Hi nmckliney,
That is one rough summer. Sorry about
your sister.
You have not mentioned chemo but that may be next.
Some things to look into:
Pluvicto
Clinical trials that are showing decent results.
cu67 sar bispsma
https://www.urologytimes.com/view/multi-dose-treatment-with-67cu-sar-bispsma-in-mcrpc-shows-promiseamg509
https://clinicaltrials.gov/study/nct04221542?term=amg%20509&rank=1If they can biopsy one of those lung nodules and have it tested for things that Keytruda might be used for. There are certain (rare) genetic alterations that if present make the cancer really susceptible to Keytruda. There are guys that have had a complete response with Keytruda.