To clear up a little confusion, my GP reaffirmed my choice of treatment. My urologist is the only one within my area, and he is about ready to retire. His practice has begun limiting some of the services he has provides. Just as a note, he is very old school, and has served the community well. My father, several uncles, and a grandfather all recieved treatement for this same "condition". Some, still carry the scars 20+ years later, some have succumbed to other aliments, and one did succumb to PC after it was diagnosed as having metasticied through a large percentage of his body. Not the fault of the physician! My urologist did not protest me going to a world class facility, he just thought I would be money, headaches, and time ahead by dealing with a local surgeon, someone within 200 miles.
I do have a meeting next week with a radiologist oncologist. I will get their read on the situation then.
I also have been in contact with the I believe, the correct name is "Cancer Institutes of America". I don't know much about them, but have been referred to them by friends and family? I would probably be directed to Pheonix AZ, or Oklahoma. Not sure which is closer/better access for me.
The big question, comes down to how receptive to all this my insurance is. They encourage 2nd opinions, but I have already played that card extensively for my first round, not sure about their acceptance of multiple consultations in round 2
Diagnosed with PC in 2006 @ age 48
Robotic surgery in City of Hope on Presidents day 2007
PSA never went to "0", always about 0.2
Fall 2008 PSA 0.5
Retested 3 months later, PSA 0.7
Urologist was very unsuportive of my treatment choice so I have not been back
Oncologist believes I should take a wait and see approach, But is ordering baseline bone scan.
I am very concerned!