Hi. I’m new to the forum and need help. My dad has castration resistant advanced prostate cancer with bone metastasis and suddenly became transfusion dependent on a weekly basis just one month ago. He had been getting monthly Radium 223 injections for 3-4 months and taking Xtandi. They took him off both after seeing his PSA was still going up, which was after the recent hospitalization for the low hemoglobin and platelets. Doctors are acting like getting weekly transfusions is too frequent to keep up and they want to put him on hospice against his wishes but he wants to keep fighting. If he gets a bag of red blood cells and a bag of platelets each week, he feels much better. If he doesn’t, he will have maybe a week or so left. We’re jumping through hoops each week to get the transfusions, but it’s not an insurance issue. His doctors just call it a “bandaid” and don’t want to continue. But his anemia and low platelets happened nearly overnight as opposed to gradually. 1) Does anyone know why his doctors don’t want to give the transfusions (it’s not an insurance coverage issue)? He’s been stable at only needing them one week apart. This week he went 8 or 9 days which seems like an improvement. 2) Has anyone here experienced this? This is a listed side effect of Radium 223, yet they’re assuming the blood issues are from bone marrow crowding versus treatment toxicity. Even they said there’s no way to know. If it IS a drug side effect and reversible somehow over time now that he has stopped those treatments, we won’t know unless he gets the transfusions, but they want to cut him off — which is a death sentence. Help and guidance appreciated!