Carole went with me and surprisingly, some old friends from Fresno had an appointment at the same time for the same issues with another clinic doctor. 
The basic problem is that turning on and off my testosterone and adrenal hormones did not seems to change my blood tests, so we made a decision to try a new tact.
I am going off all oral anti-cancer medications, let things wash out, follow my PSA for about 6 weeks and then do some scans to see what is going on. If not much change, then I will enter the vaccine trial; if there is something aggressive then we will attack with WMD - some new chemotherapy. One of the biggest problems to deal with when you have these issues is not to have a plan but now we do.
Perhaps best off, I will not be getting anything toxic on our Tahiti-South Pacific cruise in May.
Stay tuned.
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