Hi Anuja, I have just a few comments to add:
Regarding post treatment PSA values, the 3-week results seem very consistent with expectations. There is no specific target...the goal is to treat, then see how low it goes, then take next steps based on the results which follow. I feel that the orchiectomy + Casodex was a good, aggressive first step...now time to monitor. I would also agree that a radiation onco is not needed at this time, as you mentioned "no symptoms" at this time. Radiation can serve different purposes for different types of cases...but for your dad's case it can help to relieve "bone pain" which may show up later.
I'd like send you an important & valuable message based on several of your comments...this is a message of love and caring. In your first post, you wrote that you "want to do everything in my power to prolong his life..." This is a quite natural first response, but as time goes by (and your dad is not facing impending demise despite his serious illness) and as you begin to more rationally face his mortality, do keep in mind that what you
may want for yourself may not be the same as what he--the patient--might eventually want for his
life. At age 29, mortality should not a part of your regular thoughts--I know (both of my parents were gone by my mid-20s)--but the reality is that many lethal diseases reach the point where the best win-win decisions are not always simply "prolonging his life." I can tell you that it is much better to be prepared for good doctor/patient/family discussions than to be unprepared to even confront the reality of mortality.
As I said, your dad is not facing an imminent demise, and so to help bridge to that period I'd like to recommend an outstanding book to you--one of the best I have ever read--titled "Being Mortal" by Dr Atul Gawande. This book can help you navigate
some of the decision making which comes with serious diseases, and can help you to keep focused on what's best for your dad. Dr Gawande is a native of India, and some of the stories of his dad's illness and final journey will probably resonate closely with you. I strongly recommend the depth and details one gains from reading the book (2nd half of the book most closely applies to your situation), and I have given copies of the book to several of my close friends as their parents have faced their mortality...but if you'd like to "sample" the content, here is a link to a documentary (54 mins) which captures much of the tone. https://www.pbs.org/video/frontline-being-mortal/
Post Edited (Blackjack) : 8/5/2019 12:46:39 PM (GMT-6)