From my doctors nurse
I know you are aware of your rising PSA unfortunately. This means we will not go on with the Taxotere chemotherapy. Your bone scan and CT scan do show disease progression both in the lymph nodes in your abdomen/pelvis and in your clavicle area. The bone scan shows some worsening disease in the femurs and right tibia (the thigh bones and shin bone). Because these bones are large weight bearing bones, Dr. Gaynor would like you to have x-rays the day of your visit next week just to make sure you are not at risk of an impending fracture. You can come early before your appointment to get the x-rays done. I am canceling your chemo appointment but please still do blood work for the appointment. Dr. Gaynor will discuss starting another oral hormonal therapy called Enzalutamide-it works by inhibiting the testosterone in a different way than the Zytiga . It would be the same process to get the drug as the Zytiga was and you take 4 tablets daily just like the Zytiga ,except you don't have to be on prednisone with this medication. So don't take the steroids since we will not be giving you chemo.
So my job is to keep my head up and make sure as hell I do my part.
Happy Day
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