The center of excellence advise seems good but we also need to cut ourselves some slack. Unless you are doctor that specializes in prostate cancer it is rare, if not impossible, to get up to speed enough to fully comprehend the risks and select treatment. I was dx about 13 months ago and have no where near the knowledge of some on this board but more importantly the standard of care has shifted somewhat regarding ADT and new alternatives are being studied even in that short time period. I went with prostatectomy and then had recurrence within months and now just finished radiation and am on ADT. Would I do things differently if I knew that in advance? Probably. But I could not know that in advance and we make the best decisions we can with the information we have at the time. I am so thankful for a place like this where can share our victories and losses. And Jime, doctors at Centers of Excellence can be a mixed bag at communication also.