You've read about the kind of year the FH has been having. You know how many times he has been admitted to hospital, and the upheavals we have been through. You have supported and encouraged, uplifted and upheld us through it all. Thank you.
In conjunction with the local surgery, we have been monitoring the PSA marker in his blood; this is all about prostate cancer now. The marker was high a year or more ago, and we saw a specialist, and decided to go for watchful waiting as a pathway. This has involved regular monitoring of the PSA through blood tests. The PSA has been rising, slowly, and the latest has risen quite drastically.
It doesn't mean that he HAS prostate cancer.
We have to think and pray carefully now, and be very sure of what WE want before we allow the doctors to force him into a pathway that he may not want to take. We have talked with our GP about the outcomes in the past, and the specialist was realistic with the FH's medical history, saying that he would be reluctant to treat it if it was cancer because of the impact the treatment might have on his health. He has no symptoms at all - the marker in the blood is the only indication, so there is no impact on his lifestyle whatsoever at the present time.
I am clear in my own mind about what I do not want: I do not want him mucked about with, poked, prodded and cut. I don't want a load of medication prescribed to treat something that may not be life threatening if those medications impact on the medications which keep him alive. I do not want his quality of life as it is now to deteriorate, for something that might not be a real threat to life. As the specialist said last year, plenty of old men die WITH prostate cancer, without actually dying FROM it. He has to think about the biopsy, as that carries a significant risk for someone like him. Does he really want to know, if there is no treatment available anyway?
The FH needs to consider what he wants now, and we all need to respect that. That is what is important, and I will be right behind him, whatever path he chooses. I need you guys behind me.