Sure hope Scott Adams has gone to the fanciest, most expensive cancer hospitals in the country with that diagnosis.
Someone I care very much about had the same diagnosis, same Gleason score, same metastasis to bone. Hospital told him, this is inoperable, so sorry, you've got probably 6-12 months, we can sign you up for palliative care followed by hospice.
Guy went to fancy, expensive cancer hospital and was told, oh, we have incredibly new targeted radiation plus medication regimens, we can probably get your PSA back down to zero in the next few months.
Four years later, his PSA is undetectable at his quarterly checks. His meds make him tired and a little grumpy, but he's still kicking. They say that when these meds stop working (which eventually they will, it's not "curable" at this point, they can only halt its progression, not destroy all the cancer), they can probably buy him another 2-5 years on other medications with somewhat higher side effect profiles before anyone starts talking palliative care and hospice.
After his experience hearing 100% different prognoses from the first vs. the second hospital with the literal exact same imaging and tests, I will be taking any future major diagnosis for any of my family to the most prestigious research institution available to me for a second opinion. Literally from "oh sorry you're terminal, make your final plans now" to "You might have 10+ years to go." What the fuck.
By the way, if any of your old people are in Florida, the doctors down in Florida are called "deathcare" doctors by people in other states. They don't give a fuck about keeping you functional. Even the "good" hospitals in Florida will be happy to see you leave the Medicare rolls by moving on to the great HMO in the sky, and will do what they can to make sure you do so with haste. Don't trust a second opinion given by a Florida doctor (and other super-retiree-heavy states like Arizona may have the same issue). Get your second opinion done somewhere that Gramps or Great Uncle Chuck are expected to live near family that cares about them, not in a golf cart 55+ community.