I'm facing a difficult decision. My PSA (620+) continues to rise and bone scans continue to show growth on my spine and ribs despite efforts with all mainstream treatments.
It's been suggested by my MO that "we need to get you into a clinical trial while you still look good" meaning while I'm relatively healthy. I've looked into available trials. MD Anderson, in nearby Houston, has only phase 1 trials and some seem possible none seem exciting.
I'm just so tired. I can't generate much optimism for a new effort, that would no doubt include weekly trips to Houston and unknown side effects. I have back pain but I don't feel sick.
It seems ungrateful not to try. When do we know it's time to switch to palliative care?