Sorry to hear of your and your husband's situation. The radiation given to your husband is most likely palliative in nature and designed to reduce the pain from the bone mets. It is not intended to cure. The bicalutamide is given to reduce tumor flare that can take place with the first Lupron shot. It will take some time but the hormone treatment can have some amazing results. There is at least one fellow here who started with a PSA of over 3000, bone mets, and lung lesions and is now enjoying some relief after a session of hormone therapy. I am not sure about the fatigue but my guess would be is that he is not sleeping well and probably does not eat as much. My ex wife was an oncology nurse and her advice is be sure to take in adequate nutrition. As suggested earlier some modest exercise is also beneficial. It does wonders to improve strength and spirit.
A second opinion may be beneficial in determining a therapy for your husband. I would recommend that you choose the second opinion carefully and try to find a doctor who specializes in PCa or at least treats a lot of it. You should consider speaking with and oncologist as well as urologist.
Educate yourself on the disease. There are several good books on the subject. Authors are Walsh, Strum, Myers, and Scardino to start. You may also post a message on another site called prostatepointers.org in the P2P (patient to physician) section and get advice from Dr Strum. He is fairly quick in making replies and quite thourgh. You will first need to do a PC digest which is just a bunch of data on your husbands case. There is a form.
Patricia, do not lose hope. There are treatments that can make the disease manageable over time and you and your husband may still enjoy your country cottage with children and grand children for some time.
Let us know how you both are doing.
Best to you,
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone