Hey Tim, I think you’re on the right track with Sloan - they’ve got decades of experience with this.
I had my treatment in Commack and had no complaints; the techs were awesome, caring and knowledgeable. I was totally impressed with their daily enthusiasm and supportive attitude. Maybe I just got lucky?
Not sure about proton therapy for salvage radiation. I know it’s used but still can’t see the point of it, when the whole idea is to literally carpet bomb the gland and nodes. But I am not a physicist so don’t go by me.
But they built it and now they have to pay for it so there’s always that.
Do a little homework (NIH, PCF, etc) to see how the two modalities compare.
I will, however, urge you to take the Orgovyx. A 6 month course ‘won’t kill ya’ as my referring urologist said and he was right. Most SE’s were mild and temporary; but its effects on your T (PCa food!) is dramatic.
The synergy of the radiation +ADT is powerful indeed. Neither alone is quite good enough but together they pack a terrific punch. Ask yourself this: How many more times do I want to wrestle with this thing? Twice was more than enough for me!!🤞🤞
Phil