Quiet Biology
Start Here

Find your way in. This site was built for where you are right now.

Quiet Biology is a growing body of writing on prostate cancer — built from years of careful reading of the primary literature, and from the experience of living with this disease. It is not a clinic and it does not offer medical advice. It is an attempt to explain the biology more honestly and completely than most men are given at diagnosis.

The site contains a lot. The six paths below are a way in, organised around where you currently are in your journey.

Six paths

Start where you are. The site will open from there.

  1. 01
    Still interior, man at desk
    Newly Diagnosed
    Overwhelmed

    You have just received the news, and the weight of it has arrived before any real understanding has. The biology is less frightening than the diagnosis made it feel. Start here.

  2. 02
    Slow river under morning light
    Active Surveillance
    Watching

    Disease is present, but for most men it will remain exactly where it is. The evidence for careful observation over immediate intervention is substantial and often undertold. Start here.

  3. 03
    Wave beginning to crest at dawn
    Rising PSA After Treatment
    Recurrence

    PSA is moving after surgery or radiation. The numbers are real, but the biology behind them is more varied — and more manageable — than a rising figure alone suggests. Start here.

  4. 04
    Water finding course through narrow channel
    Advanced or Metastatic Disease
    Refractory

    You are dealing with more extensive disease and have likely been through multiple lines of treatment. The biology here is complex, but it is not arbitrary. Understanding what the tumour has adapted to is where the next decision begins. Start here.

  5. 05
    Roots finding way through stone
    Partner or Family
    Supporting

    You are trying to understand what the person you love is facing, and how to support them through it. The biology matters to you because it matters to them. This is where to begin. Start here.

  6. 06
    Forest canopy, layered light
    Clinician or Deep Reader
    Researching

    You want the full scientific framework and its supporting papers. The argument is built across twenty-four papers in two collections, with a white paper setting out the theoretical foundation. Everything is freely available. Start here.

Everything here is written from the perspective of a patient who has spent years reading primary literature while living with this disease. I share what I wish I had known earlier — not as instructions, but as better questions to bring to your own medical team.

You do not need to read everything. Start with what feels relevant to you right now.