Hello Everyone - Sorry, I have been off for a long time because I have been too busy. Which is good news.
We had a brilliant holiday, before and during which I had a total of three weeks off the Cape because I wanted my feet to be in good condition. It worked out well and I could walk almost as much as I would have wanted, which is a lot. Then, while we were away, I started cycle 9, on 50% of my original dose, and things were very good till about day10, by which time we were home. I did loads of sea swimming and the sea water seemed to help a lot. Bowls of salt water since I have come home haven’t had quite the same pleasing effect, but that is at least as much to do with not being on holiday any more! Since we came back I have been working pretty hard.
I’m now 3/4rs of the way through cycle 10 (still on 50%) and it is OK, but I am having rather more trouble with my digestion than previously which is a drag. My feet are a bit dodgy but not as bad as before I reduced the dose. I have got better at looking after them by using dressings on places that might get sore before anything happens, as well as continuing with loads of different creams (latest are Hydromol, diprobase and Body Shop Hemp cream for feet - all fine, but nothing startling). I have got a range of thick (and ugly) socks from M&S which I wear with sandals when I possibly can. My toenails, however, are not a pretty sight (where they still exist).
A scan a couple of weeks ago showed no meaningful change on the liver mets, but I think it will be the next one that will tell us whether I can get away with 50% dose or whether the Cape is not effective at that quantity/at all. I have my fingers crossed. Up to now I have not been too terrified of the scans. I find them nerve-wracking but I tend to rely more on how I am actually feeling. For anxiety I am on a low dose (10 mg a day) of Citalopram. I think it has helped me, as has a course of CBT.
Oh those runny noses - Waffles, Barton, Marirose; I have it a lot. The funniest, in a way, is when I am snivelling on public transport and people back away. It makes me want to wear a placard saying “It’s YOU PEOPLE whose bugs I need to avoid - you won’t catch anything from me”.
I have had the occasional bit of sickness, Marirose; domperidone deals with it fine for me, as does my now quite serious mint humbug habit (which the dentist rightly disapproves of).
The jury’s still out on acupuncture as a help for my feet but I am keen to keep trying things. My pilates teacher has recomnmended rolling my feet around on tennis balls, which undoubtedly stimulates the circulation and has some positive effect on peripheral neuropathy. I feel that the oncs don’t take enough interest in alleviating the side effects of these common drugs - if you could keep people on them for longer by making them more tolerable, it might not be a glamorous breakthrough but it would sure as hell improve our longevity and our quality of life.
Touch wood I don’t think I have ever had any adverse effect whatsoever from denosumab.