I have had my 39th and last radiation today and I'm relieved that this section of my treatment is over .My day was quite busy with the radiation-oncologist consultation, two and a half hours of a "Look Good-Feel
Good" patient session followed by radiation.
The radiation-oncologist session went really well with a question/answer session and then an outline
of the way ahead. She said that the side effects (principally fatigue and urgency/frequency of waterworks
would likely last a few weeks with a gradual improvement after that.Over the past week I have had difficulty in the half litre water drink and then holding out for 40 minutes for the radiation. Thank goodness
that all behind me now but I'mm still waking up every 2 hours at night to go to the toilet. The waterworks
pill prescribed has had little or no effect.
The "Look Good-Feel Good" session was interesting with about 10 patients and their partners attending.
There was the usual tea & bickies and general introductions followed by a presentation by a volunteer
manager on ablution techniques, grooming, massage etc. There was a generous handout of lotions and portions with an emphasis on skin maintenance. There was a mix of radiation, chemo & Chemo/radiation
patients with a variety of cancers. Most of the ablution/grooming tips were principally for the chemo patients but I found it quite useful. My wife found the prices of the hand-outs online and the bagfull
amounted to $260. These products are donated by the manufacturers/distributers and very much appreciated.
Follow-up:
Next week I restart androgen injections for another 12 months. I was advised that this is for safety reasons and normal for my tumour stage and Gleason score. My 6 week follow up will include tests
for PSA & testosterone & the plan is that both will be sub 1. After that I will have blood tests every 3 months follow-up radiation-oncologist consultations.Of course if I have anything abnormal, I can
have extra consultations right away.
The hospital radiation-oncology department has been fantastic with very caring/professional staff who
provided first class care and advice and the free parking at the door was convenient and took the stress
our of the daily ritual. I'll still attend the gym for another 5 weeks which was part of the package.
Androgen injections deplete muscle and calcium so it is of paramount importance to maintain a
daily exercise regime including weights & walking.
So my advice to all of you who are early into your prostate cancer radiation program is to ask lots
of questions to allay fear , trust your radiation-oncologist and radiation therapists and dont be shy
in asking for a bottle if your bladder is overfull rather than limping to the toilet post radiation and then
having bladder pains for hours afterwards.
I was amazed by the number of prostate cancer patients who were recieving radiation who
did not know their tumour rating or their Gleason score. Some did not know what their PSA level was!
So in summary, one has to take responsibility for one's own health and , in my opinion, information and an understanding of ones condition is absolutely neccessary. Had I not asked what the alternative to
"watchful waiting" was I would likely be still waiting while I had an agressive cancer.
I'll report in 6 weeks when my blood tests are available. I'm now confident that my PSA & Testosterone
will be sub 1 then.
Zol.
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