Prostate cancer and work vs. retirement
This group has been incredibly helpful. As I’ve posted elsewhere, I had my first biopsy this week and 3 cores came up positive for PC, with the highest one being Gleason 7 (3+4), and everything appears to be confined to the prostate so far. (My PSA has been around 6 or 7 and my last MRI a few weeks ago showed one lesion at pirads-4.) Still have more testing to do (PET, decipher, etc.) and plan to get other opinions before proceeding with any particular treatment plan. All that to say that my situation feels relatively manageable so far. Even though it’s early, I don’t feel rushed to make any big decisions about treatment, monitoring, work, etc.
My questions are more about working. I’m almost 58 and hope to retire at 60.5. I could feasibly do it now, but I like what I do and it would be nice to have the extra cushion of 2-1/2 years of income before I hang it up.
I know a lot of guys were already retired and on Medicare when diagnosed, but were any of you still working and going through treatment? If so, what kind of treatment and how did it go? If you were already retired, do you think you would have been fine managing everything while working?
I have a desk job, but it includes lots of meetings and frequent travel. I have also been with the company a long time, so I have a decent amount of vacation, and could also take FMLA or short/long term disability if it ever became necessary. Biggest factor is obviously health insurance, which would continue under those options (FMLA, etc.). Post retirement, I will have some options through my employer that will help to bridge me until Medicare, especially if I wait until 60.5 to retire. If I retire before then, there could also be options to help.
I feel like I’m a good year or so away from needing to make any decisions different from my current retirement plans, unless I’m offered an early retirement package before then (which is also a possibility given my employer’s current situation).
Also, if the next year proves to be more challenging than I realize, I would seriously consider retiring at 59.5 or so, rather than spending that last year feeling like a drain on the company.
Curious to hear your thoughts on this topic as well as your personal experience. Thanks in advance for sharing your stories.
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My husband had surgery mid August and was back to full time work in 2 weeks. He also has 2 start-ups on the side which require more work that "regular work". He turned 70 in October and he never plans to retire - he LOVES working and in this situation his creative work helps him keep "cancer" thoughts on a back burner.
He had to travel just about 6 weeks after surgery and he had no problem traveling. He, however, had very fast and uneventful post surgery recovery, so everybody is different and unfortunately nobody knows of how their body will react to either RP or RT.
It is great that you have options of either retire or not : ))) ! So - just take it easy and make one step at the time and act accordingly depending of how you feel. Maybe you will feel great but still decide to stop working and just enjoy your free time, or you might find that retirement is just too of a slow pace for you and would miss your colleagues and working environment if it is fulfilling for you. Maybe you will find some part-time option OR start a new career altogether : ))) - doing something that you always wished to do but were postponing.
Wishing you super successful treatment in the future : ))) and I am sure that it will be as such since you caught your PC early.
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2 Reactions@jeffmarc That’s amazing that you were able to continue to work so much with all that you went through! You must have a lot of stamina. Thanks for sharing your story. Yes, I have several steps to go before I know how this will affect my work life, if at all. It really helps to hear about the experiences of others, even though we are all different. Thanks for sharing.
@kenk1962 I’m sorry you went through that, and could see myself feeling the same. I definitely need to be “on” when working/traveling and would probably have a similar experience if I have to go through ADT, etc. Thank you for sharing your story. It’s all very helpful.
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1 Reaction@northoftheborder I just read your profile and saw that you were at stage 4 at such a young age. It’s amazing that you were able to work at all, especially in such a demanding field. You’re fortunate that healthcare is not a concern in Canada. For many of us in the US, it is the most significant reason for waiting until 65 (gov’t Medicare eligibility) to retire. Congrats on overcoming so many odds, and thank you for sharing your story.
@surftohealth88 It’s amazing that your husband is able to do so much into his 70’s and while facing PC. I’m sure it helps him to have such a supportive partner. I could see how work could provide a good distraction from “doomscrolling” the internet about cancer. I agree with taking one step at a time and that is generally my attitude too. Sometimes I get ahead of myself, but am able to bring myself into check. No one knows how much time we have left on this earth. It’s important to make the most of every day and not get too hung up on tomorrow. Thank you for the encouragement and helpful reminders.
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1 Reaction@stldadof4 If you need ADT, then I do believe it's beneficial. Yes, it's tough, but it can be quite helpful for radiation patients. I am glad I was on it and believe it made my radiation treatments more effective.
In my situation my PSA went from 8.1 to 1.9 30 days after starting ADT. After another 30 days my PSA declined further going from 1.9 to 1.1. Then I began my five SBRT radiation treatments and my PSA bottomed out at 0.1 within another 30 days.
So...yes, ADT is tough on you. But the good news is that it is even tougher on the cancer and that makes it worthwhile.