Bob...wow...I'm not quite sure what incited all of your sarcasm. By posting this thread Mel invited some commentary on particular physicians amd most of the replies were in that wheelhouse. However in answer to some of your thoughts:
1. "And all this time, I thought science and medicine were limited by available knowledge, drugs, and therapies."
...uh, no, not really. Many times the difference maker is the physician. Not all docs have equal knowledge or experience with drugs or therapies to say nothing of their overall experience in treating a particular disease in a particular way. This is not to say that only one doctor or a few have a corner on excellence in any particular field but there are acknowledged experts in most professions...medicine is no different. I believe Mel wants to maximize his chances of success, hence his original choice of Dr. Menon who frequently achieves great results. And hence his quest for the best choices for the remainder of his journey...I happen to think he is smart for thinking this way.
2. "And all this time I thought that the rules were fairly clear... Depending on your age and condition, the stage and the agressiveness of the pca, if it's in the prostate, remove the prostate. If it escapes Radiate it. If it comes back your have HT."
uh, no, not really again. If we have learned only one thing from this forum it should be that not one size fits all. Your comments indicate a total disregard for the many other choices a patient has at early stages of his journey, e.g. IMRT, Brachy, AS, HIFU, TFT, etc.
Do you believe Mel is making a bad decision by seeking out top doctors?
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey: