{"id":153,"date":"2026-07-21T07:56:00","date_gmt":"2026-07-21T07:56:00","guid":{"rendered":"https:\/\/jonesingforthejourney.com\/journal\/?p=153"},"modified":"2026-08-12T21:20:55","modified_gmt":"2026-08-12T21:20:55","slug":"the-decision","status":"publish","type":"post","link":"https:\/\/jonesingforthejourney.com\/journal\/the-decision\/","title":{"rendered":"THE DECISION"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Choosing a Path Forward With Courage<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One of the first things you discover after a prostate cancer diagnosis is that there may not be one obvious path forward.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Radiation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hormone therapy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Combinations of treatments.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Different doctors can look at the same cancer and recommend different approaches.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That can be reassuring because you have options.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It can also be terrifying because <strong>you have options<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I wanted someone to tell me, \u201cMike, this is clearly the right answer.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Instead, I began realizing that cancer treatment often involves choosing among imperfect choices while trying to understand risks you never imagined you would have to consider.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For me, that decision ultimately led to radical prostatectomy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I knew surgery came with potential consequences. Continence. Sexual function. Recovery. The possibility that surgery might not be the end of treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But after asking questions, weighing the information available to us, and talking through the options with Sue, it became the path I believed I could move forward with.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That distinction matters.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I don&#8217;t believe there is one universally \u201cright\u201d prostate cancer treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is the treatment that makes the most sense for <strong>your disease, your priorities, your age, your health, your risk tolerance, and your life.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And that&#8217;s why I have become such a believer in asking one more question.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Not because doctors don&#8217;t know what they&#8217;re doing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Quite the opposite.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I respect medical expertise enormously.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But physicians bring their knowledge of medicine.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>You bring the knowledge of your life.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Both matter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Eventually, there comes a moment when the research has to stop and the decision has to begin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You choose.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then you move forward.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I learned that courage isn&#8217;t certainty.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sometimes courage is saying:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cI don&#8217;t know exactly how this will turn out\u2014but this is the path I&#8217;m choosing.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That was Mile Marker Two.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We had made a decision.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Next came the part neither of us could completely prepare for.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The Surgery.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Choosing a Path Forward With Courage One of the first things you discover after a prostate cancer diagnosis is that there may not be one obvious path forward.\u2026<\/p>\n","protected":false},"author":1,"featured_media":154,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_wp_convertkit_post_meta":{"form":"-1","landing_page":"0","tag":"0","restrict_content":"0"},"footnotes":""},"categories":[2],"tags":[29,23,15],"class_list":["post-153","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mile-marker-journal","tag-cancer-journey","tag-cancer-treatment","tag-prostate-cancer"],"_links":{"self":[{"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/posts\/153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/comments?post=153"}],"version-history":[{"count":1,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/posts\/153\/revisions"}],"predecessor-version":[{"id":155,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/posts\/153\/revisions\/155"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/media\/154"}],"wp:attachment":[{"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/media?parent=153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/categories?post=153"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jonesingforthejourney.com\/journal\/wp-json\/wp\/v2\/tags?post=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}