Is Waiting for Prostate Cancer Treatment Risky?

Hi Charles. The VA were the ones that first detected my PSA was too high and ordered further test which led to my cancer diagnosis. I had the opportunity to use my private insurance and go outside the VA for a second opinion and elected to go with an outside Oncology specialist. Hopefully you have that option as well. If so, I recommend you exercise it. Surgery or radiation is a personal choice (based on your quality of life expectation) if given the choice. I was given that choice and elected for radiation after weighing the cons vs cons. From what I've learned and researched, a Gleason of 4+4=8 is considered the start to high but not as bad as beyond 8. Nonetheless, I recommend you ask your doctor to have a Decifer test performed for you to make a better informed decision moving forward.

https://outcomes4me.com/article/what-is-the-decipher-test-and-how-does-it-guide-prostate-cancer-treatment/

Be your own advocate! Educate yourself about it until you feel comfortable with doctors/team. I went for multiple opinions once I started understanding the disease & treatments. Don't let them rush you into anything. Usually, it is slow progression. Lean on God, He'll help guide you through it if you do!

Only thing I've been told about diet is try to cut back on processed meats, sugary foods and alcohol. Agree with everyone else regarding multiple opinions. I was diagnosed at Walter Reed and went for 2nd and 3rd opinions at Sibley Memorial. Planning to have the surgery but will go through Walter Reed.

If you can get approved for community care through the VA some Dr's accept that as well.

Best wishes moving forward Jason. Stay in the fight 👊🏼

This timing question is really understandable given the complexity of treatment decisions. While treatment timing decisions should always be discussed with the medical team who knows the full case details, many patients do find themselves navigating scheduling challenges with healthcare systems. The oncology team can provide the most accurate guidance about timing based on the complete medical picture. This community has many members who have faced similar treatment decision points and may be able to share their experiences with the process.