Saw my oncologist not too long ago. My PSA was at 27.5. The good news is this is below my reading as far back as October. The bad news is it is increasing at an increasing rate. Unless I get a dramatic drop, which no one expects, in short order my PSA will hit 50. That’s the point at which my treatment regimen will shift to adding zytiga. In clinical trials its been shown to increase lifespan an average of 4-5 months.
I’m currently considered “castrate resistant” which means the lupron and casodex are failing. The prostate cancer is now able to manufacture its food, testosterone, on its own. Zytiga interferes with this process for “awhile”.
Statistically, I have somewhere between 2-3 years to live on average. I also have two other options I can add – Provenge and Xiofigo, which each extend life 2-3 months on average.
I thought getting to this point of being castrate resistant would induce major panic attacks. That hasn’t really been the case. I did have panic attacks the first couple weeks at night, but they weren’t terrible. In some sense I’m relieved. I’d been dreading the time when the lupron would fail, now it’s over and I can get along with my life and death.