@brianjarvis Thanks!
The urologist was great (as is the oncologist and all the staff at the cancer clinic). It's the GP that we really don't care for (that's an understatement).

@brianjarvis Thanks for sharing that. It's very true that when you look at _all_ prostate cancer cases together, most are mild and the mortality rate is low.

However, it's worth noting that until a very few years ago, stage-4 prostate cancer was a different kettle of fish: once you were diagnosed with that — as both I and @canadaanne 's husband have been — you had at most 3–5 years to live (often fewer, rarely, a couple more).

There have been *dramatic* changes in treatment, though, and now many of us have a reasonable hope of living much longer, perhaps even as long as we would have without cancer.

These developments are so recent that not all urologists and oncologists are on board yet, so it's (sadly) unsurprising that a family doctor wouldn't know about them, and would still have "the talk" with someone newly-diagnosed with stage-4 PCa. 😕

Gotta say mine was pretty good with the disclosure. Very matter of fact and even suggested a treatment option before turning me over to the cancer machine. The more time that goes by the more disgusted I am with the cogs in the machine. Private practice money grubbers. Getting close to the point where I will leave them and if I have a reoccurrence with move on to a center of excellence.