Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

by | Oct 12, 2023 | cardio-oncology, Exercise, mCRPC, nmCRPC, Prostate Cancer, Recorded Groups

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

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AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.

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Editor’s pick: Does it make sense to keep your cancer off guard?… & the Group talks A-fib! (rd)

Topics Discussed
AnCan loses two long term men on same day; Zometa side effects; 3+3 (??) newbie addresses mets after 20 years; Gent running out of options needs current sequencing … and new doc; does it make sense to keep the cancer off guard?; addressing A-fib; reducing visceral fat with exercise addresses sarcopenia; darolutamide refused so Gent starts with Orgovyx alone; Payer wrongly refusing NGS somatic testing; blood in urine could be RT cystitis – cystoscopy required; PCa recurs only within the gland.

Chat Log

  • Matt Kriegersent · 3:32 PM
    Here are my recent PSA trends, it’s been a bit of a rollercoaster and I would appreciate any feedback. My treatment history is external radiation and HDR brachytherapy completed April 2020, and I was on 2 anti-androgens until June 2022. So 9 (Sept.)/2022 <.06, 1/2023 .06, 3/2023 .06, 6/2023 .35, 7/2023 .17, 8/23 .24, 9/2023 .07 I’m seeing my urologist tomorrow because a few weeks ago, for the only time other than the one biopsy and brachy, I had some blood in my urine – that was surprising but hasn’t happened again since.
  • sent · 3:35 PM
    Too many things to do. You need to talk with the group. You need to make changes now.
  • Jim Marshall, Alexandria, VAsent · 3:44 PM
    Genitourinary Medical Oncologist
  • John Asent · 3:48 PM
    “LHRH antagonist drugs include relugolix (Orgovyx) and degarelix (Firmagon). These will suppress testosterone rapidly and don’t need the premedication with another drug.
  • Jim Marshall, Alexandria, VAsent · 3:50 PM
    Abiraterone for Castration-Sensitive guys is 5MG of Prednisone
  • John Asent · 3:50 PM
    Then, a second dug may be added to add to the testosterone suppression: abiraterone or darolutamide or enzalutamide.
  • marc valenssent · 3:56 PM
    genitourinary MedOnc at Fred Hutchinson in Seattle: Petros Grivas
  • J. Wardsent · 4:00 PM
    I need to hop off now; thanks for allowing me speak about Ken Anderson.
  • TonyFigsent · 4:00 PM
    Brandan Guercio, MD. GU Medical oncologist at Strong. https://www.urmc.rochester.edu/people/26819600-brendan-j-guercio
  • TonyFigsent · 4:01 PM
    Ask to be assigned to him. Harvard Medical degree, MSK Fellowship
  • “Thomas” Maticasent · 4:10 PM
    Where are these “protocols” and/or “guidelines” that Rick mentions?
  • sent · 4:16 PM
    Thomas, NCCN has the protocols/guidelines for advanced prostate cancer, link is https://www.nccn.org/patientresources/patient-resources/guidelines-for-patients/guidelines-for-patients-details?patientGuidelineId=50
  • AnCan – ricksent · 4:37 PM
    Interval workouts, Gents …. I’m standing in for Jimmy. I do them on the rowing machine. eg 2 min on, 2 min off.
  • Geoffsent · 4:40 PM
    Can Jack throw out a couple of lit. references for us?
  • AnCan – ricksent · 4:45 PM
    Here you go Geoff… A Masterclass on Reversing Visceral Fat to Increase Longevity and Reduce Chronic Disease https://podcasts.apple.com/us/podcast/a-masterclass-on-reversing-visceral-fat-to-increase/id1381257272?i=1000629888710&ign-itscg=30440&ign-itsct=catchall_podcast_ep
  • Jeff G.sent · 4:45 PM
    I eat it with date syrup or pomegranate molasses, or maple syrup or honey. Sometimes I add roasted almond slivers, and raisins.
  • Geoffsent · 4:46 PM
    Thanks for the link!
  • Jim Marshall, Alexandria, VAsent · 4:53 PM
    STEVE -Say the Somatic test is REQUIRED for treatment to proceed.
  • Herb Courtney, Oak View, CAsent · 4:59 PM
    Gotta go. Thanks all. Another good learning experience.
  • sent · 5:08 PM
    Thank you all, need to sign off
  • Julian – Houstonsent · 5:16 PM
    Need to go! Thanks!