Saturday, January 6, 2018

Bob Update 1/6/18

Love this picture that my brother Doug took of me back in the early days of this journey.  I think it still applies.


Mary and I were back at Mayo Clinic this week for imaging, consult, and treatment.  Cancer has shrunk slightly since the end of September based on imaging and my PSA dropping from 2.6 to 2.0.  This is a really good reaction to the Xofigo (Radium 223) treatments.  These treatments seek out cancer spots on my bones and release radiation that targets the cancer while leaving surrounding tissue mostly unaffected.  Radiation doesn’t kill cancer immediately; it changes cell DNA so that when the cancer cells try to reproduce, they can’t.  As a result of this time lag, the halfway point of treatment doesn’t always show positive results with this treatment.  So everyone is very pleased with these results.  Had my fourth treatment/infusion on Wednesday; the final two treatments will take place later this month and at the end of February (4 week intervals).

On the flip side, since early October it seems like I am dealing with one health challenge after another.  I won’t go through the entire list, we’ll just say I have spent way too much time in doctor’s offices, ER, and on the couch.  We did end use of one of my cancer treatments, Zytiga and Prednisone.  I developed bone and muscle problems in my lower back, hips and legs that were making standing and walking an adventure; had trouble depending on my legs to support me.  We had already cut down dosage and I was feeling better when FDA came out with a recommendation to not pair Zytiga/Prednisone with Radium 223 treatments due to risk of bones breaking and other concerns.  Zytiga/Prednisone has now been discontinued.  We are currently trying to figure out why my liver numbers are up, why I am vomiting almost daily in the morning, running low grade temps off and on (no flu currently, I have been tested for bugs), body aches, and numbness in my shins/calf muscles, among other things.  Mayo did an MRI of my liver and stomach this week; found nothing to account for the high liver numbers.  I see my family doctor on Monday and hopefully we can come up with a game plan.  Part of the challenge is that all of the many treatments that I have had are starting to have an accumulative effect; the body can only take so much radiation, chemo, drugs, surgeries, etc.

Because my immune system is not at full strength as a result of treatments, I had to end my volunteering at the local hospital, at least temporarily.  It was a tough phone call; I really enjoy the volunteering but the risk to catch bugs is too great at this point.

Hopefully we can get me feeling better so that I can enjoy some of the benefits of the Radium 223 treatments.  Our goal with any treatment at this point is quality of life.  That doesn’t mean we are giving up.  We’ll do what we can to fight the cancer.  But we don’t want to do it at the expense of being able to live life because the side effects are worse than the treatment benefits.  Obviously much effort is currently going into finding that balance.  The treatment goal is also a result of the fact that we know of no curative treatments available at this time.  Frankly we don’t even know what other treatments might still be available after Radium 223 treatments are completed.  We are okay with this as we continue to have faith in God’s plan and His love for us.  Make no mistake, some days it is easier to stay positive than others and the past few months have created their moments of tears.  We are human after all.  Still, God’s love sustains us and look forward to someday being in His loving embrace in heaven.  Just not quite yet.  J  We keep praying for some more time to enjoy on earth the people and beauty He has surrounded us with.  He certainly has surrounded Mary and I with the best!

With all of this in mind, I am hoping to use most of March to take a driving trip to the southeast part of the country to visit family and friends and take in the sites along the way.  The little boy in me wants to come out and play some more.  J 


“Life is not measured by the number of breaths we take but by the moments that take our breath away.”  Continue to appreciate those "moments"!

Health Update 10/4

It has been awhile since I have posted a health update and there has been lots going.  I had hoped to do a recap of summer fun first.  We...