Thursday 22 August 2024

Men's things - XVI

Blogging The State of Akin

I write how I feel, and I cannot account for who reads and finds any interest in my blogs, though there are people who have over time realised that this blog infrequent and hardly prolific as it is represents The State of Akin (TSoA) at any given time.

Sometimes lucid and at other times in turmoil, I am told I write better than I converse, yet I cannot drive traffic to this blog for that purpose, it is left to those who discover this to engage as they see fit.

My last blog gave a sense of direction in terms of certain questions I had about the treatment of prostate cancer. I guess I was a bit miffed that out of Active Surveillance, a Radical Prostatectomy, and Radical Radiotherapy, the first had been taken off the table before any discussion with the patient primarily affected.

I should be centred and relevant

Again, I respect the knowledge and the expertise of the medical teams superintending the courses of recommended treatment, however, even if a course of treatment is not desirable, I should be informed of the reasons that led to that determination. With respect to this situation, I asked for a further consultation, and I received two phone calls that seemed to need clarification on my premises.

I had acquired enough understanding to appreciate from the post-treatment situation that on the issues of future prognosis, the exacerbation of the condition, and the problems that might present in bladder and bowel control along with attendant sexual function, radiotherapy offered the best and most manageable outcomes.

Links to engender confidence

A comment in my last blog gave me additional information through two links, Predict Prostate and Cancer Alliance: Prostate Cancer: Know Your Options, both of which allow you to enter the indices of known or unknown test results to then connect your situation to the predictive outcomes of the Prostate Testing for Cancer and Treatment (ProtecT) study as indicated in the graphic I shared in my last blog post.

The links also offered more detailed information and YouTube videos. At the end of which I was more convinced of the course of treatment I had chosen.

Poring through the medical notes shared between the medical personnel, I finally learnt that I was actively considered for the low-dose radiotherapy, or in medical terms, it is Hypofractionated radiotherapy of 60 Grays (Gy) over 20 sessions, given on weekdays only. The Gray is a unit of ionising radiation. [ICR: A new standard of care for prostate cancer]

The outlook, the prospect

Prior to this treatment, I will attend a radiotherapy planning scan that uses a Computer Tomography scanner to locate the position of the prostate gland to which the radioactive beam will be directed. This treatment option makes Intensity modulated radiotherapy (IMRT) more efficient as it is more tolerable for certain older age groups.

I am also recommended to go directly for radiotherapy without neo adjuvant therapy which is hormone therapy to reduce testosterone, which might well be a blessing of sorts. I think I have had the answers to the many questions I have had, and I am basically looking forward to putting all this behind me within the next few months.

I feel fine, I am positive, and I believe in the best for me, my health, and the enjoyment of life and its pleasures. I also look forward to spending some recuperation time with Brian.

Men's Things Blogs

Blog - Men's things

Blog - Men's things - II

Blog - Men's things - III

Blog - Men's things - IV

Blog - Men's things - V

Blog - Men's things - VI

Blog - Men's things - VII

Blog - Men's things - VIII

Blog - Men's things - IX

Blog - Men's things - X

Blog - Men's things - XI

Blog - Men's things - XII

Blog - Men's things - XIII

Blog - Men's things - XIV

Blog - Men's things - XV

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