Hello Dotson ........
I'm not exactly a caregiver ... unless you consider I am the only caregiver for myself. I am on this long journey as well .... and you said a few things I would like to comment on.
My return of PC in 2010 also included it spreading into parts of my liver and ribcage and lymph node .... and it blocked my kidneys - perhaps similar to your Dad's.
While I have been in the hospital three times with kidney failure in the past three years, I have been lucky enough to have dialysis only three times - the first time I was in the hospital - three years ago this month.
You mentioned he is coming out of renal failure! Just for your info - I had two nefrostomy tubes added for a few months (instead of dealing with dialysis). They were removed for awhile but my kidneys still needed help - so 18+ months ago, an internal stent was placed for my left kidney and a nefrostomy tube for my right kidney.
They are much less time-demanding and less invasive (mentally) I think than dialysis.
I mention this only if ........ your Dad can be taken off of dialysis but still needs help for his kidneys. It may be worth talking to the doctor about it.
I was on Xtandi for just two months. It did not work for me - but it obviously is or has been working well for your Dad. A PSA of 700 coming down to 50 ..... that's fabulous!
I have been on Jevtana since September, and it has been working well for me so far. I do have a detailed thread which could be of interest to anyone who is considering or about to start Jevtana. It is called "My Journey with Jevtana"!
Wishing you and your Dad the very best. If they are possible, the stent and/or the nefrostomy tube are both low maintenance - and should be more pleasant than two or three dialysis trips a week.
Peace and wellness
Rob & Gizmo