I stayed up most of the night reading research reports on
the web, trying to compare all of the apples in one
report to the oranges in the next, and trying to reason my
way through the usual conundrums of extrapolating from
a clinical trial of patients with a different age, or a different
Gleason, or some other difference from me - to what it
means for my treatment.

After all that, I've decided to go for neoadjuvant and
adjuvant hormone therapy, i.e., hormone treatment before
and during my radiation.  I get the first Lupron injection
tomorrow afternoon.

The theory is that the HT might:

1. Weaken the cancer cells before they are zapped,
giving a better shot at a sure kill.

2. Reduce the size of the prostate a bit (though
mine is not large now) for easier radiation treatment.

3. Take a whack at distant micrometastases - if there
are any - which won't be affected by radiation.  Some
researchers theorize that you can possibly kill them
with hormones if they're still very small.

My wife thinks that dumping a little testosterone might
give me a new perspective.  Maybe a little PMS would
help me to appreciate the other gender's point of view.
What can I say?  I've already taken the sensor probes
up the rectum.  Why not go the rest of the way. :)

Thanks are due to Curtis for giving me a little kick in the
pants on this issue.