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Chemo and hormone

User
Posted 23 Jan 2016 at 09:43
Just an update on where we are up to ,saw the doctor yesterday who I must say is fantastic ,should start on Docetaxel (Taxoere) in the next two weeks and as Kev said in a previous post 6 sessions 3 weeks apart also continue with the LEuproreline injections every 3 months also OH has been asked to join a new study /trial it's only just been cleared for our hospital to offer it so am really thankful for that .its called the stampede trial .The trial involves if chosen extra treatment above the standard treatment either radiotherapy or taking a couple of other drugs (enzalutamide and abiraterone) which ever way the computer decides OH will be no worse off because no placebos are being used .feel a lot more optimistic after speaking to Garys doctor who explained in great detail every step of the way , having been told hes T3 grade I understand that very rarely are you cured but with these medications life expectancy can be greatly improved,if anyone has a differant outcome I would love to hear your story

Many thanks to all

Debby

User
Posted 23 Jan 2016 at 15:24

Hi Debby,

I am having six cycles of docetacel, three week cycles and three month HT injections.
Work wise i had decided to take wed and fri's off but it really just turned out to be fri. Not because I really had too but it did give me a rest and long weekend to feel physically and mental fit. My work isn't really all that physical but fair bit of driving and yo and down ladders.
Kev is right that after the initial shock it's best to keep active and positive. Also mentally is can be quite wearing so we have always been planning things and doing little projects. We're keeping kitchen and bathroom companies busy at moment!!
Steven

User
Posted 23 Jan 2016 at 19:06

Hi Merrivale, the stampede trial has been running for quite a few years now. You can look at all the previous arms and recent findings by going to the Stampede website

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

User
Posted 23 Jan 2016 at 21:16

Hi Debby
I'm have been on the Stampede trial now for just over 12 months. As you say there are 3 groups one-off which would be randomly selected for your OH. I was randomised to Group J and started with Abiraterone and Enzalutamide in addition to the HT (prostap). I did have some bowel problems with the Abiraterone and stopped taking it after 4/5 months but continue with the enza.
On diagnosis I was T3a, Gleason 7. N0M1 and a psa of 235.
My last psa reading a week ago was .07 and I'm feeling fine apart from minor side effects of hot flushes and fatigue. I too do some running and last year did a few 10K's ans 2 half marathons.
I'm hoping to do at least the same this year.
I'm 70 tomorrow and will never give up

I wish you and your OH all the best in your journey

Paul

User
Posted 25 Jan 2016 at 15:49

Hi Debby,

Welcome to the group.

I am having chemo same as your husband will,i have one more cycle to go . i was really scared but have found that i have very few if any real side effects .i have the injections to keep my white blood cells up All has gone really smoothly i have given up work before christmas after cycle 4,but walking the dog and keeping busy ,driving my girlfriend mad.....We are starting IVF which is very exciting .....i intend to stick around a long time

i was T3 b with spread to 2 lymph nodes but no bone involvement .Scary times ahead for us all but this site has been brillant

Good luck in your husband treatment


User
Posted 25 Jan 2016 at 15:59
Thankyou for your post ,I'm going from one emotion to another at the moment but posts like yours really help ,good luck with the Ivf

Debby

User
Posted 05 Feb 2016 at 07:54
OH has just got chemo app for weds next week ,if anyone would like to share any experiences about their treatment eg hair loss ,fatigue or even emotions I would be really greatful . Our emotions still change daily ( sometimes hourly ! ) but now this treatment is starting it reassures us a little . OH is gradually taking his head out of the sand and I find him occasionally looking over my shoulder at this forum which is a big thing for him as he's a really private man that likes no fuss .

Thank you in advance to you all for helping

Debby

User
Posted 05 Feb 2016 at 09:15

hi
my chemo found it very straight forward, they warm you arm up with a little electric blanket so as to get a good vain, then insert needle followed by an anti sickness drip, they also ask a few questions to make sure they have the correct treatment
next is chemobag/drip you can feel it flowing up your arm, then its just a case and sit and wait till it empties

after got steroids and anti sickness tablets they will explain about when to take

depending on how much hair you have you can have a cap on which I am told helps stop hair loss I didn't use it as don't have much hair

lost hair mostly from the waist down, hair on my head went very fine so made shaving a lot less

treatment made my body more bloated and I put on some extra pounds 1.5 stone, also abit more fatigued as treatment progressed and restless nights so at times I slept in our spare bed

only had one really bad week where I felt sick ad very tired that was after my 6th session

prior to that was able to keep running a mile or so each day

also suffered a lot with wind, and you need to be careful re infections

had loads more hot flushs so bought a small hand fan also a thermometer as you need to keep an eye on temperature

I was given a note book with all my blood counts in and in the back you can make notes which I did for every visit

regards
nidge

run long and prosper

'pooh how do you spell love'

'piglet you dont spell love -you just feel it'

User
Posted 05 Feb 2016 at 10:28

You may already know this Merrivale but a good idea to buy fresh pineabble, chop it up into bite size chumks and then freeze on a flat tray before transferring to a plastic bag or box. Taking a few frozen chunks to suck on at each infusion really seems to help protect the mouth from ulcers and reduces the awful metallic taste that many people get.

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

User
Posted 05 Feb 2016 at 12:04

Hi Debby

I've just finished the chemo and found it straight forward. The first was scariest because didn't know what happens. I was taken in for an assessment two days before just to run through it which was a lot of questions to see if I was fit for it. It was fine. Initially I was told it would thin my hair but nurse said no it would go but suggested the cold cap which I did use. It's like a beanie cap with plastic tubes that flushes freezing water around your head.

In my case I had a drip in the hand and had 20 min saleen(?) wash through, then 20 mins anti sickness, 1hr 20mins chemo then 20 min wash through again. It was no bother. The cold cap goes on at same time as first drip and remains constant throughout plus 45 mins. It keeps the chemo from the head. Very uncomfortable for first and second sessions but got used to it and agin wasn't a bother. It did work and still have all the hair. OH just keeps singing Carly Simons your so vain throughout!! But was glad I did it. To be honest the morning was like having people bring you cups of tea, chats with nurses and others, nice wee NHS lunch and catch up with reading and iPad. Not a bad morning really!

SE were not bad, lost body hair, ridges to thumb nails and got a tired towards 6th session but all very manageable. Kept working throughout treatment. Emotional wise OH said I was quieter for a few days after first few treatments and she may have been right but didn't admit it. (What's wrong - nothing I am fine. That type of thing!). As with nidge more hot flushes during day and night which I think contributed to tiredness, but again manageable. Put on a few pounds. It is was winter and Christmas.

Hopefully your OH will have a similar experience. Hope it all goes well.

Steven

User
Posted 11 Feb 2016 at 18:09
Ding ding round one!! OH saw Dr on Tuesday after 1 month on hormones psa has reduced from23 to 4.6 which was first bit of good news in months then on Wednesday had first round of chemo ,bit unsure as to what was going to happen but everyone was great . Thanks for the tip on pinapple chunks OH looked at me funny as the only fruit he normally goes for is a chocolate orange at Xmas! But he did appreciate it . Wasn't offered the cold cap so won't be long before he goes from looking like a cave man to an extra from chicken run . OH wants to look for a hat at the weekend thinking he might go for a nice tweed cap thinking he''ll be like guy Richie but then thought he'll be more like Andy Capp ! Love him whatever he looks like ,were still up and down at moment and waiting to see what arm we get on the stampede trial if any but onwards and upwards

Debby

User
Posted 14 Feb 2016 at 10:39
Just some info needed please ,OH started chemo weds and everything went well apart from getting bad cramps in knees ,mainly at night ,he does have arthritis in knees so not sure if anything to do with it .any remedies would be great .also is any alcohol allowed /advised only would be 2/3 pints mainly Guinness or John smiths or wine ( not pints!) lastly what about sex when is it safe after chemo .other than that just tiredness .

Thank you Debby

User
Posted 14 Feb 2016 at 12:07

Hello Debby, just a quick, hopefully relevant answer to your chemo query.

Our daughter in law was told that should she be up for intercourse during chemo it can get into the vaginal fluid and so passed on, so logically thinking (not my strong suit) it would be in ejaculated fluid ? They were advised to use a condom.

The other half will need something for his head if this cold weather continues. John's hair has thinned over the years and we've just come back from a long brisk walk and he's frozen because he refused to wear a hat.

Men !

Edited by member 14 Feb 2016 at 12:08  | Reason: Not specified

We can't control the winds - but we can adjust our sails
User
Posted 14 Feb 2016 at 14:59
Thanks for the advice just been and got a new cap (very dashing!)

Debby

User
Posted 14 Mar 2016 at 09:22
Second round of chemo over ,very similar to the first one after 2/3 days had stabbing pains which seemed to target all old injurys eg .cartlidge ops in knees ,broken ribs ,even old skin graft in ear but this subsided after 3 days and main problem was then just restless at night .OH works away quite a lot sailing his working barge up and down the country and has managed to go back to work the day after chemo which he says helps keep the mind occupied , PSA had dropped again to 0.4 which was again good news .have been give arm j of stampede trial (abiraterone/Enza combination)not sure if radiotherapy would have been a better option but thankful that OH has been given something other than just standard treatment ,will be starting that hopefully early summer so any feedback would be good . Hair started to fall out so Gary had me shave it to a no 1 but still managing to keep most of it at moment the only real complete hair loss seems to be on his knees and thighs !

Still taking each day at a time and hate it when he's away as can't keep an eye on him but lucky youngest son works with him so can lookout for him .

Next chemo in 9 days hoping it goes as smoothly as others .

Edited by member 14 Mar 2016 at 09:24  | Reason: Not specified

User
Posted 14 Mar 2016 at 10:28
Debby

it sounds as though your OH is handling the chemo well, the hair loss can be pretty random although most men seem to lose more body hair than head hair. His treatment and monitoring whilst he participates in the stampede trial should be about as good as it gets, with the added bonus that he is doing something towards helping others yet to come.

I am sure that continuing to work on the barge with your son to help him and to keep a watchful and caring eye over him will certainly take his mind off things! I bet he has some amazing stories to tell about his work and experiences over the years.

On a purely precautionary note, chemo of any kind can occasionally throw up some complications, for exapmle a temporarily compromised immune system can make him more prone to infection. Does your OH have his chemo guide with him and does he know what to do and who to contact if he gets any problems whilst he is out on the water? Im sure being on the barge he has is in a much better place than travelling to work on a train or a bus and then sitting in a stuffy office though.

If you have not already done this, it might be an idea to show the red chemo record book and the information in it to your son and to ensure it goes with them each trip so they can refer to it if necessary. In the first aid kit on the barge have a good thermometer so that your son can check your Husband's temperature if he becomes feverish or sickly. Boots sell a battery operated one which you point at arms length to the forehead and press a button to get the reading. They are accurate and reliable.

I can only imagine how difficult it is not being right there every moment of the day with your Man but I am sure that your OH has more life experiences of looking after himself than most. If he reads this over your shoulder he would probably think I was nuts for mentioning it even. My late Husband used to say I worried too much but he always knew that I meant well! I genuinely do.

My very best wishes

xx

Mo

User
Posted 14 Mar 2016 at 10:43
Thankyou , didn't even think of sending the chemo book with our son ,first aid kit top form so no issues on that and they normally work in marinas so lots of help and normally close to medical services .as OH says he has one of the best jobs in the world seeing our beautiful country every day even though can be pretty hairy on stormy days .hes home this coming weekend and over Easter period so will be in my eyes view !!
User
Posted 14 Mar 2016 at 16:57

Hi Debby
Glad all seems to be going ok.
I found it easier once decisions on treatment had been made and one could settle back down a bit. Believe me after 6 months you stop thinking about the cancer every day and get down to some normality.
I too am on the Stampede J arm with enzalutamide (as I said I dropped the abiraterone).
The frequent monitoring by the Stampede Team is great. After 15 months of static psa I'm now on 12 weekly monitoring but can ring the team anytime I have a question.
I make sure that I get a copy of my blood test results before I go into the appointment so I can ask questions and my wife always attends with me so we don't miss anything.
The other thing I'm hot on is diet and exercise both of which help (according to my onco)
I do get regular hot flushes - I've found it helps not to sit in unventilated rooms and at worst I either go outside to get fresh air or put a pack of frozen peas on my head.
Fatigue is not a problem day to day, I have worsened running up hills so I walk/jog a bit more.

Your OH should not have much to fear and you both just keep enjoying life.
Paul

User
Posted 29 Mar 2016 at 18:00
Third chemo done and dusted ,still restless at night but think that's due to hormone injections,had to reshave Gary's hair as it seems to be growing rather than falling out! Only good thing he's gone from shaving 3/4 times a week to just once , PSA down again to 0.2 .

I've settled down a bit and gradually not thinking about it every day ,lots to keep me occupied as first grandchild due in June and now been told another one in November so smiles all round at the moment

User
Posted 29 Mar 2016 at 20:07
Hi Debby

good news all around for you just now ..fantastic

The hair experience on chemo is varied, some men seem to lose all their body hair but not their head hair, some lose none at all and others get a growth spurt, no explanations for that at all !

Best wishes

xx

Mo

 
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