And some doctors just aren't as good as others. My RO is at a renowned university teaching hospital, and knows better than any MO would what the best, most recent studies say about
adjuvant therapies -- that's his job, and it's what he teaches to his students. One of the questions I recommend patients ask ROs is:
Do I need pre-treatment, concurrent or adjuvant ADT?
b. What's the evidence that it's useful?
c. For how long?
If I found an RO who couldn't discuss
those questions (and, "there's no definitive answer" is a good answer), I would look for a different RO. Discussion is important, especially with so much uncertainty. The patient should always share in the decision.
But I live in a major metro area with lots of great ROs. What if you live in the boonies and some standalone radiation facility is the only one you can get? I would say to at least try to get a phone consultation with a top RO. Many will do that.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEsmy PC blog