Dave's story: Farming, prostate cancer and travelling for treatment

Story
Published: 29 October 2026
Dave was diagnosed with prostate cancer at 48. He shares his experience of treatment, farming with cancer and travelling for radiotherapy from rural Devon.

Meet Dave

A man in his 40s with beard at home with a cuppa.

Dave was 48 when a routine conversation with his diabetes nurse led to tests and an unexpected prostate cancer diagnosis.

He shares the impact cancer and treatment have had on his farming life, why travelling long distances for specialist care has been difficult, and how his experience now helps him support other farmers through the Farming Community Network.

Before my cancer diagnosis

“It’s a struggle to remember back to those days before the diagnosis. I was busy beef and sheep farming in North Devon.

“I’d always struggled with bits of my health, mainly being type 2 diabetic, diagnosed over 25 years ago, now insulin dependent. I was constantly seeing the doctor, so I was in regular contact with healthcare people. I wasn’t the type that never saw the doctor or never sought advice.

“Things were pretty normal really. Just busy on the farm and getting on with life.”

My diagnosis came as a shock

“It was 2018, I was 48 at the time. I’d been seeing the diabetic nurse quite regularly about getting my blood sugar under control and she started me on some new tablets to try and help."

“I’d been on these tablets for six months and I went back for a review. I said, ‘It’s fine but these tablets are just making me go to the toilet more often. I’m finding I’m getting up a couple of times a night to go and have a pee.’

“She said, ‘That’s not a normal side effect of these tablets, so perhaps we’ll just run some bloods and see what’s going on.’

“It was her vigilance that picked it up. I had no inkling at the time, no family history of prostate cancer, no other real flags.”

The blood test showed that Dave had a raised PSA level.

“It came as a bit of a shock. I didn’t really know much about prostate cancer at the time. To me it was an old person’s disease and something that at my age wasn’t really a concern. I went back to the GP and had another test, he said, ‘I think I need to refer you.’ From there, you’re on the conveyor belt of tests, scans, biopsies.”

Dave remembers how difficult it was to believe this could be happening to him.

“I remember sitting in the hospital waiting for a biopsy and I think there were seven or eight men in the room all waiting with me and they were all in their 70s. I’m looking around thinking this is obviously some sort of mistake. I’m only 48, this can’t be right because I’m so young.”

I wasn't fully prepared for what treatment would mean

“At the time, you feel like a rabbit in the headlights. There’s so much going on and I think with hindsight, there were a lot of things I should have asked."

“You put your faith and trust in the healthcare system and you think, well, they know best. But there were quite a few things that came out of it that were a shock for me, certainly the nerve issue."

“That wasn’t even flagged up to me that that might be an issue, and that was quite a shock coming out of the prostatectomy operation and being told that it was non-nerve sparing and all the implications that that brings subsequently."

“The information was there, but probably not pushed quite enough. It’s still left for people to ask questions. I wasn’t fully prepared, but things are slowly getting better.”

I tried to protect my family

“I didn’t tell anyone who didn’t really need to know. Big mistake to try and put so much pressure on yourself. I didn’t tell my friends. We didn’t even tell my daughter until after the surgery. She was only 13 at the time."

“You think you’re doing the right thing by not telling them, you think you’re protecting them and saving them from the worry and heartache, but they know what’s going on. If I did it all again, I’d do it very differently.”

Dave says his experiences have also changed the way he talks about cancer with other people.

“I think people’s reaction to cancer, they don’t know how to react. That’s one of the things I’m finding working with the Farming Community Network, that if you’ve been through it, you understand it and know how to talk to people."

“You need to be positive but people generally don’t want sympathy.”

I had surgery for prostate cancer

“I had the radical prostatectomy in April 2019. It was a long recovery. I had severe nerve pain for about three months.”

“I struggled a bit with bladder control, but that came back reasonably quickly within a month or so. I was terribly bruised and swollen, again not something that I was prepared for.”

After surgery, Dave had regular PSA tests.

“Initially it started out as undetectable but gradually my PSA level was going up and they kept me under regular testing. I knew that eventually we would be in a place where probably I’d need some more treatment.

“In April 2025. I had a PSA test and they said now is the time that we need to do something.”

Dave started hormone therapy followed by radiotherapy.

Travelling for radiotherapy added another pressure

Dave had his radiotherapy in Exeter rather than at his local hospital in North Devon.

“Radiotherapy was difficult. Not the actual treatment. The difficulty is around organising yourself to have to go in every day for a month.

“For most of it, I drove myself. It was an hour and a half there, an hour and a half treatment, and an hour and a half back again every day, when we have a hospital within ten minutes.

“By the last week the fatigue had really ramped up, and it was getting tiring.”

For Dave, the travelling affected much more than the treatment itself.

“The pressure of travelling to a hospital that’s an hour and a half away, the pressure on family and friends to get you there, visit you, the time it takes. Even a blood test or a scan can be nearly a whole day out, which again, being on the farm, you’re busy, can be trying.”

He says he met many other people making similarly long journeys.

“You think, why have we not put a radiotherapy suite in North Devon? Why are people having to drive these distances?”

I found things difficult after radiotherapy

“My problems started after the radiotherapy finished. The side effects go on long after the radiotherapy course finished. I ended up in A&E three times.”

When Dave was unable to pass urine, the radiotherapy team advised him to go to his local A&E because he was too far away to get to Exeter quickly.

“You go to A&E and they’re great but they’re not specialists in urology. They do what they can. It just felt like I wasn’t in the right place to be dealt with.”

Dave later experienced further catheter and bladder problems. Getting specialist follow-up care was frustrating.

"The team in radiotherapy are great, I can’t fault them, they did a great job, but it’s this cliff edge that you fall off. The specialist aftercare just seems to vanish the moment you finish your radiotherapy."

“I’ve struggled since having the catheter in, I’ve struggled with bladder control. I’ve felt quite upset and almost forgotten, which has been difficult.”

Cancer affected my mental wellbeing

“I didn’t cope well. My partner says I need to talk to somebody. But finding that is difficult.”

Dave believes support needs to be particularly easy to reach for people working in farming.

“Farmers are very much different from everyone else. They’re very stoic, they don’t want to ask for help, and when they do reach out, you don’t want to put a barrier in front of them that gives them the opportunity to turn around and walk away again and deal with it themselves.”

He has also found that some cancer support does not fit easily around working life.

“There’s a prostate cancer support group which I joined online, on Facebook. It does help, they have regular meetings and walks, but mostly during the working week."

“So there’s a big gap for support for people of a working age.”

Cancer put pressure on life on the farm

A man in his 40s on a quad bike on a farm.

“I farm in partnership with my brother, so my brother took on the extra workload and we got through it.

“My consultant was very good. He arranged the operation for when it worked for me. My initial date was right in the middle of lambing and I said, ‘Look, that’s going to be really difficult,’ and he said, ‘That’s no problem. How about three weeks later?’ when it worked a lot easier for me.”

"But taking time away from the farm was still challenging."

“After surgery, my brother was covering. Obviously, that puts more pressure on everybody if you’re a man down. There’s a lot of work to get through."

“I was off for about three months, back on light duties after about two months but really not fit to do much."

“The problem is with farming; there’s not enough money to say we’ll employ someone else for two months to cover you. There’s no money there to do that. That’s the added pressure of farming because the money is generally so tight. When something unexpected comes along, that can be an added pressure.”

Using my experience to help other farmers

Dave has been involved with the Farming Community Network and Macmillan project since December 2024.

“I knew of the FCN and realised it was a great charity and seeing the Macmillan side of it as well, I thought, this is somewhere I can really make a difference. We spend a lot of time going into hospitals, dealing with healthcare professionals, just talking about the problems that farmers face through a cancer diagnosis, why they’re not turning up to appointments, what they can do to help farmers through that.”

The Macmillan and FCN partnership works to increase awareness of cancer and make cancer support more accessible for farming and rural communities.

Dave says the work is also helping healthcare professionals understand the realities of farming.

“Initially the project was about raising awareness of cancer among farmers, going around the markets talking about cancer, promoting early diagnosis.But the last few months we’ve found a real desire for healthcare professionals to know more about farmers and the particular problems farmers face."

“Through this project, we need to raise the fact that people are travelling long distances for treatment and the pressure and the tiredness and just the problems that it raises are huge for rural communities.”

If you have questions about prostate cancer

You can read our information about prostate cancer, including diagnosis, treatment and living with prostate cancer. 

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