The Ca Pros Report May 2018

We rolled up at Med. Onc. with a large list of reports and queries this morning.

We had an excellent consultation and fairly easily reached agreement that—

·       Blood Pressure is excellent, better than self-checks at home

·       The Scintogram and CT Scan reports suggest intensification of existing cancer in L5/L4 rather than extension to other bone or soft structures as it appeared at first glance

·       An MRI is booked and is still needed, both for Prostate Cancer, a possible spot on my Hippocampus(?) and any possible Ca Pros link with the right ear problem

·       My levels of blood sugar now justify diabetic medication under GP, at least while on Abiraterone which is known to elevate blood sugar levels

·       Although the results from Abiraterone/Zytiga are not outstanding and even a bit disappointing, it seems to have no serious side effects and will continue for the time being

·       Recent back and leg pain is probably caused by the cancer in L4/5 and may well respond to further targeted radiation which will be put in place

·       Recent problems of balance, vertigo, etc  have no clear origin—ear, old age, medications—discuss with GP

·       Occasional problems of low mood—discuss with GP for possible adjustment of Venlafaxine, dose previously reduced for some months

·       Decision to withdraw from Village Minibus driver roster and active Community Patrol was agreed to be appropriate in the light of balance problems