Biopsy And Results

Yes, I had planned on writing about the biopsy done on January 7th separately, but I just couldn't, and then all hell broke loose, and things kept happening, one after the other, so here we are.

The Biopsy

We were escorted into the office, and my husband removed his pants and laid on his side. I stood next to him to hold his hand (more for me than him) and before the Urologist came in, the technician gave my husband an injection of antibiotics. The Urologist came in and explained that he would be taking 8 samples from various areas of the prostate using a spring loaded "gun" aided by a sonogram. The sonogram apparatus can best be described as a long thin dildo-looking thing about 1 inch in circumference. It was covered with a condom, and inserted into my husband's rectum. It wasn't uncomfortable for my husband, but that was just the beginning. Once a sonogram was taken, the Urologist said he would be injecting medication to numb the area. Keep in mind that because I was standing, I got to see all the implements used, and when I saw the needle that was being used (long and thick) I got more than a little nervous. I realized the length was so the area could be reached, but he kept withdrawing and injecting in different areas of the prostate. Honestly, the little bit of blood wasn't disturbing. A speck at the most. I was fine, and my husband barely reacted.

Then it was time for the biopsy. There was a slight "click" sound as it took a piece.  The Urologist handed the "gun" containing the sample to the technician, who was to put the sample on a slide. Unfortunately, it only wound up partly on the slide, and I saw it. It could best be described as a thin worm-looking thing, maybe a half inch long.  I started to feel a little sick when I watched the technician struggle to get the sample on the slide. In the meantime, the Urologist took another sample with a "click" and this time, it went on the slide properly. Just as the Urologist was about to take the third sample, I got really lightheaded, so I asked my husband how he was doing, and when he reassured me he was okay, I told him I was going to sit down. I didn't need to pass out watching this. After it was all done, and the sonogram apparatus was removed, and it was covered in blood. Honestly, I was more disturbed by the actual samples than I was by the blood. Later, after he was cleaned up and ready to go, I asked my husband what it was like. He said it felt like an impacted bowel movement going slowly through his intestines. OUCH! His followup appointment was set for January 25th already, so we left.

All Hell Breaking Loose

I was in the early stages of what I later called "the cold from hell." It lasted 3 weeks, and even though it's gone, I'm still coughing. My husband developed gastrointestinal pain, and I wound up taking him to the local ER on Wednesday night. He was diagnosed with gastritis and sent home. By Friday, it had gotten so bad that I took him back, and he was admitted for observation and tests.  He stayed there until Monday afternoon, and received a diagnosis for stomach ulcers. I have very mixed feelings. Yes, it's nice to know what is wrong, but what is wrong isn't exactly minor either.  The good thing is that the new meds prescribed has made his life a little easier. So, while all this has been going on, my husband has watched everyone but the most necessary personnel in his office get laid off. His place of employment is going out of business, so both of us have been waiting for the other shoe to drop. When? Who knows? but this has become yet another reason for me to worry.

A Much-Needed Respite

On MLK day, I was picked up for a planned trip, and I spent Tuesday, Wednesday, and Thursday at the Disneyland Resort. Specifically, Disneyland on Tuesday and Thursday, and California Adventure on Wednesday. I even stayed at Disney's Grand Californian Hotel & Spa on Tuesday and Wednesday night, PLUS I had breakfast at Storyteller's Cafe with ALL the characters on Wednesday morning. I was treated to some wonderful meals throughout my visit, and thanks to early admission and Fastpass, I never spent more than 30 minutes in line for any attraction. I was treated like a Queen, and I am extremely grateful for it. It was a welcome respite planned out over a month ago, and in anticipation of the Urology appointment and subsequent unknowns I would be facing as a result of the appointment. I am so glad I went with my Girlfriend.
 

Results And ???

I arrived home late Thursday night, and I struggled to fall asleep.  When my husband called to wake me, I rushed and was ready to go. He offered to drive, so I relaxed a little on the way. Kind of knowing, and kind of dreading, worrying about possible treatments. Honestly, when the Urologist gently told us it was aggressive prostate cancer, we were both completely unsurprised. I sent the following text to a few close friends and Family:
No surprise. Aggressive prostate cancer. Now they need to do a bone scan and another pelvic MRI.  Apparently, there was cancer in all 8 areas where the biopsy was taken. This is a really slow process.

 I understand it looks rather short, but it was just intended to share information. Right now, it's all I know. I don't have many answers. I wish I did, because I keep getting questions from concerned friends that I can't answer. Well, actually it's not all I know, so I will share the rest:

About 20 years ago, my Husband had a slightly high PSA result.  his doctor at the time did a digital rectal exam, and said it felt fine. No followups were ever done. The Urologist theorized that it was the early stage of prostate cancer, so 20 years of untreated prostate cancer is what we are now facing. That is why it is so aggressive. It's been growing undetected and untreated for 20 years.

THAT was a shock!

The Urologist ordered the other tests (bone scan and another pelvic MRI) to determine if it has metastasized (spread) to the bones or affected the lymph system. We're waiting on referrals for those tests before they can be done.

Really, it's been the stress of "hurry up and wait" that's eating at the both of us.


Oh, and when we got home, we found out that the General Manager at my husband's job resigned. It's hard to watch this, and know that my husband won't have a job much longer.

So now... I have told you everything I know.

AND... 

We wait.

What The Urologist Said

First, an apology. Christmas and the New Year ate up my time, but as you will soon discover, maybe it's better this way.

So, here it was, one week and one day after Thanksgiving, and on the drive to the Urologist, my inner child was upset.  She asked difficult questions and cried as I tried to focus on driving, and let me tell you, driving and crying isn't a good mix.. One inside the Urologist's office, my husband and I tried to make light conversation, but my gut was tied up in knots. My gut is rarely wrong. The whole "What if?" litany of questions went through my head.

It reminded me of when I had to deal with my mother's breast cancer.  We knew something was up, because there were so many tests done to her, so we agreed in advance to "Hope for the best, and Plan for the worst." So when Mom was actually told, we looked at each other, smiled, and scheduled the surgery. A full-on mastectomy, because we didn't want to take our chances.

And here I was, sitting in the Urologists office, and reminding myself to hope for the best, and plan for the worst, but knowing that I saw the invisible sign on the door 'Abandon hope, all ye who enter here.'

I just don't know how doctors do it. He walked in, smiled, said hello, and then went over how MRI's of the prostate are graded. For a brief moment, I relaxed. Then he went on to explain what each "grade" meant.  He looked at my husband, and said "Yours is a grade 5."

Taken from Prostate Cancer Research Institute (https://pcri.org/whats-new-in-prostate-cancer-a-clinical-perspective/):
"The radiologist reading the MRI images of the prostate assigns a score on a 5 point scale to express the probability of high grade, aggressive cancer being present. If the score is 5/5, the possibility of an aggressive tumor is > 90%."

Yes, I bolded the possibility of an aggressive tumor just to show that I'm not overreacting.

We looked at each other and then the Urologist and asked "What's next?" He told us a biopsy had to be scheduled along with a followup in two weeks minimum, and he sent us to the clerk. As we waited, my husband said, "Well, we shouldn't be too surprised. After all, I smoked for 40 years."  My thought was something I won't write here.

Scheduling was a bitch! Between my husband's work schedule, the Urologist going on vacation, and the upcoming holidays, the soonest that a biopsy could be scheduled was January 7th in the late afternoon. That's Monday. 5 weeks ad 3 days after the MRI results were given to us. Did I mention how anxiety provoking that is? Then we wait until the 25th in the morning, which will mean that by the time we have any definite answers we will have been in this hellish limbo for 8 weeks. Honestly, I just want answers so I can plan accordingly.

Do I sound heartless and uncaring? Do I sound selfish? I don't mean to. The truth is I'm afraid. Afraid of being without my husband. Afraid of the decisions that will have to be made.

For now, I wait...