San Carlos, the side effects of chemo would be harsh, but they would be short term. I am already dealing with severe QOL issues as it it, my dr. is sensitive to that fact. Side effects from HT would be longer lasting for starters. It's not that there isn't any treatment plan in place, it's still a question of when to pull the trigger. It's a calculated gamble at best as to when to pull it. His thought is to shock the cancer at some point, with some powerful chemo, in hopes of stunning and slowing it down. People will argue this point, but the way it was explained to me, HT still has a masking effect, while slowing down PC growth. Neither method is going to give a cure, so it's a complicated choice, and perhaps in the end, the lesser of evils. I have such poor QOL right now, so I am willing to gamble some more on avoiding either choice. We are going to re-group after the latest scans are done next week, depending on the outcome, action may come sooner rather than later. If the doctor was calling for immediate action, I would be heeding his advice, but he's not at this point. I feel that some here get too intimidated by the actual PSA number they are dealing with. Seen folks get all wigged out because their PSA moves up .05 less at the time, and personally, feel that is an over reaction in many cases. My doctor feels that too many men jump the gun on SRT, HT, and other treatments, and admitted that there are doctors that push their patients into treatments before they are warranted. If he were that type, was trying to make money off of me (like the radiation folks did), he has had every opportunity to do so, and he hasn't.
We all have to way out the gambles in our own lives, as long as I feel comfortable with the situation, it's not hurting anyone else.
As far as any other opinions at this point, not real keen on that. I have seen how that goes with some guys here at HW. You see three different doctors and get three different opinions. Then what? Which one is right? My guy is already a specialist in this field, and unless he gives me reason to doubt his advice, or if I were to lose confidence, then of course I would seek others. He has spent nearly a year now on my case, and has invested a lot of time in researching my specific situation.
Post Edited (Purgatory) : 4/12/2012 1:34:37 PM (GMT-6)