Hi Forestjohn,
I was diagnosed just before Christmas 2021 as Gleason 5+4=9, T4 N0, and treatment began early 2022. Initially, we were aiming for a curative outcome but in the last three months my CAT scans showed that, despite the chemo and RT, there had been an uptake with my PC. It remains locally advanced, with no distant mets. The next step for me is Apalutamide. Like you, I will be on ADT for life.
My Chemo and then RT were over by Christmas 2022. The chemo shrunk the PC 'considerably' and it was hoped that the RT would take care of the remainder. It didn't work out that way. Although unpleasant, the chemo and RT did not prove too arduous. I experienced most of the anticipated side effects, but they passed. The uptake was diagnosed about 16 months later. My father and brother both died from the disease, so I was always at high risk. I think of it as the family curse.