Met with my RO yesterday and got his concurrence going ahead with my preferred treatment of the triple play (my uroflow and retention tests results were sufficient to proceed with seeds) -- this was a welcome relief and a good thing!
I will have been on Lupron three months next week. I will have two scans next week (as soon as insurance authorization goes thru), one for purposes of seed planning, and the second for IMRT planning; and will get the next Lupron shot as well.
two weeks after that, I will begin 25 sessions of IMRT, 45 Gy and entire prostate bed given Gleason 9, 5 weeks Monday thru Friday, and then seeds after IMRT.
It felt very good to finally be locked into the treatment approach and to know that radiation will be beginning soon -- there had been some level of anxiousness since getting upgraded to G9 (from G8) by Epstein second opinion to get going with treatment sooner rather than later.
One day at a time, slay this beast!
PSA 4.1 11/2017 (age 63)
DRE 1/2018, nodule one side
PSA 8.1 1/2018
mpMRI 2/2018, PIRAD 5
Biopsy 2/2018, 12 core + 2 target cores
DX 3/2018 (age 63)
Initial G8 @ UCSD
UPGRADED to G9 (4 cores 4+5, 1 core 4+4, 5 cores 4+3) 6/18 @ JHU
PSA 7.2 3/2018, 1.73 6/2018, 1.38 7/2018
3 month Lupron shot 4/2018
Investigated SBRT RT option, chose IMRT
IMRT to start 8/2018, LDR Brachy after IMRT
Post Edited (CAdogsRus) : 7/19/2018 5:47:26 PM (GMT-6)