Blood Test Results 26 November 2020

The great thing about todays technology is you can now access your test results online and so I now have my test results from the 24th November although I have not had a phonecall from the surgery yet and indeed I may not get a phone call as the test results for the most part are normal.

This test is the mid point test between my ocology appointments and the main thing I am interested in and the main thing they are interested in is my PSA which has risen slightly to 93.04 which is abnormal (as it states below) but is expected, it was previously, 6 weeks ago at 85, so while it is way above the range it should be (0.0 – 4.5) it is fairly stable and it is stability that we are looking for.

That and my general health which for the most part is good so I believe that when my Oncologist sees these results he will be pleased and will wait to see me in January 2021.

A copy of the blood test results are below for those who might be interested, I have highlighted things of interest.

Clinician viewed24 Nov 2020
Result typePathology
TestsSerum prostate specific antigen level
Filed by
ResultAbnormal, but expected
What you need to doOther (copy to oncology)

Pathology Investigations

Serum prostate specific antigen level 93.04 ug/L [0.0 – 4.5]

Above high reference limit

Please note: From 09/10/2009, age related ranges are reported — Afro-

Caribbean reference ranges:- Age :

40 – 49 Up to 2.0g/L —

50 – 59 Up to 4.0g/L —

60- 69 Up to 4.5g/L —

70 -79 Up to 5.5g/L ~

Clinician viewed24 Nov 2020
Result typePathology
TestsLiver function tests
Filed by
ResultNormal
What you need to doNo Further Action

Liver function tests

Serum albumin level 36 g/L [35.0 – 50.0]

Serum total bilirubin level 8 umol/L [0.0 – 21.0]

Serum alkaline phosphatase level 66 iu/L [30.0 – 130.0]

Serum alanine aminotransferase level 18 iu/L [10.0 – 37.0]

Result typePathology
TestsRenal function tests Bone profile Full blood count
Filed by
ResultSatisfactory
What you need to doNo Further Action

Renal function tests

Serum sodium level 143 mmol/L [133.0 – 146.0]

Serum potassium level 3.9 mmol/L [3.5 – 5.3]

Serum creatinine level 80 umol/L [62.0 – 115.0]

Glomerular filtration rate > 60 mL/min [60.0 – 150.0]

GFR COMMENT Interpret eGFR with caution for people with extremes of muscle mass.

Note: CKD staging would not apply in Acute Renal Failure.

If your patient is an Afro-Caribbean, multiply eGFR result by 1.212

For general guide www.renal.org/eGFR

Bone profile

Serum calcium level 2.19 mmol/L [2.2 – 2.6]

Below low reference limit

Calcium adjusted level 2.27 mmol/L [2.2 – 2.6]

Serum albumin level 36 g/L [35.0 – 50.0]

Serum inorganic phosphate level 1.36 mmol/L [0.8 – 1.5]

Serum alkaline phosphatase level 67 iu/L [30.0 – 130.0]

Full blood count

Haemoglobin concentration 116 g/L [130.0 – 180.0]

Below low reference limit

Total white blood count 6.2 10*9/L [4.0 – 11.0]

Platelet count – observation 237 10*9/L [150.0 – 450.0]

Mean cell volume 87 fl [76.0 – 96.0]

Red blood cell count 4.16 10*12/L [4.5 – 5.5]

Below low reference limit

PCV 0.360 /L [0.4 – 0.51]

Below low reference limit

Mean cell haemoglobin level 27.9 pg [27.0 – 32.0]

Neutrophil count 3.8 10*9/L [2.0 – 8.0]

Lymphocyte count 1.3 10*9/L [1.0 – 4.8]

Monocyte count – observation 0.7 10*9/L [0.2 – 0.8]

Eosinophil count – observation 0.4 10*9/L [0.0 – 0.4]

Blood Test

Today I have been over to the GPs surgery for a blood test and I have to say that it went very well.

The doctor was very good and got into the vein first time and got the blood out and the vacutainers full. I was also quick to be seen, I barely had time to sit down.

This blood test is roughly at the 6 week point between my last appointment at UCLH where they are now seeing me every 3 months when I have my Zoledronic Acid treatment for my bones and the next one at the start of January.

Fingers crossed that the results will come back and show no major increase to my PSA and also nothing else to worry about.

Overall I feel fit and well and am getting around a lot better although I still use a walking stick when I go out walking.

I have tried to reduce the amount of morphine I take for the pain in my back, I now take 10mg in the morning and 5mg at night.  The are slow release tablets and cover me all day.  I did try stopping the nighttime dose but found it a little painful in bed and it interrupted my sleep so I have started to take them again.

I also take 10mg of Amitriptyline at night and wonder if I could get away with not taking this any longer. I think I will discuss it with my Oncologist in January in case there are side effects coming off it.

The Acupuncture that I had has been going well but I think it was more effective when I was having 3 sessions a week rather than one a month. So I am thinking of stopping them.

As I say I am feeling a lot better and what I really need to do is continue to build up my strength and endurance by walking more. I still need to be very careful with my back and in particular with bending and lifting as the vertebrae above and below T12, the one which partially collapsed and I had cement put in are both very vulnerable to collapse as well although I hope the Zoledronic Acid is helping to strengthen them 🤞.

X-Ray showing my damaged vertebrae.

So I am hoping the results for the blood test come back soon and show good news.

Prostap Time Again

I have a Prostap Hormone Injection every 12 weeks and it’s amazing how quickly it comes around. The prostap is a hormone injection which restricts the production of testosterone which in turn helps to feed the Prostate Cancer so it is important that I have this although I am not sure how much it is doing in terms of fighting the cancer.

What I do know is that it gives me lots of hot flushes, some mild some pretty intense.

I arrived for my appointment on time and discovered that the surgery now had a video doorbell! I donned my mask and pressed the button, there was a fairly long pause before a voice asked me if I had an appointment, I said I did and they then asked my name. I could hear the clicking of the keyboard as my name was typed into the computer. Another pause and then the voice said OK I will be with you in a moment and the connection to the doorbell was severed.

In my head I could hear the footsteps of the person walking to the front door!

I was allowed in and asked to disinfection my hands and then directed to take a seat.

Within a minute or two the nurse appeared and called me into the treatment room. The injection had already been prepped and she told me that last time I had the injection I had it in the right side of my stomach and so this time I would have it on the left side.

Although I was prepared for the injection I managed to jump as the nurse touched me, I think it was her cold hands! My jump caused her to stratch me, my fault as I had moved.

Second time I was ready and the needle was in and the fluid was pushed into me. Then it was over and a plaster was put over the hole where the needle went in.

The prostap injection uses a larger needle than a standard syringe and so only certain nurses can administer this injection and so they get plenty of practice with it and are very good at giving the injection.

The nurse looked up the date of my next injection in 12 weeks and so I would be back on the 27th of January 2021. Not my first medical appointment for 2021!

This was my 14th Prostap Injection, 13 have been done at the GP’s surgery and one at UCLH. I think I will continue to be on Prostap for the foreseeable future which I don’t mind although I could do without the hot flushes.