Late to the conversation. Just wondering why your not seeing an oncologist at a cancer center? I was diagnosed with agressive metastatic stage 4b pc. PSA 40. Gleason scores all 4+5 or 5+4, Pirads 5. Spread to pelvic bones and lymph nodes. 6 docataxel chemo treatments, 6 radiation treatments, 2 years Lupron and Nubeqa and PSA is holding at .02. PET scan shows no cancer. Even bone cancer is gone. I went to MN Oncology. Just can't say enough about the great treatment I got there.