Thanks for all of the replies and great advice. I have been tolling this board for a while with my fingers crossed that I would not need to join your club. My PSA scores had been slowly rising over the last year and I am grateful my GP decided that I needed to go to Urology after my SPA hit 3.8 last fall. It was 4.8 in February and 4.2 last week at Mayo. I know its just the very beginning of what I hope is a long journey, but all we can do is keep our head up and march on.