a man with sad body language has a scribble for a head

Community Spotlight: Good, Bad, and the Ugly

Ronald Dahlen shares his story battling prostate cancer. From diagnosis to making tough treatment decisions to adjusting to a "new normal", Ronald opens up about how life has changed for the good, bad, and ugly since prostate cancer.

In November of 2016, I was diagnosed with prostate cancer. Testing showed it to be a large and aggressive tumor -- Gleason Score 8. In December, I chose to have a radical prostatectomy. The pathology report showed "a focally positive margin" and one positive lymph node. My recovery went well and after a month regained bladder control. Over the course of 2017, my PSA rose from 0.07 to 0.16. It was then recommended that I have radiation treatments, to the prostate bed and surrounding lymph nodes, in conjunction with androgen deprivation therapy (ADT).

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Adjusting to my "new normal"

July 2019 It has now been one year since my radiation treatments and six months since ADT (pharmaceutical castration) ended after cancers returned. It has also been two and a half years since my radical prostatectomy. I am now dealing with what drug commercials euphemistically call my "new normal".What is really meant by "new normal" is that you may live longer, but your life may suck. On the positive side, my latest test shows my PSA to be negligible (a good thing), my testosterone has returned to normal, and my thyroid function has also returned to normal. My relentless hot flashes have finally stopped. I’ve generally been feeling well and my energy is good for my age (73). I also think I am more empathetic to other peoples’ illnesses, especially cancer. On the downside, my motivation is low and I tend to avoid making future plans; perhaps mild depression. I also experience occasional phantom erections. Some of the more disturbing side effects are impotence and near total destruction of sexual function. My penis has shrunk by nearly two inches on the upside, which is moot since it will never be erect again; however, none the less, it is just one more blow to my psyche. With few exceptions, my body hair still has not grown back. At times I also experience some difficulty controlling bowel movements and also mild urinary incontinence. I still experience some cognitive impairment and cancer returning is always a real concern. Hopefully, with time I will learn to accept my new normal.Learning to live with the side effectsOctober 2019It has been three years since my cancer was first detected.Cognitive impairment is still an annoying consequence and this fall I began taking mirtazapine again for depression. I had stopped taking it late spring thinking my mood would improve with the weather, but I found myself gradually slipping. Depression is something I never really experienced before so it was not easy for me to recognize. I had one Viagra left from five I received after my surgery -- the other four had no effect. Rather than throw it away I decided to give it a try. Much to my surprise it actually had an effect. Not anything like before surgery, but then again anything is an improvement. Without the depression, my quality of life has improved and I am more optimistic about the future.My latest PSA test resultsNovember 2019November, I met with my oncologist. I had my blood drawn the week before for a PSA test. I like my oncologist, he explains things well and pulls no punches. He gave me a thorough examination and then told me that my PSA had risen to 0.04 from 0.00. Hopefully, this reading was just an anomaly. If my PSA continues to rise it is an indication that prostate cancer has returned. My options then are limited, depending on where it is located.There are medications and procedures that may extend my life for a few years. But at what cost financially and to my quality of life.
This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The ProstateCancer.net team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

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