Akin Akintayo: Men's things

Saturday, 5 April 2025

Men's things - XXIII

Ignoring the specifics

I was looking forward to my hospital appointment set for Friday, the 4^th of April 2025, though I seemed to have a different level of expectations, for my last visit to The Christie Hospital was the 9^th of October 2024, when I took my last session of hypofractionated radiotherapy to the prostate gland.

In my euphoria about what the visit might entail, I was already announcing to others that it was going to be a conclusive kind of meeting, ignoring the fact that it was a nurse-led urology clinic. Maybe I chose to ignore the details, expecting something that was not on offer.

I was neither consulting with a doctor nor an oncologist; I was meeting with a nurse from urology when every other consultation I had attended from July last year was with a multidisciplinary team with an oncology perspective.

My engagement with urology ended in another hospital after the referral for the multiparametric MRI scan of the prostate gland, which led to an ultrasound-guided transperineal biopsy of the prostate, indicative of cancer, after which I was handed over to The Christie Hospital.

A name mangled

On arrival at the hospital, I was electronically checked in and ushered into the waiting room through a labyrinth of passages in Department 22. This visit was not as daunting as the very first, the place was familiar enough, buzzing with activity and full of medical personnel and the many who required their expertise.

When the nurse called my name, I heard another mangled version of it, a steady reading of the arrangement of vowels and consonants would have garnered applause for a brave attempt, but it was such that I had to mutter to the hearing of others, that name has been murdered again. However, there was no doubt that I was the patient being called to an examination room.

She offered to have another go at my name with my guidance, if she deigned to get much better, I doubt it could be achieved without a major surgical intervention. Even Brian’s attempts at Yoruba words and phrases bring such mirth, for the jollity he presents, we can overlook his incapacity.

Assessing the PSAs

When the urology nurse arrived some 15 minutes later, it became obvious that this was just an assessment meeting, one to determine how I was coping to the symptoms around radiotherapy and to enquire whether I needed additional support medically or mentally, and to answer any questions I might have.

It seemed they had lost the test results for the bloods taken on the eve of commencing radiotherapy when I attended the planning review in late August. She was using the readings presented in March last year, which on the surface suggested a considerable improvement, but I knew that there was a slight change in relation to the blood work done last week.

The Prostate-specific Antigen (PSA) result was slightly elevated but within range and higher than the result in August, but well below that which set us on this journey in March 2024. We agreed to have another meeting in four months rather than another six months, and I left to bask in the sunshine of beautiful South Manchester.

Lest I forget, I had a conversation with the Uber driver about Men’s things. I find that I am also being asked to share my experience; I might have to create slides to explain the intricacies of the prostate and the reasons for having early investigations and interventions on intimate issues.

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