{"id":59255,"date":"2024-05-21T12:07:03","date_gmt":"2024-05-21T18:07:03","guid":{"rendered":"https:\/\/www.ancientrails.com\/?p=59255"},"modified":"2024-05-21T12:07:03","modified_gmt":"2024-05-21T18:07:03","slug":"considering-cancer-ten-years-in","status":"publish","type":"post","link":"https:\/\/www.ancientrails.com\/?p=59255","title":{"rendered":"Considering Cancer. Ten years in."},"content":{"rendered":"<p>Beltane and the Shadow Mountain Moon<\/p>\n<p>&nbsp;<\/p>\n<p>Just got off the line with Kristie Kokenny, my P.A. oncologist. I started seeing her a month after Kate died. A bit over three\u00a0 years now.<\/p>\n<p>She&#8217;s ordering another PSMA scan. This is the one that uses the tracer that binds to a protein found to stick up out of 95% of prostate cancer cells. I was wrong about the cutoff for this PET scan. It&#8217;s between .2 and .5 PSA. Since my new PSA is .48, I&#8217;m a candidate.<\/p>\n<p>It&#8217;s been a bit over a year since my last PET scan of this sort. If the scan is negative, a distinct possibly, we&#8217;ll continue monitoring my PSA and testosterone. No drugs.<\/p>\n<p>In fact, and here&#8217;s an oddity, it&#8217;s possible my PSA could go down. The reason? The radiation I had on my spine last year. Irradiated cancer cells do not die immediately. Their DNA suffers damage from the radiation and they die over a period of two years. It&#8217;s possible some of my PSA comes from damaged cells not yet dead. Depending on the proportion of those to active cancer cells, it&#8217;s possible for a decrease. Not counting on it, but, hey&#8230;<\/p>\n<p>Now that I understand what&#8217;s going on my anxiety titer (Kate&#8217;s phrase) has vanished altogether. It wasn&#8217;t high to begin with, though it was there.<\/p>\n<p>I&#8217;m now in my tenth year of cancer and Kristie still says no matter we see on the imaging we can manage it. And I believe her. Trust your doctors and zip up. Kate to me on her death bed.<\/p>\n<p>Though it&#8217;s never gone from my mind, how could it be, I&#8217;ve adapted and remained mostly calm by having treatments that work. I can&#8217;t say, as I hear some cancer patients say, that it has dramatically affected my understanding of life. Rather, it&#8217;s added a piece of luggage to the journey. Sometimes heavy, mostly light.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Beltane and the Shadow Mountain Moon &nbsp; Just got off the line with Kristie Kokenny, my P.A. oncologist. I started seeing her a month after Kate died. A bit over three\u00a0 years now. She&#8217;s ordering another PSMA scan. This is the one that uses the tracer that binds to a protein found to stick up &hellip; <a href=\"https:\/\/www.ancientrails.com\/?p=59255\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Considering Cancer. Ten years in.<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[127],"tags":[],"class_list":["post-59255","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/59255","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=59255"}],"version-history":[{"count":1,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/59255\/revisions"}],"predecessor-version":[{"id":59256,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/59255\/revisions\/59256"}],"wp:attachment":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59255"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59255"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}