Editor’s Choice: ‘Young’ man with little kids faces liver mets; &, good discussion of current clinical trials.

Topics Discussed

55-yr old man sees cancer metastasize to liver; getting a port; chemo fatigue; switching oncs to a GU specialist; ipilimumab+nivolumab; scans if not PSMA avid; edema explained by lymphedema; current trials discussed for mCRPC; staying the course 2nd time around with docetaxel; consider SBRT before IMRT; abi or enz first; 2nd timne around for PSMA, but where?; use the same lab for your tests; Viewray @ UCLA used for salvage RT; fatigue from RT+HT – exercise!

Chat Log

Carl Forman (to Everyone): 5:09 PM: Shana Tova to our Jewish participants.

Herb Geller (to Everyone): 5:10 PM: Thanks, Carl. L’Shana Tovah to all as well

David Muslin (to Everyone): 5:11 PM: L’Shana Tova guys

AnCan Barniskis Room (to Everyone): 5:22 PM: L’shana tova to all … may you all be well inscribed

Len Sierra (to Everyone): 5:34 PM: Talking to children about a parent’s terminal illness. http://tiny.cc/mssysz

John I (to Everyone): 5:34 PM: Fraz, I remember seeing a story like this a long time ago. A guy recorded answers to all the questions his 6 & 8 year olds would have after he was gone. https://abcn.ws/36DOFj4

John I (to Everyone): 5:34 PM: Definitely

John I (to Everyone): 5:35 PM: I’m not as qualified as you, but happy to help when it gets tough for you

John I (to Everyone): 5:46 PM: The Under 60 group is this Thursday (in 3 days) 7 pm – 8:30 pm EDT

Mark Perloe (to Everyone): 6:28 PM: might Alan be eligible for a 177 Lu clinical trial?

alan moskowitz (to Everyone): 6:44 PM: Mark – I would be reluctant to do that Lu trial – I think one needs to have exhausted other conventional treatments first. In my mind it is too experimental in nature – but it is on my Radar.

Carl Forman (to Everyone): 6:54 PM: Global Knowledge Exchange Webinar: NEXT GENERATION PSMA 6 speakers + Q&A; beta, alpha, auger + more Register here: http://bit.ly/nextgenpsma Proudly hosted by @pros_tic @PCF_Science Oct 7 12PM PT 3PM ET

Mark Perloe (to Everyone): 7:06 PM: consider ViewRay SBRT 5 days with no fiducials or spaceOAR. See ViewRay.com. I finished today.

Mark Perloe (to Everyone): 7:09 PM: Thanks Rick. such good advice.

AnCan Barniskis Room (to Everyone): 7:11 PM: https://ancan.org/shop/

John I (to Everyone): 7:11 PM: https://amzn.to/2I0YI7G That’s for the sweatshirt: https://amzn.to/2I0YI7G

John I (to Everyone): 7:14 PM: Gotta run, guys, Thanks! See the young’uns on Thursday.