Starting to Panic

Prat,
Even with a negative biopsy you have two red flags, first your psa is consistently rising in a predictable manner, and second your free PSA is suspicious. These are both indicative of PC. I'm not a big fan of biopsies, I've had 13 of them over a 10 year period. I certainly don't believe in biopsies until all other causes of PSA are eliminated. In your case another biopsy is appropriate.
I spent 10 years at this before I was DXed, so I know what you are going through and know a little about how to Dx hard to find cancers.
First an MRIS with coil is pretty worthless finding a small cancer or a cancer that is in the TZ or anterior, so don't waste your money.
A color doppler ultrasound is much cheeper and much better as long as it is done by an expert like Dattoli, Fred Lee, or Duke Bahn. A multi parametric MRI is also much better than an MRIS. These scans won't pick up very small spots of cancer, but that is just fine, if the cancer is that small it will never hurt you.
As Dr Strum said, in his 40 years of practice he has never seen a consistent rising PSA with a doubling time of less than 12 years not eventually be Dxed as prostate cancer. Your PS density with a 38cc prostate is favorable for no cancer of for very low risk cancer. Your doctor is correct that continued monitoring and a future biopsy is warranted.
Compiler, It is the steady consistent rise over time that is the major indicator. BPH and infections do not do this; only PC does.
JT

pratoMAN,

I looked into your supplements a bit and there does seem to be a bit of science behind them. Many of the ingredients are mentioned in this review study:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226387/

The sulforaphane in your broccoli pills seem to be doing well in studies (lots of papers referenced with hopeful-sounding titles). The Inflammatone strikes me as a bit pricy but there are several ingredients in it that I either take now or have taken in the past for their claimed effects.

I can see what your doctor is hoping to do. You have my blessing to continue to take your (slightly pricy) pills.

Since you have another biopsy coming up it is also OK for you to hang around here. But if this biopsy comes back negative, too, I want you to devote most of your internet time to browsing the web for naughty videos like a normal guy.

Good luck with the biopsy.

@Doug - in your post, which was awesome, there was one comment that i forgot to address, it was
"But what about the things you CAN control? Are you living a healthy lifestyle? Did you improve your diet, step up your exercise program, manage your stress? If you answered no to any of these questions, now is the time to get on it - the bell of awareness is ringing my friend, and it won't ring forever."

And its a good point. In fact, about 2 years ago, i got on this, but funny as it may seem, it had more to do with my triglyceride problem and nothing to do with PCa biopsies, etc.
I've dropped about 30 pounds and are ony 5 pounds from my goal weight, and while i have not been as consistent about the gym as i would like to be, i am making progress, going way more often than i had been.

As far as the awareness bell ringing is concerned, no doubt. Not just regarding health, but life. I think more now, about trying to enjoy myself more and not take my job (i own a financial services practice) as seriously as i had been.
I guess everything in life good and bad, has a benefit or too, of some sort.

Hey Prato -

That's great that you've been taking care of things like diet and exercise. I of course didn't mean to imply that you weren't - only that there are things you can control and things you can't. Always better to focus on the things you can. Also great that you're thinking about ways to enjoy life more, etc - that definitely is something I've been thinking about as well. There's no time like the present to make those kinds of changes...makes you wonder what you've been waiting for, right?

Anyway, it sounds like maybe the panic is subsiding a little for you - very glad if anything I said was helpful in that regard.

Warmly, Doug

Prato - I can relate to your situation. My dad died of prostate cancer and my psa has always been higher than typical for my age. So I watch it carefully. I became somewhat knowledgeable about prostate cancer when my dad was going through it -- read a few books and several hundred articles. Maybe I should not have done that -- ignorance can be bliss -- but I wanted to be helpful to my dad -- and I think in some ways I was. My wife says: "Why do you worry about this? If you get prostate cancer, you will deal with it. Until then, don't worry." Of course, she may be right, but it is easier said that done when you feel like the Sword of Damocles is hangling over you....

The thing that gives me most peace about it is this: Lots of guys just like me, who hang out here, have gotten prostate cancer, gotten it treated, made the best of it, dealt with the side effects with dignity and even humor, and kept on living. So I figure if it happens to be, I will just do as they do, or at least I will try.

I guess this particular sword of Damocles is a good lesson in how to live in the moment.

If there is a silver lining to PC, it is this.