Hi Jack, welcome and sorry you are here, both at the same time.
First, you've got cancer, and it's okay to panic.
Second, don't panic. You've got lots of time to be cured of this disease --- and isn't cure the "C" word us cancer folk like to hear!
The above isn't as contradictory as it may seem on first read. When you first get the news the first panic, at least for me, was, am I going to die? Will I make it to Christmas? My birthday? To see my grandchild graduate from high school? This panic was soon replaced by the panic of being faced with a treatment decision, one of the most important decisions I'd ever make in my life, and one I was ill equipped to make. It would be unreasonable not to feel high anxiety and some panic. It's normal. It's okay. But ....
Chill out. Take a deep breath. Don't panic. You've got lots of time to learn, and lots of time to be cured of PCa.
There are two issues with PCa treatments. One is, how effective is it likely to be for you at your age, and with your stats? The second is, how likely is damage, incontinence and ED being the two big ones, and do you feel about that? Then, you may have some trade offs.
I was 67 when I was diagnosed. My mother is nearing 97 and yesterday she went to her cottage. I hope to have her genes, and to roll through 100. It was easy for me to decide what I wanted was a 40 year cure ---- give my heart a fighting chance to take me. And, I was willing to cope with whatever trade offs there might be in the incontinence and ED departments.
There is no right treatment except the one you decide on. Only you can say if you're happy to go with the opinion of one doctor and roll, or if you want to dig in deeper and get more opinons, more options, and decide only after informed understanding and consideration of the alternatives.
What is pretty much for sure is that you really can take a deep breath and chill out some. You don't want to ignore a Gleason 7 (that's what I've got --- or had) but there's no need to put your executor on speed dial either. In a few months you'll have made a treatment decision, a few months after that you'll be treated, and your real health risks will be the things going on under your skin you don't know about ---- not the one that's being monitored.
Keep on posting, Jack. This is a great place to ask questions and learn.
Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours. Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn --- perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7
First post op PSA Sept 09 less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02
PSA on April 9 less than 0.02