I started the last post expecting to get into my latest doctors visits, tests, etc.

First, the good news: My blood pressure continues to be stellar.  I'm feeling great, and I've got lots of energy.

Here's what's on the horizon:

January 27 - Nuclear body scan:  They will inject an iodine dye into my body, then put me under an electron scanner that detects the presence of hot spots (potential metastasis) throughout the body.

Good news: The procedure is not painful and my doctor tells me that only 2% of prostate cancer sufferers will see any abnormal results with this test...

Bad news: Positive (bad) results from the scan create a whole 'nother level of cancer treatment protocol.

February 4 - Meet with my urologist to see the results of the scan.  The outcome of same will determine the treatment options.  Currently, the following options are on the table:

• Surgery (prostatectomy) - My doctor described this procedure as the 'gold standard' of prostate cancer treatment.  
• Good news: Most effective method of eradicating cancer still encapsulated within the organ.
• Bad news: Very serious side effects.  During the procedure, the vas which supply semen to the urethra are removed, and damage to the nerves is common.  According to WebMD, about 50% of men regain some control over their erections.  As my doctor said, with no vas, there is no ejaculation (I guess my burgeoning porn career is over...).
• Bad news: After the prostate is removed, the section of the urethra from the bladder is rejoined to the section in the penis.  Studies show that 15-50% of men still experience urinary control issues one year after surgery.
• Radiation - There are two types of radiation treatments presently:
• External Beam Radiation comprises visits to the clinic 5 days a week for 8 weeks to receive radiation treatment.
• Insertion of radioactive seeds. The seeds are injected directly into the prostate via long needles (performed under general anesthesia, I think).  One side effect I know regarding this therapy is the need to avoid close contact with small children, such as having Stella sit on my lap.

Summary of treatments.  The efficacy, side effects, and long term prognosis will be the most important factors in my choice of  treatment.  One consideration that my doctor explained to me is that once a radiation treatment is pursued, the surgical option is off the table due to the damage done to the cells.

So, a lot to think about and research.  For now, my priority is getting on top of my paperwork at school.  I know, I know, back to the mundane minutiae...  Hey, it can't be all car chases and rainbows...

Good night, friends.

I will see you again tomorrow.

Carpe Diem. 

I've decided to end with another aphorism.  This one comes to us from Alba:

"... know that you are in my - and so many people's thoughts right now.  You were a terrific friend to so many at Samo [Santa Monica High School] and I have always believed that that sort of kindness must bring with it good karma.... everything really will be okay." 

I heartily concur, Alber...  Peace.