Friday, September 11, 2015

A daunting rise in PSA


September 11, 2015

I found my most recent PSA checkup on Sept 8 daunting.  After I began using Zytega in early July, the PSA dropped from 350 to 89 in just 3 weeks.  Wow, was that encouraging.  On September 8 the PSA was up to 260.  It will be measured again on September 22. If it goes up, I will start a new medication and if it goes down, I will stay on Zytega.

Of course after that spectacular drop, the recent results were disappointing. I try not to let myself hope for good things, but I admit I hoped that after the spectacular beginning, the number would be even lower. 

The daunting part comes from my realization that I really am in an end of life situation.  I have always been able to avoid that awareness. Oh, I had it, and acknowledged it verbally, but never really in my gut. That happened the other day. It is not particularly scary, as I have known for years that it would happen. I just wasn’t prepared; it caught me off guard.

I just had a friend die of cancer and earlier this summer another one.  For both of them they were basically OK and lively even though what they had was, they knew, terminal. And then one day it set in and within a short time, 2-4 weeks, they had died.  I finally realized that this could happen to me at any time, beginning tomorrow.  Like I say, that caught me off guard.

I am basically not sure how to handle this. One part of me says, Carpe diem!—we have done that all summer: trip down the Mississippi, trip to Denmark, month with son and family in Seattle.  And another says, Start getting rid of stuff so life is easier for Mary after I am gone and she doesn’t have to clean out all the stuff I have collected over the years.  I think I will work on that in the upcoming weeks.

I am not sure what to say. Getting my head around this is taking a bit.  I am resolved to not crumble to cancer and its inevitable end.  I am resolved to be even-keeled and funny to the end. But still, when the realization that it could begin any day occurs, there is a hard couple of hours.