Update - We just finished 6 rounds of double chemo on the premise of a variant yet to be confirmed - all testing has shown typical acinar adenocarcinoma of prostate origin, but the lung biopsy samples were insufficient X2 for further testing. The 3 lung tumors were about 1 cm, which the urologist called ‘big’ and the GU Oncologist called ‘tiny’ - ha. Therapy began late April with Firmagon, then double chemo (docetaxel + Carboplatin) for 3 cycles. Nubeqa was added late just before the 4th round and 6th round completed this week. Given the unconfirmed variant, we requested liquid biopsy and are doing serial CgA somatic testing - nothing noteworthy showing. PSA dropped to < 0.1 within first 2 weeks and has remained there, although it was only 0.37 at the start of therapy. Follow-up visit for PET in one month with a recommended consult for SBRT to any residual lung nodules. I am grateful for a 4 week break from labs, appts, infusions, shots etc every week and you can bet he is even more-so.