As some folks here may recall, I'm the guy who started as very metastatic almost 8 years ago in Nov 2013 with a PSA of 5,006. I also developed metastatic melanoma a little over two years ago. Details about my treatments and various dates are in my Profile.
The most recent double chemo tried for the melanoma really beat my body down, and I can hardly walk. Both of my advising specialists have no treatment options that they could give me in my condition, and considering the risks/benefits/efficacies.
Recent scans still show progression of the internal melanoma, with no good systemic treatment options remaining, except perhaps just a last ditch surgery to only resect only one area of one of numerous "mets", or a rechallenge of Keytruda - but not yet, considering my current condition.
I've also been on Xtandi for a long time, and my PSA most recently has climbed to 713.9. My PCa specialist also concurs that some other 4th line PCa treatment would not feasible now, considering my current condition/comorbidities, and that I should stop the Xtandi (and any of its long term side effects).
Accordingly, I'm now working to arrange in-home Hospice care.
This is a momentous time that we have always known would eventually come.
The daily/weekly focus in our lives is in a time of transition. Many of the details of the future are impossible to know.
Just wanted folks here to know what's happening now.