Some time back on here, we had a similar discussion that ended up with this conclusion, as best as I can remember how it was put....
That ultimately, the decision of how to treat (or, in some cases, whether to treat aggressively or not), is a highly individual decision. All of us make that decision based on a combination of factors, including:
1. The facts of our individual clinical case
2. What treatments are available to us, where we live
3. Things like work situation, insurance coverage, family dynamics
4. Our individual comfort level with the real and perceived risks, both immediate and long term
5. Our individual response to the physicians we have consulted (our comfort level with the individual/team)
6. Our interactions with others in similar situations and their experience--this one is probably much, much more important than we want to admit.
In the end, we each weigh these factors in our own way, and come to a decision. There really is no point in debating which factor deserves the most weight--that's our individual perception, and it doesn't have to make sense to anyone else. What I do know is this: My experience--and the experience of many others in this forum--suggests that if we do our homework within whatever parameters feel complete to us, then we make a decision we can be at peace with. And that is really the most important point of all.
If we're settled in that we did our best to make a good decision, then we are much less likely to experience decision regret, regardless of the outcome. Yes, it's important for us to push for better tools and better professional advice by those we pay for it--but it's skating right up to the forum rules (and human support) to criticize someone who made the best decision he could with the tools and information he had at the time.
Age at Diagnosis: 56
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
58.5g, G3+4, 20%, 4 quadrants involved
PSA Non-Detect since April, 2015
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024