Many thanks to the members of this forum. FYI, I was diagnosed with a DRE last October, 2023. I had a biopsy in November and confirmed an aggressive stage 5, Gleason 9 in 6 of 12 cores prostate cancer. A series of scans did not detect involvement beyond the prostate. My PSA was 9 at that time.
I began ADT with Orgovyx in February, 2024. My PSA was 0.9 by late April. I had five high-dose SBRT treatments in April 29 to May 9. My Medical Oncologist reviewed my results in June and gave me a status of remission on June 7. This was a good birthday present for my 85th year of life on June 10.
Color me skeptical. The various scans do not detect mets below 5 mm in diameter. My urologist and MO both claim the chances are low that they exist. Even though my PSA is 0.2 on July 10 and my testosterone is 4, and I am healthy, the thought of treating metastatic occurrences is daunting due to my age. We will see.
In the meantime, I am celebrating my new life extension by returning to my roots with a revised persona. I am going cowboy. I worked on a ranch years ago, but hustled mostly bales of hay and few cows. However, cowboy sounds better than bale-boy. I have been bucked off horses, but stay closer to the ground these days. I have too much to do with my writing of adventure novels, playing music in public, caring for my wife and dog, and grandfathering my grandchildren, to worry about my remaining five years or so.
You in this group have helped me immensely. I have tried to bring optimism to others in return. God and the Great Spirit protect us all.