Thanks for the kind replies it's been very appreciated.
Dad showed me a letter he received today regarding the new spreading & I asked if I could photocopy it, so I now have all the treatments he's been on..
Diagnosed Nov 2010, PSA 1472
Dec 2010 LHRG , prophylactic left femoral nail inserted (leg to hip)
March 2011, postoperative pelvic radiotherapy (20Gy)
April 2012 - disease progression - started TAK 700 clinical trial, PSA & Clinical progression after 22 cycles. Prednisolne stopped due to bleeding (attributed to meloxicam prednisolone & H pylori infection)
April 2014, completed docetaxel 7 cycles (chemo), Zoledronic acid stopped due to transient renal impairment
June - Sept 2014, on IPSEN clinical trial, maintenance tasquinimod versus placebo, stopped due to progressive disease
Oct 2014, palliative radiotherapy to lumbar spine, due to Spinal Cord Compression
Nov 2014, start enzalutamide
Jan 2015, SCC T10 (20Gy in 5)
current completed cycle 9 of enzalutamide, disease progression rising PSA. PSA now 1001 bone scan shows new frontal skull lesion & larger sternal lesion.
Dad has an appointment with a professor at Guys on Thursday for further discussion of another drugs trial, he remains in large discomfort. I am finding myself crying most evenings (which really isn't like me) seeing him in such pain & the new spread is very concerning.
I find myself looking up all of the above mentioned trials trying to understand what's next in terms of the treatment he can receive. Dad is still smiling & moaning that I talk too much when I visit - so that's nice, he still has his sense of humour :)