What next Docetaxel ?

Hi to everybody at Prostate Cancer UK and all the other organisations such as Tackle and all the regional groups up and down the country. Everybody out there is doing a great job . I decided that I would share my experiences with other men who may be in a similar situation as myself . I was diagnosed in November 2013 just after my 60th Birthday , which is almost  4 years ago with a PSA level of 222 . A scan about a month later showed the Cancer had spread to my Lymph Nodes ,  I was told it was Stage 4 and so a steep learning curve on all matters to do with Prostate Cancer began . I started with Bicalutamide plus the 3 monthly Zoladex injections , my PSA came down very rapidly but when they started to rise after about 2 years, I started on Enzalutamide ( Xtandi ) as well as the Zoladex . A scan had also revealed that the Cancer had spread to my bones and was in my Lower Spine , hip , ribs , shoulder and skull  . But my PSA levels had started to come down once again so hopefully slowing down the spread and further growth of the Cancer .  The problem I had with Enzalutamide was the tiredness . It was ok at first but after 6 months I felt completely wiped out however I persisted as my PSA was coming down steadily again and was now approaching single figures . At this point my Consultant thought we should reduce the Enzalutamide from 4 tablets ( 160 mg ) to 3 to 2 over a period of a few weeks in a effort to stop feeling so tired .  3 months ago my PSA went as low a 1.4 and I was even feeling less tired than I had in a long time .  On my next vist to collect my tablets my PSA was 4 so it was decided to go back to the 4 tablets . It was also decided that I should have 2 scans , a Bone Scan and a CT scan . Fast forward to today and my PSA is 15 . I see my Consultant  in 2 days time to get the results of my scans . I fully expect to go onto Chemo ( Docetaxel ) due to the discussions I had with my Consultant 6 weeks ago . I understand that I will have 10 sessions at 3 weekly intervals . The Consultant hasn't really discussed what comes next although doing my own research Cabazitaxel may follow . I still remain optimistic about the future but somewhat cautiously . Nearly 4 years in I know that I can't do anywhere near what I could , I've lost a lot of my strength due to the side effects of the treatment as well as the tiredness that I mentioned earlier . I can discuss everything with my wife and my 2 sons and this has really helped all of us . My youngest son comes with me to all my appointments and has become a bit of an expert himself on all Prostate matters . They will at least know to get checked themselves when they are a bit older which sadly is something I didn't do . 

I will post an update in 2 days time with the results of my scans . 

Thank you for reading this and good luck to everybody who is receiving or about to receive treatment . 

Ron Marston