Hans, first of all, you're one of the many gifts I've been given since becoming a member of this club! A very close friend, who is also a member of our club, took a trip for pleasure with people he met on PCa forums. He said it was one of the best trips he had ever taken! You would be one my short list of people to invite!

Secondly, I too am frustrated by the existential question: 'But what about me?' Gold standards exist for a reason, but they can also be a barrier to more open discussions between doctors and patients about the specific information each individual needs to feel confident about moving forward. I long for a dialog that allows me to express my concerns and then results in a discussion about the pros and cons of alternatives I've read about. I would be glad to pay whatever hourly fee is appropriate to spend 15-30 minutes in such discussions. I feel I'm going to get that opportunity at Mayo and I'm look forward to that discussion.

I hope you have the same opportunity!

Best wishes!

GSD