Terry you are collecting information for your own brain to process, you know plenty about
PCa, and you have witnessed all kinds of PCa history stories and converstations, especially being part founder of www.yananow.net. You know what I think about
all the so called self imposed 'expert-docs' and what alot of abstracts say or don't say within them. Granted there are some expert docs, but probably like Dr. Strum mentioned 10-15% of the PCa docs may fall into that category. Of course you go and get another psa to verify the last one, as Dr. Strum always says....verify any psa testings, it is all about
history, velocity and proper types of assessments, but you have heard all that.
So, ideas.....you could try alot of things, like adding proscar/avodart or terazosin or casodex for a short while and monitor psa's very closely, to see if the added results are there. The key word is could, not should and you know all about
such things anyway. Maybe you could add the estradiol patch or gel at the same time you are on Zoladex for further results and it would likely cancel the side effects of Zoladex in the process, but I am not sure of your risk factors for such, you would have to find out. Well there are a couple ideas.
Just an fyi one of the guys in our local seminar support group is on year 14 now, failed on Lupron like 4-5 years ago now. Went to see Dr. Scholz and got onto Leukine injections, self injections he can do at home. He claims no side effects and has currently 4 years of excellent control and low psa. Good he has great insurance as it pays for that expensive stuff. But 4 years thus far on one drug at this type of juncture, is considered excellent in general, and without lousy side effects is even nicer.
I am confident you will analyze all your options, because I know you are that kind of guy. I wouldn't be surprized if you later come back with some fine answers. Do you look at the online PaactNewsletters? Good info on newest drugs and protocols for us patients.
Best to you and always mentioning yananow.net as a great source for information to all the brothern of PCa.