Is there a Next Treatment for me?

There are many treatments available! You need to be your own advocate. Learn as much as you can about your disease and find the best team for you. Don’t be afraid to travel! Have you had Foundation One or Guardant 360 testing? The results can help you determine what make work for you. As far as treatments… my husband has had Casodex, Lupron, EBRT, Chemotherapy (Docetaxel), more Chemotherapy (Docetaxel + Carboplatin), SBRT, Zytiga, SBRT again, Xtandi, and now Pluvicto. He’s stage four Gleason 9 and has been fighting for over five years. He still works full time and is doing pretty well. After round four of Pluvicto, his PSA was undetectable. We are hoping for a durable response! There are lots of other treatments such as Keytruda, Radium-223, Provenge, Darolutamide, Erleada, and other treatments on the way whichare in clinical trials.

Usually the BSOC, (Best Standard Of Care) after initial radiation and hormone therapy is Chemotherapy. There are only 2 chemo drugs proven to delay the advancement of prostate Cancer. Docetaxel Chemo that can be a bit harsh. It worked for me for about a year. Then they go to Cabazitaxel after Docetaxel fails. Cabazitaxel only worked for me for 2-3 months. Now I am a candidate for the new Pluvicto radioactive injections. That's the last line drug known to work for awhile. None of these are a cure. They buy time.

I was diagnosed Gleason 9 in 2016 and I'm still here with bone metastasis and illiac lymph node metastasis. I also have a small infiltration to my right kidney ureter. I don't have much pain and still have pretty good energy considering everything. I was initially told I had 3 years left to live and I'm starting on my 8th year with the disease with a decent quality of life. I think doctors predictions of lifespan are uber conservative.

For me, it's a lot about lowering stress, eating better and keeping a positive attitude and outlook on life. Many people say I was in denial but for the past 7 years, I did what the doctors told me to, but continued on working and not thinking much about having Cancer or dying from it. I just kept on living ALMOST as if nothing was wrong. When the Cabazitaxel failed, I had the hammer drop in my mind and have been struggling with the thought of dying and having Cancer. I think I'm somewhat coming to terms with it, but it is a process. I know I don't have many years left now, but I have to make the best of what time I have left.

Different samples of different spots !!!

Usually the BSOC, (Best Standard Of Care) after initial radiation and hormone therapy is Chemotherapy. There are only 2 chemo drugs proven to delay the advancement of prostate Cancer. Docetaxel Chemo that can be a bit harsh. It worked for me for about a year. Then they go to Cabazitaxel after Docetaxel fails. Cabazitaxel only worked for me for 2-3 months. Now I am a candidate for the new Pluvicto radioactive injections. That's the last line drug known to work for awhile. None of these are a cure. They buy time.

I was diagnosed Gleason 9 in 2016 and I'm still here with bone metastasis and illiac lymph node metastasis. I also have a small infiltration to my right kidney ureter. I don't have much pain and still have pretty good energy considering everything. I was initially told I had 3 years left to live and I'm starting on my 8th year with the disease with a decent quality of life. I think doctors predictions of lifespan are uber conservative.

For me, it's a lot about lowering stress, eating better and keeping a positive attitude and outlook on life. Many people say I was in denial but for the past 7 years, I did what the doctors told me to, but continued on working and not thinking much about having Cancer or dying from it. I just kept on living ALMOST as if nothing was wrong. When the Cabazitaxel failed, I had the hammer drop in my mind and have been struggling with the thought of dying and having Cancer. I think I'm somewhat coming to terms with it, but it is a process. I know I don't have many years left now, but I have to make the best of what time I have left.

Usually the BSOC, (Best Standard Of Care) after initial radiation and hormone therapy is Chemotherapy. There are only 2 chemo drugs proven to delay the advancement of prostate Cancer. Docetaxel Chemo that can be a bit harsh. It worked for me for about a year. Then they go to Cabazitaxel after Docetaxel fails. Cabazitaxel only worked for me for 2-3 months. Now I am a candidate for the new Pluvicto radioactive injections. That's the last line drug known to work for awhile. None of these are a cure. They buy time.

I was diagnosed Gleason 9 in 2016 and I'm still here with bone metastasis and illiac lymph node metastasis. I also have a small infiltration to my right kidney ureter. I don't have much pain and still have pretty good energy considering everything. I was initially told I had 3 years left to live and I'm starting on my 8th year with the disease with a decent quality of life. I think doctors predictions of lifespan are uber conservative.

For me, it's a lot about lowering stress, eating better and keeping a positive attitude and outlook on life. Many people say I was in denial but for the past 7 years, I did what the doctors told me to, but continued on working and not thinking much about having Cancer or dying from it. I just kept on living ALMOST as if nothing was wrong. When the Cabazitaxel failed, I had the hammer drop in my mind and have been struggling with the thought of dying and having Cancer. I think I'm somewhat coming to terms with it, but it is a process. I know I don't have many years left now, but I have to make the best of what time I have left.