We saw the oncology radiologist today. I have to say it was a very productive visit. On Mon. Mike will have his first hormone shot..he will have one every 3 months for two years. His radiation treatments will begin in two months.
I found out a few things, the hormone treatment will begin the treatment by killing (starving) all cancer cells that may have strayed to other parts of the body (and in the prostate). This is much like starving breast cancer cells by stopping all estrogen. Prostate cancer is dependant on testosterone and androgen?.
Once the shots begin working and have had a change to spread
throughout the body..then he can start radiation.
The Dr. told us that they will make a cast of his legs in order to keep him in one position for each radiation treatment. After Mondays shot then he will come back for a Cat scan, the cast and a dry run of the radiation..just so he know what is needed and also a tattoo. That would suck for me because I would refuse. But I am doing my best not to project my phobias on to him.
When we got there Mike's nurse began talking about everything and she said 42 treatments. I asked after 4 weeks then we could look into seeding? She said no..where did you get that idea? I told her his urology Dr. She had the nerve to say I misheard. No you didn't say that! The Doctor comes in about that time and she proceeds to tell him I must have misheard the other Dr. That did it!
I told her I did not mishear and that I wrote it DOWN..wanna see? Now she backs down and starts being very nice..not a professor lecturing her students. The Doctors launches his spiel and I asked why 2 years when in Lancet oncology they are saying 6 months is enough. Eyes fly open and he gets excited and said..You read lancet? What do you do for a living? lol I didn't have the heart to tell him only on line and only in areas I am researching.I did tell him my background is retail! So we talked about the trial studies and he finally said in Mike's case since he has stage 8 cancer...very bad and very aggressive..that we were going to need everything we could
throw at it. As it is we have a 50/50 chance of him beating this. The cancer also has a 50/50 chance of coming back. I don't think he would have given us that hard news if he didn't think we would stumble on it anyway.
I did manage to get the Dr. to write on Mike's chart to be shared with his main Doctor that Mike would be monitored closely for his heart and osteoporosis. Hormone therapy in men..brings them very close to female in that now they can get post menopausal heart problems and lost of bone density as well as hot flashes and loss of muscle.
After a while another Nurse comes in and says she represents a research program at Moffitt cancer center. The blind research( no names) is just a questionnaire and blood sample 3 times over a year. They want to see if the hormone treatment changes mood, thinking or perceptions. The blood sample is to test for gene reactions to hormone therapy and the level of hormones. Moffitt is just across the Street from the V.A. and she said they would schedule the visits to Moffitt when he comes in for shots. They even have a special shuttle that will pick him up and drop him at his car. This is a paid study to boot!
Last but not least, I mentioned that we were looking into walkers or wheelchairs..she said Don't! I looked at her like she was nuts and she handed me a RX for a walker with a seat and basket or a wheelchair. She said if later we needed a motorized wheelchair to let her know. Then she asked what else we needed. We got a bath chair for the shower. They don't have bed tables..but we are looking for one tomorrow. I want to be prepared for anything!
He likes the walker chair..it allows him to get around the V.A. and sit for a bit when he gets tired. They are very busy there so often there isn't a wheelchair available. He is too tired and his hips hurt and his feet are numb. The hospital is ginormus@
Ok that's it for now! LOL