Since I last posted: Stephen Fry has fessed up, George Monbiot, the writer and environmental activist, has outed himself and now Bill Turnbull, the former BBC Breakfast host is in on the act. Prostate cancer gets the full celebrity endorsement as all the poor bastards have it; proving that PC is nothing if not democratic.
When I meet people who I may not have seen for a while but who know about my condition, I gauge four different responses.
- I’d like to make it implicitly clear, without mentioning the subject, that this is something I feel very uncomfortable about and I don’t want to talk about it.
- I kind of want to talk about it or sense I should, but feel uncomfortable raising the subject.
- I’m concerned about you, so tell me: “How are you getting on?”
- I’m concerned about you, want to know how you are getting on, want to know what kind of treatment you are receiving, if the side effects are awful and what the prognosis is.
Let me say right away that every response is just fine. If you don’t want to talk about cancer as it gives you the heebie-jeebies I completely understand. It can give pleasant banter a savage blow to the head. Instead, let’s chat about playing guitar in a rock & roll band, when Wenger will finally leave Arsenal, how wonderful Aimee Mann is or the relative acting merits of say Jennifer Lawrence or Amy Adams. Dammit I’ll even talk about Donald Trump if we have too and yes, I have read ‘Fire and Fury.’ If you don’t want to talk about prostate cancer, then neither do I.
As to the second response, I can usually sense when someone is not sure whether cancer is a subject that should be raised in a social situation, so I raise it anyway but make it clear I’m not going to bore on about it. People usually want to know why I first went to the doctor (I had blood in my urine), how I’m feeling (Just fine thanks, I don’t plan on collapsing over the finishing line any time soon) and are you still able to drink? (Yes, and mine’s a large one) People are so dear, I’ve never been bought so many lunches and drinks, so thank you.
My response to those who come right out and ask me how I am is pretty much the same as the above, but with a little more detail. I went to the doctor because I had blood in my urine, but that’s gone away, so thank god I got checked out because if I hadn’t it would now be spreading and the two things we all know about cancer are:
a. We don’t want it.
b. If we’ve got it then let it be small, insignificant and localised.
Health note: (ignore the next couple of paragraphs if you are of a nervous disposition) I then assume the serious face and tell the guys to go get their PSA (Prostate-specific antigen) checked. It’s just a blood test but gives doctors an inkling as to whether you might be in trouble.
My PSA is quite low at 2.61 and a few years ago doctors may have left it at that, which would have been a mistake, but my Gleason Score, which grades the cancer, is quite high at 7. This is me: Gleason score 7 (4 + 3). I’m told most of the cancer cells found in the biopsy are likely to grow at a moderate rate, though some look likely to grow more slowly. It also indicates, as does the MRI scan, that most of the cancer is retained within the prostate, with just a small section attempting to break on through to the other side. I could now go on to tell you about the glories of having a biopsy but as you’ll probably never need one, I’ll leave it there. Put it this way if a prostate biopsy was rated on TripAdvisor, it wouldn’t get many takers.
And so finally to the person (rare in my experience), who wants the full enchilada, the whole story. Frankly, if they want it, they get it. It doesn’t really become me to be coy and reticent when here I am blogging to all-comers about my predicament.
I tell them about my treatment: no prostatectomy, which is the removal of the entire prostate gland, as a tumour is too close to my rectum for safe cutting and hacking. So, I’m on hormone jabs to shrink the tumour until September when the guest will be blasted with radiation in an effort to encourage the little bastard to check out. I could tell you about the side-effects of hormone therapy, but I think, dear reader, you have suffered enough. And frankly they are as nothing compared with the side-effects of being sixty-three.