I know. Maybe one day regular testing will become the norm, and things will be a lot better. But until then…..

in 2021 at 55, my PSA went from the previous years 2.1 to 3.7 in one year which in itself is under the normal 4.00 but is enough to further investigation. My GP sent me to a urologist and he felt nothing on the digital, nothing was seen on MRI but it was detected with needle Biopsy which was very low volume 2 out of 12 cores. Active survelance now being the new standard for low grade was heavily pushed in his direct words "if you are going to get prostate cancer, Gelason 6 is the best one". Active survalince monitoring instead of treatment became the gold standard for low Gleason grade 6 or lower. I tried going a few months with active surveance in my head with every six month revisits which ment repeat scans and biopsies, basicalyy waiting for it to advance to Gleason 7 or higer and then move treatment of choice. I went to Chicago North Western for a second opinion and the doctor, while agreeing with the first that I was a candidate for AS, also agreed with my decision for surgical removal based on my age of 55 saying In many cases, treatment sooner or later will be likley so why wait if I didn't want to. Had my prostate removed in October of 2021 and it's now three years and still undetectable PSA. I also have all functions back and though I miss physical fluid expelling, sex still feels great and I'm glad to have addressed it eariler than later. Many doctors say Gleason 6 won't spread or advance but I've read several research papers that contridict that statement one titled something to the effect "My patients were diagnoesed with Gleason 6 years ago and told it won't advance but why do the have metastasize today". That was enough for me to decide not tow wait for it to get worse because one thing I alway heard with most cancers, catching and treating it early has the best outcomes yet still to this day Doctors pushing gleason 6 as "not cancer" on low grade patients.

A good choice 👍

It’s extremely had to do, I know. But when you make the effort you should feel the benefit afterwards. I wish you well. Regards Alan

It is certainly possible to but a funeral plan. But they are mainly localised and as we may move back south again one day it wouldn’t be appropriate. Thanks for the good advice, we did check it through as you mentioned. Regards Alan

👍

Thank you Richard, I hadn’t thought about splitting my Ashes. I will concider that. Very kind comment, thank you. Alan

You are right Mark. Cancer knows no boundaries.

Much love and prayers to you. I lost my husband last year to a long fight with metastatic prostate cancer. Good luck in your journey.

Well, it’s almost 6 years now, and I am still going! Well, I think I am 😂 Regards Alan

That’s a good choice 👍

Sir what's your Gleason score and what's your psa at the time of diagnosed

Hi Tom, Let’s hope that day is a long way off. I know where you are coming from, I have occasions when I felt that I just do this anymore. I wish you well. Regards Alan

Thank you

Thanks Linda. I think you would find me quite boring really.

Thank you 🙏 That’s very kind of you. Regards Alan

Your dad has a metastatic prostate cancer?

Thanks Sally. It’s good to know you looked it up! Regards Alan

Thank you, That’s very kind of you. I remember that the old Minis seemed to fit like a glove and so comfortable to drive. Great fun. I am glad you are making the most of life. Regards Alan

Hi Mike, It’s good to get things sorted, I think it can help get those nagging slight worries of of my mind. Regards Alan

Get him to eat raw broccoli with ground mustard every day.

That's not a cute for metastatic prostate cancer. Broccoli was my husband's favorite food. A daily broccoli lover. Still passed after a long fight with metastatic prostate cancer spreading to the bones, lymph nodes and major organs. Diet is an important factor but not a cure. r​@kennethward4985

Hi Patricia, I am glad to hear that Chemotherapy went ok. I am now on Anti Hormone Injections. That’s because cancer thrives on Hormones and so it’s best that I don’t have any! Regards Alan

Hi Robert, I know the one, good choice. I will think about it ! Alan

Thanks Monro, Very kind words. Regards Alan

Thanks Peter. I still like listening to it! Regards Alan

Thank you Gemma. It makes perfect sense. I am so glad i can off some little help. Regards Alan

Thank you, wise words. Regards Alan

@@alanbowles1 sir in your 5 years of prostate cancer journey how many time your prostate cancer recurring ( means how many times your psa level increase)?

@@alanbowles1 sir actually my father psa is 0.474 after 20 days we did another psa test and it's 0.494 it's means the cancer is back?? What's your opinion?

The first thing I will say is that everyone is different and I just can’t comment on your father, sorry. For me, my cancer is still here, but being held back by medication.. my PSA is unknown, I will find out with a blood test next month. Regards Alan

Thanks Rich, i hope the two new treatments aren’t too distressing and are ok. Regards Alan

Thank you Peter. My new Oncologist (she looked 12 years old) now says that I should be on Anti hormone medication forever without breaks. I am not sure about that. But I do take supplements and vitamins. D3, B, Iron etc Regards Alan

Thank you Lance

Hi Lance, Only you can decide. It’s certainly not that easy, in fact extremely hard. I chose life and feel a bit less than a man, but I am still here watching my family enjoy life. I guess it’s how you value the options. I am not qualified to give advice. However, I choose a longer life and don’t regret the decision. But please think long and hard about the choice ahead. Regards Alan

Thank you Graeme, Good to hear from you, I quite agree. Regards Alan

Thanks Michael, it wasn’t pleasant!

Thanks Michael

Hi Mags, Thank you! 🙏

Thank you 🙏