Roblee, I never had HT when I had the SRT. I truly believe I have BCR. But my question is when you say the time to act is now, you mean go on ADT now and not delay it?
I could see that you hadn't mentioned ADT in your sig. And I think they don't jump into ADT as soon as BR is determined (I don't know, this is beyond what I've read). I think they start treatment when you get into single digits... PSA of 2 or 4 maybe.
What I meant by act now is to find a MO who specializes in prostate cancer. I don't think your RO can do any more for you from here other than refer you to a MO.
One last question please: Can any image scans find Mets at .2 psa?
Someone in another forum put together this table of the lowest PSA which various scans can visualize:
PET-PSMA = 0.6 ng/ml,
PET-F18 Flurocholine = 1.8 ng/ml,
PET- F18 (Axumin) = 2.0,
MRI-Feraheme = 2.5,
MRI-C11/F18 = 2.5,
MRI-Ga = 10.0,
CT = 20.0,
Bone scan = 30.0.
2014-15: PSA's 9, 12, 20, 25... Neg DRE's, false neg TRUS biopsy
6/16: MRI Fusion biopsy, Right Base, 2x40%+2x100% all G8 (4+4)
8/16: DaVinci RP, PNI, 6mm EPE, 11 LN-, 53g 25% involved Grp 4, BL SVI, T3B N0M0
1/17: started 18 months Lupron ADT, PSA's ~.03
5/17: AMS800 AUS implanted, revised 5/30
8/17: RapidArc IMRT 39 tx (70 Gy) Aug-Oct 2017
1/18: PSA 0.00, Now test every 3 months to find a trend