Thanks for the info.
I have been plotting the PSA since first detectable. Dr. Walsh mentioned that if the doubling time is greater than 15 months, the pathological Gleason score is < 8 and you are over 70, there is nothing more to do. And anything that is done will reduce the quality of life. The PCSS survival 10 years after BCR is 98%with a 95% CI (96-100). That’s a lot better than my overall survival of only 51.5% (50.4%with PC). But 10 years from now my PSA will be 4.51, if I don’t die from something else, or if the DT doesn’t decrease. Dr. Walsh did not mention DT changes, especially decreases.
And, that’s my problem. I read a paper that shows a 65% chance of increasing DT and a 35% chance of decreasing DT for GGG 3. I could live with the existing DT but it could decrease. Then it’s curtains.
So, I’m still trying to figure out what to do, if I should do anything. I guess I will never be able to draw a conclusion other than I don’t know. Maybe someone does and they could offer some constructive advice. Treatment? Maybe wait awhile to see if the PET can image anything and do the Whack-A-Mole?
Anyway, here is a link to my PSA plot. And, I’m going to discuss all of this with my RO next Friday.
https://drive.google.com/file/d/1Ul1FzP9WQ1ohA_ppSW_d-GK9eCkD2zYQ/view?usp=drivesdk
Thanks,
Lou
Yup, the life and death decisions just don’t end with this crap!! When is enough enough before it becomes too much?
20/20 hindsight doesn’t help us at all unfortunately. And with so many conflicting recommendations - all by well known experts - which one do you choose?
I think a lot depends on your age, general health and family history before you can commit to doing treatment or not.