For those that might benefit from my monitoring process I just visited my urologist today (July 2, 2009) a process we are now doing on an every 6 month basis. My PSA went over 4 last year but the Free PSA has stayed high as in the 21 - 23% category. It went up over 4 about a year ago, then went to 4.8 later last year and now dropped down to the lower 4's with a Free PSA of 23%. When it went into the higher range last year I visited 4 urologists to get their sense of direction. Several were in the biopsy mode, one was in the saturation biopsy mode, and then a urologic oncologist who is head of Urology at Geogetown University Hospital who has had PC himself looked at the numbers and said monitor it! Two biopsies both negative totaling 20 cores and flucutating PSAs from 2.5 to 5.40 over time. So the road continues. Just thought I would make a posting so that anyone who is following a similar route might see where life is at these days. I have a computer program which allows me to enter all of my readings and percentages and it does velocity and PSA predicitions. My urologist seems to find it interesting that I do some of my own tracking..