MRI and a quick bit about my Covid Vaccination

Back up to London this afternoon for a quick MRI to have a better look at my back.

But before that I would just like to say that so far, I have got away with no side effects from the Covid Vaccinations I had last Friday.    Good news.

The drive to London was quick and non-eventful despite there being snow on the ground and road near home.

Food shops were still open in London

I had a late appointment and it turned out I was the last scan of the day so when I arrived, I was quickly processed and instructed to get changed into a hospital gown.

I sat for a few minutes in the empty corridor thinking about how quiet it was, just the faint whirring of a MRI machine behind closed doors.  It was also slightly spooky as you expect hospitals to be full of people moving around.

No one around to admire my fetching gown!

After a few minutes I was called in to the scanning room and asked to lay on the bed, this was torture as lying on flat surfaces really hurts my back and so I asked for some padding to support my back and it felt a little better.

And then I was slid into the drum of the scanner, some instructions came over the headphones and then it started.

The noise never ceases to amaze me, it like being in a tumble drier full of spanners on a fast spin, and the noises change as the scanner does different things.

It lasted about 45 minutes and by that time I was just about ready to make a full confession 😉

I was slid back out of the machine and struggled to sit back up, but I made it and then off to get dressed and the journey hone.

And of course, the wait for the results!

Covid Vaccination No 1 – 5 Feb 21

It was my turn today for the Covid 19 Vaccination, I had previously been sent a text and had requested my slot by filling in an online form.

The vaccination was at Bishop’s Stortford Football Club, a place I am getting to know well after having my flu jab here and also bringing my mum for her vaccination.

Arriving at the Football Club

There was a queue to get in and someone checked our details. Then in the door and we were asked to clean our hands and of course we were wearing masks 😷.

The queue to get in, although long move quickly.

Another short queue and I was sent to booth number 3 and once again my details were checked along with more detailed questions and one around had I ever had a reaction to medication?

I answered that I had a reaction to chemotherapy and so a doctor was called, he was briefed and told me to wait for 15 mins after the injection to see if there was a reaction.

And then I was told that I would be having the AstraZeneca jab and I was asked which arm I would like it in.

I opted for my left arm and then the injection was done, quick and painlessly.

I made my way to the waiting area and watch as people moved in and out. Overall it looked like a pretty slick operation.

My 15 minutes were up and I headed out, there were less people waiting to go in, I guess they close for a lunch break?

They certainly deserve it.

Well done all.

Covid Vaccine Invite

Well I was busy doing something (or nothing 🤔) when my phone beeped indicating that I had just received a text message.  I don’t get many text messages anymore and so was curious as to who was texting me?

I checked my phone and was pleasantly surprised to see that it was a text message from my GP Surgery inviting me to have my Covid Vaccination.

There was a link to a website and I was able to select a date and time that suited me.

Nice and easy 👍.

So next Friday I will be off to the local football ground for my first vaccination. I will let you know how it goes.

Outpatients and Zoledronic Acid 6 Jan 2021

Back to London again today for my Oncology Outpatients Appointment and Zoledronic Acid infusion.

The good news is that my Covid test came back negative so I am all clear for treatment and pleased to be Covid free.

The bad news is that my PSA has risen to 150 from 85 about 6 weeks ago. And so it looks like my PSA is starting that upward move again after being brought down by the Lutetium. Overall I am feeling pretty well aside from pain in my back from the fracture I had.

I was pretty disappointed that my PSA had risen so much in a fairly short time, it would seem that the effects of the Lutetium have worn off.

So the plan now is to have a PSMA PET scan and have a look at what is happening inside with a view to rechallenging the cancer with more Lutetium.

I have two Lutetium treatments left that I could have and although we are entering very much into new territory with the Lutetium it is thought it is better to rechallenge sooner rather than later. Well at least the first one and then see when to use the second one.

I did ask about what might be done after the Lutetium treatment has been used and the answer was that it would be another clinical trial. The clinical trial mentioned was called BiTE, I think and here is a brief descriprion of it.

“a PSMA bispecific T-cell engager (BiTE®) immune therapy mediating T-cell killing of tumor cells in patients with advanced castration-resistant prostate cancer”

If I understand it, it is similar to Lutetium in that it consists of two parts, the first part is attracted to the cancer cells expressing PSMA and instead of using Lutetium to kill the cancer cells it attracts the bodies own T-Cells to attack the cancer cell.
I think I have a bit more to learn about this and will certainly be asking more questions next time around!

Not surprisingly by the time I got upstairs for the Zoledronic Acid Infusion my blood pressure was fairly high at 166/98 so they gave me a few minutes to relax. It also gave me time to think about what I had just been told downstairs and to calm my racing mind.

It’s all done wearing a mask

A few minutes later and I was at 145/80 and they were happy to continue with the infusion.

I had already been fitted with a cannula and while I hate to keep mentioning it, it did take 3 attempts to get the cannula in and its not the needle going in that stings, it’s the wiggling about of the needle that really stings!!!

Just waiting for the drip to be attached.

The Zoledronic Acid infusion itself took about 20 minutes and soon the cannula was being removed and I was told I could go.

Jacket on I made my way outside and made my way home.

By the time I got home I had my next outpatients appointment booked and that is scheduled for 3rd February and so hopefully I will have a PSMA PET scan before that, it could be a busy couple of weeks!

Covid Swab and Blood Test 4 Jan 2021

Up to London today for a Covid Swab Test and a Blood Test at UCLH

The reason for the Covid Test is that I am due back at the Hospital on Wednesday for an Outpatients Appointment following by Zoledronic Acid treatment and because of the treatment I need to have the Covid Test and so I thought I may as well have an up to date blood test at the same time so we can see how I am doing.

Given the Covid situation in London I listened to advice and took a car up to London, mostly to avoid the tube but also the train as well.

London was fairly quiet, there were cars around and some pedestrians but nothing like you would expect on the first day back after the Christmas Break.  There was a notable exception at Costco on the North Circular which had a long queue; people stocking up before the next lockdown I guess.

A fairly quiet Tottenham Court Road.

And so we arrived early for my booked time for the Covid Test.

The same as last time, the Covid tests were done in the Phlebotomy Department however there was a little confusion as when I arrived at reception I said I had a Covid Test and a Blood Test booked and was told to take a number on a paper ticket, there were 21 people in front of me so I found somewhere to sit.

It took about 45 minutes for my number to come up and in I went.  The phlebotomist listened to my advice to try a vein in my hand and was soon drawing blood.  It flowed well initially but started to dry up after a couple of the tubes were filled, I was also giving blood for research so there were additional tubes to be filled.  These last few proved a little troublesome and the phlebotomist wiggles the needle to try to improve the flow, it stung a little and I winced.

She apologised but i said there was no need, but it did sting!

And soon I was done only to find out that I needed a sticky label type sticker before I could have my Covid swab and so it was back to reception!

Fortunately I didn’t have to wait long before I was called again.  The nurse started to say that I was late for my slot.  I told him that I had been there since before my slot and that I had been misdirected.  He gave a knowing shrug and took the swab.

So now it is waiting time, hopefully I will get the Covid result tomorrow and find out about my PSA and bloods on Wednesday.  Hopefully the PSA will be stable and the rest OK.

I look forward to finding out on Wednesday.