The Meno Medical Journal

The Meno Medical Journal LEGO fan magazine editor, Disney fan, now documenting my cancer treatment. All thoughts and opinions are mine and may change as more information is learned.

So I have been quiet - been a bit busy and I have been lax to write. Well, lax and tired.In the past couple of weeks, I ...
10/19/2025

So I have been quiet - been a bit busy and I have been lax to write. Well, lax and tired.

In the past couple of weeks, I got two treatments and went on a trip. The treatments were between the trip, so thankfully there wasn't any bad things that happened on the trip.

The first treatment was a radiation treatment for my lower back to try to ease some pain there. It was done the week before the trip and while it hit my lower back, it also went through my digestive system. My stomach went really delicate for a few days, with me feeling a generally yucky feeling (think bad butterflies and gas) for a couple of days. I recovered from that a couple of days before the trip.

The trip was great! And apparently I had enough endorhins to make it through with little ill effects while traveling. When I got back though, my body wound down BIG time. I was generally sore all over...which led to my second treatment.

I had an appointment to a new place this past Tuesday. This was a referral from Kaiser, and was to Virginia Cancer Speci...
09/22/2025

I had an appointment to a new place this past Tuesday. This was a referral from Kaiser, and was to Virginia Cancer Specialists, located in Fairfax, VA.

This appointment was to set up a new treatment regimen using a radioactive IV drug called Pluvicto. The real name is lutetium Lu177 vipivotide tetraxetan and it is made by Novartis.

My treatments to date have been a mixed bag, from having a great start with a set of pills dropping the original PSA (prostate cancer indicator) from 1000+ to ~20 over several months, to the current less than successful pills and chemo. My PSA has risen to 150 now.

The rise in PSA did slow a little with the new pills, which is a good thing. However, the PSA need to drop below 3.5 for my cancer to enter remission. It's always going to be around, so the idea is to suppress the cancer so it doesn't spread any more than it has.

The VCS office is a pretty nice facility and I got a chat with the doctor who will be treating me. He gave a good briefing on what i was getting and what to expect. He also gave us (my sis and dad were with me) a good status report on my condition.

Using a PET scan, the doc showed my cancer started at the prostate and initially spread to the vertebrae, where it created lesions that affected the nerves to my left leg. From there, the cancer also spread to some other parts of my body, including some bones (ribs and scapula) and a little in my lymph (I think). Thankfully, these were small growths that haven't had much activity.

The backbone lesions were hit with radiation last year, so are for the most part gone. There is a part of my back that still has lesions so the doc recommended another cancer zap there to take care of my pain.

After that, the discussion turned to the Pluvicto. Simply put, the drug is an IV drug that is given through intravenous drip into the bloodstream. The drug homes in on the cancer cells and then releases a radioactive material to destroy the cancer cell.

Yes, I am being nuked.

The neat thing is that the drug is a lot like the contrast that is used to view the cancer on a PET scan - it knows where to locate the cancer, so this is like a sniper. My pills were like that, but the cancer eventually adapted away from the targets the pills were directed to shoot. This time, it's a little more precise and definite.

That's not to say it will be completely accurate. Side effects were explained, and it turns out that salivary glands have cells that resemble the cancer cells, so an effect might be getting a dry mouth. Beside that, there are the usual possible other side effects - nausea, digestive issues, etc. I have been fortunate in that the only things that happened to me so far have been fatigue and hair falling out. I have had some digestive issues (constipation) but nothing really truly awful.

I will be getting IVs every six weeks with this. The IV itself only takes about a half-hour, and is safe enough for me to get treated on my own (don't need a driver for the return trip)

What is interesting about this treatment is that it's radioactive, so I'm radioactive. As such I have to be careful about myself for three days after I get treated. I have to be mindful of others and keep a distance. At home, I have to keep my stuff safe from everyone else.

No word on if I can get superpowers from this. I know I won't glow though.

Another funny thing is that I got a package for getting treated with Pluvicto...

I usually don’t share media (mainly because im lazy), but this clip is fascinating and relevant to what’s up with me.
09/21/2025

I usually don’t share media (mainly because im lazy), but this clip is fascinating and relevant to what’s up with me.

Another update!I had my video appointment with my oncologist this past Wednesday. With Kaiser, their appointments are ge...
08/30/2025

Another update!

I had my video appointment with my oncologist this past Wednesday. With Kaiser, their appointments are generally short - as a managed health organization, they work to be as efficient as possible. This can come across to the patient as being a little like cattle - show up at a time, and go at a fast clip with whatever procedure needs to be done. Being early often means being treated as quick as arrival. But if an appointment is 15 minutes, it’s 15 minutes.

My oncologist is a person that is very matter-of-fact, but not negative. She wille explain what is up and what can be done - if there are options, she will point out the pros and cons to them to help me make a decision. There’s a lot of information that comes out during this time, so I usually have a question or two about things.

This particular time, the important piece of information is that my cancer indcator (PSA) went up again, even with the chemo. The chemo didn’t work, or the bull went through the china shop and didn’t get the right stuff. This wasn’t completely unexpected - the chemo was done not only to try to stop the cancer, but also to get a referral for a radiation treatment. The prerequisite for the radiation was doing some chemo beforehand. My infusions were all cancelled.

The new options are radiation treatment and another pill. This one (Lynparza) is what is called a PARP inhibitor. PARP is a protein that helps repair DNA damage in cells, so drug is used to stop cancer cell repair. However, it will also stop normal cell repair.

The radiation treatment (Pluvicto) is not a zap, but an infusion of an agent that homes in on the cancer then releases radiation to kill it. It will be like my first chemo ifusion, but a shorter session, I think.

Because the drug is a special order drug, it will take several days for the pharmacy to get it. The appoint schedule for the radiation will tae longer, so what will be happening is that I get the Lynparza first and take it while arranging a treatment schedule for the Pluvicto.

I am still receiving injections for inhibiting my testosterone and for improving my bone mass. For my pain in my leg and back, I still take oxycodone.

The funny thing is, since everything with cancer treatment is in process, I am on a sort of hiatus. I now have some time to heal. Kinda wierd having nothing planned or on a regimen.

Right now, I just want to rest and do some fun things.

This a long recap of the past couple of weeks:Life is so strange sometimes.Last year at this time, I was starting to get...
08/26/2025

This a long recap of the past couple of weeks:

Life is so strange sometimes.

Last year at this time, I was starting to get on the road to recovery from my cancer. I was diagnosed in February of 2024 with Stage IV prostate cancer, and got radiation and come chemo - at that point, pills and directed radiation. By August, the radiation was done and I was just taking pills and geting infusions for hormone therapy.

The road got a little more bumpy this year, with the cancer becoming resistant to the pills. Turns out the cancer had produced enough variants of itself to find a version that was able to bypass the drugs. I went from cancer indicator of 3000 (otherwise known as you should be dead) to 20, with a goal of reaching below 3. By spring of this year, though, the number was rising slowly but steadily. A change in drug to a stronger one turned out to have little to no effect, so I was moved to an infusion, of which I completed my first one just over a couple of weeks ago.

To make it easier to administer the infusion, I got a port inserted - it’s an implanted catheter that makes it easier to infuse. The normal method of infusion is by IV, which is good for relatively quick things (I get an infusion for a drug to help keep my bone mass using an IV). For a 2-hour infusion that has to be done on a three week cycle, though, an IV that constantly has to be redone is not a solution. A port makes it easier by providing an easy target to put a neeedle in - it’s a raised implant, and it directly goes to a vein.

The infusion experience is relatively painless - the area is numbed with an ice pack, and the needle is then inserted. It’s not even a bug bite. And then after the saline is pumped thorug and med is prepped, it’s added slowly for the next two hours. During hat time you can read or do sitting stuff. I did some reading and thought about sketching.

Afterward, the needle is removed, some cleanup is done, and I wa out and taken home by my sister. Since I took some drugs beforehand, I cannot drive. I also was prescribed some drugs for pain and antinausea.

Fortunately, I didn’t nausea. But I did quite a few other side effects. The chemo this time wasn’t an elegant specific cell killer, but more of a carpet bomb. I felt it too once all the pretreatmet drugs wore off. All the areas that I had discomfort (my left leg and back) got elevated to pain. And there were a few other places that had pin, but nothing on the level of the leg.

It took me about a week to work through the pain, and while the pain was elevated, it wasn’t enough to do things. It was enough to stop me from wanting to do things, though. The steroid I was given for relief during this time also affected my emotional state. There was a lot of bodily and spiritual fatigue I had.

My sense of taste also changed. Most of the foods I loved to eat lost their taste to make way for a general bitter taste. Salt was enhanced. And my appetite dropped. My blood sugar checks became inaccurate because of the steriod - and they were now reading low. My digestive system went wonky, including elimination…the less said the better.

The worst thing for me was the lack of motivation. I had a wall of apathy to climb or bypass to actually do anything, and that wall was formidable. If I wanted to do something, there was almost always an excuse put in place to not do it. Sometimes it was annoying, other times, it was frustrating. Drawing was put on pause because I didn’t know what to draw (when I could just doodle) and I also didn’t know when I would run out of energy. Quick sketches became the thing I did. My desk gathered clutter because I couldn’t focus long enough to clean.

Thing came to a head when I got upset at the dogs for waking me up one morning. They usually do this, and in a morning, they ususally wake me every hour on the hour to go out for one reason or another. Elvis (the big guy), will tap me with his paw until I get up. Rosie (one of the two lil pups) will bark loudly until I get up. Bubba will sneeze/bark to get my attention. They all want out at the same time, so it isn’t a big deal most of the time. But this day, Elvis got me up up at 6 am, then they all wanted out at 7 am, then 8 am, then 9 am. I got a bit upset at that point because I wasn’t getting any rest. My sister noticed and closed my room off from the pups for the rest of the morning, and I got some sleep. I don’t know if it was the lack of sleep or the steroid that got me, but it was unusual for me to get that rankled.

After a week, things started wearing off. The pain was going down, and my appetite was beginning to return. I still spent a lot time resting. 10 days later, I was able to got out and about. And by the two week mark, I was pretty much back to a sorta normal.

Then my hair fell out.

As Roseanne Roseannadanna said, “It’s always something.”

So it takes me two weeks to work through a treatment. I get treatments every three weeks. I don’t know for how long, I will be doing these, as these were done so I could get more radiation treatment. At least now I know what to expect, and I feel better about that. That’s good, becase I get another treatment this week.

It’s always something.

I made it through my first chemo infusion.Chemo sucks.It took me about ten days to ride out the effects, which included ...
08/23/2025

I made it through my first chemo infusion.

Chemo sucks.

It took me about ten days to ride out the effects, which included stomach distress, pain in my legs (moreso than usual), constipation, and fatigue.

I didn’t get nausea, and my hair started falling out only this week.

The worst thing about all of this for me was the fatigue and general lack of motivation. I don’t like being a lump on the couch, but my body had other ideas. Made for frustrating days.

I am now taking prednisone, which has affected my blood sugar readings. Initially, the numbers went very high for a couple of days, then they went back to normal numbers, or so i thought. Turns out the false readings are always high, so my actual readings were low..low enough for me to feel it. My appetite dropped during this time, and my sense of taste went wonky, which made me want to eat less. To deal with this, i went to an ‘eat everything’ approach - i need calories. I already take vitamins and a couple of supplements, but i need to get some solid food.

While i was figuring this out, i was testing foods out to see what i still liked. Most of the fast food i like isn’t great anymore. Salads aren’t great either. Tacos are now awful. Same with steak sandwiches. I now drink probiotic sodas and clear sodas.

The chemo acted like a bull tearing through a china shop, with my body being the shop. Not fun.

But the first one is done. Next one is next Thursday, and i get to talk with the doc on Wednesday.

Joe-Luc Picard?Lex Luthor?Mr Clean?Nah, just me in my new no-hair do!
08/20/2025

Joe-Luc Picard?
Lex Luthor?
Mr Clean?

Nah, just me in my new no-hair do!

08/20/2025

It started yesterday in the shower. My hand some strange stuff on it, like webs. And it wouldn’t come off.

Im really nearsighted so i had to take a close look as to what was happening.

My hair was shedding. The chemo decided to get one last thing in before i recovered.

So today, im getting my hair cut. Completely.

My nieces want to decorate my head.

This concerns me.

08/17/2025

Wow. I just wrote a long post about what's been going on but Fbook ate it.

I'm actually peeved.

I'll post tomorrow about the past few days.

Send a message to learn more

And it’s done. The actual procedure wasn’t bad. To make it less painful for me, the nurse (who was really good) put ice ...
08/07/2025

And it’s done.

The actual procedure wasn’t bad. To make it less painful for me, the nurse (who was really good) put ice on the port. The needle insertion was quick and a little easier than a bug bite. When that happened, blood went into the IV tube as it should, and saline was introduced.

After that, it was a matter of waiting for the durg to be prepped, which was a few minutes. I was taped up so nothing would slip out (and everything was sterile) and i became a patient patient.

When the drug came in, it is added on a low dose for 15 minutes since its my first treatment. This is to make sure i am not allergic to it. So more waiting.

What’s neat is the pump that coordinates all this. The various liquids that are pumped in come in by drip to prevent bubbles to enter your blood stream. So the liquids are suspended in bags and drip to a nozzle that pulls in the fluid. It looks slow, but infusions can be done in 15 minutes. Mine was a full hour.

So what do I do for an hour? Im on a recliner with a blanket, so i did a sketch for a friend. Being able to do that gives an idea of how smooth this went.

When the time was up, there was a saline flush on the line and then another bug bite to remove the needle. A bandaid was placed, and i was ready to leave.

My sister went with me (as driver since i can’t drive back) and was already out getting my followup prescriptions. I get Prednisone (a steroid) and Zofran (antinausea). The P is regular, and the Z is as needed.

Got back, got some food in my system, and promptly napped. Now i have to stay hydrated and eat and rest. And be mindful of any ill effects, which will happen as the prep drugs wear off. Only thing to note right now is my stomach is a little odd.

So next time, i get a velcro shirt so i can rip open the top like Superman for the nurse!

(This is the infusion machine, kinda - not the sawe exactly)

08/07/2025

Finishing up the chemo. My usual reaction is “that was it?!?” But now come the after effects, so im not completely out of the woods.

So….

On my way to my first chemo.
08/07/2025

On my way to my first chemo.

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