Hi Kevin, the way it was explained to us is this was the most aggressive route by doing the surgery first and then seeing where we stood, we did know that it was in the lymph nodes and metastatic prior to surgery but this was the best path forward.

I didn’t realize there were two separate categories you mention ADT and ARI I just had it as “hormone therapy” so thanks for this we will do research on the two so we can have a more informed conversation at our follow up in a few weeks.

From what we understand mine is an aggressive cancer also so we want to take an aggressive approach.

I also appreciate your comment about your journey so far re 11 years in and on treatment four times for three years and off treatment for eight, seems like a good trade off considering where we all are with this disease.

Thanks Again for this information I’m sure we’ll have more questions after our next visit about the choices we need to make going forward.

Have a Great Day

Al