Grief, Anger, and Coping With Loss

It was my six-month cancer call with the oncologist recently. Thankfully my bullet-dodging skills seem to be in good shape. Two years after completing 36 months of hormone therapy and nearly four years since my last ride in the radiotherapy donut, my PSA stands at 0.41.

Back in February it measured 0.23, so although it has nearly doubled, the figures are still small. With testosterone back in my system, and a welcome drop in side effects, this was to be expected.

So far so good, but if my PSA were to hit 2 then all kinds of alarm bells will start to sound. Obviously, things don’t always go right, which got me thinking about grief and loss and how we deal with those two tormentors.

What grief looks like

I’m guessing many people reading this will have heard the phrase or perhaps even used it themselves. It usually comes in the form of a question: “Is there anything I can do to help you get through this?”

Perhaps I need to back up a little. Some explanation is required. In Hollywood when a character is hit with a life-wrenching event such as the death of a friend or child, a certain amount of destruction seems to be required. Televisions will be smashed on to coffee tables and crockery swept to the floor. Good visual shorthand for grief and anger.

Perhaps it’s my staid middle-class upbringing, but in times of grief our glassware has little to fear as all the action takes place off stage in my head. The hurt and anger is internalized, which is not much use to a film director.

Read on…

Keeping cancer in its place

It was several years ago now, but I remember an older work colleague telling me he had just been to a close friend’s funeral. I commiserated and he said: “Jim, these days it’s like shucking peas.” He was in his seventies then, and friends were starting to fall away. I’m 67 in a couple of weeks, as of my writing this, and it looks like I’m now on the same trajectory.

A farewell to a friend with prostate cancer

Last Sunday, as of this writing, I attended a farewell and celebration of the life led by my old friend Geoff. He died a couple of weeks earlier at his home in Switzerland, and this was a chance for his UK friends to bid him bon voyage.

Geoff contracted prostate cancer some years back and was treated using High-intensity focused ultrasound (HIFU). This form of treatment uses ultrasound energy to destroy cancer cells in the prostate.

He suggested I investigate HIFU when I, too, was diagnosed with prostate cancer. My doctor deemed it would not work for me, but to all intents it appeared to have worked for Geoff. Sadly, he died very quickly from a brain tumor, but there is some thought that the cancer may have been linked to his prostate cancer. Read on…

How Can I Shift This Weight When I’m Hungry All the Time?

I’m one of those irritating people who has never had much trouble with their weight. I’ve been tall and skinny all my life. Even when middle age hit and I put on a few pounds, they were easy enough to take off again. So yeah, for a lot of people: Deeply irritating.

When I left school at eighteen, I didn’t exercise at all until I reached thirty, which coincided with the mid-80s when it was all Jane Fonda, aerobics and legwarmers. I’ve never played any competitive sport since leaving school, but I’ve paid regular visits to the gym, though my days of doing aerobics are long gone.

Weight gain after treatment

At the back end of 2017 I was diagnosed with prostate cancer, and the doctors indicated that a prostatectomy would not be a good treatment for me. My cancer was very near my bladder, and one slip of the surgeon’s knife might mean colostomy bangs and all kinds of other horrors.

Instead, I took the hormone and radiotherapy route, which has done what old age and a slowing metabolism failed to do. I’m now hungry most of the time. My “I’m full, I don’t need to eat any more” off switch seems to have been gummed up by the hormone juice, and now I could eat all the time. The pounds have piled on, and my slim 32-inch waist has expanded to something I don’t even want to mention. Read on…

Can a Hound Help You Through Cancer?

Filling a dog-shaped hole in my life

An old friend of mine, who I met many years ago when we both worked at ABC News, is now a senior spokesperson at the United Nations in New York. I recently saw a picture of him with the UN therapy dog.

In the hallowed halls of the UN, Chloe is famous and has her own Facebook page, and people love it when she goes visiting at their offices. As my friend says with Chloe, there’s no physical distancing required! Chloe is an English bulldog and joined the team in 2017 to much acclaim.

All of which got me thinking about my own rescue dog called Rusty. I rescued her from the local dog pound, and then she repaid the favor and rescued me. Rusty, also known as Bucket, came into our lives in October 2017. A month later I was diagnosed with prostate cancer. Good timing Bucket.

Getting Rusty

For years our daughter had been pestering us for a dog, but I’d always said no as city center living didn’t seem right for a pooch. On our holidays that summer I finally weakened, largely because when growing up my parents always had dogs and I’d loved them, particularly a small brown dog called Jenny who was my mother’s favorite. I couldn’t see any reason why that pleasure should be denied to my daughter.

On return from the vacation, we went to the rescue center and asked if they had a small street dog fit for a capital city. We saw three, the first of which was Rusty, who jumped straight on to my wife’s lap and demanded to be pet.

Despite reservations about taking the first dog we saw, Rusty came home. Walking schedules were drawn up, and we set about becoming a four-piece family with Rusty filling a dog-shaped hole in our lives.

Then in November I was told I had prostate cancer. Read On…

Vaccine, Vaccine, Vaccine

The world is obsessed with vaccines. Well, in truth, it’s those vaccines that will hopefully set us free from COVID and allow us to return to something close to call normal life.

At the time of writing, at least 150 million vaccine doses have been administered in the US, and I have received both my Pfizer shots. The Pfizer vaccine was developed in conjunction with the German company BioNTech. BioNTech, a relatively small firm, needed the muscle of pharma giant Pfizer to help run large clinical trials and scale up mass production to meet global demand.

Prior to turning their attention to coronavirus, BioNTech had been working on finding ways to help the immune system tackle cancer. Following the success of their COVID vaccine, the value and profile of the company has grown, increasing its potential ability to have access to resources that will help in their continuing fight against cancer.

Exploring the connection

Interestingly, there is direct cross-over in the research required to beat coronavirus and cancer. In many instances, both use mRNA-based vaccines that enable the immune system to attack a predatory intruder.

Read on…

Let’s Talk About Cancer: Part Three

Jim was diagnosed with prostate cancer in 2017 at the age of sixty-three. In his series, Let’s Talk About Cancer, he shares the challenges of talking about the disease, how it can mess with the mind, and ways it can affect family and friends. Read Part 1 and Part 2.

An upbeat chat about a difficult topic

Walking in the park with my dog Rusty, we met a neighbor taking his dog Monty for a walk. Monty is a fine Border Terrier and he and Rusty get on very well. I knew the neighbor’s wife had contracted breast cancer early last year, but they had gone to live in their country house during lockdown, so I’d heard nothing about her condition.

We are not close friends, but he knows I have prostate cancer, as he reads my blogs. His wife has been through the mill. On four occasions she was scheduled to have surgery, all four were cancelled at the last minute. Now she has been told her cancer has grown so large that an operation is out of the question. Read on…

Let’s talk about cancer: Part one

Jim was diagnosed with prostate cancer in 2017 at the age of sixty-three. In his series, Let’s Talk About Cancer, he shares the challenges of talking about the disease, how it can mess with the mind, and ways it can affect family and friends.

Blitzed and confused after a diagnosis

You’ve just been diagnosed with cancer. You feel blitzed, confused, and frankly terrified. Who are you going to tell?

There’s certainly no one answer to that question, and there’s no right answer either. You’re scared and bewildered, and of course we know that if you tell someone you have cancer, then their first thought is going to be: “Oh he’s going to die soon.”

Cancer is a big bag of unwelcome knowledge that you suddenly find yourself hefting on to your shoulders. You may want to turn to family and friends, or you may not. But one thing is certain: it’s tough to turn cancer into small talk.

Read on…

Is Nationwide Prostate Cancer Screening on the Horizon?

As of this writing, it’s now thirty-eight months since I was diagnosed with prostate cancer, twenty-eight months since I completed thirty-nine radiotherapy fractions, and six months since my three-year course of hormone therapy injections came to a close.

Last week I spoke to an oncologist about my case and learned the welcome news that my cancer still remains undetectable and has done so for almost eighteen months. My PSA currently stands at 0.03.

Side effects continue

All good news, though unfortunately despite not having had a hormone shot for nearly six months I’m still getting the side effects (hot flashes, lack of the libido), which I had hoped might be making their way out of the door about now. Unfortunately, I may have to put up with them for another year or so as the testosterone starts to make its sluggish way back into my system.

Prostate cancer feeds on testosterone, so as that happens my PSA level will likely rise. If it continues to do so, I could find myself back on treatment and once again riding on the whole unlovely merry-go-round.

Read on…

When will the side effects go away?

Three years ago I had my first hormone jab. Now I’m going cold turkey. My last shot was three months ago, and the course of treatment is complete.

All good, but I want to know if and when the side effects of this hot flashin’, erection robbin’, mood swingin’, bone thinin’ son of a gun are going to disappear.

A big needle with a job to do

As most people reading this will know, Zoladex (my preferred hormonal cocktail) prevents the production of testosterone, which is something prostate cancer loves to feast on.

Zoladex is described as being “administered subcutaneously every 28 days into the anterior abdominal wall below the navel line using an aseptic technique under the supervision of a physician.”1

What Zoladex fails to mention is that it involves a spring-loaded instrument of torture which the Spanish Inquisition would have instantly co-opted as one of their toys, if only Big Pharma had existed in the 16th century. It’s a big needle with a job to do.

Read on

 

Prostate Cancer: It’s A Walk In The Park

In some circles, there’s a sense that prostate cancer is easily treatable and frankly a bit of a walk in the park. Carl told me: The worst thing I hear when telling people I have prostate cancer is when they say: ‘Yes if you’re going to get cancer that’s the one you would choose’. Despite the many effective treatments and survival rates improving even a cursory glance at the relevant statistics should indicate that prostate cancer, like any form of cancer, goes about its business in a brutal manner.

A time to unite and spread awareness

You may have no interest in cancer, but unfortunately, cancer may have an interest in you. All of which brings us to Prostate Cancer Awareness Month. This year the theme is to elevate the voices of those who are living with it together with the voices of partners, families, and friends who are along on the no-joy ride. As ever the driver is to encourage men to get tested so doctors can catch the cancer before it spreads. Read on…