Case Study Three:

 





Case Study Three:

 

BORN 22.06.1944

 May 2017: I visited my GP for a blood pressure check and a repeat of my medication. While there the Doctor asked is there anything else he could help me with. I did say I was getting up three times during the night but other than that I felt in good shape. My doctor then suggested that when I returned from my holiday I should make an appointment so he could check my prostate. My PSA reading at that time was 4.


 Early June 2017: The doctor did a physical examination of my prostate and he was not happy with the left side of the prostate and referred me to Whangarei Hospital. After a four month wait in mid-October I was seen by the Urologist and he carried out a Flow Test Ultrasound and another physical examination. His opinion was that I would need to be booked in for a biopsy of which he discussed in detail the procedure with me. Two weeks later I was booked in for a biopsy of which I was not looking forward to. Ten biopsy were taken and the Urologist warned me that there was a high probability I had prostate cancer and he would see me in two weeks.


 17th November 2017: I saw the Urologist and he informed me that I had prostate cancer and I would need to have MRI scan of the pelvis and a whole body bone scan to make sure the cancer had not travelled outside the prostate.


 7th December 2017: I was booked in to Auckland Hospital for MRI and Bone Density scan.


 19th December 2017: I visited the Urologist for the results of the scans and what treatment they would advise. I was very relieved the cancer had not gone outside the prostate. Apart from what had been taking place, I felt in good health and thought there was nothing wrong. It was advised that the best treatment for me would be Radiotherapy and Hormonal treatment and he would refer me to Whangarei Hospital Radiation Oncology Clinic.


 8th March 2018: I was seen by Dr Benjamin, the Oncologist at Whangarei Hospital, and he recommended a month’s course of hormone tablets which should reduce my PSA. He also booked me in for radiation treatment. The result of the hormone tablets brought my PSA down to 2.4. I was then put on an eighteen month course of Zoladex implant injection which I had done by the nurse at our local GP and each injection lasted three months.


 28th April 2018: My first of 20 treatments Monday to Friday started at Auckland Hospital and because we live in Mangawhai we were booked in to stay at the Domain Lodge. It is opposite the hospital and provided free by the Cancer Society for patients getting treatment who live out of the area. In order to have the radiation treatment you need to have a full bladder and an empty bowel before you go on the machine which is harder than it sounds. That was probably the hardest part as you feel nothing from the radiation machine. As treatment progressed I did have a few problems with the bladder having to get up a lot during the night and discomfort passing urine. After roughly 6-8 weeks the discomfort passing urine went away but I was still getting up during the night. My doctor has put me on 1 Oxybutynin tablet which has helped not having to get up during the night as frequently. Most nights I have to get up three times during the night. I remained having Zoladex implant injection finishing the 18 month course in June 2019.


 October 2019: Had my PSA checked and my reading was 0.05 so my GP was very pleased. I turned 76 in June 2020 and I am very grateful that I am able to play golf twice a week and have a very normal lifestyle. I am due to have another PSA test but due to Covid this is on hold.