@alvainajr
I am so so sorry to hear that things are not going well.

This cancer train ride is so exasperating. I have found many in the medical community almost nonchalant about its diagnosis. We are all told it is slow growing or unlike many other deadly cancers it is very treatable, words like chronic condition versus terminal are often heard. I think it lowers our defenses and we readily accept good news like “lets wait and see” or “you are within normal PSA limits for your age so no need for MRI or biopsy”.
Yet as we all know early treatment affords the probability of a cure versus dealing with a chronic condition or worse.
I have always believed and repeatedly stated to the doctors and the cancer community that our diagnostic standards are too low!
When a man has any family history of cancer or history of chemical exposure and a 50% rise in PSA in 12 months the PSA thresholds should be cut in half for additional evaluation. That would save thousands of men from having to deal with advanced cancer.
Instead the medical community goes the other way avoiding PSA testing after age 70 to 75.
I have told many men aged 70 to 75 …to ignore their doctors medical advice and get PSA tested and watch the trend. As a result I recruited 4 men into our unfortunate club in 2025 here in San Diego. They were all treated (All received RT and some ADT) and are now quite happy they ignored their doctor’s advice to not worry about PSA or prostate cancer.