I appreciate all the feedback/advice in response to my first post. We have done a lot of reading this week and are leaning toward getting a second opinion (or help structuring an aggressive plan) on Jeff's (Stage 4/metastatic) prostate cancer. Simply based on proximity, i.e. a day's drive from here in east Tennessee, we are leaning to Vanderbilt, Duke, Johns Hopkins or the Levine Cancer Center in Charlotte. Anyone have anything to offer, positive or negative about any of these ? We certainly are not ruling out MD ANDERSON, Sloan-Kettering, Mayo...but just sort of trying to get our bearings. Also, does anyone have information about Dr. Charles "Snuffy" Myers ? We understand he has retired, but wonder if he is part of a larger group ? Or maybe know where he now refers folks ? (IF he even does.) Thank you !