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Test result day, plus 14 hours

“Are you awake?”
I roll over, look at the clock, it’s 12:50am
 
Unable to sleep, she went downstairs and looked through the usual Prostate cancer internet sites. Looking for answer, knowing it wasn’t there. The options we have may be there, the answer is not.
 
Even though I had been sleeping, we spent some time and discussed what we do next? In the end, what we do next is still in doubt. Chemo, or chemo as part of a clinical trial is the ‘standard treatment protocol’. I’m not sure either of us is mentally ready for that at this time.  There might be a few other oral medical protocols we can try first. These again will only delay the inevitable, chemo. 
 
The decision will not be made in haste. There is no deadline, other than perhaps next month’s meeting with the Oncologist. Though my number could fluctuate slightly again, the reality is we need to begin preparing for the ‘what next?’.
 
And so this mornings drive in to work included this song by Matchbox 20. Like most songs I quote on this blog it is not about being sick etc. but as always, I reserve the right to apply personal interpretation!!! It means something far different to me, not  heartbreak, lost love etc. This is just part of the song. Just let the first line of the chorus and the last line sink in a little today…..
 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Matchbox 20 – Disease
chorus:
I GOT A DISEASE
DEEP INSIDE ME
MAKES ME FEEL UNEASY
I CAN’T LIVE WITHOUT YOU, TELL ME
WHAT AM I S’POSED TO DO ABOUT IT
KEEP YOUR DISTANCE FROM IT
DON’T PAY NO ATTENTION TO ME
I GOT A DISEASE

I THINK THAT I’M SICK
BUT LEAVE ME BE
WHILE MY WORLD IS COMING DOWN ON ME
YOU TASE LIKE HONEY, HONEY
TELL ME CAN I BE YOUR HONEYBEE
BE STRONG
KEEP TELLING MYSELF
THAT IT WON’T TAKE LONG ‘TIL
I’M FREE OF MY DISEASE
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Faster than a speeding bullet!

The title is only reflective of the speed in which I received my latest test results, just over 24 hours!!!
 
20.30
 
Not what we wanted to hear, but all in all, not terrible either. Another small change, but it’s heading up.
And so, the next 28 day cycle begins. 
 
I think I’ll take the opportunity of my upcoming time off from work to enjoy life a little more.  More trips to the pool, gradually of course with my leg and all.  Perhaps a few rounds of disc golf before the month is over? Time with family, fireworks, fresh tomatoes, floating on a raft in the Lake for a few hours, a good book [I’m on my third Clive Cussler book in the last month] and perhaps for a while forgetting all that is Prostate Cancer. 
 
However, I realize that after nearly two and half years letting go is not reality. If I can just stretch the times between obsessing a few more minutes or hours that would be grand.
 
For those of you Americans, enjoy the forth of July!
 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Historic numbers:
Date: PSA:
7/02/07 20.30
6/04/07 17.80
4/30/07 16.25
4/2/07 17.68
3/5/07 21.87
2/5/07 20.90
1/8/07 18.90
12/11/06 24.86
11/13/06 43.61
10/16/06 51.48 (Started “High Dose” Ketoconazole and Hydrocortisone, 10/01)

[at this point and for a second time we prepared for Taxotere.  First my Oncologist wanted to try High Dose Ketoconazole and Hydrocortisone.]

9/11/06 83.97 (started Zometa)
8/23/06 41.77
8/18/06 54.66
(no tests in June or July)
5/19/06 11.37 (stopped Casodex)
4/3/06 4.25
3/5/06 1.45
1/27/06 0.46
12/28/05 1.85

[at this point we prepared for Taxotere, chemotherapy treatments. First I had a new PSA test and new bone and CT scans, lymph nodes clear, spine clear, ribs, femur and hips stable.  The PSA dropped to 1.85 and the scans revealed marked improvement. Chemo was cancelled 72 hours before it was scheduled to begin]
12/15/05 7.18
11/03/05 4.64 (Stopped taking Casodex)
9/22/05 0.80
8/11/05 0.35
6/24/05 0.55
4/17/05 2.51 (taken at MD Anderson, Gleason lowered to 7/7)
4/06/05 3.51 (Six weeks after starting Lupron and Casodex)
Original Gleason scores (7/8)
Pre-treatment test: 2/?/05 219
Original test: 12/?/04 189

Pins, needles, and all the rest

Today I had my monthly appointment with my Oncologist. I have nothing new to report. I feel the same as I have for months.

[In regards to my broken leg, I’m out of the boot and walking in tennis shoes and a small ankle brace. I also have not used the crutches in over a week.]

So back to the visit, this was the first time my appointment was early in the morning. I had blood drawn at 8:30 and was waiting for my Zometa treatment by ten after nine. The treatment room was a much different crowd. There was nothing in particular, just some real odd characters.

I haven’t been posting much lately because things are rather boring. We hope to go to St. Louis in a few weeks and to the Lake of the Ozarks later in the summer. My sister from Ohio will be in St. Louis and travel across the state and spend a few days here in Kansas City.

In response to my Blog I’ve received emails recently from people all over the world! New Zealand, Louisiana, Marshall, Mo., Florida, Connecticut, Texas and probably a few more I’ve failed to mention. We even sent a little package of bracelets to the Kiwi’s, though two weeks later they have yet to arrive!

She doesn’t say so but I think Mary is a little worried this month. We both worry every month after my appointment, perhaps the worry is just a bit more this month. God has really blessed me with her, I don’t know how she keeps it up day after day, week after week etc.

Goldeneye – redux

This is the story I meant to post last week.
~~~~~~~~~~~~~~~~~~~~~~
Golden bullet’ may be cancer hunter and killer
By David Derbyshire
June 22, 2007 01:00am

A “GOLDEN bullet” treatment for cancer which tracks down tumours before wiping them out with a blast of heat is to be tested on patients within weeks, it was revealed yesterday.

The “seek and destroy” technique uses an injection of microscopic glass spheres, coated in gold, which seek out potentially deadly cancers in the body. Once enough spheres have flocked to the tumour, doctors “activate” them using a low energy beam of light.

In tests, tumours have been totally destroyed. Unlike conventional cancer treatments, the golden bullet approach uses no toxic chemicals and no radiation, reducing the risk of unpleasant side effects.

It could also be far cheaper than existing treatments. Cancer scientists have predicted that it could help tackle a range of potentially deadly diseases, from skin cancers to cancers of the cervix, breast, brain and neck.

Tests on mice found that the treatment worked exceptionally well, New Scientist magazine reported yesterday. When it was tried on nine mice with colon cancer, the tumours were
destroyed.

Rice University (Texas) professor Jennifer West, who helped develop the
treatment, said clinical trials on cancer patients were expected to begin in
the US within weeks.

The first phase will find out whether the treatment successfully kills off tumours.A second stage, due to start in a couple of years, will test the particles’ability to identify tumours.

“From the work we have done so far, we believe that this therapy will work on any soft-tissue tumours, such as the breast, prostate, brain, skin, head, neck and cervix,” Professor West said.

Cancer Council Queensland director of community services and research programs Associate Professor Suzanne Steginga said the emergence of nanotechnology as a potential area for cancer treatment emphasised the critical importance of research.

“The question, of course, will be how this work transfers from animal to human models, and this will take some years to answer,” she said. “We wait with great interest for the outcomes of these trials.”

The golden bullet treatment is not the first to use “nanoparticles”. Past studies have shown that microscopic capsules injected into the bloodstream can deliver drugs directly to tumours.

Tears for cheers….

This weekend I received an email that finally brought a few tears to my eyes. I say finally, because I haven’t had a good cry in a while. 
 
Apparently, the daughter of a relative in St. Louis was volunteering at a summer camp for kids with cancer. Her mother showed up one day, it happened to be ‘hat day’.  She found her daughter and what was she wearing? One of our FLHW hats.
 
So why the tears? I’m not sure. Maybe it just sparked something…a need for a release? Without having given it too much thought, they were certainly tears of joy and happiness.  In some instances, crying is good. It is cleansing and even stress relieving. 

The Man with the Golden Gun or is it Goldfinger?

There haven’t been many updates in world of PC lately, well there was the whole Provenge story, but that wasn’t very encouraging for us dealing with Advanced PC. So here’s a story from Israel, that involves, gold, ‘nano-pharmaceutics’ [my word].The story is below.
——————————————————————————–
New Method For Combating Prostate Cancer Under DevelopmentScience Daily 06.22.2007A novel method of drug delivery to inhibit the growth of prostate cancer cells has been developed by a doctoral candidate in pharmacy at the Hebrew University of Jerusalem.

Prostate cancer is the second leading cause of cancer-related death for men in the U.S. Present treatments for metastatic prostate cancer (cancer cells that spread to other parts of the body) include hormonal therapy, chemotherapy and radiotherapy, which frequently have serious side effects.

The well known drug, paclitaxel, exhibits a wide spectrum of anti-tumor activity. However, its therapeutic application in cancer therapy is limited, in part, due to its low water solubility, making it difficult to effectively deliver the drug to the points needed. It is also known to induce hypersensitivity reactions. Therefore, novel methods are needed that would allow for delivery of effective concentrations of paclitaxel over extended time intervals while minimizing toxicity.
Targeting drugs to disseminated prostate metastases is one of the most challenging goals in prostate cancer therapy. Drug carriers — nanoemulsions, liposomes (fatty droplets) and nanoparticles — have shown great potential as delivery systems for an increasing number of active molecules. Although capable of enhanced accumulation in the target tissue, these carriers cannot achieve their missions unless specific binding agents are attached to them which will ensure that they succeed in attaching to the targeted tissues.

It has been shown that the HER2 receptor is over-expressed in prostate cancer cells. It was also known that trastuzumab (an antibody) binds specifically to HER2. But there had been no clinical data indicating that this antibody would provide any relief for prostate cancer patients.

Danny Goldstein, a student of Prof. Simon Benita, was able to show that attaching trastuzumab molecules to the surface of oil droplets in nanoemulsions made possible the targeting of such droplets to cells over-expressing the HER2 receptor. He coupled trastuzumab with emulsions containing the toxic agent paclitaxel-palmitate and evaluated the efficiency of these emulsions in laboratory tests on cancerous prostate cells and on mice with induced prostate cancer. He found that this emulsion compound did not cause a hypersensitive reaction upon injection and even yielded better results than known drug treatments while inhibiting tumor growth substantially.

Goldstein cautions that this inhibiting activity of tumor metastases growth was not absolute and that while the results are encouraging, there is a need for further research to combat metastatic prostate cancer. Prof. Benita added that he hopes clinical trials using the new method can begin in about two years.

Danny Goldstein, received the Barenholz Prize for Creativity and Originality in Applied Research for his work.

Note: This story has been adapted from a news release issued by The Hebrew University of Jerusalem.

Copyright 2007 Science Daily

Something for you to ponder

I found this on one of the Prostate Cancer message boards I monitor. I found it very insightful:
 
Even when a cure is not possible, healing always is.  You see, a cure involves our physical body. Healing involves that inner process of the mind and the spirit.  There are people who are cured but are never healed.  And then there are people who are healed even though they are not cured.
 
No more crutches and though the cramp/Charlie horse remains, it is lessening as well.
I have even ventured through the kitchen etc. without the boot on. I hope to be rid of it the first week of July!

I revisit the blahs…..

Not much going on, we’re in that period of time between tests so I’m a little blah.

 
I am walking without crutches. Not all the time but a lot. Stairs are a challenge. I’ve also developed this ‘Charley horse’ in my right calf.  I think it’s from lack of use then walking with the boot on. It awakened me about at 4:00am this morning, I never went back to sleep.

 
I keep wishing I could play disc golf and after running into my friend Pete last night, I REALLY wish I could play! But with age comes patience, not sure who said that? So I will wait patiently until early July.
 
This weekend is Father’s Day and because of that Major League Baseball and the Prostate Cancer Foundation are holding events at most parks.  The Kansas City Royals players are all wearing blue wrist bands and the team is auctioning off some autographed items.  If you are attending a game, look for the tables!!!!

Doctor Update: 2.0

I had my third and final doctor appointment for the week this morning. This was with my Urologist, actually his nurse. Today I received my tenth injection of Lupron. Lupton is the medication that shuts down the production of testosterone and lowers PSA levels. Since one of the side effects are hot flashes, it was only appropriate that I had a real beauty while receiving the injection!

Yesterday afternoon I received my updated PSA number from Monday’s blood draw:
17.80

Up a little but still a rather insignificant change. Historical numbers are below:

Date: PSA:
6/04/07 17.80
4/30/07 16.25
4/2/07 17.68
3/5/07 21.87
2/5/07 20.90
1/8/07 18.90
12/11/06 24.86
11/13/06 43.61
10/16/06 51.48 (Started “High Dose” Ketoconazole and Hydrocortisone, 10/01)
9/11/06 83.97 (started Zometa)
8/23/06 41.77
8/18/06 54.66
(no tests in June or July)
5/19/06 11.37 (stopped Casodex)
4/3/06 4.25
3/5/06 1.45
1/27/06 0.44
12/28/05 1.85
[some day I’ll go find the missing data]
Pre-treatment test: 2/?/05 219
Original test: 12/?/04 189


Doctor update 1.0

Monday’s meeting with my Oncologist went fine. He was certain the leg break was not related to the
metastasized prostate cancer. Apparently, mets in distant skeletal areas is VERY rare.  PSA update due any time.
 
We saw the orthopedic doctor this morning. Everything is going as planned and I was even told to start putting a little weight on my leg. The goal is to be on one crutch next week and perhaps without crutches the following week! I can’t wait! The boot is not an issue and there is no related pain in my leg but the crutches are hell.  You would think with all of the advances in modern medicine, someone would have figured out how to improve crutches? I did find a $995 titanium version on the web (http://www.fetterman-crutches.com/crutchescanes/shepardT.html), I think I’ll make do with the aluminum version for now!
 
That’s it for now, I’m REALLY anxious to start playing disc golf again, but yes Mary, I will keep my promise and wait until early July!!! For those of you unfamiliar with the sport, here’s a teaser: http://www.youtube.com/watch?v=H1QVLQriAlM