Last week, the PC acronym took on a different meaning for me. Bob came home with the results of a recent biopsy: Prostate Cancer.
In the month since the procedure, the initial follow up appointment was rescheduled due to an emergency in the doctor’s office. We learned that the results of these procedures are not given to the patient over the phone. But, should there be reason for concern, an appointment would be scheduled right away.
I wondered what amount of cancer cells constitutes reason for concern. Perhaps to medical specialists, this was not cause for concern. But for us, who had been living under the assumption that no news was good news, it was disconcerting. Apparently, even the doctor wasn’t expecting this result. His comments during the procedure led us to believe that Bob might well receive a clean bill of health. But such is not the case.
In the days between the diagnosis and our meeting with the radiologist to determine the best course of treatment, I did what any sane, caring wife would do. I did an Internet search for prostate cancer. I avoided the “miracle cure” sites and opted for legitimate medical sites. As it turns out, my husband joins the majority of the male population. According to some statistics, more than 80 percent of men will eventually be diagnosed with prostate cancer. When diagnosis occurs later in life, when men are in their 70s or 80s, it is seldom treated because it is a slow-growing cancer that is rarely life threatening.
Still, the thought of cancer cells multiplying anywhere in my husband’s body and threatening his health brings home those random concerns about our mortality. That occasional stray thought, “what would I do, where would I go if, God forbid, something were to happen to him,” is now more than a distant possibility. It may be a reality that we need to face sooner rather than later. At the very least, perhaps we need to be having more than flippant conversations about end-of-life decisions. Maybe we really do need to update our decades-old wills.
I also shared our news with a limited number of friends—women I know I can trust to keep a confidence and uphold us in prayer. Just being able to say the words and explain what we know about the options helps me acknowledge the reality.
My usually stoic husband contacted a colleague who had the same diagnosis in recent years.
“What’s your Gleason score?” he asked.
It’s a new language we’re learning. Prostate-Specific Antigen (PSA) levels, cancer stages, Gleason scores, and treatment options. Somehow, learning to speak it is therapeutic in an odd sort of way. Knowing someone who has faced the decisions that he’s facing, as well weighing their possible side effects is the real therapy. We’re not the first couple to face this. And the odds that we may come through this only slightly worse for the worry and concern are looking better.
It’s a new language we’re learning. Prostate-Specific Antigen (PSA) levels, cancer stages, Gleason scores, and treatment options. Somehow, learning to speak it is therapeutic in an odd sort of way. Knowing someone who has faced the decisions that he’s facing, as well weighing their possible side effects is the real therapy. We’re not the first couple to face this. And the odds that we may come through this only slightly worse for the worry and concern are looking better.
The meeting with the radiologist is surprisingly relaxed and very informative. Time seems of no concern to him as he reviews the various treatments, their historical results and anticipated side effects. Surgery, proton treatment, radiation, radioactive seeds—all have their advantages and disadvantages. But what is best in this particular situation? We come away satisfied that we have the information we need to make the best decision for him—for us. He will undergo 6-7 weeks of 5 day/week radiation treatments.
Preparation for radiation involves placing a number of gold markers in the prostate to insure that the radiation beams hit their marks. I suggest that we tell folks, “we invested in gold this week and have hidden it someplace it will never be found.” I'm not sure that comment should be repeated in polite company, but Bob appreciated the humor. And that, along with prayers for complete eradication of those cancerous cells, is my most fervent prayer—that the man who has been my life companion for nearly 40 years, retains not only his health, but his healthy sense of humor and generous, selfless spirit.
Now, nearly two weeks after diagnosis, we’re approaching the next few months of treatment as a bump in the road—grateful for an early diagnosis and a highly treatable form of cancer. Despite the report from the U.S. Preventative Task Force this week questioning the reliability and possible overuse of the PSA test, every woman should encourage the men she cares about to get their PSA levels checked.
Now, nearly two weeks after diagnosis, we’re approaching the next few months of treatment as a bump in the road—grateful for an early diagnosis and a highly treatable form of cancer. Despite the report from the U.S. Preventative Task Force this week questioning the reliability and possible overuse of the PSA test, every woman should encourage the men she cares about to get their PSA levels checked.




