During November and December last year I was having more pain, loss of appetite and increasing fatigue. My psa was doubling every 5 to 6 weeks, so naturally I assumed that all of my symptoms were due to spreading cancer. I would have one reasonably good day followed by 3 or 4 days bedridden. By the end of December I could not eat anything and the pain in my hip, back and abdomen was becoming unbearable . January 2, I was taken to hospital by ambulance. I could hardly stand up, I was so weak. Next day I had x rays blood tests and CT scans. I had my notes with me including my last psma scan on disk. The doctor said he would need to open me up to be sure about a diagnosis. Next morning I woke to find I had a colostomy bag attached to my belly. What a shock! It turns out my large bowel had perforations that had abscessed and healed over time. The infection had spread to my small bowel and abdomen. Peritonitis had set in. They removed a section of each bowel, joined the bits together and brought the end out of my belly. There were also 2 drain tubes and a large dressing. I was in hospital for 3 weeks. Toughest 3 weeks of my life. I felt like it would have been better to let me die. Stefanie was there for me every day, she bathed me, helped me pee, made my bed comfortable and comforted me. She took me home in a wheelchair as I still could not walk. Stefanie has been amazing. She has endured so much yet cared for me every inch of the way, always patient and understanding even though I was deeply depressed at times.
While I was in hospital I got connected with the cancer team, so I now have 2 oncologists, a pain management specialist and a palliative care specialist, as well as a community nursing team who came to our home to help us with ostomy management. My latest psa was 2160. A scary number! 2 weeks ago I had a cementoplasty of my left acetabulum, or hip socket. They inject bone cement into the weak bone and it restores strength and function. I could hardly walk afterwards but now feeling much stronger and much less pain.
Some good news is that there was no evidence of cancer in any soft tissue and no impingement on my spinal cord. Radiation is still an option for my spine. My current medication is Zytiga, prednisone, Zoladex, Fentanyl and oxycodone for pain. I am slowly gaining weight. I was down to 69kg from around 80. Now up to 72kg and getting stronger each day. Next psa a few weeks from now and hoping for a much lower number. As always, I thank everyone who is supporting me with prayers and good wishes.