Should have known this might turn into another war of words on the all empowering wisdom of diet and supplement. None of this has anything to do with a thread on BCR, which is a very legitimate discussion and topic. Thanks, JamesC, for putting the brakes on that before it got out of hand.
From the answers, there is an "official" answer, one stated more than once here, and then some more "per individual" responses, mostly generated by real-time experiences with our own doctors. And that makes sense to me. In my case, and it doesn't mean it would apply to anyone else (but it could), the concern of my Uro and Radiation Oncologisit has been consistent from the start of my PC journey, how do you deal with rapid PSA velocity, regardless of Gleason scores, etc. So I am sure what I posted above, on 3 consecutive rises above .10 constituting BCR is applicable in my case. Also, neither doctor wanted me to even wait to a rise of .20 for SRT, for the same reasons stated, being that the odds of SRT working were low to start with, and was further factored downward because of the velocity issue.
It's a tough subject, that many, many of us have had to wrestle with. Mel, and James, thinking of you guys in particular, and I know the fear and anxiety going on, and to be expected. James, you have had a pretty good run on the PSA front post surgery, Mel - though nothing bad has been determined on you post surgery, I understand fully your apprehension on the subject.
For me, it was one of my toughest medical decisions of all time, being that I knew first hand how my body reacted to major radiation in the past. What I feared the most, came true for me, and we all know about
my previous year of physical hell.
I am not sure I would even turn to radiation for pain management, for future hot spots, etc. My body is still telling me, I have had enough radiation. The bottom line: why did I consent, fearing what I feared in my heat? Simple, without the SRT, I had no chance of stopping the progress of my PC, and even though the risk were high, and the odds not in my favor, it was my one and only remaining curative step to take. And I owed it to myself to take it.
I will know more by the end of February, what I am fearing and anticipating, but hoping to be 100% wrong, that evidence will show that even my SRT has or is failing. It would follow the pattern of a high velocity case. I just want to be wrong.
Good thread, one dear to my heart. No matter what any of you brothers do still pending this situation, you got my backing, and I know it will not be an easy situation or decision time for any of you.
David in SC
Post Edited (Purgatory) : 12/31/2010 6:37:11 PM (GMT-7)