Bob, this advice may be as popular as a skunk at a Kentucky wedding, but I feel compelled to speak up.
And, while I may preach at you below, understand that I understand, this is your life and whatever YOU decide to do is the right thing for you to do. Nevertheless, with respect, and friendship, I offer up the following from my vantage point in life.
You said in one of your above posts: " I was not only shocked by my diagniosis but by my reaction to it. I am usually a very rational guy but not this time. I was admittedly caught up in pure emotion, over-reacted, and allowed it to drive my initial treatment decisions despite forum members warnings to the contrary. I'll never know if there was a better choice for my case but must play the ball where it now lies, hence my newfound desire to get smart about
PCa and make the life changes I have control over."
I think you're at it again --- the pure emotion, over-reacting, thing.
First, given your pathology before surgery, surgery was a reasonable, rational, and prudent thing to choose. Doesn't mean some other treatment, in the long run, might not have been just as good, or marginally better, and doesn't mean another treatment wouldn't have been marginally worse. Just means the decision you made (while it might have been emotion driven) was a good one. Period. Full stop. Done. Over with. Can't be changed. And it wasn't a mistake.
Second, great Jumping Geeehova Bob, you've read more books and done more background on PCa than 99% of men who are Dxed with PCa ever do. What in the name of Sam Hill (as my father used to say) are you doing wanting to be more educated about
Third, you're barely off the table, and if you think your head space is back to normal after the emotional roller coaster you've been on (to quote my dad again) you've got another think coming! No one comes through what you've come through and is emotionally stable so few weeks after such life altering surgery.
Bob, what you have to do now is learn to cope with the fact the die has been cast, and you may never, yes NEVER, be forced to deal with your PCa again. This is the central issue you have to face up to, not learning more about
The ONLY thing that matters now is ongoing PSA monitoring --- and you've not had your first. If, as, and when, that PSA isn't zero will be the time to learn and consider next steps. And if that were to ever happen chances are what you learn today will either be forgotten, or wrong and/or wrong and superseded by new, better information.
Your challenge now isn't to learn more about
PCa. Your challenge now is to put it behind you, find some place on some shelf to put it. Acknowledge that it's there, but it's time to move on with your life. The train is in the station, Bob. Time to get off.
If I speak these words harshly, and dogmatically, it is only because I had to go through the process I'm now saying you have to follow. I speak stridently in the hope that I can save you some of the mental anguish I had to cope with in working to move on with my life.
I finish by repeating what I started with. This is your life. Whatever you decide to do with it is the best for you. While on this matter I think right now, in this place, with what I know about
you, and speaking from my own experience, I know what is best for you, I also acknowlege that I may be wrong --- it has happened before.
With great best wishes for your future whatever path you may choose, and apologies for my arrogance in believing I know better than you what is best for you, I remain your not so humble servant,
Sheldon AKA Sleepless (who hopes Bob, and all, will accept these thoughts with the goodwill they are intended to convey)
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, 2009 less than 0.02
PSA on Jan 8, 2010 less than 0.02
PSA on April 9, 2010 less than 0.02
PSA on July 9, 2010 (one year) less than 0.02