Prostate cancer progression

Apology for the brevity of this post. I'm on phone and cannot type well. Had recent second biopsy with same Gleason score 6 but had another positive core.
First genomic test was Oncotype the new one was Decipher to clear things up

Brachy seeds might be a good option. That is a outpatient procedure done under anesthesia.

Also, the RT machines they use for beam radiation are open machines - no enclosing tunnels and generally in very big rooms. Ask if you can see one before you decide.

and ask about SRBT - that's only five treatments.

But, all in all Brachy might work just fine for you.
Andrew

Most ROs are more than willing to do whatever the patient needs during treatment. Discuss your issues with him and I'm sure there will be a workable solution.

The Linac machines are nothing like a CT or MRI. You are in a wide open room. You are in no way enclosed by the machine. Google the treatment method or go to the manufacturer site like Varian or Elekta and you will see. I had an MRI for my knee and nearly freaked out. But have the external beam radiation is no comparison.

Here is a video. https://www.youtube.com/watch?v=rzNzNBqay5k

Welcome
I always liked the ideal's of the "Tralformadaren's" string of life's good moment's and bad moment's strung out and revisited. It went with my philosophy of "This too shall pass " and relishing the good and accepting the bad. The book for me anyway was a masterpiece written in simple language with humor that eased the horror of it's real life content.
Kinda dealing with that "string" right now

Thanks

Thank you. These eyewitness accounts are helping to ease my anxiety. The test information was just revealed to me Wednesday so I'm still in a "denial" and anger stage.
To open another can of worms is the fact that I am extremely hypogndal and am on testosterone replacement. I know that has to end but for me, that is a big issue. My mental health is horrible when my testosterone drops. My hope is that I'll be able to return to injections post radiation. I know there are strong opinions against this.I don't want to debate. I live in my body and know how it feels with testosterone in the 50,s

Good question. My urologist is telling me to have radiation therapy due to the Decipher genomic test showing .76
It is weird that the biopsy showed a Gleason score of 6 but Decipher test has me at high risk with a 14% chance of death within 10 years
I am going to a NYC hospital for radiation therapy but will run this by the specialist there first.I saw him 2 or 3 years ago for a second opinion and he seems to be a good man and is head of radiological oncolgy.
I of couse would rather stay on AS
Glen

Yes, do check out SBRT. I had the CyberKnife treatment a few years ago. In my case, it was only 5 treatments, but they were about 45-60 minutes each (depending upon gas in the intestines, etc.). This was no problem for me, though, as not only was the machine totally open, it was in a very large room, and they allowed me to bring my own choice of music to be played on their built-in (and rather high quality) sound system.

Couple that with the nice warm blanket they covered me with each time, and I literally slept through my treatments.

As the others have suggested, it might be worth asking if you could take a tour (and maybe even a trial time on the table) of the treatment suite at the facility of your choice.

None of this is "fun" but this type of treatment was, I found, pretty much a non-issue for me.

Glen - I don’t see where you would need hormone deprivation therapy or lack of shots in your case. You don’t have a “problem” that needs that treatment as far as I can tell. It would seem that a mono therapy, pick one, would be fine if you don’t stay with AS for a while longer. I can see where the high Decipher score might make you want to get it over. Definitely things to talk over with the doctors.

Yes thank you. My wife of course wants me to act out of fear of losing me. I too would be happy to get it over with but I'm having a hard time with the biopsy coming back Gleason score of 6 and the 2019 genomic study by Oncotype being " very low risk " so now Decipher genomic test shows high risk?
I'll talk it over with the oncologist but wonder if he is unbiased after all radiation therapy is his specialty

Lots to discuss

Glen

Means one type of treatment. Just surgery or just radiation rather than RT + HT.