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Our Story

Cancer Treatment

In November 2016, we started this blog after John was diagnosed with advanced Metastatic Prostate Cancer. It was initially meant to keep our friends and family up to date with John's latest health news. However with his continued good health, it has now turned into more of a travel blog since he took early retirement in 2017. We will continue to update it regularly with our latest travels and any other news. We hope you find it an interesting read. Thank you for all of your support and good wishes.

Refuse trucks, The King and fabulous graphs

Uncategorised Posted on 05/03/2023 14:43

In our last blog we were able to share the great news that John’s PSA had dropped considerably as a result of the new medication, Enzalutamide.  Another blood test was due last week, and as tradition goes, we were anxious to get the results.  Within 2 hours of having the blood test the results were available: the PSA has dropped to 3.93 – the last time it was at this level was in May 2019!  To say we were both shocked and delighted is an understatement.  John was immediately on the case to update the spreadsheet, and graph:

He continues to feel well and is sleeping better, so all is good.  He has a remote appointment with the oncology nurse this week, and has another hormone implant before we head off on holiday next Sunday.  We are now getting super-excited having cleared the major health hurdles before we go.

Our local council recently took delivery of a fleet of new bio-fuel refuse trucks (stay with me here…).  They organised a competition to name the new lorries with refuse-themed names.  Of course we had a go and submitted several entries one night – our creativity and silliness fuelled by a couple of glasses of wine.   I was thrilled that one of our names was chosen: Chitty Chitty Bin Bin – oh how excited I was! This week John and I were invited to a publicity event to launch the new lorries, and we were probably just as excited to sit in the lorry and pose with Chitty Chitty Bin Bin as the schoolchildren that were at the event.

More exciting news is that John and I will be attending a Royal Garden Party at Buckingham Palace in May, in the week of the Coronation.  It’s looking like this is going to be an amazing 60th Birthday celebration year.   Watch this space.



Developments

Uncategorised Posted on 31/12/2022 12:01

On New Years Eve 2016 we posted our first blog to keep friends and family up-to-date with John’s cancer treatment over the coming months.  Even our naturally optimistic outlook did not allow us to dream that we would be updating the blog 6 years later.  Our first posts highlighted the treatment and side effects of the chemo, and we set out to be truthful and honest about our experiences.  We received supportive comments about our experiences, particularly the description of the chemo side-effects which most people understand to be limited to hair loss and fatigue – not so! Having got through the chemo life ticked along nicely and there was really little to report health-wise in the blog which then developed into regular holiday updates.  Having given up full-time work, John has said on many occasions over the last 6 years that he has never felt so well.

As you are aware, we attend regular oncology appointments where the PSA (a marker of the cancer’s spread) is monitored.  John has shared his PSA graphs in this blog, which shows the expected steady rise of the PSA.  Our consultant, Dr Woodward, advised that when the PSA reached 10, or if it rose sharply, she would look to introduce another treatment.  There is a temptation to ask for any treatment to be given immediately if it can help, but we know that given the limited options; the time span for efficacy of treatments, and anticipated side effects, timing of changing treatments is important.  In September this year the PSA reached 11 so Dr Woodward prescribed a new drug, Bicalutamide which she described as a ‘gentler’ treatment with fewer anticipated side effects.  Earlier this month John had another routine blood test which showed that the PSA had jumped to 17 – the largest rise that we have seen, which to be honest was disappointing, alarming and concerning.  Dr Woodward then introduced the ‘less gentle’ Enzalutamide which comes with expected side effects including fatigue.  She also mentioned possibly having another round of chemo at some point.  John has now come off the Stampede Trial and no longer takes the trial drug Metformin.  Having come off the Stampede Trial there may be other options to join other trials which we need to investigate and research.

In hindsight perhaps neither of us should have been surprised at the rise in PSA, as for the last 6 months or so John has been experiencing a few niggly problems.  I said earlier that we aim to be truthful and honest sharing our experiences, but we have considered keeping some things private.  However, we have come to realise that what is happening is natural, and due to no fault of our own, and if our experiences can help to inform others of the implications of prostate cancer, we ought to share our story.  Dame Deborah James (Bowel Babe) proved that there should be no shame in talking about poo, so we have a duty to do the same for prostate cancer. 

If you don’t wish to hear the details look away now….

About 6 months ago John started to need to pee more regularly and with a little urgency.  This is typical for older chaps, but particularly so with prostate issues as pressure is put on the urethra by the enlarged prostate.  Another drug was introduced to help combat the symptoms which we fondly named Turbo Piss as initially it helped enormously.  The Turbo Piss effect was short lived, and John found that he was getting up many times during the night – every 10 minutes or so, and was unable to empty his bladder.  This became exhausting and debilitating.  We have commented many times before about the amazing treatment that we have received from the NHS.  This treatment has continued and John has been seen at short notice on several occasions – incredible when we hear such negative reports about the NHS which coincide with industrial action being taken.  We can’t fault the service we have received and it feels like we are getting private treatment.  The week before Christmas John was seen at short notice by a urology nurse.  He underwent a urodynamics test which basically involved peeing in a bucket and then having an ultrasound scan which showed that his bladder was not emptying.  To his great relief the nurse showed him how to carry out ‘intermittent self-catheterization’ which he now does before going to bed at night.  It’s a temporary measure, but has been of great benefit and we are both able to sleep better – hurrah.  It does feel like we have suddenly and prematurely entered the realms of ‘old man’s territory’, but it’s still a minor price to pay in the grand scheme of things.  The next step is to have an operation known as a TURP (Transurethral resection of the prostate) otherwise known as a ‘re-bore’.  If any chaps are reading this without wincing at the thought, then you are dead hard and I’m very impressed.  Again, incredibly, John has an assessment appointment with a Urology consultant in the first week of January.  Our NHS is second to none.

These recent issues had little impact on us having a great Christmas shared with nearest and dearest:

As I write this John is doing a stock-check on seeds and is about to place a seed order ready for spring propagation.  We start the New Year with excitement looking forward to John having the ‘TURP’ in good time, and have fingers crossed that it doesn’t affect our holiday plans to celebrate my 60th in March.  

If you are still reading, we wish you a very Happy and Healthy 2023.  Don’t put things off, and enjoy life. 💕



Sixty!!

Uncategorised Posted on 13/02/2022 11:52

When John was diagnosed in 2016 at the age of 54, he was given a 4- 5 year life expectancy.  He set a goal that he would like to reach and celebrate his 60th birthday, which at the time I think we both silently thought may be overly-optimistic, but goals and targets were then, and still are, so important.  Back then when we dreamed of reaching 60 we both expected that John’s health would have deteriorated significantly given the grim prognosis.  Goodness me, how wrong we were! It’s utterly bizarre that John often says that he feels better now than he did pre-diagnosis.  Does that have something to do with exiting the rat-race of high-pressure employment and embracing living life to the full?  Who knows.

You will know from the last blog that we were hopeful that we would finally get to the Maldives for John’s birthday in January, having been cancelled 7 times due to COVID.  Hallelujah and praise the lord – we did it!!  We were given the go-ahead from the consultant who it seems is interested to hear where we have been prior to each of our appointments with her. The night before we departed we were treated to a fabulous recording that Dan put together of friends and family from all around the world sending messages and birthday wishes to John.  It was heart-warming and humbling to see the wonderful messages, which (surprise surprise) made us cry.

We set off for Heathrow on John’s birthday wearing ‘It’s My Birthday’ badges, with our customary optimism hoping for an upgrade to Business Class.  Qatar check-in staff couldn’t really be expected to understand the significance of this trip….we turned right when we got on the plane. It’s a pretty gruelling journey to get there – about 26 hours door-to-door including a change in Doha, then an hours domestic flight in a small propeller plane from Male, (the Madives capital) to Kaadedhdhoo, a tiny airport island in the Gaafu Dhaalu Atoll.  After a 20 minute speedboat trip we arrived at Amari Havodda and really felt like we had returned home to old friends.  We received a warm welcome and recognised many of the staff that were there in 2019, and the fantastic hospitality continued throughout our 12 night stay.  We have such wonderful memories of our previous stay and were slightly concerned that the reality of a return visit may not live up to our expectations, but this certainly was not the case.  The staff are a credit to the resort and could not do enough for us.  We enjoyed fabulous food, thanks to extra-special attention from the wonderful head chef Rakesh.  We snorkelled every day and were fortunate enough to swim with many sharks, rays, turtles, octopus and a vast array of beautiful tropical fish.  There are encouraging signs that the reef is looking healthier with some colour returning to the terribly bleached corals.   An advantage of visiting an island which is so far away from the capital is that it is incredibly peaceful with no planes overhead, or noise from neighbouring islands, and very little pollution.  The sea is pristine and when the wind and tide is calm is feels like swimming in an aquarium.  Staff on the island are passionate about protecting the environment and are seen daily sweeping the beaches of debris.  Sadly, on most days we still picked up a number of plastic bottles, wrappers, glass, and broken floor/wall tiles which will have come from far away, and only washed up on the pristine shores when the tide decided it was the right time to deposit them.  It did make me feel ashamed of how we treat the planet, and how people have such disregard for nature and the impact of their actions.   We try to do our bit, but with our renewed love of travel I do wrestle with the guilt of our increased air miles, but for now I don’t have an answer.  So we’ll continue to wrestle with our conscience whilst enjoying life to the full with our holidays, and act as responsibly as we can.

Sunrise at Amari Havodda

It does now feel like we are coming through the last two years of COVID madness that has put all of our plans on hold.  It’s been difficult for us knowing that we have a limited amount of time to have been in forced lockdown for two years. It’s now all systems go and we’ve got lots of trips, visits and overdue meet-ups with family and friends in the calendar for 2022. Bring it on!

John has put together a video of our trip to Amari Havodda which you can see, below.   It’s 15 minutes long so pour yourself a Pina Colada, put your sunnies on and soak up some of the atmosphere and sunshine that we enjoyed so much.



Four years (exactly)

Uncategorised Posted on 21/11/2020 12:21

21st November 2016 is a day that I will never forget. Three weeks previously John had been diagnosed with prostate cancer, and in the weeks that followed various tests and scans were carried out in order to determine a treatment plan.  While waiting to be called in for our appointment I remember reading an email from a colleague who sent through a link for a job at West Suffolk Council (which I subsequently applied for and got). When we now go for check-ups in the McMillan unit I always avoid sitting in that same seat. We were called through and introduced to the consultant and nurse – we were our usual upbeat selves.  Very quickly the consultant informed us that she was sorry to say that the cancer was stage four and had spread to the lymph nodes and hip.  There were no treatment options, and she suspected that we would like to know how long John had to live.  We looked at each other in complete shock and didn’t have time to reply before she told us ‘four to five years’.   I remember the consultant’s fringe being slightly too long and she had to keep pushing it out of her eyes.  We were then ushered into a family room and left on our own to digest what we had just been told.  We waited for blood tests to be carried out and sat in silence in the canteen with a coffee.  I remember wondering if people were watching us and if it was evident that we had just been given devastating life-changing news.  I remember feeling physically sick, and in complete disbelief that this was happening to us.  We were given various information leaflets (completely miss-timed ‘Prostate cancer and your sex life’) in a black plastic wallet (black seemed a very cruel colour).  I burned the leaflets and black plastic wallet.

In the days that passed we were numb and truly terrified of what the future held.  There were days that we would lay on the bed (having not slept at night) and both sobbed uncontrollably for hours.  For two weeks I could not speak to anyone, so it fell to John to inform people of our ‘news’.  I could only communicate with friends and family via text and email.  I struggled to piece together an application (for the West Suffolk job), and have no idea how I managed to string two comprehensible words together at the interview.  John and I had both been signed off work for a month (GPs were brilliant and realised that we were incapable of working).  We bumbled along and occasionally escaped to Waitrose, but I dreaded meeting anyone that we knew for fear of breaking down in public when asked how we were.  I remember getting so annoyed seeing older couples arguing and speaking horribly to each other, and wanted to tell them how lucky they were to grow old together.   Christmas came and our normal routine seemed….normal.  We accepted that we had to work through those few weeks of utter desperation to come to terms with the situation. John commented that we couldn’t go on being miserable.  It is all too easy to worry about tomorrow and in doing so waste today.   Our daily routine involved responding to messages and emails from lovely friends and relatives, and we realised that when we returned to work in the New Year, time would not permit us to invest as much time in keeping people up-to-date, so on New Year’s Eve 2016 we started this blog in order to keep you all abreast with what was going on.

As you know, John underwent chemo (he was so excited to be offered this – that can’t be normal!), I changed jobs, John’s mum died, and he lost his job.  All in 2017.  Those events have helped us to re-evaluate life and our mantra is now to live life to the full and put nothing off.  Then comes along sodding coronavirus which has rather hampered our plans!  Scheduled holidays for this year have understandably been cancelled, and we are left feeling a little cheated having everything put on hold when we really want to be out there making the most of every minute and opportunity.  When the government relaxed the travel corridor to Madeira we seized the moment and booked a week in October. The usual excitement and anticipation of looking forward to a holiday was somewhat subdued in case we were cancelled at the last moment.  Unusually for me I became quite anxious about travelling after seeing a report of English students being stranded in Italy after testing positive for COVID.  When arriving in Madeira all tourists are tested at the airport if you don’t arrive with a negative test result.  In order to reassure me we took the decision to get tested before we went, but my result was delayed (John’s was negative).  So I was tested at the airport, and just as we arrived at the hotel I received a text message from NHS to say that my UK result was positive!  This really threw us into a tail-spin and I was in a panic thinking of all the people on the plane and at the airport that I had come into contact with (even though I was symptom-free).  We were confined to our room for two days and reassuringly kept in regular contact with Madeiran officials regarding advice and test results.  The first result was negative, followed by a second negative test so we were free to enjoy the rest of our holiday.  Which we did.  Unlike my contacts at home who had to self-isolate for 14 days, as we did when we returned to the UK.  As an update to this I have now had an antibody test which was negative, so I did NOT have COVID.  Apparently there is a 0.7% chance of receiving a false positive test result, and it was my lucky day. The experience did add a little excitement to what has been a bit of a ground hog summer.  Bring on the vaccine and let us get out and about again.  We have booked to go to the Maldives in April (150 days – not that we’re counting), and are thinking very positively that we will be clear to go.

Self-isolating in our room while waiting for test results
Getting tested in Madeira

John had a slight medical hiccup recently and has undergone various blood tests and is awaiting results.  The PSA has gone up slightly but we remain positive that things are under control, and we have excellent medical support and care.

Walking the Levada Nova, Madeira

So today, on 21st November 2020, I look back on what has gone on in the last 4 years and what we have achieved.  Four years ago we had a choice to go one of two ways – feel incredibly sorry for ourselves and wallow in our sadness.  We chose to go a different route, and enjoy our time together.  As odd as it sounds it’s actually quite a privilege to be given that opportunity.  Here’s to many more years of excitement, travel and fun for Team Betham.



Gobsmacked

February 2019 Posted on 25/02/2019 18:12

In true London bus fashion, we’ll do another update even though
John posted the latest news last week.

My last blog was after our oncologist appointment in
December, which left us feeling rather deflated (see Dec 18 post). I don’t know why, but we haven’t been quite
so anxious in the preceding few days before this appointment. Maybe because John is still feeling well, and
we have accepted that the PSA will have reached a level to warrant a change in
treatment. Who knows? We set off this morning in glorious warm
sunshine, with the temperature showing 17˚C – bizarre for February. The usual checks were carried out by the
trial nurse; blood pressure – normal; weight – 2kg lighter than three months
ago (marvellous result – happy with that); waist measurement – no change. The long questionnaire which is used to
evaluate the trial drugs was completed with truthful, positive responses for
how John is feeling. We went through to
see the oncologist on time. We almost
dread being told what the PSA level is, and as John said last week, we were
expecting it to have risen to around four.
Today’s result: 2.87 – 0.03 LOWER
than 3 months ago. 0.03 is indeed a
very small, and some may say insignificant number, but it IS significant in
that it’s a decrease, which was not expected.
We had to ask for confirmation in case we had mis-heard the result. The consultant seemed suitably impressed too,
and explained that it’s quite unusual to see a lower number at this stage, so
we should indeed be very pleased. We
have to accept that the level will most likely rise in 3 months, but in the
meantime we will revel in the delight that a reduction of 0.03 brings!

In contrast to the last appointment where we felt very
rushed, we were able to ask questions today, such as: when a new treatment is
introduced are we likely to see a drop in the PSA level [there’s no telling
really – if it does bring the level down – hurrah!]; is another round of chemo
possible when the PSA starts to rise more sharply [yes, it won’t be ruled
out].

John will continue on the Metformin trial and have another
blood test in 3 months, and depending on the results may not need to see the
consultant until 3 months after that (ie go to 6 monthly appointments with
monitoring blood tests every 3 months).
Next week he has a 24 hour ECG monitoring to check for a possible
irregular heartbeat, but we’re not getting unduly concerned about that.

So we are pleased to confirm that after a ropey appointment
in December, normal service was resumed today, and we certainly left the McMillan
unit with a spring in our step.

We’ve celebrated by ordering a pink velvet Chesterfield
sofa, and will be partaking in a small G&T on a school night – has to be
done!

Happy days.



Happy Christmas!!

December 2018 Posted on 21/12/2018 17:19

When we started this blog almost 2 years ago, I thought it
would be me that would be posting the updates.
As you may know, John is not known for his like of letter/card/email
writing, so I have been pleasantly surprised at how much he has embraced
updating this blog. So much so that I have
contributed to very few. So, time for me
to post an update.

We had our 3-monthy consultant’s appointment on
Wednesday. We continue to get quite
anxious in the run-up to these appointments, and I don’t think that will
change. All hinges on the dreaded PSA
level which in an indicator of the cancer’s spread. At the last appointment the PSA was 2, and
this week it has risen to 2.9. Any rise
is a disappointment, but we have to accept that the level will rise over time
(possibly doubling every 6 months). We anticipate
that when it gets to about 4, John will be offered another treatment option, which
may be in 3 – 6 months’ time. We have
also come to realise that we shouldn’t focus so much on a number, but the more
important thing is how well John is feeling, which at the moment is pretty
good. We have always been impressed with
the care and treatment that we have received at the McMillan unit in the
hospital: the consultants, nurses and clinical trial staff have always been
very supportive, patient and caring. By
contrast this week we did feel that we were almost imposing; the staff seemed
short of time and keen to usher us out with a ‘Have a good Christmas – see you
in 3 months’ time’. John had to ask
several questions as we were being ushered out, which was disappointing. We can only hope that the staff were keen to get
to their Christmas party and normal service will be resumed in the New Year. It’s possible that the appointments will be
extended to every 6 months in the New Year.
Bizarrely, even though we don’t look forward to the appointments, we
aren’t keen that they are less frequent as it’s reassuring that the battery of
blood tests should detect anything that needs attention quickly.

You may have seen a report this morning that prostate cancer
testing has increased this year thanks to the ‘Turnbull – Fry’ effect. Both Bill Turnbull and Steven Fry have been
high-profile prostate cancer sufferers this year. Steven Fry has been successfully treated, and
Bill Turnbull was diagnosed with stage 4 (the same as John) last year. He has campaigned for men to visit their GP
if they experience typical prostate symptoms, as early detection (I’m sure you’re
all aware) is vital for a positive outcome. So I will now have my rant: all you
lovely men of a certain age (we are told over 50) – get to see your GP pronto
if you notice you have to go to the loo more frequently; get up to go to the
loo during the night, or take longer to empty your bladder. And all you lovely ladies – badger your
lovely men if you suspect that they may have any of these symptoms, and get
them off the GP without delay. In
hindsight, John’s only symptoms were feeling a bit tired, and maybe taking
longer to go to the loo. Get your
stopwatches out now: on average it takes 21 seconds to empty your bladder. Maybe share that gem of info with family and
friends on Christmas Day!

When John was first diagnosed we did an awful lot of research
and reading-up on cancer, treatment, research and all things related. (Note: stick to UK official sites only and
never drift into the whacky world of US sites).
Naturally the subject becomes all-consuming. We now
tend to do little reading on the subject.
I can honestly say that there isn’t a day that we don’t think about John’s
illness, and the future, but on the whole we tend to try not to focus on
it. We allow ourselves a couple of sad
days every now and then, and then pick ourselves up and get on with it. We have said before how important it is to
live life to the full, and looking back on the year, we have had a jolly good
stab to achieve just that; we’ve had some fabulous times and made some
wonderful memories.

Christmas this year will be celebrated with Dan, Ellie and Connor,
and mum and dad. We’re already planning
trips away in 2019 and will be kicking off with John’s Birthday in January with
a trip to the Cotswolds. Another
Maldivian paradise island (Amari Havodda) calls in April, and in May we will be
exploring the remote western coast of Scotland – something that we’ve wanted to
do for a long while. Don’t put things off, lovely people – seize the
opportunity and make fantastic memories.
Happy Christmas to you all. xxx



Splashing in puddles

February 2018 Posted on 18/02/2018 18:32

We first started to write this blog with the intention to
keep everyone updated with John’s treatment as it was becoming difficult (and
draining) to regularly phone/email family and friends with personal
updates. We have been quite touched with
feedback that we’ve had from people (some who we have never met or spoken to
before) saying that our accounts have been informative and helpful to
them. Having gone through the chemo
treatment we realise that the purpose of the blogs has now evolved, and,
although we are not posting as frequently now, it actually helps us to put into
words how we’re feeling.

As John said in his last post, up until a few weeks ago we had
got to a stage where we were not being honest and open about our fears for the
future. Our aim to remain upbeat and
positive came at a cost, and eventually resulted in a break-down weekend which actually
did us both the world of good. Since
then we have found that it helps to allow ourselves to have what we’ve come to
call ‘a moment’ which consists of a few words, a cuddle, a few tears, a giggle
and then back to normal. When John was
first diagnosed we knew that he needed to train me up in how to deal with all
the things that he routinely does, for example banking, paying bills, passwords
for many things, and numerous maintenance tasks that he actually enjoys (so I
don’t need to). We both found this very
difficult and as a consequence put my ‘training’ on the back burner as we both
found it too painful. We now find it
easier to address things as they happen, and I’m gradually learning how to do
things (that makes me sound like a precious, incompetent flaky who never does a
thing!). In his typical organised way,
John is compiling a house maintenance manual for me. A task this weekend was to
change the fridge water filter. John
calmly showed me the slightly tricky technique to get the filter in place and
commented that I’d remember the conversation in years to come. That brought on ‘a moment’, which led into
another as I was transported into the future, facing a solitary ‘moment’ with no
one to have the important cuddle with.
Things like that are scary.

Another consequence of our situation is insomnia. Neither of us sleep too well now, and feel
very pleased with ourselves if we wake in the morning having slept
through! So, a few random thoughts that
we deal with in the wee hours:

·
DON’T PUT THINGS OFF. I’m sure we’ve all heard of people who face
life-changing events that say ‘live life to the full’. We say ‘of course – good advice’, but then
carry on as normal. You have to face a
life-changing event to understand that statement and actually do something about
it.

·
We spend our lives being so busy with work. We get into the habit of saying ‘yes’ to
work, to the detriment of personal time, enjoyment and fun. It’s too easy to feel exhausted by the time
the weekend comes, and then spend time recovering and doing chores ready to
launch into the next week. We now say ‘no’
to work more, and don’t find reasons to not do fun things. That’s not to say that we don’t put in 100%
at work, but just less of it. John is
loving the freedom of not working full time and having fewer dreary
commitments. If possible give it a go –
it’s great!

·
Miserable, negative, needy people are
draining. Best avoided.

·
Was it Anthony Hopkins that said ‘no one is
getting out of here alive so you’d better enjoy it’? How right he was.

·
Be nice to each other. I now get very irritated when I see couples
arguing or being nasty to each other.
Have a cuddle – spread some love, and say ‘I love you’ more.

·
America is doomed. I’m afraid I’m lost for words when 17 innocent
lives are taken, and the argument from the US is that gun control won’t work, giving
an incomprehensible reason that ‘well you can kill someone with a pencil’. My fear is that their warped answer is to arm
teachers and students to defend themselves.
There is no hope for a country that has corrupt politicians funded with blood
money from the NRA. Thank the lord that
we are on the civilized side of the pond.
I will have to leave that (worryingly unwinnable) fight in the capable
hands of lovely Nicky Douglas – what a thankless task she has.

·
Holidays are great – the more the merrier!

·
Appreciate and respect nature.

·
In an utterly bizarre way, we sort of feel lucky
to know that we have a few years to live life to the full. It’s too easy to just tick along and put
things off for the future. You could
drop dead tomorrow and never get the chance to do all those things that you’ve
been putting off. Do it now.

·
Drink more red wine.

·
It’s too easy to feel the need to squirrel money
away for a rainy day. If the rainy day
comes don’t be afraid to spend it. Our
rainy day has come, so we’re going to put up a robust umbrella, don our bright
coloured wellies, and have great fun splashing in the puddles.



Another anniversary

November 2017 Posted on 21/11/2017 17:32

John’s last blog was to mark the first anniversary of his
diagnosis. Without wanting to have too many
anniversaries, today was another day of contemplation as it was the first
anniversary of his stage 4 diagnosis. We
didn’t want to ponder this for too long, so I took the day off and we headed
over to the coast for a good old walk along the beach at Southwold.

John continues to feel well, and is still kicking his heels
up not having to turn out to go to work on the dark mornings. Does he miss the daily grind? Not one bit!! He’s been busy enough just
enjoying doing ‘stuff’, catching up with projects and chores that have been
overlooked for a while, and not having to meet tedious deadlines. That said, he does now have a few bookings in
the diary: he’s doing some temp work in a couple of residential homes, and he
will be working this weekend at the Bury Christmas Fayre as a volunteer
steward. After attending the health and
safety briefing he was thrilled to hear that he has been allocated to marshal
the coaches! I’m hoping this new found
responsibility doesn’t go to his head, and he doesn’t cause mischief by
mis-directing the coaches or getting them to park at jaunty angles.

John has worked a couple of shifts already at local residential
homes. The first was as you’d expect –
decent home-cooked food, prepared in a professional kitchen. The second one was quite a contrast – he was
tasked with making a fruit salad and strawberry cheesecake. When given the ingredients he was not
impressed with being instructed to open 3 tins of fruit salad; chop and add a
pineapple; mix up 3 packets of strawberry Angel Delight and add some cream
cheese. I was very pleased that he did
these tasks and politely departed after an hour and a half. I don’t think there can be much pride or
reward in making up packet food, and in our opinion, the residents certainly
deserve better than that.

Other than continuing to take Metformin daily, and having
the 3-monthly hormone implant, John has no other medical interventions at
present. We do get quite anxious when
the 3-monthly consultant’s appointment comes along, as this is when we are told
what his PSA level is, and if any further treatment is needed or
recommended. As he’s feeling well at the
moment we put it to the back of our minds and crack on!



Phew – that’s another hurdle cleared

September 2017 Posted on 27/09/2017 18:09

This is a very overdue blog update from me. I have left the updates to John and must say
that I’ve been pretty impressed with him for keeping everyone up-to-date, which
I hadn’t expected.

I’m not going to apologise for saying that we have had a
bugger of a year – almost off the bugger scale.
October last year we were given John’s cancer diagnosis, followed by the
devastating news in November that the cancer is advanced and
life-limiting. Chemotherapy followed from
January to May which became debilitating as the sessions progressed, and then
the months of rebuilding strength and stamina levels which we perhaps weren’t
prepared for. John’s return to work was
more taxing and challenging than we had anticipated. John’s mum had heart surgery in April, which
went well, but she was taken ill and died suddenly in July from liver
cancer. We then cleared the family home in Canterbury
and it is now on the market. John’s
issues at work became more difficult, and as he said in his recent blog, he has
now left and is contemplating what he’d like to do to amuse himself in the
future.

John continues to have 3-monthly oncologist monitoring
appointments. He has had a few aches,
pains and general niggles recently, and we had convinced ourselves that we
would be faced with bad news at today’s appointment. This is very out of character for us as we
are usually positive and optimistic. The
relief we felt when we were told that his PSA level had actually fallen marginally
was difficult to describe. We had
probably put too much pressure on ourselves as we have a holiday booked and had
convinced ourselves that we’d need to cancel if the PSA level had shot up and
urgent treatment was required (stupid, in hindsight).

We have always been happy and content to spend time at home
when not at work, but with the events of the last year we have felt the need to
get away for (even if we say it ourselves) a well-deserved holiday. So tomorrow
we are off to the Maldives where we last visited 27 years ago for our
honeymoon. We intend to do very little
other than chill-out, read, swim, eat, and possibly partake in the odd
cocktail. Right – packing awaits!!

Honeymooners 27 years ago……



Cancer Patient Forum

May 2017 Posted on 06/05/2017 18:38

A month or so ago we
received an invitation from the West Suffolk Cancer Services User Group,
inviting us to attend a patient forum meeting. Accepting the invitation seemed
like a good idea at the time, but I must confess that it would have been easy
to find an excuse not to attend this morning (Saturday) on a precious day off.
Weekends are always busy fitting in chores etc, and enjoying some much
needed down-time just pottering. With no good reason to offer our
apologies, we duly went along to West Suffolk Hospital this morning, and joined
the other 60+ attendees who have all been affected by cancer, be it as a
sufferer or a partner/carer. John commented that it’s usually good to be
one of the youngest in the room; somehow today it wasn’t such a good feeling.
That said, although most people were older than us, there were a few that
were younger. We were unsure what to expect, but the agenda included
talks by our local MP Jo Churchill (or prospective MP as she needs to be
referred as prior to the General Election on 8th June) who shared her moving,
frank and personal experiences of her two cancer treatments, which prompted her
desire to enter politics to make a positive change to cancer services.
Another speaker was Dr Liz O’Riordan who is a local breast cancer surgeon, who
was also recently diagnosed with stage 3 breast cancer. She spoke eloquently
and honestly, with no notes or Powerpoint presentation, about her experiences from a patient’s perspective. Since
diagnosis Liz has documented her experiences on her website; writes a blog and
is an avid Twitter user. Gosh, I wish we had seen her website when John
was diagnosed in October. It was heartening to hear that many of Liz’s
observations and experiences mirrored ours, and her passion now is to educate
health care professionals so that the patient’s experience can be improved. It was such a relief to hear both Jo and Liz describing their memories of
their diagnosis so vividly, and how it affected them. They are both
clearly highly intelligent individuals, but they both experienced the same
complete shock and raw emotion that we did on hearing the news that no one
wants to hear. I’ve also been interested to hear that many people find it
helpful to keep a diary to document their thoughts. Doing so certainly
helped me when John was first diagnosed, as I would spend endless sleepless
hours going over and over events; scared that I would forget details or
important facts. Writing these feelings down helped me to not dwell on
things that had happened, and focus more on what was to come.
We were also given the opportunity this morning to speak
about our experiences of treatment that we have received (I can’t bear to call
it our ‘cancer journey’ which many people refer to it as). We were able
to speak about things which may appear petty and trivial, but other cancer
patients and health care professionals completely understand and recognise the lasting effect that some minor event or action can have. Such as: 1. Being told that you
have cancer, and then immediately being inundated with facts, figures and
options – going into shock and not being offered a glass of water or cup of tea
which you desperately need. 2. Being quickly ushered into an
adjoining room to have a chat with a nurse to allow the consultant to deliver
news to the couple that were in the queue behind you. 3. Within 30
minutes of diagnosis being provided with a stack of information leaflets which
are put into a black plastic wallet (the wallet of doom which I promptly burned
the next morning). 4. Within 30 minutes of diagnosis being given
information about your sex life during and after treatment (not at the
forefront of your mind at that time!). 5. Being told that there are
2 treatment options (surgery or radiotherapy), but there is no urgency to
decide which treatment to have, only to be told at the next appointment that
the cancer is advanced and there are no treatment options. 6. The
sheer brutality of being told that the cancer is advanced and the prognosis is
4 – 5 years. 7. Poor personal hygiene of consultants that cough
into their hand and then shake yours when you are vulnerable to infections when
having chemotherapy. 8. Reluctance to walk into the Macmillan
support unit due to the presence of a line of sinister looking mannequins
wearing dated wigs. 9. Eventually visiting the Macmillan support
unit (this morning) and focusing on a folder on a shelf marked ‘funeral
information’. These things may seem like a bit of a rant, but the
facilitators did seem genuinely keen to hear of patient’s and carer’s
experiences, and we are hopeful that they will be able to put in place some
changes to improve services in the future. Having said that, other than these
relatively minor points, the treatment that we have received has been
excellent.

So how is John now, 2 weeks
after his 6th chemo? He’s
doing well! He had aimed to start his
phased return to work last week, but fatigue got the better of him, and his
return has now been delayed to next week (all going well). His hair has started to regrow and it is coming back thick and brown/grey, replacing the colourless wiry mat that he’s had since January. We may not have mentioned, but another
side-effect of the chemo treatment is damage to finger nails which become
damaged, discoloured, and brittle. To
prove that he has now had 6 rounds of chemo you can count the lines on his
fingernails:

John has completed a
gardening project to lay membrane and bark chippings in our fruit garden. This has been a major task for him, and would
have been completed with far less effort and a lot quicker just a few months
ago, but it’s been a massive achievement for him to complete some manual work
outside.

Next week we have an
appointment with the interim oncologist consultant and we intend to go with a
list of questions. We are entering a
phase which makes many people anxious – treatment comes to an end and you are
left alone to think ‘what happens next’.

On Thursday we are attending
the Building Awards Dinner. Watch this
space for the results!



4th chemo session

March 2017 Posted on 09/03/2017 19:15

We have realised that we’ve been a bit remiss in not updating the blog in three weeks since the last chemo session. This can be taken as good news as all is going well; it’s business as usual, and we’re recognising the pattern of side effects and how John feels is consistent after each chemo session. If anything he is beginning to feel more tired for longer, but this is to be expected and does not give cause for concern. In the couple of days before a chemo session he feels almost back to normal. He continues to go to work and has managed to do some almost full days, much to the surprise of the medical team. In addition to the side-effects that we’ve mentioned before, he also now gets particularly dry hands and has found that he can’t operate his tablet without using a stylus. That’s a side effect that wouldn’t have been a problem just a few years ago. We have also noticed that the hairs on his legs are falling out, and he is getting a bit of a ‘steroid bloaty’ face. Or perhaps he’s just put on a little weight?
On Tuesday we had a meeting with the clinical oncolgy nurse, who is happy with how he is responding. The hospital has now recruited a second man to take part in the Metformin trial alongside John.
When we arrived at hospital today we thought we’d take a selfie to attach to the blog. We failed miserably, so John decided to produce a graph (oh, how he loves Excel) to show the progress of his falling PSA levels (1.36 today):
On Sunday we had friends (Ruth and Russell) visit us who also were given a cancer diagnosis in the same week as John. Being in contact with Ruth and Russell during treatment has been great moral support to us all. Russell has received aggressive treatment which has necessitated being fed via a stomach tube. He has been unable to eat a meal in almost 4 months, but is now gradually reintroducing some small items of food. John cooked a perfect lunch which Russell was able to eat, enjoy and appreciate the flavours which he has missed since his treatment started. It was quite a momentous occasion which we were honoured to be part of. Onwards and upwards for Russell’s recovery.
Ellie will be shaving her head on 17th March to raise funds for the My Wish charity at West Suffolk Hospital. She has already far exceeded her target and has currently raised £1500, so this will most likely go higher still when she shakes a donation bucket under her fellow student’s noses in the uni bar next week. Dan’s fundraising for Cancer Research has also raised over £1500 – fantastic totals for both charities. Thank you to everyone that has supported us so generously! xx
My news is that I left Huntingdonshire District council last week after 15 years. Friends and colleagues gave me a wonderful send-off, and I will miss them all enormously. I will not, however miss the 120 mile a day trip to get to-and-from work. I start my new post in Bury on Monday – just 8 miles from home which will be quite a treat. The job came just at the right time as work/life balance is now so important.



Half way there

February 2017 Posted on 16/02/2017 18:34

Today’s third chemo session went well with no delays or hitches. This week’s blood test results show the PSA level has come down to 1.88 which is great news.
So what do you do for 3 hours on a sunny day when having chemo….?
…..get carried away with the seed catalogue and order!



Two updates in one day

February 2017 Posted on 15/02/2017 12:02

Since the last chemo treatment John has been into work most days, and only stayed away when colleagues were suffering from colds, and one day when he felt pretty wiped out (the pattern shows that his energy levels dip 10 days after a chemo session). He has actually taken this week as annual leave, expecting to feel well in the week of the next chemo session. More blood tests were taken last week to monitor the effects of the Metformin clinical trial drugs. These results were good (neutrophil levels were 1.3 compared to .5 at the same stage 3 weeks ago, and PSA had reduced to 2.2), so he has been given a longer 3 month prescription. On Monday we had an appointment with Dr Rimmer who appeared happy with how John is tolerating the chemo and gave the go-ahead to ‘come in to be poisoned again’. More blood tests yesterday in readiness for the third chemo session tomorrow.
John’s initial investigations started in September last year, just as Steve Hewlett began his Monday afternoon Radio 4 PM interviews about his cancer diagnosis, treatment and participation in a clinical trial. At the time we had no idea how compulsive his honest, personal account of his treatment would become. It feels as if we have learned the cancer language with him. If you haven’t been following his account it really is worth a catch-up on iPlayer.
You may be aware that we are rather obsessed with wood, and much of our spare time is taken up with collecting, cutting, splitting, stacking and burning wood on the log boiler which heats the house and hot water. The wood is a free resource, but we also get paid an allowance from our lovely government for burning it (The Renewable Heat Incentive payment). This has really helped to achieve our aim of having a carbon-neutral house. Dealing with the log boiler is quite a time-consuming physical activity, so we have decided to install an air source heat pump (ASHP) which can take over when we don’t have the time or energy to use the log boiler. The ASHP is being fitted this week, and although it should be capable of heating the house just by extracting warmth from the air, it will require electricity so it won’t be as environmentally friendly as the log boiler. I suspect we will only use it when absolutely necessary.
Well, no blogs from us in over a week, and you get two in a day. John managed to post his just before me!



Second chemo + day 10

February 2017 Posted on 05/02/2017 16:29

10 days after the second round of chemo and John is already noticing a pattern to how he is feeling. In the week after chemo he feels good, with only a few side-effects such as slight fatigue, mouth tenderness, change in taste, and difficulty sleeping (probably due to the steroids which have to be taken alongside the chemo). He is still managing to go to work, although he did stay away at the beginning of the week as some work colleagues were suffering with colds. This would not usually be a problem, but it’s best to avoid anyone that may be infectious whilst he’s susceptible. Then at day 9 – 10 post chemo he seems to get very tired, and has a nap in the afternoon to recharge his batteries. It was at this stage after the first round of chemo that he had his hospital admission, so we are hopeful that we’ll avoid that this time around. We can only presume that his neutrophil levels have dropped again, along with his red blood cell count which will account for the fatigue. His appetite is not affected; perhaps if anything he has more of a liking for sweet foods which is unusual for him.
Today we took a drive over to the coast and had a short wander at Shotley Point overlooking the container port. It may have only been a short walk, but the bracing weather blew out the cobwebs and did us the power of good.

The Just Giving fundraising page continues to grow, and currently has reached over £1300 – amazing! Thank you to everyone that has supported us, and the charity so generously.



Hair today….

January 2017 Posted on 28/01/2017 14:45

We have been bowled over by the support and generosity of friends and family for the fundraising head shave. We thought that we had set an optimistic target of £500 to raise money for Cancer Research, but this was exceeded within just 8 hours. Amazing. Currently we have raised £940, and it would be fantastic if we could get to £1000. When we set up the Just Giving page on Wednesday we hadn’t set a date to do the deed, but as John’s hair continued to fall out at a great rate there seemed no reason to put it off any longer. So on Friday night Julie came with her clippers and in no time John and Dan looked ready to be enlisted into the army.
Many thanks to Julie for giving up her Friday evening, and for contributing to the fundraising. The Just Giving site is still open for donations if you would like to contribute.
Two days after the last chemo treatment and John is feeling a little weary, and the change in his taste has reoccurred, but other than that he’s doing well.
Thank you all for your support and best wishes.



2nd chemo session complete

January 2017 Posted on 26/01/2017 18:48

On Monday of this week we had an appointment with Dr Rimmer, the oncologist, to review the first chemo session and check blood results. It’s amazing to see that John’s neutrophil level has returned to normal (5) from .1 when he was admitted to hospital. This gave the go-ahead for chemo session number two which has today been completed without a hitch. It will be interesting to see how John feels and if the side effects take a similar pattern to the first 3-week session. This week he has felt fine, and has been into work each day. We have been told to expect the fatigue to become more pronounced as the treatment progresses, but we’ll wait to see as it is clear that everyone reacts differently.
We were told that he may experience ‘hair thinning’, and we had expected this to kick in perhaps after the third session. Last weekend his hair started to fall out well and truly, and has continued to do so this week. John has always had a good head of hair, and we are seeing that now with so much of it falling out. He’s decided that it will be best to shave it all off, and Dan has volunteered to support him in shaving his off too. This seems too good an opportunity to miss, so we have set up a Just Giving page to raise money for Cancer Research UK. We have been really touched by the generosity of friends and family already – thank you so much to all that have supported us so far.

It was John’s Birthday on 20th, but having just been discharged from hospital we decided that it wasn’t worth the risk eating out as his blood levels still left him susceptible to infection. But with good blood results on Monday we did go out for a belated Birthday celebration.

We are now home and keeping our fingers crossed that side-effects of chemo session number 2 will be mild and similar to the last session. We would like to avoid another 3-night stay in hospital. Two sessions down, four to go……



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