You are a caring guy Dale and I hope you get whatever benefits can be found from whatever protocol is out there (drugs & combos). If you give me alittle more rope on this question I am sure I could wrap myself up with any kind of opinion (LOL). Only the patient has to walk the walk, not any doctor or spectators, family etc. (they can walk with you or near you) but they don't walk the walk itself.
At the center you are going to although surely a good facility, you might have to determine how regimented are they in using various protocols, are they strictly into a small subset of useable drugs or are they
open minded enough (like: Vogelzang, Sartor, Myers, Scholz, Strum, Tucker, Leibowitz, Barken and other leading PCa-oncologists)...whom consider using perhaps all the tools in the arsenal against PCa, but tailor them to their paitents and do switch them around...and may I say with results and many times again and again. Those onco-docs deal with hrpca very often and have found protocols that gain remission atleast for various durations, sometimes they are even astounded by some patients response and/or lack of them too. PCa is more of the Twlight Zone than pure science.
Another school of thought on refractive and/or recurrent PCa (that goes undefeated), some say it makes no difference what you do.....just what we patients wish to hear?????? I tend to believe that the school of thought on that is flawed, probably based upon knowledge and treatments (that were lacking 10-20 yrs. ago or more). Their are many abstracts that show longer or better survival times in patients using protocols e.g. Bolla study (ADT + radiation in certain method too).
Only thing I can say is it is each persons battle, you decide what type of armor you wish to go into battle with and or a plan of attack. Their are garment dressers (LOL) called doctors that offer various types of garments(battle gear) and battle weapons. Kind of like us PCa patients fighting 'predator' it hides, it morphs, it lurks. We are constantly looking for new weapons and some are coming between now and 2010 for FDA approvals in the pipeline. Don't be afraid to look at anything that may work against PCa....it is a choice and somebody, somewhere is trying it....alot of warriors out there that don't give up.