Thanks to you all for your replies and encouragement. I see the medical oncologist tomorrow and will likely give the casodex a try. Still some time to think about
other avenues. I do not want to go down a road that requires more medication and treatment that is ineffectual while ruinous of the good health I currently have.
Terry, good suggestion on the avodart. I will ask about this also.
Danielle and nhwife thanks for the information on the keto and prednisone. I had read that the prednisone could cause the puffiness.
Robert I was aware of a few of the drugs you mentioned. So far my docs have not seemed to want to stray from the tried and true. Uro did not even want to discuss the DES route. Maybe the med onc will be a bit more open to discussion. Clinical trials may be an option. Not sure what is available here in Idaho. Most seem to be west or east coast at the larger hospitals. But something to consider.
Sequoiaranger I smiled when I read your comment about the treatment "pissing off" the cancer. I have felt that way as well. Sometimes I think I should have let a sleeping dog lay. (But I just had to poke it).
David, I follow your case though I do not post often. Yes quality of life is important to me more than quantity. My favorite uncle passed away in his early sixties from bone cancer. He was gone within ninety days of the diagnosis. He seemed to have been emotionally crushed by the news and went in to the hospital a week later and did not come out. Only relative on either side of my family to ever have any type of cancer.
Thanks, again to all of you.