See Chip, this is where I get very confused. My rational brain tells me that if my PSA goes up after the SRT/ADT I just completed, the PSA must be coming from somewhere OUTSIDE the treated area - ie, prostate bed and pelvic nodes….but WHERE??
According to Jeff, recent comments by leaders in the RO field say you might not be able to see a lesion less that 5 mm with PSMA PET scan - do you know how freakin BIG that is??
So what if your PSA hits 2.0 and your PSMA shows nada….wait til 3 or 4? After having G9?? I don’t know, I have no answers but Dr Scholtz seems to think this is the way to go as well, so your RO may be following his lead. But this approach scares me, to be honest. Sounds like the PSA version of Russian Roulette.
If my PSA starts going up after all this treatment I might say screw it, take out another mortgage and spend the $100K on Provenge…it won’t bring the PSA down but it might be better than playing whack a mole for the rest of my life.
I hope neither one of us has to find out!! Best,
Phil