You absolutely need to see an MO. Similar to my friend ISU, I immediately went and saw two experienced MOs who deal with mPC. These gentlemen went out of their way to review my diagnosis and provide a treatment plan. Enrolled in a trial, and discussed with me all the options. This is very important, because as you progress through the disease, new treatments will become available. For instance, I am now on Zytiga, which was approved just prior to my diagnosis.
You also should have a discussion with your MO regarding average treatment times, and what your response to the treatment means in regards to your lifespan. This conversation, while difficult and is really like trying to predict when the Mets will when their next world series, can help you make other decisions in life (i.e. financial planning, retirement, etc.). My MO is not only my main adviser on treatment and medical issues, he provides information that allows me to make rational decisions regrading other aspects of my life.
Ask around, get some references, talk to a few MOs, and then move forward. You will not regret it.
Your brother in arms.
DX 55 Yrs Old - T4,N1,M0
11/13 - PSA 130, MRI BX -8/8 cores positive -G8 (4+4), BS Mets spine hips ribs, No Symptoms
11/13 - Firmagon, 12/13 Trial S1216,1st Lupron, CasodexMy PSA Chart