At a confusing point in my journey. Two years after RP. Patology was gloomy. Gleason 9 (5+4) Two positive nodes. Sem Vesc invasion. PSA .6 after surg. Clean prostascint so I did SRT last year. PSA still climbing two years later (2.25) Avoiding ADT because I hate to use the last weapon in my arsenal and commence that horrible countdown. Also avoiding hormones because I am still working and I dread the associated side effects especially loss of cognitive function. I realize that I am running out of options and I would like some really expert advice to help me sort them out. What are some thoughts on high ranked medical oncologists specializing in prostate that may be accessible to me? I reside in Pa. but I will consult with anyone that my insurance will allow. I love this forum. Thanks guys.
Jim