Wednesday, January 19, 2022

Wait and watch

We had our visit with the urologist this morning to discuss dh's treatment options for the prostate cancer. Last night I wasn't even sure if we were going to be able to go. Dh said it was a sheet of ice outside and if the roads were icy in the morning (like what caused the road closing wreck yesterday morning) he wasn't taking a chance. We have so many wrecks on the interstate near us from the ice. But he got up at 6am and got in the shower, so I figured it must be a go. 

DH's doctor said he is considered in the "very low risk" category. Of all the samples from the biopsy only one showed cancerous cells and that was like 5% of the sample. He said dh is a very good candidate for the "watch and re-test" approach, as most likely this will be extremely slow growing, as most prostate cancer is. He went over the other 2 options - radiation and surgery to remove the prostate, along with the likely side effects/changes from those 2 options he would then have to deal with going forward. The main one being incontinence. Dh decided to do the wait and watch. He will need to have the blood test for the PSA twice a year, an exam once a year and shouldn't need another biopsy for 2 more years. The dr. also said there is a "gene test" they can do on the samples they already have. It can give a good indication of what category he falls into on how aggressive the cancer may or may not be. We are going to have that done too. The more info to make decisions with, the better. He also explained that if you chose the radiation option and then later need to have your prostate removed, that causes other issues. He cited a statistic that of all the autopsies done of men over 80 years old that died of other causes, 80% also had prostate cancer and either didn't even know it or if they did it was still limited to the prostate and not what they died from. Basically his doctor recommended that due to the small amount of cancer, the very slowness of prostate cancer, and if you are the type of person that can know you have a cancer inside you and be ok with it just kind of staying stagnant, then go with the wait and watch program.

We got over to Walmart at 9:15, so only 15 minutes past my time slot. There was only one other car there, and they pulled in right after we did. Groceries brought right out and no problem, so that was a relief, too. I needed some groceries! and was very glad it didn't get canceled. There were only 2 substitutions and nothing out of stock. Though when I was placing the order they were out of the mayo I like. I'll probably have to order some online from Walmart. I'm not paying $6.68 for it at our town store.

It's only 12:30 and I'm already tired from having to get up early again this week. I didn't take today off work, so no break there to take a nap. 

Kitty has been a total little brat. I hope he gets back to normal soon. He's also been driving me nuts the past few weeks with his litter box liner. I use those plastic liners, which makes it easy when it's time to dump the whole litter out. But, for some reason he has started pulling the sides of the liner over the litter. I keep folding it back over, but sometimes, like last night, he pulled it over and got his poop all over the edge of the plastic liner, so I had to replace the whole thing, before I was ready. Or he scratches so many holes into the liner, pulling it over, that when time comes to remove the liner, I've got sand coming out the holes. So, I just tried pouring the litter in the litter box without the liner and see how that goes. I'm sure I won't like it come time to dump out the whole litter to replace with new. 

That's all I know for today. I think it was the best of possible bad outcomes, at least. Dh seems ok with it.


16 comments:

  1. I am glad the doctor gave you the best possible news. It sounds like, your DH will be fine as long as he keeps the issue under regular control. If your DH is OK and not worried, that is a good sign too. Wishing you guys the best!

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    1. As long as he makes sure to do his follow ups to keep checking it out, this is a good plan I think.

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  2. Kitty!!! Get it together young man. I am glad that DH had a pretty good interaction with his specialist. Check ins every 6 months and additional testing on the sample is good.

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    1. Keeping fingers crossed. My boss said she has a friend who has been on the wait and watch program for 5 years now and all is the same for him.

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  3. I like the way his doctor explained & laid out the possibilities. The Doc gets a gold star!

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    1. I thought the dr did a good thorough job explaining. He also gave him a book about it and a website that has lots of info.

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  4. As long as he doesn't take himself down rabbit holes researching and trusts the information from your doctor, it sounds like a sound decision. Pets, love them but yes they can be shits.

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    1. I don't think he will do too much research and he's always been one to go with what a doctor (as long as he thinks they are a good dr) says.

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  5. The incontinence part...yeah, I can see why your dh would want to go with the wait and re-test approach. I'm also glad your dh is ok with it.
    I use a good quality kitchen garbage bag for our cats litter box. Still get some occasional holes in the bottom, but cats will be cats, and they like to scratch.

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    1. ya, the likely problems after either radiation or removal weren't very appealing to him. Would rather leave it be for now and can re-visit those options if anything changes. I should try the kitchen garbage bag for liners. Probably lots cheaper!!

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  6. Sounds like the best option for your DH, which is good news! My DH had prostate cancer in 2002 and did surgery early on with really good results. We know several people who have had side effects and I think incontinence would be the worst. I also have a brother doing watchful waiting and he's been fine for several years. As someone said above, the rabbit holes on the internet re: this are many and deep. Research is good, but don't scare yourselves. Many people do really, really well with this diagnosis. Good luck to him!

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    1. thank you. I don't think he'll research it too much, he's probably already done most of what he wants to research in the last month since getting the dx, while waiting for today's appointment.

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  7. Sorry to hear about what you are going through. I am sure the doctors know what they are doing, so it just comes down to you all being ok and not worrying too much...but I can't imagine. I guess this is the price we pay for living long enough to grow old. lol

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    1. It seems to always be something to deal with now as we get older.

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  8. Amos sounds like he is just being over-aggressive in covering up his poop. Maybe if you just put something on the inside bottom of the litter box, it won't be so nasty to clean up. He is trying.

    I am so sorry to hear about your husband's problem. Hopefully, you can find the best answers.

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    1. hopefully the neutering will calm down the aggressiveness in all aspects, LOL, but so far he's turned into a little brat!

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