I want to talk about a thing that happens in a quiet house. A man is told his prostate cancer has spread and cannot be cured. The appointment ends. Everyone drives home. And then at some point that evening, somebody in that family picks up a phone and types the question nobody said out loud in the room. I have done my share of late-night searching. Sixteen years ago a friend in an airport told me I had a prostate issue I knew nothing about, and when I went looking there was almost nothing to find. Now there is too much of it, and a lot of what comes up first is old. Figures came out in England this week covering 45,339 men whose prostate cancer had already spread. In 2015, 56 per cent of them died within three years. By 2022 it was 47 per cent. More than half now get past three years. So whatever that family found on the phone that night, it was the old arithmetic. One of the men in the reporting, Kevin Mortimer, 51, from Liverpool, said something I keep coming back to. He said it is a sobering reminder that behind every statistic is a man and his family facing a difficult future. He was told his cancer had spread to his bones and lungs and that it was terminal. Three years on it is undetectable. He is also the one who points out that he is a super responder and that not all men in his position would have had the same outcome. He says it himself, so I am not going to dress it up either. These are England figures and NHS England care, so if you are somewhere else the number on your screen will be a different one. What to do about it is the same everywhere. At the next appointment, ask whether combination treatment has been discussed for him, and ask for the answer to be written in his notes before anyone leaves the room. Has anyone here driven home from an appointment and then looked something up that frightened you more than the appointment did? https://www.skool.com/prostate-paladin-4886/about