Fragility returned on February 26 as I woke up feeling down and was never able to get past it – up to and including today.
Met with my oncologist today. PSA is way down to 0.17, great news!
Due to the deep depression, we decided to go off Lupron for at least a month. It’s not clear how much of the depression was due to the illness and how much was the Lupron, but better safe than sorry. The problem with the Lupron is once you go on it, you’re on for at least a month. This month off will give me time to regroup, and I’m thankful for it. My PSA is certain to go up by the end of the month and the cancer will get some more food, but the depression is crippling me. If it means I die sooner, so be it. We reassess in a month. Most likely I’ll switch to Casodex, which is in pill form. If there are problems, I can stop taking Casodex and in a day or so the drug will be out of my system.
Met with the radiologist. He says it is no big deal that I missed the last radiation treatment. I decide to not mention my experience with his nurse. It appears I’m past all the acute effects of the radiation. He told me it was likely radiation on the small intestine caused my nausea problems and may have been responsible for the colitis.