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Hi RaFh,
Hello and welcome to YANA. First up let me correct a misconception on your part, There are no experts here, only men with prostate cancer who may be able to offer some support and guidance. As you no doubt understand, your father has advanced PCa disease, therefore in all likelihood he will most probably die from the disease. However modern treatments should provide a reasonable quality of life over the coming years. Where it not for the organ involvement (bladder and rectum) management of the disease for say 7 to 10 years is not unreasonable. The organ involvement cloud's the issue somewhat, a medical oncologist opinion is warranted.
So to the questions you raise;
- Re the vegan diet, if you think it will be beneficial fine. It certainly will not do any harm. Just make sure the iron intake is adequate.
- The treatment modalities offered (ADT and Chemo) are entirely appropriate in my view. Early introduction of Docetaxel should be very beneficial in extending life. Consider them as first line agents for treating advanced metastatic disease.
- Most men cope very well with Chemo these days. Side effects for the most part are very manageable.
- Radiation for curative intent is no longer possible, but in future you dad may well be offered targeted radiation for metastatic hot spots in bones for pain relief.
A brief bit of wisdom if I may. More often than not the angst displayed by loved one's coming on here and posting questions is not shared by the parent. Remember your dad is in his twilight years and his perception of his situation may not be quite the same as your's. Try to focus on what your father's wishes may be. If you don't know what they are, then some frank discussion is warranted.
