Thanks a lot Cyclone.
An update: We visited the urologist today, he was indeed happy with the PSA results. He discussed with the assistant doc whether they should refer us to the radiation onco now but the assistant doc said it is early as dad has no symptoms right now. Then they advised us to go in for a PSA test 3 months later along with a sonography and then come back - and that the PSA should drop to 0.5-1 by then. They did not refer us to the oncologist - neither MO or radiation oncologist.
When we had met the MO post diagnosis he asked us to visit him after a month with the PSA results and said he may consider adding abiraterone (zytiga generic) then. So i asked the uro if abiraterone needs to be added - he said it is the second line hormonal therapy - to be added when the first line stops working which could be any time - 6 months, 5 years or even 10 years later - now it is not required to see the MO or RO. Now this is what is confusing me - which approach is better ? first line hormonal therapy fails and then move to second or early addition of Zytiga as some trails do suggest its benefit whereas others don't. Without the uro's referral to visit the Onco - the insurance company may not pass the medi-claim. Nonetheless, we are thinking to consult the MO once for his opinion. Any inputs on what should be the treatment plan now and if both of them have different opinions how to deal with the same? Also, i asked the urologist if my dad should start taking Vitamin D3 tablets for his bone health - the doctor said u can all continue to take the multivitamins he takes currently - i said he does not take any - should he start taking Vitamin D - finally he said yes you can, it can be good.
Post Edited (givemesomesunshine) : 8/5/2019 4:43:46 AM (GMT-6)