Greetings from Trinidad and Tobago. I had a PSA test as part of a routine job application in 2002, which came back slightly high -- 6.42, as I remember. This rose to 21.7 over the next two years, during which It took four biopsies (43 cores) to find that I had cancer of the prostatic ducts -- a rare type. I had brachytherapy in 2004, which failed, my PSA nadir being 2.43. Years of hormone ablation followed (Androcur, Lupron and Stilboesterol, but not Zoladex, which I could not tolerate). My cancer showing resistance in 2010, I had a radical prostatectomy on medical advice. The most soul destroying day of my life was when the surgeon told me that there was no sign of cancer, so it must have metastasized elsewhere. I have been cycling though my regime of drugs ever since. When I took a break from June to December last year, my PSA rocketed from 17 to 343. A month of Lupron brought it down to 232. I am about finish as month of Androcur and start one of Stilboesterol.
If there is a tough part to this, it is the lack of support for either myself or my wife. Neither of us is from Trinidad (I grew up in the UK, she in the Leeward Islands), so we have little family here. There have not been any support groups for people in my position (think Small Island Developing State, which might perhaps be comparable to a small town in rural North America). Thankfully (I hope), the university where I lecture has this week set up a support group for employees with cancer. I shall be intrigued to see what it has to offer.