mattam and George.....
Thanks to both of you for your replys. mattam….your RO's take kind'a squares with what information I've been able to distill. That the jury is still kind of out on ADT. And that Doubling Times are of paramount importance. I believe that to be the case. It just makes sense.
George......thank you too, so much, for the information on UT and Ashville (Ashville is a beautiful 80 minute drive through the mountains from here). And I hear you about
"not asking their recommendations" Although it can be tough, going against what are supposedly the experts in any endeavor. Medicine in particular. It's very tough.
Opinions from centers of excellence are good. We already know about
JH. I do not believe my siblings will want to go there for this. I believe she is going to want MD Anderson. They cured her Breast cancer 30 years ago. They've cured other of my family members of other cancers. We've had good luck at MD.
It just seems to me like (rightly or wrongly)…..one is better off keeping the powder dry for as long as possible. And laying off the ADT until pain, doubling time or the number of mets becomes too much. No telling what the PSA might look like. But somethin' tells me....and I can't honestly say exactly why or what makes me believe this...that PSA (the number in itself....in a vacuum) may be on down the list going into this. But...that's just me. And...it seems to be working for a number of people.
(My only goal is to have some kind of direction when my sister comes callin' about
her husband. Just directions to point....it'll be their decisions and own research that they make decisions with)
thanks guys. I'll be in touch lol
(I've even considered going this route for myself...should SRT ever be needed. But, I'll cross that bridge if I arrive at it)
PSA 2010 thru 2014...4.0 +/- .7
Dx 12/14 @ 56 yo...2 cores G6 <5%, 1 core G6 20%, 1 core HGPIN.
RALP 11/25/15...3+4. 3 mm G6 surgical margin, 15% involvement
(5% G4) pT2+ Decipher: non-aggressive
Post Edited (island time) : 10/23/2019 7:37:33 PM (GMT-6)