“There might be some sense to your knocking,” the Footman went on, without attending to her, “if we had the door between us. For instance, if you were *inside,* you might knock and I could let you out, you know.” - Lewis Caroll
I think medical professionals are Footmen; and I am a confused Alice, wondering why my knowledge of prostate cancer can be so Gogglianly broad while remaining mudpuddling shallow. Last week I began my third round with prostate cancer beginnng in 2014. I gave up the gland, radiated its ghost; and still, thanks to G9, I am looking at four PSMA avid nodes shining bright-- three on the right side and one on the left. I don't know what I was expecting my MO to say this week, but what he offered with a six month Lupron injection and a consultation with a RO. I was full of questions smeared with words I can't pronounce and treatment possibilities I dimly understand. That masked man showed up an hour behind schedule giving me an understandable look-- you be the patient and I will be the specialist. "...but what about ADT add-ons, PSA flare, shorter dose Lupron, SIB, number of radiation treatments, coordination of services, living arrangements, other medical conditions unearthed by PET/CT ..." There are syntactic limits to questions when the listener's area of expertise has a sound, but mysterious celibral higher ground empowered by a conservative, sharply focused leverage. The accepted asked and answered reply of "see you in six months" and the masked man trailed by his student observer vanished, replaced by another masked man "Ok... which hip"... as a red scanning laser acknowledged my existence. At least, no "hurt like hell" lump of eligard this time; "that is why we don't use it. Ice it and it should be fine." The day after, I am sitting on a cold hip that hurts like hell, waiting for male hormones to drain from me and for the cancer (still hard to say cancer) to go to sleep. The specialist, who I do respect, did say six months. Six months to address all those unanswered questions, six months of life, six months to seek answers, find a deeper faith and hope there are other six months to keep knocking on the door.