Monday, February 10, 2014

Update on Pelvic Events….

It’s been quite the ride over the past month and a half…

The last time I posted, I was hoping to be home for Christmas.  Well, thankfully, that happened.  It was a messed up discharge from the hospital, but I was discharged.  Because I was getting so many doctor referrals, no one really knew who was in charge of me.  I went to see the radiation oncologist and he was unable to offer any help.  I have had too much radiation already, so he refuses to do any more.  He therefore referred me back to an orthopaedic surgeon.  The surgeon was supposed to look over all my tests and let me know if he could offer any help.  I’m not sure what really happened, but the day he was supposed to show up, he ended up being called away just before he was to come and see me… the next day, the on call orthopaedic surgeon came in and basically said he hadn’t really looked at my x-rays or scans, but from the reports he briefly read, there is nothing that he would be able to do for me… An hour later, he discharged me.  I asked the nurse about pain meds and she said the surgeon said to just go back on what I was previously taking.  Cindy came up at lunch time to visit, and found out I was going home.  She was excited, as was I, but also wondering how we were going to make out… So, on Monday, December 23 I made my way home for Christmas.

As soon as I got home I called my family physician.  He was surprised and a little upset that I was home… Mostly because he was never told I was being discharged and he was the doctor in charge.  We talked about pain medication and he sent a prescription over to our pharmacy.

Monday night was pretty rough.  Every time I got up to move… whether to bed, to the couch, or the washroom, the pain would increase incredibly… then I would have to try to sit or lay as still as possible for the next 10 or 15 minutes until the pain would settle again… I was taking pain meds every 4 hours… I had alarms set to remind me when to take my pain meds...but I was usually ready for them before the alarm went off.... but I didn’t want to miss any, because it would take hours to get back on track.  Tuesday I spent most of the day in bed… I did get up for an hour or so and sat on the couch, but couldn’t stay comfortable… Christmas morning arrived and I got up and spent the morning on the couch.  Cindy and I opened gifts and had breakfast (thankfully I had made it a few weeks in advance and it was waiting for us in the freezer!)… I stayed reasonably comfortable as long as I stayed put… It still took 10-15 minutes to settle after moving from place to place… BUT I WAS HOME!!  We had a LOT of company Christmas Day as well… probably too much for me, as I got very uncomfortable and it took quite a while to get the pain to settle… I ended up taking extra pain meds to get the pain under control again.  Cindy was running around trying to take care of me, taking care of the meals and preparing for our sons to come home… We were both pretty exhausted by the end of the day!

The next week went well… the pain stayed controlled for the most part.  I was able to spend more time on the couch each day, but moving still made the pain flare up… Regardless, we had a fantastic Christmas with family and friends!!

New Years was quite unremarkable.  We had been invited to a house party, but I was in NO shape to be going out… So we spent a nice evening at home with our son and daughter-in-law… we did manage to stay up to toast the New Year in… but that was about it…

I had received a cane, walker and wheelchair from the WCB just before Christmast… to help with me getting around.  They come in very handy… I am able to get out for some fresh air with Cindy’s help.  We manage to get out for a tea… or to pick up a few groceries… I can’t spend a lot of time out...but it sure feels good to get out of the house from time to time!!

On January 2nd, I had a visit with one of our oncologists.  He asked about what the orthopaedic surgeon had said to me.  I told him that he hadn’t offered any help...and really didn’t even explain what was going on… The oncologist pulled up the CT scan and showed Cindy and I some of the damage that had occurred.  There are definite breaks in my pelvis… The oncologist asked us if there was any chance of radiation?  I explained what we had been told about already having too much radiation… He then asked if I would be interested in going to Calgary to see and orthopaedic surgeon who specialized in bone metastasis… He figures I am still young and strong enough to handle a more aggressive approach to treatment and we should not accept “nothing” as an option without looking at every possible option. 

A few weeks later we went to Calgary to see the specialist.  He isn’t positive he can help...but he isn’t positive he can’t help… He suggested that I have an injection of anesthetic and steroid directly into my socket hopes that it would bring some relief from the pain.  He is also going to look at my complete radiation history to see if there is any chance that my pelvis would stand up to in a possible hip replacement…

I had the injection done on February 5th… It is quite the process… I didn’t get the almost instant relief that was expected… In fact, Wednesday night was quite bad… not so much pain, but discomfort and it seems i had an adrenaline rush… It took quite a while for me to settle down and get some sleep!  Since then, each day has been a little better.  There has been less pain… I am able to get around a little easier… Things seem to be better!  Hopefully that is a good sign… in any case, I am to go back to the specialist in 5-6 weeks…

So...It has been quite an interesting number of weeks… We are waiting to see if anything can be done… we are waiting to see how chemo is going to go… oh ya… I am still doing chemo… Treatment #5 this coming Friday… YUP Valentine’s Day Chemo… Oh Well… this will be the half way point…

Until next time....

Posted by John on 02/10 at 03:06 PM
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Sunday, December 22, 2013

A Busy Few Months

I had my first round of chemotherapy on November 13th.  I had a PICC line inserted on the 12th, so chemo was quick and went well.  Having a PICC line makes it so much easier for us all. It saves a lot of time as an IV doesn’t have to be started...and when you have hard to find veins, that can result in multiple pokes before finding one. It also saves the warming time etc… So thanks to the ladies in the Jack Ady cancer Centre for educating me and getting it all organized for me!

Unfortunately I caught a cold the same day as my chemo treatment… I think it made me feel worse than the chemo did… I became so congested and coughing (of course only at night when I would lay down and try to sleep), that I ended up spending a few nights sleeping upright in a recliner so Cindy could get some sleep. Thankfully we managed to get over the cold before round 2…

Of course, every week I have to go in and have my PICC dressing changed. So that is one negative… The other big negative of a PICC line is it really limits your activity.  I cannot use my right arm for lifting or any repetitive activities… Being right handed and having the PICC in my right arm has been a learning experience...but I am getting it figured out… Right down to left arm only snow shovelling… Thankfully I have some great friends and neighbours who have been clearing our walks and driveway of the heavy stuff and the lighter stuff I don’t manage to get to.

I just had my second round of chemo on Friday, Dec 6… It went well and I’ve been feeling pretty good so far. Hoping and praying it’s easier from here on out!!  Feeling a bit nauseated from time to time… And tired, but still ok. 

I noticed, on December 9th, that what little hair I have is falling out...not unexpected, but sooner than expected...last year I didn’t loose my facial hair so much...where as this time it is the first to go...bonus! Less shaving!!  Gotta look for the good in everything.

My next chemo treatment is scheduled for January 3… We were allowed to take an extra week between treatments so that we could have a good Christmas with the family. Both our boys and their significant others are coming home right after Christmas… Really looking forward to it…

Here is where the problems begin…

On December 18th I had a sudden onset of lower left back pain and left pelvic and leg pain… I had just headed out for a short walk with the dog and BAM… Man did it hurt… I tried to continue...and managed about a block before having to turn around and go home… I stretched out and the pain subsided… I took it easy and didn’t move much for the rest of the night… I had a lot of discomfort through the night and ended up calling for an ambulance to take me to the ER.  I just couldn’t take the pain and standing made it worse!

Once in the ER they got me on some pain meds and had X-rays done… Of course the moving and posing for the X-rays increased the pain. More meds and some anti-nausea meds and I was finally comfortable. 

The radiologists report stated he couldn’t see any new fractures, although the ER doc thought he saw after consulting with the oncologist and my family doctor, a CT Scan was ordered. Then I was admitted to the 4th floor.

The pain has been under control since being admitted… After 2 full days of bed rest, I was finally able to get up and move… It does cause pain, but that settles quickly. Thank God!!  I’ve had lots of company, which has been great...even got a surprise visit from our youngest son and his girlfriend ... They made the 5 hour drive down just to say hi ...they had to be home the next evening for work… What a wonderful surprise it was… They will be back after Christmas too.... So one good long visit and a short one just before they headed back… NICE!

Well, here we are… December 22nd… Only a few more sleeps until Christmas… I had another visitor this morning… This time the on call doc covering for my family doc over the weekend.  He delivered the news… A new fracture site...this time more around the ball joint...caused by the cancer of course… So now I understand the location and intensity of the pain better… I really have to do some investigation on available treatments now… I have to be prepared for my radiation oncology appointment tomorrow morning… Options are available ... I just need to refresh myself with all of them...then discuss them with Cindy… Then discuss them with the doctors… And Pray for guidance in picking the right course of action for me… It’s worked well in the past...I know it will work now!!

I am hoping to be released before Christmas...but with this new event, I may only get a day pass… In any case, we’ll make the best of it…

Wishing You ALL a Very Merry Christmas!

Until next time....

Posted by John on 12/22 at 11:36 AM
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Thursday, October 24, 2013

The Answer To My Previous Question…

So, What else can go wrong?!?

Last week I had a bone scan done… Monday I saw the oncologist and had a CT Scan done… What else can go wrong?  Well, of course there is always more that can go wrong...but in this case it is just more bad news.  The bone scan showed further involvement in my pelvis… The doctor didn’t go into how much more involvement there was, but he did say it’s time to stop the Abiraterone and move on to something else… So, at this time I have decided to have another go at chemotherapy with Docetaxel… I really wish there were other, better options at this time, but this is probably the best way to go right now.  This, of course is NOT what Cindy and I wanted to hear.  With the news of being grandparents in a few months time, the last thing I want to be doing is chemo...but if it helps, even a little, then it will be worth it.  I’ll see the oncologist again in a few weeks to get the results of the CT Scan…

For the past few weeks, the discomfort in the ischium area of my pelvis has been increasing… I didn’t notice it so much when I broke the bone in my foot, but now that the foot isn’t as sore, my butt is!!  I will be adjusting my pain meds until I can get comfortable again.  The biggest problem I am finding is the energy to do things… I have been forcing myself to take our dog out for a walk… and it feels good to get the fresh air… Hopefully I will be able to continue with short walks every day...maybe even a few times a day, instead of one good long walk… I’ve got to keep moving!!  With a pelvic fracture, a foot fracture and cancer in my ischium, things just aren’t lining up for me to get a lot of

I will also be getting a PICC line inserted...supposedly the day before I start chemo.  This will make it easier for all of my treatments and future blood draws… Having the PICC line means they won’t have to go digging around to find a vein! 

So here we go again!!  Another gets tougher each time… but I WILL NOT back down!… I WILL NOT give in!… I am READY TO FIGHT!!!

Until next time....

Posted by John on 10/24 at 02:12 PM
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Thursday, October 03, 2013

What Else Can Go WRONG?…

I had a great sleep Tuesday night/Wednesday morning… but then I woke up and things started to go downhill…

I awoke about 6:10 AM Wednesday morning… swung my legs off of the bed and stood up… I headed towards the washroom...first step felt a little weird… I went to take a second step and noticed my left foot was just dangling from my leg...not the way it should be...instead, with the toes pointed down… Not being fully awake, I completed my I put my weight on my left leg I heard a crack and looked down to see my foot folded immediate pain, but some discomfort.  I quickly picked up my leg and my foot was still hanging funny from my leg… I tried to pull my toes up...the end of my foot came up a bit and as I relaxed, they just flopped towards the floor again… I finished making my way to the washroom by dragging my properly placed left foot along the floor.  I sat down and looked at my foot… I tried moving it...and it slowly came to life again… and this time it started to hurt....  VERY weird… I tried to walk...and although it hurt, everything seemed to be working normally again....  I went back to bed for a bit…

When I got up again at 7 everything seemed to be in proper working order… only my left foot HURT a LOT… I hobbled around and told Cindy what had happened… after getting Cindy off to work, I made an appointment to see my family doc.

When I showed my foot to the doctor, he asked what I had done.  I explained everything to him and he got a very concerned look on his face… He started asking me the same questions I had been asking myself… Any other deficits??  Any loss of control of bladder or bowels??  Any back pain or discomfort?? Any weakness in my left leg or right leg??  Other than some weakness in my left leg (from the hip discomfort) the answers were all NO… He explained what he was worried about...checked my last MRI results...and told me what to watch out for… I told him I was WAY ahead of him on that… We talked a bit more and are both concerned about further extension into my pelvis or lower back… but nothing has shown up yet, so we both think it may be as a result of some swelling from the current issues in my pelvis.  If it happens again, it’s off to EMERG!!  The doc wanted to get an x-ray, but the tech was not in… He got me scheduled at a local imaging business.  I had x-rays done at approx. 3:30 PM.  The doc called me shortly after 5PM last night to confirm what we pretty much knew… a fracture of the 5th metatarsal… I can walk on it if it is supported well...and it could take 4-8 weeks to heal...probably longer if it’s like past fractures!! 

Luckily we had an AirCast in the house… so I’ve got good support for moving around.  I’ve been keeping it up and iced as much as possible. Today it feels least while I’m off of it!! lol Just to prove to myself that I can still do it, I took our dog to the dog run and walked around for half an hour while she went crazy trying to figure out why I was moving so slowly… At least we got out and got some fresh air…

Hopefully things will heal up quickly...or quicker that I suspect!!

Until next time....

Posted by John on 10/03 at 04:46 PM
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Friday, September 27, 2013

Life Continues… and It’s Been a Blast!

Since my last post, over a month ago, a few more things have happened.  The great thing is that the things that have been happening are not related to my health, but rather to taking part in other peoples happiness!

In August I was the best man at the wedding of a good friend… Rene and Verna, congratulations!  Just a few weeks ago I was a groomsman for another good friend… Congratulations to Tim and Ali!  It was amazing to be able to be able to take part in both of these weddings.  Cindy and I met some great people who we are now friends with (can never have too many friends!!).  We have been able to get away for a few days… and we even managed a helicopter ride in the mountains.  It was a truly spectacular time!

Health wise...well, basically there have been no changes… and no changes is pretty good news.  My last PSA check had them at 3.2 which is great.  My pelvis still causes pain, but I continue to do what I want (well, I would love to run or go for a bike ride, but that isn’t happening) within limits.  I have been doing a lot of walking and have also been adding a little more weight training to my weekly exercise plan.  As we move into Fall and then Winter I will need to keep active even when I can’t get I am looking at a few indoor workouts to keep me going during bad weather. 

Did I tell you about becoming a grandparent???  oh ya, I guess I did… but it’s so exciting!! I may just keep saying it!!  LOL

Until next time....

Posted by John on 09/27 at 09:16 AM
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