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hello...wife of a newbie - Gleason

User
Posted 18 Jan 2015 at 20:07
I Will add bob the dog immediately. And if I can ever give my skills in emotional and psychological support on here...I'd be glad to....

Xxxxx

User
Posted 19 Jan 2015 at 20:22

I've realised today, that I am so obsessively looking at all the research and data, and I'm forgetting that my husband is not anywhere ready to think about that. I must remember this is his cancer, not mine!

Sue:)

Edited by member 19 Jan 2015 at 20:23  | Reason: Not specified

User
Posted 19 Jan 2015 at 21:16
Don't beat yourself up Sue. You just care and this is one way of you doing what you can. I have PC and I am delighted when my wife shares the burden of research. That said, you know your husband so if he is not ready for what you know then keep and digest for if/ when he is. Just make sure you don't bottle up inside what you know so that it hurts you, use this or other charities nurses for a chat they are all good and all listen. Take care, Kev Today has been a good day.

Dream like you have forever, live like you only have today Avatar is me doing the 600 mile Camino de Santiago May 2019

User
Posted 19 Jan 2015 at 22:41

Originally Posted by: Online Community Member

I've realised today, that I am so obsessively looking at all the research and data, and I'm forgetting that my husband is not anywhere ready to think about that. I must remember this is his cancer, not mine!

Sue:)

 

Hmm, that (in bold) maybe.

 

But, IMHO it is yours too, his and yours, to deal with.  What affects he has will effect you too.

 

Okay, so he is carrying it, but it will impact on you.  He should have some consideration of that.  

 

Dave

 

 

Edited by member 20 Jan 2015 at 06:23  | Reason: Not specified

User
Posted 20 Jan 2015 at 07:17

Your husband will be so grateful that you are researching options for him, as perhaps he cannot cope with doing it himself at this time.

My OH often tells others that when I did this it helped him immensely and he is very grateful.

With your experience you will be a force to be reckoned with.

What a great wife to have.

Alison x

User
Posted 23 Jan 2015 at 19:18

Hi Whiterose

I couldn't agree more with the other folk that have said well done you for getting your man tested. There is no doubt that some men understandably get anxious even when diagnosed with low Gleason localised prostate cancer but from what you say your man is quite chilled about it. My Gleason is 7 and I'm quite chilled as well although it's important (to me at least) to look at the various treatments and choose the right one for the individual, whether active surveillance or something else. I imagine many men just want to get rid of the cancer whereas others would feel comfortable with being monitored.

That's the great thing about life - we're all different.

Good luck and well done you for doing your bit for your man. I have a friend who when diagnosed his wife said "it's your problem - you sort it"!

Thank God for women like you and my lovely lady, who also persuaded me to go to the doctor.

dl

Edited by member 23 Jan 2015 at 19:19  | Reason: Not specified

User
Posted 23 Jan 2015 at 21:49
Thank you all for your fabulous encouragement and support. The Prostate Cancer UK tool kit arrived today. As a cancer nurse I was very impressed with it. My other half took one look at it and said 'There's no way I can read through all that!'. I think I'll have drip feed it to him bit by bit.

He said he had a reality check yesterday when (I think) talksport was on, and their charity is this one. They had been talking about the charity, and he suddenly realised he was now a prostate cancer statistic...

Night night all,

Sue

User
Posted 23 Jan 2015 at 22:30

Hi Sue,

Well what can I say about this can of worms, should you have opened it HELL YES. This is a conversation that I have had with Mandy many times us lady's are pretty good with a can opener and oh how I wish that I had done this years ago for Trevor. You have done the right thing, awareness is a powerful tool.

BFN

Julie X

NEVER LAUGH AT A LIVE DRAGON
User
Posted 30 Jan 2015 at 19:52
Tomorrow we have first meeting with urologist. Al hasnt had MRI scan yet , so I can't imagine he has much to add. I feel nervous...I keep telling myself (and him indoors) that tomorrow won't really tell us anything new. Whilst my logical brain says a Gleason 6 is actually nothing to worry about...I keep thinking why was there a small amount of cancer in both lobes. Is there anything in particular we should ask tomorrow?

Sue x

User
Posted 30 Jan 2015 at 20:18

Originally Posted by: Online Community Member
Tomorrow we have first meeting with urologist. Al hasnt had MRI scan yet , so I can't imagine he has much to add. I feel nervous...I keep telling myself (and him indoors) that tomorrow won't really tell us anything new. Whilst my logical brain says a Gleason 6 is actually nothing to worry about...I keep thinking why was there a small amount of cancer in both lobes. Is there anything in particular we should ask tomorrow?

Sue x

Gleason 6  ONLY 6,  My Gleason scores are below, so you are ahead of me already!   And I am still here nearly 19 moths later.  Cut me some slack and let me enjoy this fact please.

Gleason score 3 + 4 = 7
PSA: 5.6
Biopsies positive to cancer: 3 of 8 sites
Tumour: T2
No evidence of metastatic or extraprostatic disease

12 June 13
T3
3 + 4 = 7
10% of gland is cancerous
No positive margins, all clear

scores 

 

Being practical now:

1. Have a list of questions that you want to ask and get answers to before you meet the Uro.

2. Write them down 

3. Take a notebook with your questions, and a pen to record the answers given.

4. What treatment options do that NHS trust offer?

5. Can they refer you to another NHS trust if you decide to opt for a treatment that is available elsewhere?

6. What is that surgeons, if you go with them, success rate?  This is measured in terms of life after OP, continence, survival, ED regain.

7. How long is the average stay post treatment?

8. What has been the longest stay post op?

9. What would they opt for in your position?  Some will not say, but, if you get to talk to the man or the women inside the "Doctor" they may open up and tell you?

10. Others will hopefully come up with other questions for you.

 

Look, you have done so much for him so far with regard to the early diagnosis, and you are clearly THERE for him, he IS indeed fortunate to have you on his team.   

ATB to you both tomorrow.  All my digits are crossed for you.


Dave

Edited by member 30 Jan 2015 at 20:21  | Reason: Not specified

User
Posted 30 Jan 2015 at 20:23

Thank you Dave. Much appreciated!
Sue x

User
Posted 31 Jan 2015 at 19:24
thinking of you Sue, Dave is one of our crazy gang so he has a DARK sense of humour ..ha ha

xx

MM

PS

Dave may have the zaniest sense of humour but he is also very clever his advice here is brilliant for going in prepared.

xx

Edited by member 01 Feb 2015 at 09:27  | Reason: Not specified

User
Posted 01 Feb 2015 at 00:01
Hi all

We met urologist today at castle hill hospital. Quite a quick appointment but the consultant seemed very good. Active surveillance for now.

MRI in April which will be a reference point to look back on, if further scans in future. 3 monthly PSA checks, repeat biopsy in a year. Confirmed that OH can't have external R/T because of his longstanding ulcerative colitis.

Feels like immediate panic over....can relax a bit now.

Thank you so much to everyone here for the support and encouragement....

Love Sue xx

Edited by member 01 Feb 2015 at 00:02  | Reason: Not specified

User
Posted 01 Feb 2015 at 09:25
Sue that is great news

sounds like Alan is getting proper AS ie with scan to benchmark, quarterly PSA checks and repeat biopsy in 12m The decision means no side effects although of course the trauma of knowing is bad enough.

I have edited my reply before this to reflect the fact that even though Dave is a crazy like me his advice was excellent.

Keep telling us how you are both getting along and post for others as your expertise will be invaluable on this forum.

xx

Mandy Mo

User
Posted 01 Feb 2015 at 13:12
Hi Mandy...and Dave...the advice given here has helped clarify things for me. I will keep the forum up to speed with how we get on. Also if I can be of any help here..support wise,..do get in touch. Ironically Al's brother just had a prostate biopsy...as PSA 75...

Hmmmm....

Love Sue x

User
Posted 01 Feb 2015 at 19:23
Sue unfortunately this is very much a hereditary disease, the medics say first line male family members should be thinking about testing as young as 40. There is also a lot of information pointing towards brca 2 genetic commonality for certain types of prostate cancer, so sons or brothers of women with breast or ovarian cancer may also be at risk.

So much new research is supporting genetic mapping for cancer as bespoke treatment might be the way forward in the future especially when it transpires that drugs never previously used for a specific cancer, can be far more effective and with far fewer side effects.

I wish I was 40 years younger and just starting out in a career as the whole subject of molecular genetics and research is fascinating

Xxx

Mandy Mo

User
Posted 01 Feb 2015 at 21:20

Surprised at your post Mo - I understood that less than 10% of adenocarcinomas are linked to either BRCA and that while there are clear familial patterns for men with early onset PCa the same cannot be said for all. Science has yet to prove a genetic link for most PCas and the more likely cause of familial prostate cancers are environmental.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 02 Feb 2015 at 20:55
Lyn that is why I specifically said some PCas. If by environmental you mean typical diet or lifestyle then how does that explain men who leave home and sometimes country to pursue education or career who still fall victim.

M M

User
Posted 03 Feb 2015 at 00:09

Hi Mo,

You said "it is very much a hereditary disease" - I was asking if you learnt that on the course?

Much of the environment is set in childhood - our onco says diet needs to be changed for teenage boys & young men if we are to eradicate PCa - most will live in the same house, eat the same food, drink the same water as their fathers, tinker around with the bikes together, perhaps take apart the odd engine or two. By the time they grow up and leave home, maybe the damage is already done?

In our village, you can plot the homes of people who died of brain tumours and they fall on a perfect straight line extending a mile. No pylons in sight. Water? Radon? Virus? One day we will know these things :-(

Lyn x

Edited by member 03 Feb 2015 at 02:40  | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 03 Feb 2015 at 12:17

Oooo....I love a good debate:)

There seem to be genetic and environmental factors involved in developing many cancers including prostate cancer. A useful paper 'Genetic variants associated with predisposition to prostate cancer and potential clinical implications' (Journal of International Medicine. March 2012) notes that 'Family history is one of the strongest risk factors for prostate cancer; the risk of developing the disease doubles for men with a first degree relative affected by prostate cancer and increases further with more affected relatives. The higher incidence of prostate cancer observed amongst monozygotic versus dizygotic twins suggests familial aggregation results from genetic rather than shared environmental factors. Furthermore, twin studies report heritable factors (germline mutations) may explain as much as 42% of prostate cancer risk.'

Interesting....

Warm wishes

Sue

 
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