My husband has had 4 Jevtana treatments, and has severe anemia so he is also getting the aranesp shots. He is in pain every day from various side effects. Last PSA was 2030ish, we'll get new results next week. I'm thinking we need to stop the Jevtana and move on to Zytiga. I've heard about MDV3100 in addition, but it's not approved yet. Has anyone gone back to Jevtana after Zytiga, or is there another chemo option? Roy does see an oncologist locally who works with a Chicago specialist.