I haven't read your prior posts as I have only been in theis exclusive club for about a month but I have noticed discussion about and have thought quite a bit about the mental strains that accompany PCa and other health issues. There is no sense in not seeking help, including counselling and/medication when the stresses of any dysfunction in your life intrudes on you and your family's well being. If counselling, trust the process as it takes time to work through the issues and really drill down into them. In the mean time if depression is driving you to dysfunction, tell your doc. By God, if you can face down these medical disorders, you can face down the depression that may accompany them. Just do it.
This goes for the rest of the Club too. Don't try to be a tough guy when it comes to the mental health aspects of our complicated, stressful life.
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
Feb 3 Dx 2/12 samples positive, low volume (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9, University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....