John T: Regarding delaying HT. Let's say one has just SRT and it fails (David's case). I have still seen arguments that say wait until the PSA hits 10 or even 20 and other arguments that say hit it immediately with HT. I've posted this question elsewhere and it seems there is not quite uniform agreement on the answer. Then we get the question of HT before SRT. Once again, you can say whatever you want with authority, but there is no uniform answer. My doctors at Ford and Umich said no HT when I asked them, but this was before my last doubling, so I will try and ask again.
Casey, I have not read his book, but I have seen his tapes. His tape on BCR after RP really did throw me into a depression. Basically, my PSADT of 2 months is "highly lethal." He definitely questions whether or not SRT should be done at all and he does advocate strong HT. That is his opinion and one I have to consider!
Still, the MSK nomograph gives me a 45% chance of a 6-year BCR. Myers probably ascribes almost a ZERO chance.
There are clearly NO ABSOLUTE ANSWERS. You have very learned medicos saying different things