

My name is David. I found out I had stage 3 prostate cancer in January 2024, following a PSA test. My siblings had previously been diagnosed with different cancers – two brothers had lung and prostate cancer, while my sisters had rectal and breast cancer.

I went to my doctor for my annual check up. He took blood for a PSA test and it came back at 4.3. He scheduled me an appointment to see a urologist. That’s how I was diagnosed with a stage 3 prostate adenocarcinoma.

The diagnosis took me by surprise, because I wasn't showing any signs of disease.

After an MRI test, a bone scan, a PET scan and a tumor biopsy, I opted for radiation therapy and hormone therapy following my doctor’s recommendation. Based on the tests and doctor’s guidance, this process better suited the stage and type of cancer I have. So, I felt rather optimistic after deciding on my treatment plan. As for financing treatment, my treatment is subsidized.
I was scheduled to undergo 28 sessions of radiation therapy over one month as well as 12 months of hormone therapy in the form of androgen deprivation therapy (ADT). In fact, I just finished ADT and am going to have my first PSA test post-treatment.

The worst side effect I experienced as a result of treatment was sweating (hot flashes), followed by muddy concentration and fatigue. During the middle part of treatment it was tough because of the hot flashes. To manage them, I exercised more frequently and improved my nutritional intake.

Honestly, I want to be in the moment. I don't look more than 2 or 3 days ahead. I expect everyday to be my last. I had no expectations of experiences; just a bland simple life. I went to bed early and got up early. I tried to exercise everyday.

Once I was diagnosed, I immediately began testing and treatment. I couldn't work if I had to do treatment.

Following the diagnosis, I struggled with my self-esteem/self-image and in my professional life. However, the biggest challenge I faced was in my social life and relationships with my loved ones. I am trying to get through it by asking my wife for grace.

My greatest fear is being a burden to my loved ones. Trying to cope with this has meant:
- Focusing on physical recovery and staying active
- Educating myself about the cancer and treatment process
- Engaging in spiritual or religious practices

Today, I feel optimistic. I had a Gleason score of 9 and T2 M0 N0 local disease with perineural invasion.

To those on their own cancer journey, I’d say try to sleep, relax if possible and eat well. Try to have daily bowel movements and keep personal hygiene. Prepare for the worst but expect the best!
This patient's story is published and shared with their full consent. Any personal data that can be used to identify the patient has been omitted.
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