I am not sure what you are unsure about? Are you wondering if the original diagnosis was wrong? It isn’t unheard of for a man to have low PSA with bone mets - surprised that the onco didn’t explain this to you. There are at least 27 different types of prostate cancer and not all give off PSA. You could look up Si_ness on here .... he was diagnosed with a PSA of about 3 and bone mets all over his body. My father-in-law died with a PSA of 1.2 and undiagnosed mets in his liver and kidneys.
You should be very happy that dad is responding so well to the hormone treatment and being monitored so closely. Most men don’t have any pain from bone mets until much later in the disease progression.
Interesting that you have used the word ‘palliative’. The word that would usually be used with a diagnosis like your dad’s would be ‘incurable’. You will find on this forum many men who were diagnosed at a very similar stage to your dad who are still here 10 or more years later - in one case, 14 years. Celebrate that dad is doing so well, and hope that he is still living life to the full in 11 years’ time!
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
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