I live just across the river from Albany. I ran into the same problem you are experiencing -- there is no obvious "go to" medical oncologist in this area with a practice focused solely on prostate cancer. When I experienced a rising PSA eighteen months out from surgery, I eventually moved management of my case to Sloan-Kettering for exactly that reason. I have been happy with my treatment and outcomes (knock on wood) so far at Sloan. Locally, the "go to" doctor for prostate cancer for years has been Dr. Hugh Fischer at Albany Med. Have you heard of him? Dr. Fischer is a surgeon, but his interest is broader than that, and he has acted more in an oncologist role for a friend of mine for 12 years. My friend had surgery with Dr. Fischer 12 years ago, has had a few PSA scares since then, went through radiation 9 years after surgery, and his case has been managed by Dr. Fischer all the way. Dr. Fischer might be worth your time for a consult. With best wishes!
11/09 DaVinci surgery upstate NY; nerve bundle taken; clean margins, clean seminal vessels, no incontinence, alas no erections.
06/11 PSA re-emerged.
Time to recurrence 18 months
Three month doubling time (summer 2011).
PSA rose from .07 on 06/11 to .17 on 11/11.
09/11 hernia surgery to repair hernia resulting from the DaVinci.
10/11 Moved management of my case to Memorial Sloan-Kettering in New York City.
12/11 Started hormones (Lupron/Casodex).
02/12 Began radiation (SRT), including pelvic lymph. 40 sessions.
04/12 Finished SRT.
03/12 Last Lupron shot.
07/12 PSA and testosterone "undetectable."
01/13 PSA “undetectable”; testosterone (T) level at 452 ng/dl.
07/13 PSA “undetectable”; testosterone (T) level at 444 ng/dl.
Currently receiving no treatment.