday that he's "moving down the road". When he says something like that, makes me wonder whether continue to try different tx's is torture for him. None of it makes him feel any better, he never feels well, just varying levels of bad, but, we still cling to hope that something works.

Thanks for listening. Lisa
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tednsal
Regular Member
Joined : Sep 2012
Posts : 281
Posted 3/16/2015 4:59 PM (GMT -8)
Hello All.....too many folks to try to name everyone. Wow, you all have been so sweet and kind with all of your words of encouragement and understanding, I do appreciate them. Thought I'd update on our activities, which includ back and forth trips to doctor's offices and hospital's.

We R again in a "holding pattern", husband is just against hospice because of no blood transfusions approved when in that program. He thinks that he will "snap back", but only a miracle will make that happen. He is so fatigued, lose of appetite(almost non-existent, really), disoriented (probably due to low blood), confused (due to brain lesions & radiation), balance problems, swallowing, breathing, etc. could go on and on, but I believe you all understand and can paint the picture yourself. He was given a steroid, dexamethasone, for the possible swelling of the brain. This med was "the pits" for him, caused him untold problems with indigestion, his esophagus was irritated from the reflux even though he was on a reflux medication. That issue on top of everything else, is enough to send a person "off the edge". He is so concerned with "disappointing" everyone, that is why he continues to "hold on", I believe. Disappointing us, my word, he's been on this journey for fifteen years and has been a remarkable PC patient, husband, father & friend, etc.

He's has about 6 transfusions, platelet's & whole blood, but he hasn't seemed to have gained any positive momentum toward gaining any of his strength back. Anyway,I just wanted everyone to know, that I am not posting much, because we are not on a "treatment plan" per say, we are just kinda "maintaining". We have another transfusion scheduled for in the morning (Tuesday). We were also told that if anything "pops up" that might need surgery or an invasive procedure, it could not be done because of his low blood issues. We will just have to wait until husband decides enough is enough.........

I thought that he could get oxygen due to his labored breathing, & that it also might help with the red blood, but his oxygen level was 98%. So we have "hit" the wall but husband won't admit it.

That's it from me for awhile........please everyone, keep fighting and look for the next breakthrough treatment and go for it.......be strong and diligent on your journey......to a CURE!

Sal
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 3/16/2015 6:18 PM (GMT -8)
Lisa, Clinging to hope...thats what we do. It's so difficult to talk about some of these issues with our partners - especially when they are feeling so poorly and looking for that better day to come. There are other treatments and one of them may be more suited to Frank. My husband, too, was on Docetaxel & he made it for 5 cycles but the SE's were too much for the 6th. When he got the followup PSA it was rising and it continues to rise. Is it a huge disappointment? Absolutely. And still, I'm going to hope for you and for us that better day is coming.
Peace to you both,
Susan (myman)
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 3/16/2015 7:06 PM (GMT -8)
It's good to hear from you, Sal. What a rough road Ted is on and of course, that means you also.
I was thinking how you said Ted doesn't want to disappoint anyone and it struck me how strong his spirit is through all he has endured. He's been at this a long time and he's a brave man to try with everything in him to beat this terrible disease back.
Hopefully, the infusion tomorrow will at least give him some respite in the midst of all of this.
Thank you for letting us know. You do have so many here who care about you.
You both remain in my thoughts,
Susan (myman)
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kukukajoo
Veteran Member
Joined : May 2014
Posts : 619
Posted 3/16/2015 7:43 PM (GMT -8)
Sal you're in my thoughts. Time to get him some Olympic athlete blood or something!! I do hope he perks up some and that you are staying positive through all this. As far as the reflux has he tried nexium? that stuff is about the only thing I can find that works lately. Its OTC now and the usual prescription dose is double the OTC dose. If he can get relief from that and be more comfortable I am sure he will get better rest as well.

Also have they tried any blood boosting meds like Procrit? I have seen patients come in twice weekly for it and have many that do weekly. It might just do the trick. I never realized all of the restrictions hospice has. I guess I better educate myself and prepare. I don't understand why it has to be so restrictive.

Just know I am thinking of you all the time.

Susans- you are also on my mind a lot. I know I don't post and stay in touch that much but hoping to free up some time soon. Work has been a bugger lately but I can't complain. Seems like fighting cancer is full time job and then some. I juggle (badly) and we even spaced his MRIs he was to have on Saturday. So much that is on my list of things to do and so much getting added, but little crossed off.

Every day is a gift and I find such pleasure and love and light in the little things every chance I get. I hope you all are doing the same despite the circumstances every new day brings.
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celebrate life
Veteran Member
Joined : Dec 2014
Posts : 2111
Posted 3/16/2015 10:30 PM (GMT -8)
Hi Lisa, Sal, Susan and Kukukajoo,
I have been thinking of you all while we were in Portland getting Gary started on his immunotherapy. It was especially good to see Sal posting, and I hope you continue to check in with us in between infusions and such. Hopefully we can offer some support and comfort while you struggle with the pain and heartache you are going through right now. So hard...
Lisa, what was Frank's PSA? Did you get any tx plans from the medonc? What SE's is he experiencing? Gary has mostly battled nausea and varying levels of pain in affected bones. I have heard that there is a standard Wed evening chat room, but I don't know what time. I'd really like to join in if I can get more info. How about you all?
Beth
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kukukajoo
Veteran Member
Joined : May 2014
Posts : 619
Posted 3/17/2015 4:03 AM (GMT -8)
I will try to make chat too if we set something up. I have been forgetful lately though! Too much going on.

Just so you know... I have a thyroid nodule. Discovered in Jan. Is a worry as my mom died of a hereditary type of thyroid cancer that's deadly. Called Anaplastic (medullary) thyroid cancer. I had the genetic tests and have been awaiting the results and just found out they are negative. We don't have the results of my mom's yet (local records purged, don't know who did the testing) but we are searching now to make sure that they tested for the right thing. So I am on a hunt for places that were doing genetic testing back in 1993.... labs, universities, etc.... Long long search.... Nothing yet. BUT the RET oncogene is negative and that is a huge relief.

We're dealing with Paul's teeth still trying to figure it out and also now dealing with the fact the latest scans show his incision is now herniating quite badly and causing symptoms, pain, nausea and vomiting. Unsure what to do about that but back to surgeon soon to discuss. Scared if we do nothing it will be a problem and emergency when he has chemo and that could be deadly. He doesn't want surgery but he may need it to repair this and avoid a strangulation, perforation, or another blockage. Better to do it planned than under dangerous conditions. So worried. And now what do we do- deal with this and put teeth on hold? We just don't know.....Its always some stupid wrench tossed in here and there.
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 3/17/2015 5:05 AM (GMT -8)
Krissy - Great news on your test results...you do NOT need another thing on your plate! Poor Paul - he must be so uncomfortable to say the least. It does sound like the surgeon will be wanting to see him first. Let us know how this goes.

Beejane - I so hope you got continued good news (which we love to hear) on the PSA result.

Beth - Best to Gary as he goes through this trial. Is he on meds for nausea/pain? Would love to be on chat, I don't know time etc. will check here later for info.

To All of you, I carry you with me. Your words mean so much - even when its difficult to talk about you do and what you give to me I cannot get elsewhere. Of course, our families are dealing with this too, but it's not the same. We don't say to them all that we express here. The love, sadness, joy, pain, frustration, fear and loneliness (all of that and more) thats shared here is what gives this thread life. And its added a great deal to mine.

Sal, I hope you can get some sleep. Thinking of you and Ted.

Susan (myman)
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celebrate life
Veteran Member
Joined : Dec 2014
Posts : 2111
Posted 3/17/2015 10:35 PM (GMT -8)
I will monitor chat room as soon as I get off work at 6:00 pm Pacific. That would be 7 mtn 8 central and 9 east. Hope to visit with my PCa friends and if time is good perhaps make it a standing date!
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gator92
Regular Member
Joined : Jul 2014
Posts : 66
Posted 3/18/2015 6:52 AM (GMT -8)
Good morning! I don't post on here often, but I do stop by regularly to keep up with everyone. I so appreciate everyone and the support found on this board. There are days when I just want to curl up in a ball because I don't think anyone else has a clue what I am going through, but then I remember you are all here and can relate.
Just a quick update, John went through 11 weekly treatments of chemo and most of the side effects were manageable, however towards the last couple he had some crazy chemo burns on his hands and his nose bleeds were happening more and more often, so the doc decided to stop the chemo a full cycle early. His PSA has stalled at 8. The doc seems happy with the progress, but of course we were expecting more. I think that is one of the hardest parts of this journey, is the hoping and expecting and when reality doesn't match the expectations, it is difficult. He started Zytiga last week, so we will see how things go. We were told to not to use PSA as a measurement of success for at least 2-3 months, so the waiting game continues.
John's pain levels are increasing. It seems to get worse when he gets his Lupron and Xgeve injections, but it has been over a week now since he had those and it is not getting any better. Of course, at home he acts like the pain in unbearable, but when he gets into the doctors office, he completely blows it off as not a big deal. Maybe it is a guy thing or maybe he is scared to admit that it is getting worse. His last scan showed things were stable, but he has so many mets, that I am assuming the pain part of this is inevitable. :(

I could really use some beach therapy right now! Wonder if we could convince insurance to pay for it???

Hope you all have a great day and get to enjoy some sunshine.

Barb
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celebrate life
Veteran Member
Joined : Dec 2014
Posts : 2111
Posted 3/18/2015 5:12 PM (GMT -8)
I guess there are technical difficulties logging into chat room. Don't know if anyone tried to get on, but I'll check back later.
Sorry! Beth
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kukukajoo
Veteran Member
Joined : May 2014
Posts : 619
Posted 3/18/2015 5:36 PM (GMT -8)
I don't know where it is!!
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celebrate life
Veteran Member
Joined : Dec 2014
Posts : 2111
Posted 3/18/2015 10:28 PM (GMT -8)
Hi all,
Maybe a weekend chat would be better. Sat ever are usually pretty good for me. Let me know. The chat room is at very top of page on the tabs. Beth
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kukukajoo
Veteran Member
Joined : May 2014
Posts : 619
Posted 3/19/2015 6:07 PM (GMT -8)
Sat would be better. Weekdays are insane for me. So busy at work been dropping balls and just tired lately. So much to do here at home and having a hard time keeping from dropping balls. Forgot Paul's MRIs last week, will cost us $50 in no show fees. Stupid tax on me when we are trying to figure out how to finagle other stuff.
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radsgrrl22
Regular Member
Joined : Nov 2012
Posts : 112
Posted 3/19/2015 7:11 PM (GMT -8)
Hi Beth,

Thanks for your suggestions. Bob is on Fentanyl, and several other painkillers. He is starting Xofigo tomorrow, as well as spot radiation on this lower back and knees. I hope it helps. Thankfully we are covered through the PAF.

Interesting, his Oncologist left the practice halfway into Bob's hospitalization. Didn't even tell us. It was jarring, and I have been really staying on people's as--es. The health plan he has, has really been erratic with his care, the Cancer Center is wonderful. Very compassionate care.

I really want to say that it does help to share thoughts and feelings with this community. I am very isolated, and missing some of the companionship of my sweetie. You and your sweeties are in my prayers.

Susan (radsgrrl22)
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 3/21/2015 3:56 PM (GMT -8)
Susan,
Know that everyone here understands exactly what you're saying and how you feel. This is a most difficult road we are on.

Thinking of you,
Susan (myman)
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 3/21/2015 4:04 PM (GMT -8)
Sal,

I hope you and Ted are able to get some rest. Just want you to know I'm thinking of you both.

Susan (myman)
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arthur-qa
Regular Member
Joined : Oct 2014
Posts : 118
Posted 3/21/2015 5:09 PM (GMT -8)
Hello,

I just wanted to say how amazing the people are on this thread, and how it continuously inspires us as we work to support my dad's advancing PC. His ADT is now on the verge of stopping to be effective, and we're transitioning to second-line therapies.

I just recently watched this video by Dr. Charles Myers, where he discusses Leukine in combination with Ketoconazole as being effective in a subset of patients after chemotherapy. He's citing studies in the video, which I didn't get a chance to read as of yet. I did find the video interesting however, as it may offer another question that oncologists can be asked about, perhaps an additional option that may work for some folks: /askdrmyers.wordpress.com/2015/03/18/leukine-prostate-cancer/

Arthur
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 3/22/2015 3:44 PM (GMT -8)
Dear Lovely Ladies,
Friday was my husbands follow up appointment for results on the CT, Bone Scan and Labs that were done on Wed. It was a shock to us although I suppose it shouldn’t have been since his first PSA post surgery was 11.8 and as you can see in his sig he’s been on everything since and I probably forgot a few!
Despite all of these treatments his general health has been good – he has no other health issues but those cause by the cancer and the treatments. So that fact has been an immense blessing these 10 years. We have our families close by, we see our grandchildren all the time and have a full life.
So, here we are – we knew it was coming and we have to deal. I’m feeling overwhelmed right now, scared and not at all brave. I do know that if I prepare as much as possible I can deal better. I need your help with that.

These were the results from the CT:
Multiple new hypodense lesions in the liver. Retroperitoneal lymphadenopathy has significantly increased.
New mild left hydronephrosis with delayed enhancement of the left kidney as well as delayed excretion likely related to retroperitoneal tumor

From the Bone Scan:
Persistent diffuse increased L1 vertebral body uptake.

Jevtana with prednisone to begin Friday with a Neulasta shot 24 hours later. I realize that the side effects are much the same but I believe they are more intense for some on Jevtana. So, any tips, information, ways you’ve dealt with your men that you can give me to hopefully avoid problems as much as possible is appreciated. I’ve read all the information but need to hear from you.

Gratefully,
Susan (myman)

2005 Diagnosed at 63 yo Gleason 4+3
2006 LRP First PSA 11.8 Stage IV Start Lupron
2010-2014 Casodex, Provenge, Nilandron, Zytiga, Orchiectomy, Xtandi.
PSA cont rise. Spot on spine & enlarged lymph nodes.
2014 Xgeva & Taxotare
10/31/2014 Last Taxotare due to SE’s PSA was 14.82 now 1.3
2/27/15 PSA 10.48
3/20/15 PSA 13.68 Multiple lesions found in liver
3/27/15 Start Jevtana w prednisone Neulasta 24 hrs after chemo
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sue saddened wife
Regular Member
Joined : Jan 2015
Posts : 310
Posted 3/22/2015 4:30 PM (GMT -8)
Susan Dave and I are almost in the same identical place. We just got the funding in place for the Jevtana . I have posted under Sue Saddened Wife. I am still not 100% on the jevtana for Dave , we still have 2 treatments left of xofigio and that has helped with legs pain. What to do ? I find we get no clear cut direction. I put the funding in place for the jevtana because in England they stopped all funding for it and as a option at least its a option. My freinds husband just had hiis 25th jevtana treatments and I look at that and I think that is 20 extra months of time that Dave is here with me, My freinds husband has over the course of tje last few mo ths gone to every 4 weeks I stead of every 3. Longer recovery in between treatments. Dave doesn't have alot of soft tissue involvement l LOTS in bon and lots in lymph . PSA HIGH was 3,005 inJan but has come down to 2,295 this month. Please keep me informed on progress with the jevtana. Dave did 6 rounds of docetaxel but it did not work. They do say some men should have had jevtana first as docetaxel does not work for everyone. Our start date for the jevtana would probably be June 9th .. I am very apprecitive of all the insite and knowledge as well as support found here. Good luck to you Sue 💙💙💙
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kukukajoo
Veteran Member
Joined : May 2014
Posts : 619
Posted 3/22/2015 6:15 PM (GMT -8)
Susan & Sue,

It makes me so sad to read the updates but I have hopes that both husbands will do good on treatments and I dare to hope the side effects will be minimal.

I can offer you my strength and please try to be as strong as you can. Its okay to cry and scream and curse you know. I remember when Paul was home from the ICU and not doing so good, I wanted to just rent a hotel room so I could go and just have a total meltdown without him seeing, then pull myself together and go home and be there for him as much as I possibly can. It never happened (who knows maybe I will some other time soon).

Just remember, I am here for you- as are others. The coming months and hopefully years can still be good if you focus on the love and the hope. Surround yourself with family and friends as much as possible, stay busy.... most of all remain as positive as you can.

Hugs! So many hugs I wish I could give you!
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celebrate life
Veteran Member
Joined : Dec 2014
Posts : 2111
Posted 3/22/2015 10:28 PM (GMT -8)
Hi Sue and Susan,
I pray Jevtana will work for both of your hubbies with few side effects. Our medonc thinks it will soon replace docetaxil and is sold on it being superior. Supposedly it is better to let a Ted by most, and that was the case for Gary. He also kept some of his hair! We wish it would have worked longer.Best wishes moving forward. Chat on Sat if you like.
Beth
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sue saddened wife
Regular Member
Joined : Jan 2015
Posts : 310
Posted 3/23/2015 3:08 AM (GMT -8)
Thanks for well wishes. I hope jevtana can do something for Dave. I only worry at the rapid speed that we seem to be using up treatments. I worry about being told that we have exausted all the of them and there is nothing else....It seems alot of the treatments Dave hasn't been able to do the full round. They added casodex and took that away after just a couple of weeks so he could do prostvac. I know there is no treatment plan in place and I think that is the huge problem for me. I live with lists , make deadline for myself , organise daily. This to be honest is to kaotic for me I need to know what the plan is. With this jevtana I just hope he can feel better , last summer when he was on doxetaxel it was the nausea and fatigue, I hope he can enjoy summer ! He lives for sun
and heat . Well yesterday he talked about waxing the car ...I hope he can!
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sue saddened wife
Regular Member
Joined : Jan 2015
Posts : 310
Posted 3/23/2015 6:42 AM (GMT -8)
Tednsal
Hearts and thoughts are being sent to you. Sal I can see how hard this is for you. I live that every day but our progression is not nearly where you are. It takes the srongest Love and willpower to live and see progression day by day. Please keep us informed on you...I was looking for posts from you. Hugs to you and love , I know if ain't easy. All any of us can do is what we do nothing more nothing less cause we know we do it ALL 💙💙 💙
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kukukajoo
Veteran Member
Joined : May 2014
Posts : 619
Posted 3/23/2015 4:47 PM (GMT -8)
Sue,

can you ask for a treatment plan? Even with Paul we already know the "what next" and next steps despite still being in a holding pattern due to the teeth and now the finally acknowledged very large incisional hernia. The oncologist has said when A happens, we start BB, if this also happens then we add CC, etc... And has even said when certain milestones are reached which will trigger different actions (there has to be a better name for an even that's inevitable but not wished for, milestone just sounds too positive!).

I am a list maker but lately so much on them I add more than is removed. I also need to know, and have to have all the what ifs and whys answered way ahead of time. I hate it but have always been that way....

Thinking of you all today and always!
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