User:RHaworth/medhist

From Rhaworth

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(→2020: Nov 05)
 
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__NOTOC__
{|
{|
|-
|-
-
| || ||style="width: 18em;"| || PSA
+
| colspan="3" |
 +
=== 2010 ===
 +
| PSA
|-
|-
-
| colspan="2" | '''2010'''
+
| &#160; ||valign="top" style="width: 3.5em;"| Jun 15 ||colspan="3"| in St George's for esophageal pouch. No surgery but urine retention
|-
|-
-
| &#160; ||valign="top"| Jun 15 ||colspan="3"| in St George's for esophageal pouch. No surgery but urine retention
+
| || Jul 13 ||style="width: 18em;"| Foley catheter removed
-
|-
+
-
| || Jul 13 || Foley catheter removed
+
|-
|-
| || Aug 2  ||colspan="3"| St George's Urology clinic - referred for bone scan
| || Aug 2  ||colspan="3"| St George's Urology clinic - referred for bone scan
|-
|-
-
| || Aug 2  ||  ||colspan="2"| 489 &mu;g/L
+
| || Aug 2  ||  ||colspan="2"| '''489''' &mu;g/L PSA value
|-
|-
-
| ||valign="top"| Sep 8 ||colspan="3"| St George's Uro-Oncology clinic -<br/>first meeting
+
| ||valign="top"| Sep 8 ||colspan="3"| St George's Uro-Oncology clinic - first meeting
|-
|-
| ||valign="top"| Sep 13 ||colspan="3"| St George's Urology clinic - discharged [from pure urology clinic]
| ||valign="top"| Sep 13 ||colspan="3"| St George's Urology clinic - discharged [from pure urology clinic]
|-
|-
-
| || Sep 15 &nbsp; || Bone scan
+
| || Sep 15 || Bone scan
|-
|-
-
| ||valign="top"| Sep 22 ||colspan="3"| St George's Uro-Oncology clinic - metatstatic carcinoma confirmed
+
| ||valign="top"| Sep 22 ||colspan="3"| St George's Uro-Oncology clinic - metatstatic carcinoma '''confirmed''' - stages '''T3 N1 M1'''
|-
|-
| || Sep 22 ||  || || Cyproterone acetate for about two weeks
| || Sep 22 ||  || || Cyproterone acetate for about two weeks
|-
|-
-
| ||valign="top"| Sep 23 || St George's ENT clinic -<br/>agree no attempt at surgery
+
| ||valign="top"| Sep 23 ||colspan="3"| St George's ENT clinic - agree no attempt at surgery
|-
|-
| || Oct 6  ||  || || Prostap SR 3.75mg (one month)
| || Oct 6  ||  || || Prostap SR 3.75mg (one month)
Line 47: Line 48:
| || Dec 23 || Had a fall so no chemotherapy || || 3 &times; 8mg Dexamethasone (pre-op steroids)
| || Dec 23 || Had a fall so no chemotherapy || || 3 &times; 8mg Dexamethasone (pre-op steroids)
|-
|-
-
| colspan="2" | '''2011'''
+
| colspan="5" | &nbsp;<br/><nowiki>*1*</nowiki> On 2010 Dec 3 in addition to the three medications listed above, I took: 3 &times; 8mg Dexamethasone (pre-op steroids); winter flu jab; anti-emetic before chemotherapy; glucose drip ditto; saline drip after chemotherapy; Domperidone (anti-emetic) 20mg twice a day for a week - a total of nine different chemicals!<br/>&nbsp;
|-
|-
-
| ||valign="top"| Jan 10 ||colspan="3"| St George's ENT clinic -<br/>fall has not broken my nose. Improving air flow can be left to later
+
| colspan="3" |
 +
=== 2011 ===
 +
| PSA
 +
|-
 +
| ||valign="top"| Jan 10 ||colspan="3"| St George's ENT clinic - fall has not broken my nose. Improving air flow can be left to later
 +
|-
 +
| || Jan 26 ||  || 1.4
|-
|-
| ||valign="top"| Jan 28 || || || 3 &times; 8mg Dexamethasone<br/>Docetaxel 140mg<br/>Prednisolone 5mg twice a day
| ||valign="top"| Jan 28 || || || 3 &times; 8mg Dexamethasone<br/>Docetaxel 140mg<br/>Prednisolone 5mg twice a day
 +
|-
 +
| || Feb 16 ||  || 1.4
 +
|-
 +
| || Feb 18 || || || Docetaxel 140mg, etc. as Jan 28
 +
|-
 +
| || Feb 25 || || || Zoladex 10.8 mg (three months)
 +
|-
 +
| || Mar 9 ||  || 1.5
 +
|-
 +
| || Mar 11 || || || Docetaxel 140mg, etc. as Jan 28
 +
|-
 +
| || Mar 28 || || || Omeprazole 20mg per day
 +
|-
 +
| || Mar 30 ||  || 1.4
 +
|-
 +
| || Apr 1 || || || Docetaxel 140mg, etc. as Jan 28 (last)
 +
|-
 +
| || May 12 ||  || 0.87
 +
|-
 +
| || May 20 || || || Zoladex 10.8 mg (three months)
 +
|-
 +
| || May 30 ||colspan="3"| last Omeprazole - symptoms returned quite quickly
 +
|-
 +
| || Jun 27 || Endoscopy at Mayday
 +
|-
 +
| || Jun 28 || || || Omeprazole 20mg per day
 +
|-
 +
| || Aug 9 || || || Zoladex 10.8 mg (three months)
 +
|-
 +
| || Aug 11 || || 0.79
 +
|-
 +
| ||valign="top"| Aug 17 ||colspan="3"| See Laura Reid at Parkside. Have tried reducing Omeprazole dose to one every three days or so but symptoms return. So daily seems OK.
 +
|-
 +
| || Sep 25 || || || last Prednisolone (left over from chemotherapy)
 +
|-
 +
| || Nov 8 || || || Zoladex 10.8 mg (three months)
 +
|-
 +
| || Nov 9 || || 0.70
 +
|-
 +
| colspan="3" |
 +
=== 2012 ===
 +
| PSA
 +
|-
 +
| || Feb 3 || || 0.99 || Zoladex 10.8 mg
 +
|-
 +
| || Feb 23 ||colspan="3"| Bone scan and, Feb 27, CT scan
 +
|-
 +
| || Mar 27 || MRI scan
 +
|-
 +
| || Apr 13 || Ultrasound scan of liver || 0.79
 +
|-
 +
| || Apr 27 || || || Zoladex 10.8 mg
 +
|-
 +
| ||valign="top"| May 2 || Contrast-enhanced doppler ultrasound scan of liver || 0.95
 +
|-
 +
| || Jul 9 || || || Zoladex 10.8 mg
 +
|-
 +
| || Aug 21 || || 0.89
 +
|-
 +
| || Oct 1 || || || Zoladex 10.8 mg
 +
|-
 +
| || Nov 19 || || 1.1
 +
|-
 +
| colspan="5" | &nbsp;<br/>NB. Zoladex implants not recorded hereafter but continued at 12 week intervals<br/>&nbsp;
 +
|-
 +
| colspan="3" |
 +
=== 2013 ===
 +
| PSA
 +
|-
 +
| || Feb 14 || || 0.82
 +
|-
 +
| || May 13 ||colspan="2"| Lacquer for nail fungus on feet || Omicur 5%, 2 &times; 2.5ml
 +
|-
 +
| || May 22 || || 0.96 || was told Stampede Trial was over so switch to six monthly visits
 +
|-
 +
| || Jul 16 ||colspan="3"| ENT clinic at Mayday
 +
|-
 +
| || Sep 25 ||colspan="2"| Facial cellulitis || Flucloxacillin 28 &times; 500mg
 +
|-
 +
| || Nov 20 || || 1.4 || back to three month intervals
 +
|-
 +
| colspan="3" |
 +
=== 2014 ===
 +
| PSA
 +
|-
 +
| || Feb 5 || || 1.3
 +
|-
 +
| ||valign="top"| Feb 21 ||valign="top"| Prescribed on Jul 16 for nasal polyps || || Betamethasone 0.1%, 10ml<br/>Prednisolone 42 &times; 5mg
 +
|-
 +
| || Apr 9 || || 1.3
 +
|-
 +
| || Jul 8 || || 1.2
 +
|-
 +
| || Oct 1 || || 1.2
 +
|-
 +
| || Dec 29 || || 2.0
 +
|-
 +
| colspan="3" |
 +
=== 2015 ===
 +
| PSA
 +
|-
 +
| ||valign="top"| Jan 28 || Bone scan - no change since 2012 Feb 23 || 2.0
 +
|-
 +
| || Apr 01 || || 2.4
 +
|-
 +
| || Jul 01 || || 2.3
 +
|-
 +
| || Oct 07 || || 4.4
 +
|-
 +
| || Nov 5 || ||valign="top"| 3.7
 +
|-
 +
| || ||colspan='3'| Bone scan - possible minor progression since 2015 Jan. CT scan - no change whatsoever since 2013
 +
|-
 +
| colspan="3" |
 +
=== 2016 ===
 +
| PSA
 +
|-
 +
| || Feb 04 || || 4.5
 +
|-
 +
| || May 05 || || 8.2
 +
|-
 +
| ||valign="top"| May 26 ||colspan='3'| Bone scan. No change in bone but thickening of bladder wall detected.
 +
|-
 +
| || Jun 10 || CT scan || 5.4
 +
|-
 +
| || Oct 20 || || 7.6
 +
|-
 +
| || Nov 24 || || 9.2
|}
|}
 +
{|
 +
|-
 +
|colspan="3"|
 +
=== 2017 ===
 +
| PSA || Oncology || ENT
 +
|-
 +
| ||valign="top"| Jan 05 ||colspan='4'| CT scan: prostate - stable; something in lungs - probably just food particles
 +
|-
 +
| || Jan 13 || &nbsp; &nbsp; &nbsp; || 12.8 ||colspan="2"| projection to 489 - 2021 Mar 23
 +
|-
 +
| || Apr 26 || || 9.0  ||colspan="2"| projection to 489 - 2021 Sep 13
 +
|-
 +
| || Aug 02 || || 11.0 ||colspan="2"| projection to 489 - 2022 Jan 28
 +
|-
 +
| || Nov 02 || || 13.6 ||colspan="2"| projection to 489 - 2022 May 01
 +
|-
 +
| ||valign="top"| Nov 13 ||valign="top" colspan="3"| Shortness of breath || Salbutamol inhaler 200 &times; 100&mu;g<br/>Prednisolone 30mg &times; 5 days
 +
|-
 +
|colspan="3"|
 +
=== 2018 ===
 +
| PSA
 +
|-
 +
| || Feb 07 || || 17.7 ||colspan="2"| projection to 489 - 2022 Jun 09
 +
|-
 +
|colspan="4"| ||colspan="2"| Bicalutamide 10mg per day until further notice
 +
|-
 +
| || Feb    ||colspan="3"| Shortness of breath || Relieved at home with Salbutamol
 +
|-
 +
| || Mar 01 || || || || Spirometry at Parkside
 +
|-
 +
| || Mar 16 || || || || Saw Tunde Odutoye re pouch
 +
|-
 +
| || Mar 28 || || 7.6 ||colspan="2"| projection - restart!
 +
|-
 +
| || Apr 13 || || || || Barium swallow
 +
|-
 +
| || May&nbsp;31 || || || || Tunde Odutoye proposes stapling
 +
|-
 +
| || Jun 24 ||colspan="3"| Shortness of breath || St George's A&E
 +
|-
 +
| ||valign="top"| Jun 25 || || || || Amoxicillin 21 &times; 500mg<br>Budesonide / formoterol fumarate (DuoResp Spiromax) inhaler 120 doses<br/>Prednisolone 20mg &times; 5 days<br>Salbutamol inhaler 200 &times; 100&mu;g (for stock - still using inhaler from Nov 13)
 +
|-
 +
| || Jun 29 || || 6.4 ||
 +
|-
 +
| || Aug 29 || || || || Pre-op assesment for stapling
 +
|-
 +
| ||valign="top"| Sep 14 || || || || Pre-op treatment for MRSA:<br>Mupirocin 2% - in nose 3 times a day for 5 days<br>Chlorhexidine gluconate 4% in hair and body wash &times; 5 days
 +
|-
 +
| || Sep 19 || || 6.7 || || Endoscopic stapling of pharyngeal pouch - successful
 +
|-
 +
| || Sep 21 || || || || Mupirocin and chlorhexidine treatment (as above) to continue
 +
|-
 +
| || Oct 03 || || 4.8
 +
|-
 +
| || Dec 11 || || || || Spirometry at Parkside - no change since March
 +
|-
 +
|colspan="3"|
 +
=== 2019 ===
 +
| PSA || Oncology || ENT
 +
|-
 +
| || Jan 03 || || 4.3 ||colspan="2"| Testosterone < 0.4
 +
|-
 +
| || Jan 09 || || || || BP 120/85; HR 94; SPO<sub>2</sub> 95%
 +
|-
 +
| || Jan 09 || || ||colspan="2"| saw Clare Livings: prostate fine but breathing problems: chest X-ray
 +
|-
 +
| || || || || || Doxycycline 100mg &times; 7 days<br>Prednisolone 30mg &times; 7 days
 +
|-
 +
| || Apr 04 || || 5.9 ||
 +
|-
 +
| || May || || || || Prednisolone 10 mg daily (self-prescribed) from here
 +
|-
 +
| || Jul 03 || || 7.2 ||colspan="2"| Testosterone 0.4
 +
|-
 +
| || Jul 10 || || ||colspan="2"| saw Lucy Flanders: scans scheduled
 +
|-
 +
| || Jul 26 || || 6.7 ||colspan="2"| CT scan following MRI scan on Jul 24
 +
|-
 +
| || Oct 30 || || 8.9 ||
 +
|-
 +
|colspan="3"|
-
 
+
=== 2020 ===
-
<nowiki>*1*</nowiki> On 2010 Dec 3 in addition to the three medications listed above, I took: 3 &times; 8mg Dexamethasone (pre-op steroids); winter flu jab; anti-emetic before chemotherapy; glucose drip ditto; saline drip after chemotherapy; Domperidone (anti-emetic) 20mg twice a day for a week - a total of nine different chemicals!
+
| PSA || Oncology || ENT
 +
|-
 +
| || Jan 02 || || 10.6 ||
 +
|-
 +
| || Feb 14 || || 12.2 ||
 +
|-
 +
| || Mar 06 || || ||colspan='2'| CT scan - thorax, abdomen and pelvis with contrast
 +
|-
 +
| ||valign="top"| Apr 01 || || ||colspan='2'| phone consultation with Mehran Afshar - CT scan reports things a bit worse but wait 3 months
 +
|-
 +
| || May 12 || || 15.6 ||colspan="2"| Testosterone undetectable
 +
|-
 +
| || May 21 || || || || BP 111/61; HR 75
 +
|-
 +
| || May 23 || || ||colspan="2"| start abiraterone
 +
|-
 +
| || Jun 12 || || 15.7 || || BP 124/73; HR 74; 37.3&deg;C
 +
|-
 +
| || Jul 10 || || 16.3 || || BP 130/81; HR 91; 37.0&deg;C
 +
|-
 +
| || Aug 05 || || 20.0
 +
|-
 +
| || Aug 17 || || ||colspan="2"| Abiraterone abandoned. Start Enzalutamide
 +
|-
 +
| || Sep 01 || || ||colspan='2'| CT scan - thorax, abdomen and pelvis with contrast
 +
|-
 +
| || Sep 08 || || 10.9 || || BP 98/65; HR 76; 36.7&deg;C  (BP, etc. are Sep 18)
 +
|-
 +
| || Sep 21 || || 5.3
 +
|-
 +
| || Oct 02 || || 5.1
 +
|-
 +
| || Oct 30 || || 4.6 ||colspan='2'| Nov 05 - continue Zoladex and Enzalutamide but can stop Bicalutamide
 +
|}
&nbsp;
&nbsp;

Current revision as of 16:20, 5 November 2020

2010

PSA
  Jun 15 in St George's for esophageal pouch. No surgery but urine retention
Jul 13 Foley catheter removed
Aug 2 St George's Urology clinic - referred for bone scan
Aug 2 489 μg/L PSA value
Sep 8 St George's Uro-Oncology clinic - first meeting
Sep 13 St George's Urology clinic - discharged [from pure urology clinic]
Sep 15 Bone scan
Sep 22 St George's Uro-Oncology clinic - metatstatic carcinoma confirmed - stages T3 N1 M1
Sep 22 Cyproterone acetate for about two weeks
Sep 23 St George's ENT clinic - agree no attempt at surgery
Oct 6 Prostap SR 3.75mg (one month)
Oct 27 Sign-up for STAMPEDE
Oct 27 11.1
Nov 2 Zoladex 3.6 mg (one month)
Nov 11 5.7
Nov 12 Docetaxel 140mg
Prednisolone 5mg twice a day
Dec 1 Waited two hours for non-administration of Zoladex
Dec 1 4.6
Dec 3 Zoladex 10.8 mg (three months)
Docetaxel 140mg     *1*
Prednisolone 5mg twice a day
Dec 21 3.3
Dec 23 Had a fall so no chemotherapy 3 × 8mg Dexamethasone (pre-op steroids)
 
*1* On 2010 Dec 3 in addition to the three medications listed above, I took: 3 × 8mg Dexamethasone (pre-op steroids); winter flu jab; anti-emetic before chemotherapy; glucose drip ditto; saline drip after chemotherapy; Domperidone (anti-emetic) 20mg twice a day for a week - a total of nine different chemicals!
 

2011

PSA
Jan 10 St George's ENT clinic - fall has not broken my nose. Improving air flow can be left to later
Jan 26 1.4
Jan 28 3 × 8mg Dexamethasone
Docetaxel 140mg
Prednisolone 5mg twice a day
Feb 16 1.4
Feb 18 Docetaxel 140mg, etc. as Jan 28
Feb 25 Zoladex 10.8 mg (three months)
Mar 9 1.5
Mar 11 Docetaxel 140mg, etc. as Jan 28
Mar 28 Omeprazole 20mg per day
Mar 30 1.4
Apr 1 Docetaxel 140mg, etc. as Jan 28 (last)
May 12 0.87
May 20 Zoladex 10.8 mg (three months)
May 30 last Omeprazole - symptoms returned quite quickly
Jun 27 Endoscopy at Mayday
Jun 28 Omeprazole 20mg per day
Aug 9 Zoladex 10.8 mg (three months)
Aug 11 0.79
Aug 17 See Laura Reid at Parkside. Have tried reducing Omeprazole dose to one every three days or so but symptoms return. So daily seems OK.
Sep 25 last Prednisolone (left over from chemotherapy)
Nov 8 Zoladex 10.8 mg (three months)
Nov 9 0.70

2012

PSA
Feb 3 0.99 Zoladex 10.8 mg
Feb 23 Bone scan and, Feb 27, CT scan
Mar 27 MRI scan
Apr 13 Ultrasound scan of liver 0.79
Apr 27 Zoladex 10.8 mg
May 2 Contrast-enhanced doppler ultrasound scan of liver 0.95
Jul 9 Zoladex 10.8 mg
Aug 21 0.89
Oct 1 Zoladex 10.8 mg
Nov 19 1.1
 
NB. Zoladex implants not recorded hereafter but continued at 12 week intervals
 

2013

PSA
Feb 14 0.82
May 13 Lacquer for nail fungus on feet Omicur 5%, 2 × 2.5ml
May 22 0.96 was told Stampede Trial was over so switch to six monthly visits
Jul 16 ENT clinic at Mayday
Sep 25 Facial cellulitis Flucloxacillin 28 × 500mg
Nov 20 1.4 back to three month intervals

2014

PSA
Feb 5 1.3
Feb 21 Prescribed on Jul 16 for nasal polyps Betamethasone 0.1%, 10ml
Prednisolone 42 × 5mg
Apr 9 1.3
Jul 8 1.2
Oct 1 1.2
Dec 29 2.0

2015

PSA
Jan 28 Bone scan - no change since 2012 Feb 23 2.0
Apr 01 2.4
Jul 01 2.3
Oct 07 4.4
Nov 5 3.7
Bone scan - possible minor progression since 2015 Jan. CT scan - no change whatsoever since 2013

2016

PSA
Feb 04 4.5
May 05 8.2
May 26 Bone scan. No change in bone but thickening of bladder wall detected.
Jun 10 CT scan 5.4
Oct 20 7.6
Nov 24 9.2

2017

PSA Oncology ENT
Jan 05 CT scan: prostate - stable; something in lungs - probably just food particles
Jan 13       12.8 projection to 489 - 2021 Mar 23
Apr 26 9.0 projection to 489 - 2021 Sep 13
Aug 02 11.0 projection to 489 - 2022 Jan 28
Nov 02 13.6 projection to 489 - 2022 May 01
Nov 13 Shortness of breath Salbutamol inhaler 200 × 100μg
Prednisolone 30mg × 5 days

2018

PSA
Feb 07 17.7 projection to 489 - 2022 Jun 09
Bicalutamide 10mg per day until further notice
Feb Shortness of breath Relieved at home with Salbutamol
Mar 01 Spirometry at Parkside
Mar 16 Saw Tunde Odutoye re pouch
Mar 28 7.6 projection - restart!
Apr 13 Barium swallow
May 31 Tunde Odutoye proposes stapling
Jun 24 Shortness of breath St George's A&E
Jun 25 Amoxicillin 21 × 500mg
Budesonide / formoterol fumarate (DuoResp Spiromax) inhaler 120 doses
Prednisolone 20mg × 5 days
Salbutamol inhaler 200 × 100μg (for stock - still using inhaler from Nov 13)
Jun 29 6.4
Aug 29 Pre-op assesment for stapling
Sep 14 Pre-op treatment for MRSA:
Mupirocin 2% - in nose 3 times a day for 5 days
Chlorhexidine gluconate 4% in hair and body wash × 5 days
Sep 19 6.7 Endoscopic stapling of pharyngeal pouch - successful
Sep 21 Mupirocin and chlorhexidine treatment (as above) to continue
Oct 03 4.8
Dec 11 Spirometry at Parkside - no change since March

2019

PSA Oncology ENT
Jan 03 4.3 Testosterone < 0.4
Jan 09 BP 120/85; HR 94; SPO2 95%
Jan 09 saw Clare Livings: prostate fine but breathing problems: chest X-ray
Doxycycline 100mg × 7 days
Prednisolone 30mg × 7 days
Apr 04 5.9
May Prednisolone 10 mg daily (self-prescribed) from here
Jul 03 7.2 Testosterone 0.4
Jul 10 saw Lucy Flanders: scans scheduled
Jul 26 6.7 CT scan following MRI scan on Jul 24
Oct 30 8.9

2020

PSA Oncology ENT
Jan 02 10.6
Feb 14 12.2
Mar 06 CT scan - thorax, abdomen and pelvis with contrast
Apr 01 phone consultation with Mehran Afshar - CT scan reports things a bit worse but wait 3 months
May 12 15.6 Testosterone undetectable
May 21 BP 111/61; HR 75
May 23 start abiraterone
Jun 12 15.7 BP 124/73; HR 74; 37.3°C
Jul 10 16.3 BP 130/81; HR 91; 37.0°C
Aug 05 20.0
Aug 17 Abiraterone abandoned. Start Enzalutamide
Sep 01 CT scan - thorax, abdomen and pelvis with contrast
Sep 08 10.9 BP 98/65; HR 76; 36.7°C (BP, etc. are Sep 18)
Sep 21 5.3
Oct 02 5.1
Oct 30 4.6 Nov 05 - continue Zoladex and Enzalutamide but can stop Bicalutamide

 

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