Congratulations on taking the time to celebrate, support your husband on his (and yours) PCa journey, and continuing to solicit input from the experienced members of this group.

Sometimes there is a difference of opinion amongst even the best doctors of next treatment steps.

If a doctor or doctors do not use the most recent care guidelines for treatment, it is often helpful to have as much information as possible so that you can learn why they are not following a more recent recommended treatment plan for your husband’s specific condition.

While Drs. Reiter and Kishan are well respected within their field, you want to make sure that you have the benefit of other PCa specialists that in this case are focused in systematic (metastatic) treatment. In particular, so that you understand why doublet treatment was not already started and why doublet treatment is being recommended over triplet therapy at this stage, given the characteristics of your husband’s PCa.