Monday and I am up making warm drinks for my partner before taking my vitals, which are today, spot on. I get up and get into my training kit before having breakfast and face timing my youngest grandson. With that done and my partner going off to the gym I read the meters and send my figures of and then head for the garage and the rowing machine. Its been three days since I last trained so I decide to get myself together to do an hours session. The garage is cold so I am well wrapped up as I start out at a gentle pace, by half way I am below standard by about a minutes rowing so pick up the pace and by the end I am comfortably beyond my target for an hour.
I record the session in my journal and then make myself lunch before taking a shower. All time consuming and energy using. I do some more research on my cancer treatment options. I read a research article in the March 25 Oncologist which has some interesting numbers in. I also discover there are suitability scales for cancer interventions. The Karnofsky Performance Status scale is a 10 to 100 scale whereas the Eastern Co-Operative Oncology Group and World Health Organisation Scale uses 0 to 4 Both basically are fitness scales used to judge if you are suitable for a trial. Of course age is a consideration. I also read a 2023 study in which the use of Luterium177 in conjunction with Enzulamide the most common combination as far as I can see in Thernostics, which appears to be what most private clinics offer. They took their data point at 20 months after treatment either with Enzalutamide or Enzalutamide plus Luterium 177, the problem was that by then they were left with only 39% and 20% of their sample sizes. So although the PSA free periods was longer in the mixed medication group the sample size was small. As I no longer respond to Enzalutamide any combination of treatments looks unpromising. It also looks as if most trails of new drugs rely on the same model of trial drug plus normal treatment versus normal treatment, mostly Enzalutamide. I am aware that a little knowledge is a dangerous thing but the impression I am getting is that access to drugs trials or other forms of treatment ( Thernostics) is either not quick nor cheap depending on who is delivering the intervention. Doxetaxel is the standard chemotherapy that I had at the start of my cancer treatment and is an option which I know all about. So I am much more clearer now than I was and need time to mull it all over, but in reality I have until the middle of the week to make a decision to take into next Tuesdays oncology review. He who made a pact with the devil should have a response from radiography and any other forms of treatment he was going to pursue. My hunch is from what he said last time is that he would push me towards a trail, I am not sure about that. I want to be proactive as soon as possible. I finish my reading for the day and start to draft the blog, which is interrupted by the Tesco delivery. There is intense unpacking and squirrelling before I return to the blog.
The evening descends and there is tea to eat and thinking to do while I watch trash TV and plan more Christmas preparations. One thing I need to think about is a “Christmas letter”. Normally I hate them but last year they proved useful so I might consider again this year. I’m hoping to get an early night and more thinking time tomorrow at least until the new poetry book I ordered comes.
