I was diagnosed at 59 while working full time, with a seasonal tax job on the side. Gleason: 3+4, 3+4 and 4+4; modest PSA @ 10.4; PET scan was clean, but the cancer was still considered high risk. I opted for External Beam Radiation Therapy and ADT, though declined the Zytiga and prednisone. I began the bicalutamide and Lupron in the middle of "tax season" and, on April 16, with a pile of extended tax returns in the drawer, got mapped for the radiation therapy. I didn't think that I had much of an option in regard to work - my full-time job is for insurance, the part-time job for entertainment.

Anyway, it was only a ten-minute drive to the radiation lab. For twenty-eight days I slipped out of the office for a bit, lay on the radiation table, and returned to the office for the rest of the day. Only one or two people in the office knew where I was going. On nice days I even rode my recumbent bicycle twelve miles home. Then, after the treatment was completed, everything conspired to kick my butt; fatigue, hot flashes, urinary problems and brain fog made the two jobs difficult. My adjustments included more sleep at night, fewer bike rides, a little less time at the gym and, most importantly, two naps a day. Fortunately, I can close my office door, turn everything off, and sleep for twenty minutes. When I go on the road for work, I need to plan a nap or two, usually in the car in between meeting sessions. It is rather comical.

As others have said, each of our journeys is a little different. I am fortunate enough to have a situation that allows for my adaptations. Or perhaps I am just stubborn/dumb enough to press through in this fashion. I'm not quite a year into this game and "tax season" looms. It all makes me very tired so I will continue with the nap therapy and hope for the best.

Stay strong.