My advice would be to calm down and slow down. With a PSA of 0.2, if that is in fact accurate, you have time to address this in a reasonable, calculated way. This cancer is generally slow growing. From time of diagnosis until my treatment was 6 months. That kind of delay has little to no impact on long term survivability. Have the MRI and see what it has to say.........get a second read of the MRI by a center of excellence to make sure the MRI read is consistent with the first read. Then have a targeted fusion biopsy. And get a second opinion of the biopsy slides from a center of excellence. Then decide what to do. In parallel with this you could set up appointments with the urologists you prefer to use or the cancer center you prefer to use. You can always gladly cancel those appointments should you not need them.