regina there is much treatment before chemo
the best advice is to see an oncologist- they are cancer experts and have more options than an urologist
one example is a treatment called provenge-- it is the ist fda approved treatment in usa for advanced pc that uses your immune system to treat pc- check out the website (it just got accepted by medicare)
there are many trials available before chemo--another one is large doses of metaformin(used to treat diabetes) studies show that a reduction in sugar levels help fight pc
regina like your dad i first received radiation for pc because at age 49 it was locally advanced.
now that the cancer is very aggresive i probably will take provenge before chemo. it's not a curative treatment but i am hoping for the best. and i'm in my fifteenth year with advanced pc.
i hope your dad opens up to your family and discusses his issues. one advanced patient taking provenge lived 9 years. i also have a friend whose pc cancer metastisized and is now going on his 20th year living with pc.
pc is like no other cancer. it is not like breast or colon cancer where similiar patients have the same prognosis. it is truly a homogeneous cancer. everyone reacts differently. some patients with good numbers do poorly and some patients with bad numbers do well.
you and your dad are in my prayers. i hope that he opens up to you. it is extremely important. i have 4 kids and all have been kept abreast of my cancer. and at that time 15 years ago, as hard as it was, i told my youngest of 9 years about my situation. my wife and children have handled the crisis very well.
bye carrig from boston