@northoftheborder
An interesting change of medical advice. Rick Davis who runs ancan.org Always told people they should eventually treat the primary. He told people over and over that even though their case seemed to be extreme that they needed to get the primary treated at some point.

Then about two months ago, some new medical advice came out about this issue. Apparently, with people who had very advanced prostate cancer cases there was no benefit to treating the prostate. It had no effect on their survival. It was strange to see him change his tune, But he followed that advice and told people that he believed they should treat it unless the case was quite advanced.