

I’m David. In June 2023, I learned I had stage 4 cancer of the prostate. My mother was previously diagnosed with kidney cancer.
As part of my cancer journey, I have undergone various types of treatment, and am still on medication today.

The first symptom I had was difficulty urinating. This went on for a few weeks. I had a routine doctor's appointment. Honestly, I was more concerned about getting genetic testing done than with anything else. The doctor asked me right before I left if I had any other concerns. I told him I was having difficulty urinating and put a PSA order in for the blood work he was ordering. That was the beginning of this journey. That’s how I was diagnosed with stage 4 cancer that has spread to my lymph nodes.

Initially, I was angry, fearful and surprised; at the time I didn't know what had caused it.

After doing my own research and with my doctor’s recommendation, I opted for chemotherapy, radiation therapy, hormone therapy and immunotherapy. More specifically, I was scheduled for 6 rounds of chemo over 4 months, 5 sessions of radiation therapy over less than a month, 1 round of immunotherapy and 27 months of hormone therapy. Today, I am still on medication. After deciding on my treatment plan, I recall feeling rather fearful; it was the not knowing if it was going to work. As for financing treatment, I am covered by insurance.

The worst side effect I experienced was going into the male version of menopause, which gave me constant hot flashes. I also struggled with fatigue and hair loss. I wish I had known before starting treatment how severe the fatigue aspect would be. However, I have not done anything to manage my side effects because I do not want to take more medication.

What worries me the most is being a burden to my loved ones, but I didn’t try to actively overcome this fear of mine.

Almost two and a half years later, it has not progressed, so I am somewhat surprised and optimistic.

To other people on their own cancer journey, I’d say be open to what is being said to you; don't just focus on the negative. Do as much research as you can on your own to educate yourself, especially with regard to medical terminology.
This patient's story is published and shared with their full consent. Any personal data that can be used to identify the patient has been omitted.
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