Thank you for your reply.

Regarding "complete faith", I said "I choose my physicians wisely and have complete faith in them". The key here choosing wisely. Having been in the medical profession for over 40 years, I can attest that physicians are no different than people in any other field or endeavor in life. Some are brilliant, experienced, dedicated and highly skilled. Others not so much. No different in some ways than auto mechanics. I have had some that diagnosed and fixed my problem without difficulty and charges a reasonable fee. Others were more interested in making money than in solving the problem.

I have read some of your posts and you appear to be the exception. You are obviously intelligent and highly invested in your care. You have extensively researched the disease, treatments and physicians. This is not the norm. Most people don't have the understanding to go to the literature and make sense of this complicated disease. This is not a criticism of them. If I tried to go research patent law I would end up confused and likely make the wrong assumptions.

My expert MO at JH and RO at Emory are both highly experienced, knowledgeable and have done extensive research on the topic of prostate cancer. There is no way I could read literature and understand the disease and treatment to the degree that they do. That doesn't mean I don't ask questions or am not involved with my care. My MO at Hopkins, after my chemo, gave me 5 options going forward. He said at this time they is no true SOC with the rapidly changing landscape. One of the options he said he would not recommend. I asked him what he would recommend/do given the risk/benefit. He told me and I followed his advise.

I have always thought that if you don't want to follow your doctor's advice you probably picked the wrong physician. Just my opinion.