"When he was still working, Bulteel's company gave employees a biannual health check. It included a simple blood test for prostate-specific antigen (PSA), a protein made by cells in the prostate, the walnut-sized gland that helps to make semen and control urination. Low levels of PSA are normal; high or rising levels can be the first indication of prostate cancer."
"A biopsy confirmed that Bulteel had prostate cancer, which can be highly heritable. Unlike his brother's, it had started to spread, triggering an ongoing and punishing cycle of surgery, radiotherapy, hormone treatment, MRI scans and repeated PSA tests. The knock-on effects have included heart problems, bladder issues, a vanishing sex life and bouts of depression."
"The reality now is that I've been living under a shadow for 13 years, which has had a huge impact not just on me but on my whole family. It's really, really tough, says Bulteel, who is waiting for the results of yet another scan when we first speak."
David Bulteel, a 70-year-old retired City professional, was diagnosed with prostate cancer in 2012 after a routine blood test revealed elevated PSA levels. His younger brother's prostate cancer history significantly increased his own risk, and a biopsy confirmed the diagnosis with evidence of spread. Unlike his brother's successful outcome, Bulteel's cancer required extensive ongoing treatment including surgery, radiotherapy, and hormone therapy. Over 13 years, these interventions have caused severe complications including heart problems, bladder dysfunction, sexual dysfunction, and depression. Despite his naturally optimistic personality and successful career, Bulteel describes living under a shadow that has profoundly affected both his wellbeing and his entire family's quality of life.
Read at www.theguardian.com
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