Our profiles are similar. I’m 61, divorced, self-employed, PSA 9.6, up from 5, 1 year earlier. Gleason 4+3. Second lesion, 3+4 the other side, picked up by pathologist on last minute checking MRI scans, prior to forwarding to Urologist. And liver problems. Diagnosed spring 2017.
I remember separation as being extremely tough, with PC diagnosis as well I would be getting as much good support as possible.
I was lucky that the hospital had a Maggie’s attached and they are brilliant, supportive and informative. If you can get to one, they can provide support and support from sharing with others patients. Where are you located?
Specialist nurses on PCUK and Cancer Research are helpful.
The Urologist recommended EBRT and HT rather than surgery, which he would have performed, because of fewer complications later. Mine localised so am told it is curative.
IIRC PACE trial is without HT, which has proven benefits with RT. I was offered PACE too but declined because of this.
Just completed 20 sessions RT, and worst bit was the travelling, a bit of diahorrea (which I can spell now) and wind, managed with Loperamide Hyd. The bit about the spelling is not quite true.
Nearing the end of 2nd 3 month implant of Zoladex HT. Few side effects, but small price to pay.
1 week into RT and halfway thro' HT the nurse told me my PSA was then down to 0.16.
I have that slip of paper taped to my wall.
Good luck and keep posting.