Well, this wasn't the best doctor visit we've ever had.
To cut to the chase, they basically said that the cancer is so widespread
throughout his skeleton that there's very little chance they can do anything
to help with the pain. They did order blood work and an MRI of the entire
spine, which is scheduled for all day Monday the 23rd. They also recommended
that he see a medical oncologist as soon as possible, so I'll need to fax
our PCP and request a referral.
Merle asked questions and learned that his bones are being disintegrated by
the cancer and will eventually start to fracture with movement. Of course,
the doctor would not even make a guess at how long he has to be mobile, let
alone live. All in all, it was a very somber, downbeat experience, and Merle
took it very hard. Please pray for him!
We're having problems with the HMO. They won't pay for Merle's ADD meds at
all, so the doctor is trying to get them to approve a generic substitute
that won't be as effective but will hopefully keep him functioning. They
will only pay for half the quantity that the doctor prescribed every 30 days
on his pain meds. There's no way we can afford to make up any differences,
so we REALLY need prayer on this one.
To top it off, we've received a letter from DCF saying that we now have too
much income (the disability of $1,612) - our food stamps are cancelled, and
that our income is $1,651 over the "Medicaid Medically Needy Level" (which
means that we have to have $0 income and be spending $39 a month to have
Medicaid??? That makes NO sense!) which requires monthly proof of "share of
cost of $1,651" effective 09/01/2004. We have NO idea what that means, but
are staying on the phone until we find out - in the meantime, please keep
praying that we can get the testing and the referral and the consultation
with an oncologist all accomplished before the 31st, just in case!
I wish I had the luxury of sitting all alone somewhere for a good long cry,
but that's not in the schedule, so please pray for me, too. God bless you
all for your concern and support.
Linda
PAUL KRAUSE - 19 Aug 2004 22:09 GMT
if your husband was in the service, try the veterans hosp. i wish you
all the best and i will pray for both of you.
Lorelei - 20 Aug 2004 01:03 GMT
> Well, this wasn't the best doctor visit we've ever had.
>
[quoted text clipped - 33 lines]
>
> Linda
Linda, first off, my deepest sympathy for all that you are going through.
Unfortunately, our social system is set up for unmarried, teenaged mothers
and their babies, not mature adults who have contributed throughout their
lives.
that aside, My husband, curt, has widespread mets to his bones. The
paragraph listing the affected bones was several inches long. I quit reading
after so many bones. He has been receiving Zometa infusions every month. It
takes 15 min by IV. He gets a bit sick afterwards but that passes. the first
time he got it he said it felt like ice water surging through his body, but
that has abated with time and repeated doses. It has HELPED with his bone
pain. He controls his pain with Vicodin (2-4 per day and Ibuprofen-if his
pain threshold wasn't so dang high. he may have been diagnosed at a curable
stage <sigh>) and Zometa Does show Some progress killing the prostate
cancer in the bones. Prostate cancer in the bone is a blastic cancer,
meaning that it doesn't so much "disintegrate" the bones as it "builds"
unstable bony areas that are prone to fracture. Zometa is supposed to slow
that process. Curt has had 8 doses of it now and will continue to for the
rest of his life.
About 3 months ago, Curt tripped in the shower on our S4's toys in the
tub/shower and he fell *hard*. I was scared to death that he had hurt
himself (he is self-employed in a physical job so we can't afford him to not
work, Child support doesn't care how we live as long as that adulterous
ex-wife gets her money). But thanks to the Zometa (I truly believe this) he
did not break anything!
Please look into this. Our cancer center (HHH , in Minnesota) has people to
help with all these things. Social workers to help with financial problems
(that is the main focus for a social worker in a hospital/clinic setting),
and other things to help both of you deal. I am surprised that you aren't
hooked into something like that.
My best thoughts to you.

Signature
Lori
Devoted wife of Curtis, Stage 4 Prostate cancer at age 40
PSA 865 Dec 30,2003
44 Feb 23,2004
17.3 Mar 15,2004
18.9 Apr 16, 2004
mets to bone and lymph
Lupron Q3months
Casodex 50 mg daily
http://community.webshots.com/user/lorismiller-date
MH - 20 Aug 2004 01:29 GMT
Dear Linda...
I'm so sorry to read of your news. But.... there *are* some treatments out
there that can help Merle deal with the bone problems and with the pain.
I've not experienced using hormones yet.... or the other things... so I'll
let those people who are more knowledgeable tell you about those.
It's a shame that the people who work all their lives cannot get help with
medical problems when they need it. Do talk to anyone you can find who
might be a resource. Contact agencies like Goodwill and Salvation Army and
Red Cross to see if they know of resources to refer you to for help with
medical costs and medications. There may be some resources out there that
you are just not aware of.... unfortunately, you will have to really work to
find them!
I know you want to *be strong* for your husband, but do remember to take
care of *you*, too. Perhaps you could have a cup of coffee and a talk with
a good friend... and unburden yourself of some of this sadness and worry?
Or could you talk with your pastor?
Again, I'm sorry the news was not better. But I have a feeling that with
the right treatments, Merle is going to be around for some time to come!
Hang in there!
And know that we are always here to listen and offer what support and advice
we can!
What state are you in??
Take care!
MikeH
> Well, this wasn't the best doctor visit we've ever had.
>
[quoted text clipped - 31 lines]
> but that's not in the schedule, so please pray for me, too. God bless you
> all for your concern and support.
David S. - 20 Aug 2004 02:47 GMT
Linda:
First, I am very sorry to hear of your plight. It really makes me angry
to hear the politicians talk about "the richest and most powerful nation on
earth..." when there is so much waste and people are in need.
I think you should try making some noise. Locally we have consumer
action reporters at all the network tv stations. Recently we had a child
where the HMO would not pay for his care because it was considered
experimental. That made the news and the next day this magnamimous for
profit bureacracy changed their mind and made a big todo about how they were
going to cover the child's care. Bastards. I watch the frickin ad's during
the evening news because they made so much profit last year that made the
news, so now they spend big bucks on ads to tell us how great they are.
Anyway, the system wants you to be stoic and fatalistic (and quiet).
Don't be. Fight them. This is a political year. Make use of that.
Contact the local party office and see if you can get some help from them.
Healthcare is sure an issue. Write to Ophra. No kidding. Put out a cry
for help and make the money men squirm. Check with the hospital social
service office to see what community resources are available. Time to get
off my soapbox. Sorry.
God bless you both and may He give you the strength to face this fight
and whatever future is in store for you. You both are certainly in my
prayers. You too Lorelei.
Thank you.
David S.
> Well, this wasn't the best doctor visit we've ever had.
>
[quoted text clipped - 33 lines]
>
> Linda
c palmer - 20 Aug 2004 06:42 GMT
hi linda - sorry that you got the bad news. merle is probably in shell
shock. and it sounds like you are trying to stay focused. may i offer
some suggestions on the financial side.
first, was merle ever in the military? he didn't have to retire, just
joined. a lot of men do not know that medical care is available to them
because they think they had to do their 20 years to get anything. that
is not true. medical care is available to anyone who served. it is
based on ability to pay and there is a good chance he wouldn't have to
pay anything.
second, each gov't agency has their own set of rules. you may not
qualify for one agency, but the next agency will exclude you disability
income and therefore you will qualify. there isn't one set of rules and
you have to beat on the doors to find which one will open.
third - local agencies - go to the different agencies - start with the
cancer society and explain what's going on and see which direction they
send you. they have a lot of info at the fingertips that may help.
fourth - called around and see who is doing clinical studies. these are
free and he will be given the latest drugs that are not on the open
market. he might be given a drug that could stop and reverse pca
completely. but you will have to seek out these trials.
fifth - each state is different on the rules on helping people. i use
to operate a business where the homeless washed their clothes. they
actually had papers given to them that had phone numbers, addresses, and
who to see in order to get what services. these people would tell me
what city or state had the best benefits.
sounds like the doctor dropped the news on you both like a sledge
hammer. for what it's worth, it doesn't happen over night. to give you
an example, my dad told me that the doctor had told him his body was
full of cancer. he was in his mid 80's. his psa was 288 at the time.
they gave him a lupron shot and he still was doing independent living
for years afterward, until he drove off and hit a tree which required
him to have care 24/7, but it wasn't due to the pca. my son and his
wife stayed with him during the whole time and even though he was in
bone pain, he had fallen out of his wheel chair (he had alheimers too)
he didn't break a bone once. and he was 92 when he died of a heart
attack.
merle should not go out and shop for a plot yet. he's got a lot more
living to do first.
hope this helps,
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
Alan Meyer - 20 Aug 2004 18:22 GMT
...
> fourth - called around and see who is doing clinical studies. these are
> free and he will be given the latest drugs that are not on the open
> market. he might be given a drug that could stop and reverse pca
> completely. but you will have to seek out these trials.
...
I can testify to that one. My treatment at a National
Cancer Institute clinical trial was first rate and totally
free.
In Merle's case, conventional treatment is only
going to be palliative anyway. It may be that there
is an experimental treatment that will help more.
Alan
J - 20 Aug 2004 18:55 GMT
> ...
> > fourth - called around and see who is doing clinical studies.
[quoted text clipped - 14 lines]
>
> Alan
Alan, I read their blog a month or so ago.
He's overweight but losing weight.
His ribs fracture from just lying down (which she was posting that he
does a lot due to other health reasons)..
He may well need /benefit from radiation therapy, depending on where
the mets are.
J - no expert
Steve Kramer - 23 Aug 2004 11:28 GMT
Count me in for several prayers!

Signature
Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
non illegitimi carborundum
> Well, this wasn't the best doctor visit we've ever had.
>
[quoted text clipped - 33 lines]
>
> Linda