This is the quick stop to check on my current overall health. No one wants to go through pages of posts to get up to date if they’re new or have been away for awhile.
I’ll update this page as major changes in my situation occur. For the day to day stuff, reading the last few posts should do the trick.
Overall, I’m OK, I am having problems with my stomach and occasional Lupron induced depression. I’m still asymptomatic and my PSA is relatively low.
I’m on Lupron injections (4 months per injection) and Casodex pills daily.
I am at the point where the Lupron and Casodex have started to fail. Lupron removes the cancer’s food, which is testosterone. The reason lupron fails is the cancer mutates in such a way that it starts manufacturing its own testosterone. (This is indicated by an increasing PSA level. One can think of PSA as a prostate cancer cell’s excrement after it eats testosterone. When PSA starts going up it means the cancer is growing.) Casodex interferes with the use of testosterone by prostate cancer, but it can only do so much.
As of Jan 1, 2014, I’ve been on and off casodex or lupron for about two and a half years, which isn’t bad considering the average failure time is two years. Once my PSA exceeds 50, I’ll switch to a new drug called Zytiga. It stops all forms of testosterone production – from the testes, the adrenal gland and most importantly, the cancer. In concert with this is Xifigo for when diffuse bone pain develops and Provenge which is an auto-immune system booster. After that it’s pretty much just chemotherapy. As I’ve written many times, it’s unlikely I’ll elect to go down the chemotherapy route. Too little life extension for the quality of life reduction.
After I switch to Zytiga and add in the adjunct treatments it sounds like I might get between a year and a half and three years before I die (as of May, 2016).
If the cancer metastasizes to a “bad” location, all these estimates are out the window.