PSA jump 16 to 30 in 6 months. Radiation candidate?

@heavyphil Hello Phil and thanks for your reply. A recent 5 year study of elderly men in England showed that 95% of the deaths that occured in that time were due to non-prostate or related reasons. It has been said that most all men, if they live long enough, will develop cancer cells in their prostates. (don't know the origins of that statement).
Art

@augustahuss
Just to clear it up.

You are a Gleason eight. The seven doesn’t matter the doctors only go by the highest number.

A Gleason 8 is very aggressive so you don’t want to go very long watchful waiting, (Which is now called active surveillance).

At your age, radiation is the normal solution. Nubeqa is pretty easy on the body and could keep your cancer under control for a long time. ADT may be too much. Discuss this with your doctor.

At 78 I have some calcification And have to take Diltiazem, Losartan and Metoprolol twice daily For high blood pressure caused by Zytiga. Sounds like your problem is definitely worse than mine however.

@augustahuss Thank you for the info…G8 is considered aggressive so your decision to treat it depends on what you think your odds of survival are vs your odds of succumbing to CAD.
G8 usually requires ADT, which may exacerbate your CAD, but as @jeffmarc points out, Nubeqa may be a way around that…
Don’t know the fine points of British health care system, so can’t say they will approve it in lieu of cheaper alternatives like Lupron - which may prove worse than nothing at all.
Again, there are different levels of CAD ranging from totally asymptomatic all the way to being housebound with shortness of breath, etc. IF (again, IF!) that is your situation, treating the PCa may not be worth the strain on your body.
Phil

@I don’t believe I said I had no problems with ADT. I just try to identify them and apply the appropriate fix if one is available. ADT made me pre-diabetic, raised my cholesterol to 240, and gave me osteoporosis. I changed the diet twice to fight the high glucose and eventually asked for and received a prescription for Metformin, which has helped others in Trials on metabolic issues. A cardiologist prescribed statins and ezetiimbe, which cut the cholesterol in half. I started on Prolia last month for the osteoporosis. ADT is the pits but it something I have to live with.

Thanks for the reference to ANCAN:ORG, I will sign up.

@jeffmarc

These are all great comments and good information, but have you had a second opinion from a cancer center of excellence like Sloan Kettering, MD Anderson or the Mayo clinic? There are other great prostate cancer doctors out there, but you only have one life, so do everything you can do to make it better. I've had some bad doctors in my life so I don't trust any of them without verification.

@augustahuss u can reverse the plaque build up. Read de Dean Ornish land mark study from 1990 re reversing heart disease a controlled study monitored via angiograms and reversing blockages via diet and relaxation and walking etc
It sold millions but oddly many doctors are not aware of the controlled study

@pezzy
The Cleveland clinic tried to reproduce the study. They could not find people that wanted to have the rigorous requirements of the study in their lifestyle. I didn’t mind doing the dieting, but it required one hour of exercise every day and 2 sessions per day of stress management, private counseling with a physician, lectures and a group support meeting in the evening.

“But you have to be a very special kind of person to do the diet. No meat. No fish. No chicken. No dairy. I tried it for a week myself, and I couldn’t do it. I was hungry all the time. I quit at six days.”

Strangely he talks about studying the reversal of early-stage prostate cancer through a holistic approach

This is not as simple as it seems.

Agreed it’s not easy but many people have reversed heart disease via rhia or similar diets and some lifestyle changes