Great advice. I was leaning towards surgery...have the robot scheduled for early February. But, the rationale for seeds plus high beam radiation are compelling. The immediate after-effects of surgery, the catheter for a week, don't sound like much fun. Well, bone scan and CT scan later today. If those show spread I guess that will make the decision for me.
This week I've been listening to the music of the late Warren Zevon, and reading "Being Mortal" by Atul Gawande. Both highly recommended, even if you don't have cancer.
Again, thanks to all of you for your insights, advice and compassion.
you asked and not a single person recommended surgery and you can add me to the list. I would NEVER chose surgery for prostate cancer unless there were some reason I could not have a radiation treatment, and in your case I would be looking at triple play. my recommendation is act quickly -- don't get caught up in a bunch of stupid tests that will only delay treatment.
and speaking of warren zevon here's a quote that applies to me!
“I might have made a tactical error not going to a physician for 20 years. It was one of those phobias that didn't pay off.”
-- Warren Zevon