Would your family doctor help you sort out the pros and cons of the 2 treatment plans? Would your current pdoc be open minded enough to look at the 2nd pdoc's plan and explain the pros, cons, and differences? With both of them seeming to be confused about how to treat you, I think you have to take charge somehow, and direct your doctors towards getting the care and results you need. It's like you have to be your own case manager, and the smartest person, making the best decisions for yourself. I know I've laid out more questions than suggestions, but you are in an unclear situation.