Well, last week was a killer. On Monday I went to get my hair cut. The only place to sit had me in strong direct sunlight coming from the side. I didn’t think anything about it until I got up to get the cut. There was a tear in my visual field and there were several blind spots. It took about an hour for my vision to clear up and at that time I developed a severe migraine. That was about 5:00. At 8:30 I called my GP – the pain had continued to worsen and I’d thrown up about 9 times. He called in a nasal spray that I took at 9:00 and then again at 11:00. It did nothing. After throwing up a couple more times, I went to the emergency room at 1:00. I was whisked off for a CAT scan to help rule out a stroke, aneurysm, or internal bleeding. They also gave me two anti-nausea meds along with two doses of morphine for the pain. A bunch of other tests later at 5:00 they sent me home. The migraine was gone and they were 99% sure it was a migraine and not something more serious. I was given orders for an MRI to rule out that last 1%. They also gave me a script for some anti-migraine pills.
On Wednesday I met with the oncologist. My PSA jumped from 20 to 50. Definitely bad news, He said he didn’t think the Lupron had failed, but we just waited too long since the last injection. Personally, I think the Lupron is at least starting to fail. I’ve been on the same schedule for three cycles now.
For the next cycle I got a Lupron shot and am taking casodex as well for a month. Lupron stops the production of testosterone for the cancer to eat, casodex stops testosterone being absorbed by the cancer. I get another PSA test in a month. If the Lupron has failed, I have about 2 years left.
I’ve been surprised by my reaction to the news that the Lupron may be failing. I thought I’d really lose it when this happened. Instead I just seem to reflect on what it means. When I get up is the only bad time, I’m often breathless and a bit lightheaded. It hasn’t interfered with me getting to sleep.
On Friday I had the MRI. It confirmed that it was just a migraine, but it also showed a small bone met has started. Not good news at all. Treating bone mets on the skull is tricky business. It is what it is, though. Hopefully, it won’t grow fast.