My husband has stage 4 prostate cancer that has gone to his limth nodes and spinal column and even the neck and shoulder bones. They do not recommend surgery for this once healthy 88 year old. The only treatment is the Fermagon shots every month and Xtandi pills 80 mg a day. He has seen a medical onchologist . They are only doing the hormone therapy to block the testoterone. I am wondering if he shouldnt go to Vanderbilt or omewhere else for advice. Can anyone suggest anything else? They have given him maybe 3 years.