Summarizing: 76 years old diagnosed in May with Gleason 4+4. All 10 samples on the right side were positive with "disrupted" capsule. Since then
1. PSA rose from 7.4 to 9.2
2. Had Axumin PET scan which was clear
3. Decipher test came back .87
4. Invitae found CHEK2 mutation
So I'm starting Orgovyx on Sunday, planned two year duration. IMRT will follow after two or three months of ADT, that followed by either low or high brachytherapy. Is there anything missing here to get the best outcome? I think that this is probably all that can be done outside of trials, of which there don't seem to be any that would fit my situation at the moment.