Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 21, 2022

HAPPY THANKSGIVING TO ALL -… we have much gratitude at AnCan – especially for the love and support from our participants! All AnCan’s groups are free and drop-in … join us in person sometime!

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Editor’s Pick: What’s the right type of radiation therapy? And you gotta love our live interaction to help Dr. Jack decide! (rd)

Topics Discussed

chemo causes minor BP/heart issues; off again, on again pembro to be resumed; MMR and HRR mutations defined; AnCan advises against self-dosing; bladder Botox and hematuria; starting IHT; GU med onc offers 3 treatment options … AnCan’rs opine; more IHT starting; RT treatment to commence- but is the right type of radiation?; Bayer approves darolutamide support; HT kicks in for another happy Dr. E camper; Herb experiences pain, but is it cancer realted?; are we seeing more or less telemed visits?

Chat Log

Frank Fabish Columbus OH to Everyone 06:02 PM Have my two month follow up and blood draw with my oncologist at the James tomorrow afternoon. Looking for good results.

Dennis McGuire to Everyone 06:05 PM Rick, Like the Background !

Joe Gallo to Organizer(s) only 06:42 PM SHARED Decision making

Me to Everyone 06:59 PM desmopressin – ‘Nocturna’

AL L Ft Lauderdale to Everyone 07:07 PM Just saw the bill for the first Docetaxel infusion. List prices. Docetaxel $4141. Neulasta $46749. Really? Haven’t seen what the approved by Medicare amounts are yet. Total $60000. Neulasta is really that expensive?

Me to Everyone 07:08 PM Yes Al …. and a lot of hospitals won’t give it or use a generic.

Alan Moskowitz to Everyone 07:09 PM nocturna is a brand name for a quick dissolve desmopressin tablet. More expensive and may not be covered by insurance. The generic tablet is very inexpensive.

Aaron Wertlieb DC to Everyone 07:18 PM Thanks guys have a good night

Peter Kafka – MAUI to Everyone 07:20 PM I just looked up my Medicare billing for 2020 which covered my Chemo treatment reimbursements. This was here in Hawaii, but my Nulasta was billed at $19,445. per shot. Medicare paid $2,226.91 and my secondary plan covered $556.73 Strange that you are seeing $60,000 bills. I guess that is why I don’t live in Florida. Correction: I see your Nulasta is only $46,749. But again, mine was only $20,000 in 2020.

Len Sierra to Everyone 07:23 PM Peter, I think he was including the cost of the chemo in addition to the Neulasta.

Me to Everyone 07:21 PM How do you all like the interactive?

Norm Pollock to Everyone 07:22 PM Yes

Len Sierra to Me 07:22 PM Fun!

Frank Fabish Columbus OH to Everyone 07:23 PM like the interactive

Steve Roux, Elk Rapids, MI to Everyone 07:23 PM Interactive is great

James Davidson (Houston) to Everyone 07:24 PM Interactive is engaging and entertaining

jeff wood to Everyone 07:27 PM I have to go early. Happy TG to all

Alan Moskowitz to Everyone 07:28 PM Guys, need to leave now. Happy Thanksgiving to all.

Joel Blanchette Reston, VA to Everyone 07:33 PM I talked with Dr. E today and she said that she had just returned from Canada lecturing on the FDG PET and the PSMA from some research done by the Aussies. Does anyone know where she was in Canada and is it available on You Tube or someplace else?

TonyFig to Everyone 07:42 PM What is the name of the recommended radiation? SDRT?

AL L Ft Lauderdale to Everyone 07:43 PM Thanks to all. I need to leave tonight. Happy T Day!

Jim B to Everyone 07:44 PM SBRT – stereotactic beam radiation therapy

Frank Fabish Columbus OH to Everyone 07:51 PM got to leave guys. Happy Thanksgiving all.

Steve Roux, Elk Rapids, MI to Everyone 07:58 PM Got to get some sleep for early morning EBRT. Have a Happy Thanksgiving all!

Julian Morales – Houston to Everyone 07:58 PM Happy Thanksgiving to ALL!

James Davidson (Houston) to Everyone 07:59 PM Happy Thanksgiving!

Robert G (Colorado) to Everyone 07:59 PM Happy Thanksgiving!

Bill H to Everyone 08:04 PM Happy Thanksgiving to all. GN