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.