Who should be the primary doctor now?

[Guest guest]

Ok, we all know that are urologists are surgeons. When

going to the next step we need to switch to an oncologist, either radiation or

medical. My question to the group is who should be my primary doctor leading

the way now? Some background Dx’d just about a year ago with

an aggressive Gleason 9 cancer. 6 months of neo-adjunct hormone therapy

was recommended before surgery. Pathology from the surgery (RALP)

resulted in lots of positive margins. Every doctor I conferred with agreed

that radiation would be next as soon as I had healed from surgery. Now

that I have completed my IMRT, my radiation oncologist wants to keep me on

hormones (Lupron) for another year or two to give the radiation treatments a

chance to do their thing. I am not crazy about it but if that is what I

need to do I can live with it. I have been on hormones for a year

already. Any way at the moment my urologist is administering my Lupron

at the recommendation of the radiation oncologist. Who should I consider

to be the point person now? Should I touch base with the medical

oncologist I talked with earlier? Should I keep ping ponging between the

radiation oncologist and the urologist? Maybe just consider the radiation

oncologist my primary since he was the last one to work on me and he will be doing

follow ups. Just a little confused about the next steps.