Hi Tom,
A couple of things: the second opinion is really a good idea, so if you can gear yourself up to it, go and do it. Second, yes, they did a fully body scan on me when the PSA came back and started to climb. They found that it had spread to my bones, but, were not 100% sure. That is when I started on hormone therapy. I can make one suggestion which I wish I had done it sooner. Go see a couple of oncologists and find one that speaks your language. Then ask what he suggests. Remember, I hate to say it, but, follow the money. From now on, everyone you see makes money off of your exams, procedures, etc. It is a good idea to find an oncologist as that is where you will end up and they know way more about the progress of the disease than your urologist. If you start with hormone therapy, when it stops working, your urologist will pass you off to a oncologist. Better to have a working relationship with one before you are forced into a selection. Also, start paying attention to what you put into your body. In the end it can make a great difference. There are many books on the subject and I have listed a few on my profile.
Ask a lot of questions and go with the person who will take the time to answer them and make you feel like he/she understands your concerns. One of the things I have said many times is, "give me a straight answer and if you don't know then say so, otherwise I will break your legs!!!!!!!!!!!!!!!!" This will allow you to sift out some of the people you don't need in your life as if you can't get a laugh out of them, go somewhere else.
Positive attitude is as important as any drug or procedure. The only reason I have come this far is the ability to laugh at how absurd things get from time to time. You MUST maintain your sense of self and your sense of humor.
I hope this is of some help to you. It is an insidious disease but those are the cards you and I have been dealt, so play the hand using your best intuition. Please do not hesitate to contact me with questions or thoughts. I think one of the reasons I am still here is that I enjoy making others find an easier and better path to follow then what I have been through.
Michael
0
October 2012