I was diagnosed 11/1996 PSA 95, Gleason 4+3 No detectable mets. Started Lupron and Casodex 1/1997 - 5 weeks EBRT 4&5/97 Seed Implant 9/1997 and stopped all ADT. Went about 13 years with PSA at times undetectable or bouncing at a very low number. Then came recurrence. Started seeing Dr. Snuffy Myers in Virginia. He sent me to Orlando for imaging with Feraheme which showed 4 lymph node clusters positive, Went to Datolli Cancer Center in Sarasota, FL for 8 weeks ERBT plus Lupron and Casodex. PSA started going up again after a few months. Stopped Casodex and started Zytiga on 9/2013. PSA was undetectable for 5 months then stopped all ADT. PSA remained undetectable for an additional 6 months the started to rise again. I changed oncologists and he put me on Lupron on 5/2017. PSA steady at 0.9. I don't think my doctor is aggresive enough in treatment. I now have lower back pain. He doesn't want to do a bone scan because the results will not change his treatment plan. Is having a PSA of 0.9 OK? I had a 2 and a half year holiday but at the rate the PSA is going I will never have another holiday and probably become hormone refractory pretty quick. Should I get a second opinion?