I sometimes struggle with a title for these blogs. ‘Here we go again’ sums it up, but I really wanted to call it ‘Goodbye Enzalutamide, hello Docetaxel, Prednisolone, Dexamethasone, Fluconazole, Co-Amoxiclav and Metoclopramide Hydrochloride‘. Unfortunately, I couldn’t fit that in all on one title line!
What does all this mean I hear you say? Well, the enzalutamide hormone tablets that have been so effective in managing my PSA over the last 2 ½ years has now failed, so it’s time to have another go at some more chemotherapy. This is the same chemo that I started my prostate cancer treatment with 8 ½ years ago. The main difference this time is that I am going to have up to 10 cycles, 3 weeks apart. This will take us up to the beginning of December! I only had 6 cycles last time and I remember how debilitating it was towards the end.
We have been expecting this change in treatment for a while now, so it’s only taken a little while to get used to the idea. However we saw the consultant on Monday and had a blood test which showed the PSA had jumped a lot in a single month, so now is definitely the right time to change medication. I did return to work in the afternoon but my mind was all over the place making it very difficult to concentrate. Hopefully I didn’t make too many mistakes before I logged off, although I’m pretty sure I did.
My first round of ‘poisoning’ will be Thursday 8th May, so we are trying to fit a few treats in before it starts. Yesterday was a perfect day. We had a day trip to Aldeburgh and had fish and chips sitting on the sea wall, followed by a snooze on the beach. Hopefully we can find a couple of things to do over the weekend as well.

Those of you who have followed this blog for some time may remember that I was on a drug trial using the diabetic drug, Metformin. This trial stopped when I started taking enzalutamide. The results have just been published. There is no conclusive proof that Metformin helps with the cancer itself, however it does seem to help maintain a healthy weight and lower cholesterol. I have noticed this myself, putting on quite a few pounds since stopping the trial. It may be possible to ask the consultant if I can start taking it again, which could be helpful. We’ll have to see what she says.
We did manage to squeeze in a week in Madeira in January to celebrate my birthday. We returned to Estalagem da Ponto Do Sol for our fourth visit. Madeira is perfect for a short break for a bit of winter sun, great food and some scenic walks. I highly recommend it.

I think I’ll end this blog here today. No future holiday news to share, as I will not be able to travel until next year at the earliest. In the meantime, with so many places to go, we have lots of time for research.
To quote King Charles, who was quoting Dame Deborah James (Bowel Babe) “Find a life worth enjoying; take risks; love deeply; have no regrets; and always, always have rebellious hope”.
Not a bad motto to live by. Couldn’t have said it better myself.
Thank you as ever for reading.