Si,
I agree with you about that PSA level. You're on no treatment, and yes, you still have a prostate.
On top of all that your scans have been so good.
In 2010 I had been lucky enough to have been able to have a break from treatment for three years.
Over that time PSA climbed slowly to 7.0 and I was summoned to see my urologist.
I only agreed to attend because my cancer nurses at that hospital had told me that he'd be offering me new scans.
Since it had been five years since the last ones (MRI, CT, bone etc) I was looking forward to seeing what had changed over those years.
It turned out to be nothing of the sort.
After telling me how lucky I was to still be here after he wrote me off in 2005, he said 'Your PSA is obviously climbing, cancer is active again. I could offer you chemo, but perhaps you'd prefer quality of life over such radical treatment".
That was the shortest appointment in my 11yrs of the PCa battle.
I was flabbergasted. Had he actually checked my notes and seen I was on no treatment?
My good outcome so far had nothing to do with his 'wisdom and judgement' (Ha!) and everything to do with my oncologist at my main cancer hospital since 2005.
I think everyone here knows my favourite word, and it took me only seconds to use it.
I told him he was talking complete bollocks and that I wouldn't bee seeing him again, stood up at left.
A month later, when I had an appointment with my oncologist and related the story, he was absolutely furious at what the urologist had said.
Incidentally when my PSA eventually reached 10.0 some time later, my oncologist put me back on zoladex and it worked as well as it had first time round.
You'll do the right thing Si. Informed research and an informed decision will see you through.
It does have to be a 2-way debate with your oncologist, an in Jamie you have that.
Some oncologists, like ours, actually do listen to what we think is best for us.
All the very best,
George