I had the 3rd and 4th MRIdian sessions last week with my last one coming up on Tuesday. No real change other than I was glad I had the Flomax. My urine flow was really restrictive, enough so, that I took it before I went to bed (.4 mg) and by morning, I was flowing again. I was happy my RO had preemptively prescribed it. I was told about 6 months before the radiation effects would be maximized to bring my PSA down to the lowest level from the treatments so that a PSA blood test makes sense. Not sure if I am comfortable with that but will look into it.

I also found that there is a set of biases related to these radiation machines. What will insurance pay for? What machine requires more labor than another? What the institution has available vs traveling to a better choice institution, if one can? All the RO's I spoke with claim the outcomes are the same with some "minor" differences in toxicity. Are there any administrative restrictions from using one machine vs another (ie scheduling, labor available...)?