Randy, I'll add my welcome to our club that none of us chose. I would also add my agreement to the major recommendations:
1. Have your slides sent to Johns Hopkins for a second read, it may give a clearer picture--but G10 (or even a downgrade to G9 is still a serious situation)
2. Get yourself to Emory or some of the other major sites mentioned and get in with some experienced RO's.
Smaller suggestions, but ultimately very helpful going forward:
Get a legal size accordion folder and take it to all appointments, and put copies of all your paper/scan CD's, etc in it.
Add a notebook and pen to the folder, and use it to write down your questions and the answers you get.
Take your wife to your appointments, and maybe have her take notes and ask her own questions.
You're going to feel like you're drinking from a firehose for a while. Lots of information will be coming your way.
Radiation therapy, especially for high risk cases, comes in multiple flavors, if you will. You'll have a lot of jargon to learn. Probably for you, they will propose a combo therapy, that may include ADT (hormone therapy), internal radiation (seeds) and external radiation to the pelvis.
Get the CT and bone scans done. Don't schedule any additional treatment until after that. Your uro, or whomever else you meet may put you on ADT immediately--that isn't a bad thing, it will stop any progression in it's tracks while you figure out the next moves. Also, there are a lot of guys in here with extensive G9 and G10 cases who are still kicking years after diagnosis. You have every chance of living out a full lifespan.
Age at Diagnosis: 56
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
58.5g, G3+4, 20%, 4 quadrants involved
PSA Non-Detect since April, 2015
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024