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So how do we change the conversation? If these statistics are outdated, what are the updated survival rates? Is it too early to tell because new treatments haven’t been around long enough? It seems like every drug or therapy I’ve seen adds 3 to 4 months to survival presumably compared to doing nothing. So if we use these new HT drugs, chemo, RT and immunotherapy, are they additive in terms of additional survival? The implication here is that if we just follow “standard of treatment ” we’ll only have 2 to 4 years of remaining life after we become castrate resistant and have distant metastases. So we need to take things into our own hands and be more aggressive if we want longer survival. How does one do that? Must we seek out doctors willing to go beyond the bounds of “standard treatments”?