Back at The London Clinic for what is my 7th Lutetium treatment.
The treatment had been delayed from the morning until the afternoon and so I was asked to be there for 1pm. The roads were clear and we made good time and so I arrived about 12.30.
Check in included a temperature check and hand sanitising. I then had a chance to grab a Flat White coffee, a real treat 😋.
I was shown to my room and then all the usual things started to happen, blood and observations were done. I had a cannula fitted and the nurse did a great job of getting it in first time which was a result.
And I ordered a sandwich and a health drink for lunch.
I was also hooked up to Saline solution to increase my hydration and given an injection of 4mg of Dexamethasone to help prevent bone pain.
Lunch came and was eaten and I waited.
The doctor arrived and we chatted things through about how I was and so on.
I asked about how many Lutetium treatments I could have and she said that in Germany they had been giving as many as 12 to 14 but it varies very much on the individual. She did say that in the UK the most that has been given is 8.
I also asked about how the BITE therapy and Lutetium would work and while nothing is set in stone she thought I would have the 2 Lutetium treatments, another in about 6 weeks, and then should look at starting BITE therapy later in the year and then seeing how that goes. If needed I could then come back to further Lutetium Treatment.
But as with all things it is dependent on how things go, how my PSA is, what future scans show and how I feel.
So what we need is for this treatment to really bring the PSA down and for my bloods to be ok followed by a period of stability.
So after a pause the Lutetium turned up with a small entourage, connecting everything up was very slick and the Lutetium was soon being injected. As before the syringe and the pump were in a lead box which protected those administering the Lutetium from the effects of radiation.
The treatment or Isotope administered was Lutetium-177 with an activity of 7400 MBq. At the date of treatment the exposure rate was 18 microSieverts per hour at 1 metre. The effective half-life of the isotope within the patient is 3 days. No detectable radioactivity is present after 7 to 10 half-lives, depending on the detector used..
The infusion took around 15 minutes and I chatted with the team. For the most part the talk was about where we might like to travel to once we can.
And then it was all done, I had to wait around for about an hour to make sure I was OK and for them to get the paperwork done.
And then I was off home.
I am back on Monday for a post therapy scan with Gamma Camera to see if the radiation has gone to the right places in my body.