GREG'S LEGACY

Specialising in the human experience of Living with prostate cancer – warts and all

Posts Tagged ‘PSA

Christmas Greetings for 2015

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Seasons Greetings

Seasons Greetings

Hello again to anyone out there who still visits this site and my very heartfelt best wishes to the world in general. MERRY CHRISTMAS to everyone and my wishes for a HAPPY FESTIVE SEASON to all people regardless of religious persuasions. May the politicians and the people of the world find some sanity and peace in 2016. 

As I grow older I have come to embrace this time of year emotionally. I use this sense of time and place to slow right down and do a stock-take of past life events. I give thanks to the universe and or my creator for the people close to me and those that have sadly left me behind. I give thanks for my home, the area where I live and the peace that I enjoy here. I give thanks for the skill of the surgeons, doctors and nurses that have given me extra time and an improvement in my quality of life. I am constantly amazed at the diversity of skills and capacities of mankind that surrounds us. I give thanks for the love, respect, understanding  and respect of my wife, my companion and carer 

I have not contributed an article here since May this year and the reason has simply been that I had nothing to report, I am doing OK for the moment. I am not a doctor and lack certain mental understanding of things medical, to gather technical stuff together to present here on this site. Besides there is a ton of technical information available on cancer, treatments and drugs that are presented by others more qualified than I.

At the very beginning of my illness I went seeking articles on the human personal side of cancer diagnosis and treatment. I found this site established by Greg and eventually was able to contribute articles myself. Greg wrote about his illness, treatments, mental anguish, treatment discoveries, general ups and downs from week to week. He also unveiled his personal life, family history and his private philosophy on life in general. The information Greg presented is still relevant today for those seeking a personal perspective on the effects of chronic illness. Like Greg, I also tried to write on a personal level describing my personal experiences with dealing with this cancer,  however I did try to include other areas of interest that I thought might appeal to readers.

Together Greg and I have attempted to bring a personal touch to such subjects as:

Cancer diagnosis and grading….. Treatment and decision making…….Cancer screening and primary treatments…….Effects of surgery, Radiation, Androgen Deprivation Therapy, Chemotherapy….Other alternative treatments…. Advances in treatments and research… Cancer progression……. The carers role….End of life preparations…….Palliative and Hospice Care….Cancer statistics…… Depression, suicide and Euthanasia…….Personal experiences with treatments when a primary treatment goes wrong…..A personal view of the meaning of life, the creator or god.

Since my life saving surgery in November 2014 there has not been too much else happening in my cancer world. I remain in remission for the moment, although my last PSA results showed a small increase. This increase in PSA was not significant enough to draw a conclusion, so my doctor and I are awaiting my next PSA result due in a couple of weeks. The result from this will determine if my cancer is still active somewhere or if I remain in remission. If the cancer has begun to progress my only option in that case will be to return to ADT treatment and then continue to monitor the PSA with further treatment decisions to be made along the path.

Farewell until 2016

Farewell until 2016

So until things become clearer for me or change dramatically, or I find an interesting subject to report here for readers, I will bid every-one goodbye for now and hope to return sometime in 2016.

Cheers

Lee aka Popeye.

 

Latest Advances In Treatment Of Prostate Cancer And The Butterfly Effect

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The Blue Tiger

The Blue Tiger

The first blast of winter has reached my little tropical hideaway part of the world. There is a massive high pressure system south of the Great Australian Bight directing Antarctic winds right up the east coast of Australia. Night time temperatures have dropped below 10 degrees celsius with day time temps below 25 deg. It may not sound like a big deal to my southern neighbours but living in temperatures that average minimums of 25 deg to maximums of 35 degrees for nine months of the year it becomes a shock with the first winter blast in this part of the country.

At least the butterfly swarms are still passing by my verandah but I am guessing that this cold dry change will knock them back a bit for this year. Between March and May every year I can sit daily on my verandah and watch the procession of these beautiful creatures as they travel from the south in a northerly direction. I have even seen these swarms over the ocean 100 kilometers from land. Where they come from and where they are going I have no idea. They just happen here every year with the main type being the “blue tiger” but also many other species of all colours and sizes can be mixed with them.

Watching them the other day reminded me of an old metaphor called “The Butterfly Effect.” This was a theory exploring the concept of a small thing happening on one side of the planet (such as the flapping of a butterfly wing) can cause an immense reaction in one form or another on the other side of the world. It was part of a theory called the “Chaos Theory” and was generally attributed to calamities, however I believe in “Yin and Yan,” so the theory in my opinion should apply equally between good and bad.

One thing cancer has taught me, is to look at life more deeply and appreciate things in a more meaningful way, hence my fixation of my butterflies, their life cycle and the theory. Such a beautiful creature that evolves by unfolding itself from a lowly caterpillar after pupation. I like to believe the whole story offers hope that small actions can create massive changes for the good in this world. Mankind is still at the beginnings of meaningful good changes as witnessed by lifestyle differences. opportunities and other madness going on in the world; We are seriously out of balance. However the more developed countries involve themselves in the opportunity to continue to make advances in areas such as medical practices the more likely these advances will eventually filter throughout all the world. This then takes me to the subject I wish to offer readers in this article, regarding the advances made recently and where we are headed in the treatment of prostate cancer.

So how has treatment for prostate cancer advanced over the past number of years? Before I begin I should quote the following statistic for my readers. The prostate cancer 5-year survival rate has improved from 59% in 1986 to above 92% today, and likewise for most types of cancer the 5-year survival rate has increased. This increased survival rate is due to improved medical practices, the introduction of new drugs and/or the treatment methods and successful research outcomes.

In the case of prostate cancer, over 3300 men will die of this disease this year, even though it is still thought of as a slow-growing old mans disease. The truth is, that early low-grade prostate cancer is indeed slow to promulgate but there are high-grade aggressive varieties that are lethal, and indeed more younger men are now being diagnosed with this disease in their thirties and forties.

While PSA monitoring and DRE procedure have been the main indicators for biopsy; Research is searching for other prostate cancer markers to use, and several exciting pathological trials are underway. Medical imaging has also expanded, with much advances in imaging from MRI, CT and PET scans, along with ultrasound technologies. Much of this future researching and improvements should bring huge benefits in assisting doctors to discern at diagnosis, between the non lethal and lethal types of prostate cancers. This then, should have a great impact in decisions regarding primary treatment for the patient. Improved imaging should enhance the ability to locate and direct biopsies and also to better detect metastasis to bone and other tissues.

In the past few years there has been the introduction of new drugs such as Abiraterone Acetate (Zytiga) and Enzulutamide (Xtandi) which are advances in hormonal drugs offering greater survival rates, with less side effects. Sipuleucel T (Provenge) is an Immunotherapy drug and treatment, which stimulates the individual patients own immune system to attack cancer cells. Radium 233 (Xofigo) which is a radioactive type drug, used in the treatment of bone metastasis with prostate cancer.

Much research continues to search for and identify the different individual characteristics of prostate tumours. This may lead to drugs being available for specific types of tumours, and could lead to individual tailored drugs being used on a patient circumventing the need for current primary treatments of surgery and radiation. This could  have profound effects in preventing major life changing side effects.

AMEN

AMEN

There is much excitement and discoveries still to come in the medical world over the next decade, and I hope I am still alive to see much of it. Meanwhile I will keep admiring my butterflies for the hope they offer for a better world to come. Is it Possible?????? Perhaps.

 

Lee aka Popeye

 

 

Citrus Juice And My Prostate Cancer

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Wonders of Citrus Juice

Wonders of Citrus Juice

Before I begin this piece on my experience with using citrus juice, I first have to explain to readers of this post, “that I will not be able to submit any further posts for the next few weeks. I will be away out in the bush with some of my family until approx the middle of July taking a break. I apologise to everyone and I hope readers will understand and be patient until my return.”

It would be a lie for me to say I am feeling fantastic at the moment, however over the past couple of months I have felt at times more energetic than I have for the past year. I underline the word energetic as I still have aches,pains, stiffness and weakness that seems to be getting worse and that undermine any complete feeling of wellbeing.

My energy levels however have increased and so has my interest in taking up chores and trying to get things done. The one common denominator for this rise in energy levels has been my consumption of lime juice in my water bottles. I have citrus trees growing on my property and lately I have had a good crop of limes which I decided to juice and add to my water. I started to feel more energized about the same time as I begun this practice,  but did not put two and two together until I stopped the practice for a few days then restarted. Each time I stopped using the lime juice my energy levels went to rock bottom and rose again when I resumed the practice.

This little surprising exercise had me searching the web for a link between citrus juice and prostate cancer. I wasnt really surprised when I found quite a bit of information including references to small scale studies done in this field. I have included some web addresses at the end of this article for those who may be interested. The following information has been borrowed by me from an article and gives an over view of the possible role of citrus and cancer.

Animal studies and a couple of uncontrolled human studies have found that Modified Citrus Pectin (MCP) may inhibit the spread of prostate cancer and melanoma to other organs. However, there have been no controlled clinical studies to prove this effect in humans.

MCP is commonly used as a gelling agent for canning foods and making jellies. It is also used widely in the production of food and cosmetics and as an ingredient in some anti-diarrhea medicines. In the past 10 years, the modified form of pectin has been investigated for anti-cancer properties.

Several animal studies found that MCP helped reduce the spread of prostate, breast, and skin cancer. Animals with these types of cancer that were fed MCP had a much lower risk of the tumor spreading to the lungs. For example, one study examined the effects of MCP on lung metastases from melanoma cells. Researchers injected mice with melanoma cells. In the mice that were also given MCP, significantly fewer tumors spread to the lungs than in the mice that did not receive the drug. When lung tumors did develop in the mice treated with MCP, the tumors tended to be smaller than those that formed in untreated animals.

These studies appear to show that MCP makes it difficult for cancer cells that break off from the main tumor to join together and grow in other organs. However, in most animal studies, MCP had no effect on the main tumor, suggesting that it may only be useful for preventing or slowing the growth of metastatic tumors in very early stages of development.

Recent laboratory studies of human and animal cells have provided information on how MCP might slow the spread of cancer. MCP appears to attach to galectin-3, a common chemical in many cells. Galectin-3 is present in abnormally high levels in many cancers and plays an important role in the growth, survival, and spread of cancer cells.

Although animal and cell studies are quite encouraging, very little information is available about whether MCP is effective in humans. In one published clinical trial, 10 men with prostate cancer were treated with MCP after standard treatment failed. In 7 of these men, blood tests found their PSA doubling time improved in comparison with measurements done before taking MCP, indicating that MCP may have a slowing effect on the cancer’s growth. This study had no control group which limits the strength of its conclusions on MCP’s effectiveness.

So there you have it. I for one will continue to enjoy my citrus juice and water in the hope it will continue to give me the energy I have been experiencing. If it turns out just a placebo effect I don’t really care much as it cannot do me any harm.

The wisdom of youth

The wisdom of youth

Catch you all again in a few weeks.

Lee aka Popeye

Further Reading

http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/dietandnutrition/modified-citrus-pectin

http://www.cancer.gov/cancertopics/pdq/cam/prostatesupplements/healthprofessional/page4

http://www.medicalnewstoday.com/releases/189591.php

Remission………. Perhaps

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Here I may be

Here I may be

Hi everyone and I wonder who is out there still interested in what is happening to me. Since I last posted the article on keeping things in perspective I have been curious as to who is still reading my stuff and I hope I still have an audience out there. I have not received many comments lately but one I must admit gave me he shivers and I hope Kathy received my reply OK and perhaps I was able to help a little.

I have come to the conclusion with the help of my local GP in a heart to heart talk we had, to drop my attendance with my local urologist as I have lost faith with him. I have decided to  transfer my well being to my local GP as they can monitor my progress/decline just as well, and refer me to whoever if and when I may need to go see a specialist if things go pear shaped. I have had all the major treatments I can have apart from continuing ADT injections and that, along with the monitoring of my PSA can be achieved locally.

At the time of this article I can say that I have not felt this well for at least two years. Despite the ADT and side effects, I have not felt this energetic and interested in my life for some time. I have been mowing the lawn and weeding, I have been up and about and looking forward to continuing my renovations around my house and I have been tree lopping at the next door neighbours place and gardening for her as she attempts to sell her property. I have been out at my sons place west of Mackay helping him with renovations and I am looking to visit my daughter in Cairns. This is the stuff I used to be able to do and looked forward to doing and here I am once again able to get involved, and I am just so happy to have this opportunity.

I guess I feel like I am truly in REMISSION and I am grateful for the chance to enjoy this. Right now at this time and at this place I feel like the last twelve months have been a bad dream.  I have not been given the official diagnosis of remission by the doctors but I know deep inside that I feel like I have another chance and besides my PSA is where it should be. I also just feel so much better.

Unexpected Remission

Unexpected Remission

I do not know what the future holds and if this thing may possibly return, but right here and now I know I am normal. If things change for me along the track I will be happy to accept the fact, but right now I am just so grateful to have had this time of grace in my life. I was going to apologise to all of you for the lack of drama and interest in this article but then again…… I just feel so great I feel like to hell with it, so here is my latest article with no warts, just good news from how I feel right now.

Cheers Guys and Gals

Lee aka Popeye

Those Old Post Treatment Blues

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Also 23 types of PC

Also 23 types of PC

Well the songs are banging around in my brain like a bunch of old blues numbers creating an earworm. “Won’t you cry me a river,…….. cry me a river,……I cried a river over you” or “You must remember this, a kiss is still a kiss, a sigh is just a sigh,….The fundamental things apply,……….As time….. goes….. by.” Ah Play it again Sam.”

I had read about the mental anguish that can accompany a patient when nearly all primary treatment for prostate cancer is completed and life goes on. Seemingly, the only thing treatment wise, happening for the patient is a three monthly PSA test and more than likely a periodic injection for continuing ADT. However the lack of any major future medical goals provokes these blues attacks and for very understandable reasons.

It has taken me 12 months down the track to arrive at this point in my little journey. Now here I am all treated out, apart from continuing ADT and wondering where the hell I go from here. I have not seen my GP or Urologist for several months, I am in need of my next eligard injection which I fortunately have a script for (The last injection was given at the radiology clinic) and I am now back home released from the radiologists care. Where do I go from here ??

I have issues with my Urologist that I am not happy about and I was constantly thinking up excuses not to phone and make the appointment that I knew deep down I really should make. I feel like giving him a miss completely, but he is all my country town really has to offer a prostate cancer patient like me, as unfortunately the only other Urologist in town may have some issues with me. My last GP had fled from the area some 9 months ago but I do have a good option to see the doctor who owns the family practice. So into the GP I go and after a little chat he advises me to do the thing I really knew I had to do.

So there I was, three weeks later in the urologist waiting room clutching my 4week overdue eligard package. I had spent the previous couple of weeks worrying about the results of my PSA test and wondering if the numbers may have risen slightly. The question is always in the back of a prostate cancer patients mind, has the PSA gone up?? Has the cancer become castrate resistant and is on its merry way ??? There are no guarantees for any of the treatments in this game because given enough time all prostate cancer will progress despite ADT.

To a prostate cancer patient, life can seem to revolve around waiting outside a doctors door for the bad news you do not want to hear. You already know the cancer will get you in the end if you don’t die from something else first. However, onward you go, wishing for the good news every time the door opens and then back to managing your disease until the next time. Prior to this visit of mine to the Urologist I did consider shutting up shop completely, meaning no more ADT, no more Urologist, no more pathology and just get on with my life for as long as I could. To my mind this would be like walking away from the door and throwing off the chains of the side effects of the ADT drugs.

The flow chart

The flow chart

However, here I am and into his office I go…. Before I even sit down, he is reading the riot act to me about “I have a rule with all my cancer patients that they see me regularly and at least every three months in the worse case.” So I bent down, picked up my bag, turned and took a step toward the door. “What are you doing???” He asked. “…….I am leaving” I replied and then my wife and carer sprung into action to diffuse the situation . Nette let fly with news of our past 4 month stint and that we had kept his office up to date with progress, he on the other hand had sent us nothing. She then asked me to sit back down.

The rest of the session did not improve when I informed him that my wife and I were considering leaving private health insurance for financial reasons. This news was not received well from his side of the fence as he failed to conceive that a pensioner could not easily find $5000 per year for private health cover. His last word on the private health dilemma was to offer me the advice that I might consider having a subcapsular orchidectomy ( surgical castration ) to help out with future costs. I received my eligard injection and the good news that my PSA was still 0.04, he asked me to have a bone density test and PSA test and to make an appointment with his secretary for June.

I shook my head as I closed the door trying to work out how surgical castration may help or save me money in the long run. I am sitting here writing this post a week later and I am still pondering his suggestion and wondering what I will do with myself. Oh and by the way, I haven’t made the next appointment yet.

What goes around

What goes around

Lee aka Popeye

Prostate Cancer Screening My Two Bobs Worth (20 cents worth for those born after 1966)

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The Quandry

The Quandry

The past two posts published on this site, discussed issues surrounding prostate cancer screening and treatment. Debate is still raging throughout the world with study results quoted and decisions made creating mayhem among patients, medical practitioners and supporting associations. It seemed timely for me to add my thoughts on these issues and offer my opinions for discussion to anyone interested.

In my mind I think the actual term of prostate cancer screening is misleading for Australians as it implies that the male population is under some national program to regulate screening for this cancer. Eg mammograms, breast screening etc. There is no national program, you will not receive a written invitation from the government.

Screening for prostate cancer as I see it applies to the use of the PSA blood test and DRE examination. Both of these procedures are available to all men at the invitation of the GP or the request of the patient to the GP and would be better termed  prostate function testing.

For better or worse the PSA and DRE procedures are the only common simplest testing available to men at this time. The PSA test comes in for heavy criticism on many fronts but is still the initial test that rings the alarm bell. So until research is able to find an improved substitute for these tests we should continue to use and improve the tools we have.

There are many forms of prostate cancer and each mans cancer is different. Some low and medium risk prostate cancers (Gleason grade 6 or 7) may never cause any health issues while some will turn aggressive and will be terminal. When low and medium risk prostate cancer has been diagnosed we have no way of determining if the cancer will remain indolent or will become aggressive. Improved research needs to be done in this area to find a way to better define the cancer that has been diagnosed.

Initial primary treatment for prostate cancer includes surgery, radiation, ADT drugs and/or a combination of these. Primary treatment can save your life or help manage the illness for those with aggressive prostate cancer. The price of this treatment can include either temporary or permanent side effects with urinary and bowel issues, including incontinence, erectile dysfunction, fatigue and a whole range of effects from the ADT treatment.

The considerable side effects of primary treatment for prostate cancer and the difficulty in determining between the prostate cancer that will kill you and the one that won’t is at the heart of the conundrum. Many men with low to medium risk cancer will elect to be treated who may not have needed primary treatment in the first instance.

There is another option for men diagnosed with low or medium risk cancer and that is with active surveillance over a period of time. In this case the patient and doctor will continue to monitor the PSA levels, conduct a DRE with follow up biopsies if needed on a regular basis. Further action could then be taken if and when indicated by a change in monitored results.

There are conflicting study results available that state there is no mortality benefit in screening (testing) and other study results that state there is a mortality benefit of 20%  with regular screening (testing). Regardless of the arguments from all sides, the fact remains that one Australian man will die every three hours from this disease! So with proper education and information every man should have the right to make his own decision regarding to get tested or not.

Capt Sparrow is befuddled

Capt Sparrow is befuddled

Memorial Sloan-Kettering Cancer Clinic operate a set of guidelines for prostate cancer screening that seems sensible to me and I re- produce it here as follows:

Our doctors recommend the following screening guidelines for men expected to live at least 10 years:

  1. Men aged 45 – 49 should have a baseline PSA test. If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate. If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every 2 – 4 years. If the PSA level is less than 1 ng / mL, men should see their doctor for another PSA test at age 51 – 55.
  2. Men aged 50 – 59 should have their PSA level checked. If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate. If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every 2 – 4 years. If the PSA level is less than 1 ng / mL, men should see their doctor for another PSA test at age 60.
  3. Men aged 60 – 70 should have their PSA checked. If the PSA level is 3 ng / mL or higher, men should talk with their doctor about having a biopsy of the prostate. If the PSA level is between 1 and 3 ng / mL, men should see their doctor for another PSA test every 2 – 4 years. If the PSA level is less than 1 ng / mL, no further screening is recommended.
  4. Men aged 71 – 75 should talk with their doctor about whether to have a PSA test. The decision whether to have a PSA test should be based on past PSA levels and health of the man.
  5. Prostate cancer screening is not recommended for men aged 76 or older.

A high PSA level does not generally mean that a man should have a prostate biopsy. A doctor will often repeat the PSA test after a few months to determine if it is still high and investigate whether there is a reason other than cancer that could explain why the PSA level is elevated.

This is one solution

This is one solution

In summary it will still be an enigma for a man diagnosed with low-risk Gleason 6 or medium risk Gleason 7 to choose his path. Does he run the gauntlet of risking possible side effects and choose a primary treatment. Or does he accept to play mind games for a while and choose to sit on the fence with active surveillance. That is the Question????? However it should be each mans right to supply his own answer and provide his own actions.

Here endeth my post

Regards

Lee aka Popeye

Further reading and reference

http://www.dailymail.co.uk/health/article-2163640/Dont-rush-prostate-operation–worst-thing-do.html#ixzz1yfps3qP4

http://www.bedfordresearch.org/images/blog/SH-Prostate-Cancer-PSA-Test-2012.pdf

http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm

http://ses.library.usyd.edu.au/handle/2123/6835

http://www.mskcc.org/cancer-care/screening-guidelines/screening-guidelines-prostate

Radiation Treatment For Beginners Part II

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IMRTcSo!  I finally completed my course of External Beam Radiation treatment on the 21st December 2012. In my previous post “Radiation Therapy for Beginners part 1” published on the 9th November 2012 I outlined as much technical stuff as I could about the treatment. I also gave an early report on the beginning of the treatment. The following information will round out my experience with this treatment and give some insight into my side effects and how I dealt with them along the way.

The side effects I experienced and how I dealt with them are as follows:

I developed urinary issues with increasing pain and frequency. I eventually began medication with Flowmaxtra pills and Ural satchels. These managed to get me through the course OK and a month after completion I am off both medications. It is interesting to also note that I have not suffered any urinary incontinence since completing the treatment.

My bowel habits became odd fairly early in the treatment and have remained at odds since completion. I developed what I describe as a lazy bowel syndrome, neither diarrhea nor constipation. It is described by me as a many visits to the loo in the hours prior to lunch with not much in the way of deposit apart from small skinny stools. There were no diarrhea like pains just normal urges to go. I was unable to find anything to ease this situation but as it was more a nuisance issue I just put up with it.

I  developed consistent painful and stressful reflux and indigestion which threatened to be a real problem until I experienced a series of recurring dreams over three nights. I know this will sound weird but I swear it is the truth. For three nights in a row I had the same dream popping up more than once each evening and waking me each time. After the third night I gave in and did as the dream advised and that was to eat a raw garlic sandwich on white bread with butter????(Perhaps it was a prod from Greg. Who knows?) The reflux almost immediately eased back but I was to also change my diet from this point on. To give relief to those closest to me I dropped the garlic sandwiches after three days and started using probiotics to replace tummy flora and cut out red meat and increased my fruit uptake. (This sounds more like a prod from Greg.) The reflux has now almost disappeared with the occasional reaction due to poor food choices.

Garlic Sandwich Anyone

Garlic Sandwich Anyone

I experienced increasing bouts of nausea as the treatment went on. As I was treated on the Sunshine Coast there just happens to be a little town nearby called Yandina. Now situated in Yandina is a ginger factory that is a major tourist centre in this area.( Hooray) I happened to discover (through my wifes insistence) the friendly relationship between ginger and upset stomaches in the form of brewed ginger beer and what is called naked ginger pieces. I am so grateful for discovering the anti nausea properties of ginger and can recommend ginger to anyone having tummy problems. Ginger certainly helped me out with this one.

Fatigue was a huge side effect even apart from the fatigue caused by my ADT. As the treatment progressed fatigue grew in effect almost daily during the later stages. My only real options here were to walk for an hour in the early mornings when I had energy then nap as dictated by the fatigue during the day.

I have just received my latest PSA result since completing my treatment 0.04 ng/ml which is excellent, everything still on the level. My last PSA was taken in July 2012 and was 0.08 ng/ml. The Radiation Oncologist has advised he would like me to remain on ADT for at least the next 12 months and then reviewed. So I assume that apart from four monthly PSA tests and doctors reviews I will just get on with my life until either the wheels fall off somewhere or I end up celebrating my 90th birthday in 25 years time. I think I am actually in remission for the time being and I think Greg would be cheering.

Ginger is the King

Ginger is the King

Lee aka Popeye

Further Reading            Radiation Therapy For Beginners Part 1.

https://kingvalley.wordpress.com/2012/11/09/radiation-therapy-for-beginners-part-1/