Vawolf, welcome to the club no one wants to join. You'll find good answers to all your concerns here. My first suggestion is to seek out the best people you can reasonably get to. Duke has a great reputation as a medical center. I assume you're in Virginia near the NC line?
I'd make appointments with both a surgeon and a radiation oncologist. They really don't know a lot about
what the other does, so they can't give you good info about
what the other is doing or the probabilities.
When you get the fully written path report, let us know what it says. 3+4 is intermediate risk, so unless an MRI shows extracapsular extension, you should be good with either surgery or radiation as your primary treatment. Most PC experts will tell you that you have up to a few months to settle on your course of treatment. Slowing down is valuable.
I'd also suggest taking a spiral notebook to all your dr visits and take notes...or have someone with you to take notes. Write down your questions before you go. Also, get a big accordion folder to carry all your paper in, you'll get lots.
A few questions to ask your experts:
How many surgeries/radiation treatments have you and your team done?
What is your personal cure rate?
What kind of side effects do you think I'll have, based on what you're seeing in my tests?
Others here may suggest more questions to ask.
Hang in there, the answers will come. You've got at least 8 weeks to make your decision anyway. Take all that time and do your due diligence.
Age at Diagnosis: 56
Biopsy: 3 of 12, G3+3, all on LT side, 20%, 5%, 3%
Clinical Stage T1C
Bone Scan, CT scan negative for spread
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
No EPE, 20% organ involvement, g3+4 final
PSA 3/10/15: 0.10
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024