Hi Rcourt, sorry you are here. Stage 4 with spread to bones and lymph nodes is not good, but if it responds well to chemo and hormone therapy you may have many years yet. I'm sure someone with more experience will post and let you know about side effects. How people and families handle it varies, all I can say at the moment is wait for this round of treatment to finish and see how well it has responded. You are going to spend the rest of your life wondering what the next PSA will be. You can worry about the next result if you want, but worrying doesn't seem to make the figures any better, so just get on with living and enjoying yourself.