Mar 12, 2004 - 9:40 pm
My Dad is 86. He's very active and totally independent; works 1/2 days 6 days a week, had a 78-year old girlfriend, goes to the beach, fishing, to the casino, lives alone in his own home, etc. He had a prostatectomy 18 years ago and over the past 6 months, his PSA went from 12.6 to 30 (we just found out last week). The doctor suggested a bone scan and Lupron. We met with the doctor on Wednesday to discuss treatment and side effects. Then we repeated Dad's PSA and he had a bone scan today.
The PSA is 28, the bone scan was normal except for an area of "activity" in his right anterior iliac wing (pelvic bone). Dad is having no symptoms and our plan is to do Intermittent Androgen Suppression (IAS) with Lupron. My question now is, do we start the Lupron now or wait until later in the summer in order to preserve the quality of his life by delaying possible side effects until the colder time of the year when he's less active anyway or start now and risk possible adverse effects during the warm months when he is usually most active? This is the question that we are mulling over now. Thanks for your input. Keith