Had an open retropubic radical prostatectomy on 1/26/18. Got my path report back and received bad news on every point...
1. Seminal vesicle invasion identified.
2. Perineural nerve invasion identified.
3. Extracapsular extension identified.
4. Vascular invasion identified.
5. Positive margins at the bladder neck identified.
6. Lymph node invasion identified (Dr. Rabbani harvested 28 lymph nodes in the pelvic region. 10 of them had cancer.)
Surprisingly, my bone scan was clear. I will get a 4-week post-op PSA to justify a PET scan. We need to find out if this is local advanced PC (confined to the pelvic region) or distant. I go back to The Cancer Treatment Center in Atlanta on 2/9/18 to have my catheter removed and then I return 2 weeks after that to get my PSA and talk to an oncologist.
There is also a clinical trial at John Hopkins for men with advanced PC who have had a radical prostatectomy. They are calling me tomorrow about participating in the trial. It will consist of chemotherapy along with hormone therapy and radiation.
I've also started taking a ton of supplements such as curcumin, resveratrol, D3, B12, B16, C, probiotics, etc. I'm eating a ketogenic plant-based diet (no sugar, no dairy, no processed foods, no fruits, and no red meat) and I'm juicing with a cold-press juicer. I'm going to Garners this week to purchase cannabis oil and alkaline water. Lot's of controversy about whether or not the cannabis can cure cancer, but one thing certain is that it can not cause harm and it can definitely promote a sense of well-being which is something I desperately need right now. I hope I can raise the alkalinity of my body to help combat this cancer. Oh, and I am going to drink the baking soda (without the molasses) in the alkaline water too (go ahead and laugh).
My family and I are still devasted over this and we are all having a difficult time processing it, but I've come to realize that no matter how depressed I am, I only have two options: Give up or fight. I have chosen to fight and I'm very thankful for the outpouring of support here. We are all comrades, brothers-in-arms, united together by a common enemy and a common goal.
One more thing I'd like to share. I found a great book on cancer called "Tripping Over the Truth". It talks about one common denominator in ALL cancers is how the mitochondria of cancer cells are damaged and these cells have to resort to metabolizing glucose for fuel. This was discovered by a German scientist named Otto Warburg in 1923 and over time this discovery was eventually discarded as inconsequential, but it is now beginning to gain new attention. Anyhow, I wanted to share this because I started the ketogenic diet when I got my first PSA back in December. I weighed a little over 200 pounds at the time and my PSA was 34.6. Fasting really kickstarts the keto diet and I fasted for 4 days before I started back eating. Two weeks later I was in deep ketosis and my PSA had dropped to 23.4. For me, this confirms that cancer thrives in an acidic environment and needs glucose to survive. I'm down to 183 pounds now and I hope I can maintain this weight going forward.
My goal is to live as long as possible. While statistics may indicate I have anywhere from 3 to 8 years to live, my hope is to get at least 15 years. That will take me to 70. It will give me time to secure my wife's retirement and to see my children build their homes, get married, and have children of their own. It will get me to the three score and ten that God has promised. It will give me 5,475 days to love and to be loved. If I can reach that, I think I will be content. 
PSA after the radical prostatectomy
Long term side effects from salvage radiation after radical prostatectomy 
