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@northoftheborder

(Another layperson here.) That's a great point @wellness100 , but I also understand the anxiety — a doctor will have the opportunity to learn from a mistake and do better next time, but their patient might not.

That's one reason I'm a big fan of team approaches like we see at dedicated Cancer Centres or specialised clinics. They have a range from doctors with new ideas but little experience to doctors with old ideas but lots of experience (and everything in-between), together with specialised nurses and technicians to make sure the doctors don't stray too far off track.

Obviously misdiagnoses still happen. They have no absolutely-reliable way to predict how any given cancer will progress or how any given patient will respond to a treatment, and no way at all to detect individual cancer cells until they start to form tumours, so diagnosis has to be a combination of scientific analysis and (highly-educated) guesswork. However, through pooling a treatment team's knowledge and experience, I believe those misdiagnoses will happen less often and patient outcomes will improve.

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Replies to "(Another layperson here.) That's a great point @wellness100 , but I also understand the anxiety —..."

Agree to every word. But also bear in mind your doctor carries a heavy burden too. He wants you to get well.
Incidentally that is one difference between the trial and your medical team. The trials are only interested in proving something, ie one drug is better than another. Your doctor wants to get your PSA down to < 0.1. If they cant do it with one treatment and or drug, they will try another. The outcome is almost certain to be totally different.
Indeed, the big centers not only have the experience, but also the resources to invest in the latest technology. That can make a BIG difference.