Seven Weeks

My Urologist and my Radiation Oncologist agree the prostate cancer has returned.  My options appear to be:

  1. Do nothing – and probably enjoy 10 years before quality of life issues become apparent.
  2. Wait, watch, and maybe do something later. PSA will sometimes increase and hover around 0.2 for a long time with no real problems.
  3. I can have targeted radiation treatments now.

Improving my likelihood of long-term survival, and the fact that I am currently employed and have fairly good insurance are good reasons to act now (although the Multiple Myeloma – or the unexpected – could change my circumstances at any time). 

The only negative my Radiation Oncologist listed (other than the ever-lurking unexpected or unlikely) is before the treatments are finished, I should expect to experience some inconvenient bathroom related issues.  These symptoms usually subside after the treatments have ended.

The Radiation Oncologist explained that when prostate cancer returns, it’s usually found in one of three places: the old prostate neighborhood, the lymph nodes, or the bones.  Since they know historically it’s in the prostate area 75% of the time, that is where I will receive daily radiation treatments for seven weeks. 

I returned to the Radiation Oncology Center in Beaverton where seven years ago, I had 24 daily treatments, not realizing it was a rehearsal.  I was mapped, scanned, and tattooed (again).  The treatments and commuting will begin on April 18th.

On the positive side – I signed up a couple weeks ago for the second annual Chubby Bunny Challenge, a weight loss competition at work.  I joined it to be involved and supportive, and for the $20 sign-up fee, you get a nice T-shirt and Pizza. 

With my previous radiation treatments, I lost 30 poundsThis year, with the help of radiation, I may have a pretty good chance of winning first prize!

Good news / Bad news

All:

Since my last update, I have continued to enjoy improvements in how I feel. The daily radiation treatments are easier, the pain is much less, and I rarely sleep at the dinner table anymore. I have reduced my medication enough to enjoy again the independence of driving after 6 weeks of passenger only status.

I’ve been working two hour days at my Public Works job and hope to stretch that out soon to 3 or 4 hours. I have regained some appetite and I believe I have bottomed out on the weight loss at 30 lbs.

I’m not sure where the pounds went, but when I tried on my previously snug fitting suit for Meagan’s wedding, I hooked the belt line button, pulled the zipper up and when I let go, the pants went straight to the floor.

Wednesday we got the results of my bone marrow biopsy. It was a kind of, “Good News / Bad News” report. It has been my misunderstanding that I might have Plasma Cytoma, “OR” Multiple Myeloma. I now understand that both are the same Cancer. Both are points on a spectrum of one Myeloma Cancer.

My Oncologist explained that I currently have “a” Plasma Cytoma, but my bone marrow revealed that I have enough abnormal cells that I will likely develop Multiple Myeloma in the relatively near future. At that time, I will have Chemo therapy and hopefully stop the growth of the cancer.

They don’t do a preemptive strike on the Cancer; you have to wait until it develops. In the meantime, my condition is referred to as Smoldering Myeloma.

A hand full of people took at least one turn driving me the 44 mile round trip to the hospital for my daily treatments. My cousin, Abraham Benitez, faithfully drove me almost half the time. He also phoned almost nightly to check on me, and has continued to do so for months. Thank you, Abraham.

I am constantly amazed and comforted by the kindness of others. I thank God for my wife and for everyone caring for me, driving me, praying with and for me. I hope you will continue to pray now and then for my recovery, for Diane’s strength and stamina, and for both of us to remember that God is in control.

I guess that adds up again to praying for God’s Peace. That’s what I pray for each of you.

Until later, Scott