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here in the states, we need to have a quarterback, a team leader, otherwise, all the stuff gets dumped on the patient. historically, we have used the surgeon because all urologists are surgeons and clinicians, plus in a large hospital, they will consult the tumor board or work on a team that specializes with other members such as radiation, onocology, etc. on a specific area of cancer
And this is the main reason that the treatment of PC is so bad in the US. In every other cancer the oncologist is the team leader and directs the surgeon and radiologist. PC is the only cancer left that the surgeon is the team leader and as long as this continues there will be over treatment, missed diagosisis and bad clinical staging.
This pattern doesn't look like a radiation bump. It looks like a consistant rise after radiation with an excellerating psa doubling time. I would get a 2nd opinion from an oncologist.
I agree with Mr. Thompson as I am going through the same process as you have described. Have your urologist refer you to the staff oncologist to determine what options are available to you. After surgery, there is no PSA bump.
i know will have to go on hormone thephy
lupron one month of pills
along with shoot 1/2 thru the pills
then after that shot another one
then psa reading again
