Update from Moffitt and Question

Just returned from a day trip to Moffitt in Tampa to see a medical oncologist who specializes in PCa. He advised that the salvage radiation has failed and we should just do active surveillance without ultra sensitive testing every four months until my PSA gets to 2.0. Then I should have scans to determine if metastasis has occurred. He said there is really nothing to do but wait and hope that the rise is slow. He suggests medical intervention when my PSA hits 5.0. He illuded to a couple of oral drugs we could try before ADT, one that only is 20% effective and another version that's 5X stronger but insurance won't pay for. Can be obtained throughout a Canadian pharmacy for about $300/month. If those don't do it then start ADT. So, for those of you who are far more experienced and knowledgeable than I, does this sound right? I thought about consulting another MO locally but don't want to waste resources if there's no point. Bottom line is hope of a cure is behind us and now it's about the balance between quality and quantity of life. He says I can expect 5-10 years depending on how things go but of course no one knows the answer to that question.

He's basing it on three consecutive rises in uPSA and an F18 bone scan from yesterday that was compared to one done a year ago. Guess I should enjoy the time it takes to rise to a point requiring action. Is this pretty typical?

No ADT before SRT.

Thanks for the responses. I don't know either and it didn't seem quite right to me but I didn't graduate from medical school. I just repeated an F18 bone scan last week to take another look at the possible met they found last year. All these docs insist my PSA is too low for mets at this point but I know there are PCas that don't put out much PSA also. Anyhow, when I hear back on the bone scan from my RO this week I will request a consult with a local MO for another opinion.