Thanks for your support. I'm just trying to keep it together by focusing on the clinical aspects and cold facts and not on what this might mean for me as a person and for my family. Part of me is terrified, but I'm trying my best to suppress that for now until we know more facts and have a plan and a path forward. As many have pointed out, a PSMA-PET scan would be helpful (I plan to speak with my care team today about whether that is an option for me), and in the meantime I know I am possibly getting ahead of myself in assuming it has spread - which we can't know for certain yet.