Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 4, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 4, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 4, 2024

(marathon session – hang in to the end for Editor’s Pick!)
MEDICARE RENEWAL – If you are comparing Traditional Medicare + Medigap to Medicare Advantage, please read this AnCan Blog Post: https://ancan.org/medicare-health-insurance-choices/
…and for more on Medicare drug costs in 2025 https://ancan.org/more-on-medicare-2025-drug-costs-for-2025/
AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostics.
If you missed any recent recordings, you’ll find a full list either on our YouTube Playlist or visit our Blog Post https://ancan.org/our-recent-blog-posts-in-case-you-missed-them/   Sign up for our Blog by checking the New Blog box at https://ancan.org/contact-us/
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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download
AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.
All AnCan’s groups are free and drop-in … join us in person sometime!
Join our other free and drop in groups:
Editor’s Pick: T doesn’t drop after Eligard shot – Dr. Jeff asks if it was given sub-cu (right) or IM (wrong)?? – rd
Topics Discussed
Newbie navigated to GU MO for 2nd opinion; better VA care in SF than Sacto; extensive mets takes AnCan’r by surprise; finally starting HT after 11 yrs; PSA of 0.6 calls for PSMA scan and resumption of Tx; in reverse – 4 yrs of doublet may allow break; KP approves HDR brachy – but where?; ctDNA trial; compare SBRT + IMRT to all IMRT; orgo dropped for mono daro; getting up once a night should be paradise; spin wheels at KP or listen to AnCan; wait on GU MO until after salvage RT; DR. Jeff asks if Eligard shot was administered correctly when T doesn’t drop?
Chat Log

Len Sierra sent: 6:24 PM    Sampat specializes in GI malignancies

Alfredo in Houston, TX sent: 6:29 PM https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1459- URL for NCCN guideline

Matt M – Sac sent: 6:31 PM radiation is part of the triplet therapy tree as well yes? Or can be one of the “three”? Oligometastatic is “low volume” metastasis correct? Generally less than 5?

Alfredo in Houston, TX sent: 6:36 PM Enzalutamide, sold under the brand name Xtandi

AnCan – rick sent: 6:39 PM Paller https://www.hopkinsmedicine.org/profiles/results/directory/profile/3138167/channing-paller

Brian Haack – Eagle, ID sent: 6:41 PM https://www.prostatecancer.news/2023/05/xtandi-enzalutamide-adt-slows.html   https://www.prostatecancer.news/2022/09/short-term-androgen-annihilation-in-non.html

Len Sierra sent: 6:42 PM ENZAMET is the triplet therapy with enzalutamide

Julian – Houston sent: 6:45 PM https://pmc.ncbi.nlm.nih.gov/articles/PMC10136811/#B10-curroncol-30-00332 – Triplet Therapy in Metastatic Castrate Sensitive Prostate Cancer (mCSPC)—A Potential New Standard of Care

Alfredo in Houston, TX sent: 6:52 PM Genitourinary medical oncologist

Alfredo in Houston, TX sent: 6:58 PM EMBRLABS.COM

AnCan – rick sent: 6:59 PM Franklin Huang https://www.ucsfhealth.org/providers/dr-franklin-huang

AnCan – rick sent: 7:02 PM PROMISE https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=Webinar

Julian – Houston sent: 7:11 PM  Cheng https://www.fredhutch.org/en/provider-directory/heather-h-cheng.html

AnCan – rick sent: 7:12 PM http://cancer.ucsf.edu/people/profiles/aggarwal_rahul.7339   https://www.med.upenn.edu/apps/faculty/index.php/g275/p8392223 Dr. Narayan https://www.foxchase.org/daniel-geynisman

Richard Tolbert sent: 7:51 PM Hello Dr. Jeff, I had 19 radiation treatments. A 3 month Eligard shot when hospitalized. I am on both Orgovyx and Xtandi.

Matt M – Sac sent: 7:57 PM Hi Guys, Solid night. gotta bounce. See you down the road…

Steve Roux, North Michigan sent: 7:58 PM Good meeting this week, thanks guys! I need to check out for dinner and personal tasks. See you next week.!

Alfredo in Houston, TX sent: 8:49 PM Goodnight everyone and Thank You – I learn something at every session.

dan: alexandria, sent: 8:03 PM Thanks guys…. gotta go.

Michael – Denver sent: 8:32 PM Tx everyone. Good nite.

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 4, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 22, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 22, 2024

MEDICARE RENEWAL – If you are comparing Traditional Medicare + Medigap to Medicare Advantage, please read this AnCan Blog Post: https://ancan.org/medicare-health-insurance-choices/
AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostics.
If you missed any recent recordings, you’ll find a full list either on our YouTube Playlist or visit our Blog Post https://ancan.org/our-recent-blog-posts-in-case-you-missed-them/   Sign up for our Blog by checking the New Blog box at https://ancan.org/contact-us/
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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download
AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.
All AnCan’s groups are free and drop-in … join us in person sometime!
Join our other free and drop in groups:
Editor’s Pick: Counseling hope to a sports hero who fears the worst (bn)
Topics Discussed
High-profile British cyclist Chris Hoy fears the worst — Rick wants him to know there’s hope; ADT doesn’t just give you reasons to be sad, it physically causes depression — and if you don’t treat it, everything else gets worse; jury’s been out a long time on ADT and dementia; ADT side effects don’t wear off, as with other drugs — they get worse;  on a drug holiday, his PSA has stayed undetectable — but not so fast: it only counts if testosterone is going up; drug holidays can’t come right away — they have to be earned;  PSA rises, rises, rises, after he’s taken off Lupron, but Kaiser doc hasn’t acted;  VA may be his way out of the Kaiser trap; after hating it twice before, darolutamide now suits him well; that lead box is a clue he’s not about to get the FDG PET he needs for his non-avid lesions; whirlwind of confusion over the new Part D rules and the magic $2,000 number; now that radiation treatments are over, when should he get a PSMA PET scan?; off Lupron and on darolutamide monotherapy, he feels about the same — does that make sense?; he’s already doing what his intraductal diagnosis suggests he do; doc who says no to everything should be saying yes to PSMA PET
Chat Log
Jim Marshall, Alexandria, VA · 6:29 PM
On ADT & Abiraterone for 5 years,stayed active, volunteering, bike rides even when fatigued, keepig my mind active doing research on PC and Veterans Affairs.   No time to feel sorry for myself.    Jim Marshall, USAF(Ret)
Steve L · 6:37 PM
I was classified low volume metastatic even with 12 of 12 cores positive because I have only 2 bone mets.   Does the seem right?
AnCan  – rick · 6:47 PM
$@Steve L-ID-400003$… low volume Mx is different from low volume Biopsy. Very different kettles of fish
Jim Marshall, Alexandria, VA · 6:48 PM
Been on Monthly PSA & testosterone blood tests since the  beginning.    Jim Marshall
Steve L · 6:49 PM
No Decipher.   Gleason of 4 plus 5.
Steve L · 6:51 PM
Great that Bruce has had extended non-detectable PSA
AnCan  – rick · 6:55 PM
I would disagree with @Jeff M.  A Deicpher test at this point is not going to tell you much. It is designed to predict recurrence. 4+5 tells you all you and your med onc need to know.
Steve L · 6:59 PM
My treatment is ADT(lupron), Abi (now with Dexamethasone}.    Also had Provenge in June/July.
Steve L · 7:12 PM
Jeff,  After 2 years of undetectable,  PSA started increasing in January and I was classified castrate resistant.   No radiation nor surgery except turp.  Denovo Mets.   Most recent PSA 0.59
Doug D · 7:34 PM
Unfortunately, I need to leave early for an appointment.  I will be attending these sessions regularly.  I really appreciate your help, guidance, and time.  Thank you very much.
Steve L · 7:51 PM
I recently proposed circulating tumor DNA test,
 PSMA scan, and radiation to primary and mets with negative response.   Any recommendations for a second opinion?  Perhaps MD Anderson or ?????   I am in Seattle area.
AnCan  – rick · 7:55 PM
Steve – this a big question that should be posed to the group. Too much to handle via Chat window.
Steve L · 8:01 PM
Okay,   I will try next meeting if no time today.
Thomas M · 8:04 PM
Good night , Gents,,,,,,,Thomas
dan: alexandria, virginia · 8:12 PM
I have to leave… thanks for advice, Gents.  Night, dan
Julian – Houston · 8:21 PM
Need to go. See you 11/4
Low/Intermediate Prostate Cancer Video Support Group, Oct 21, 2024

Low/Intermediate Prostate Cancer Video Support Group, Oct 21, 2024

Low/Intermediate Prostate Cancer Video Support Group, Oct 21, 2024

Low/Intermediate Prostate Cancer Support Video Support Group, Oct 21, 2024

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

WELCOME all to our newly recorded Low/Intermediate Prostate Cancer Group. To receive notice when new recordings are posted, either follow us on this YouTube Channel or sign up to our Blog via https://ancan.org/contact-us/ – check New Blog box.

Join our other free and drop in groups:
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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download
AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.
All AnCan’s groups are free and drop-in … join us in person sometime!

Editor’s Pick: A second opinion from a creditable source is a good way to verify an initial diagnosis. (bj)

Topics Discussed

New diagnosis researching HiFu and TulsaPro; PROMISE Study for genetic testing; focal treatment limitation; Interpreting nomogram results to choose between surgery or radiation; importance of getting a second opinion; dealing with anxiety as part of the decision process; helpful tip — build a list of questions before seeing your doctor(s); understanding radiation treatment options — SBRT, Cyber Knife, etc.; Are rectum spacers still needed for radiation treatments; overcoming analysis paralysis; nadir outcomes for radiation treatment; decision regret following prostatectomy; transitioning from active surveillance to a definitive treatment; SBRT experience update; Prostox (cheek swab) for DNA/genetic testing; Decipher testing for DNA/genetic testing; low dose brachytherapy.

Chat Log

AnCan – rick
Promise study  https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=Webinar

AnCan – rick
Mack Roach was my rad onc.

Bob S – Maryland
link for nommagram

AnCan – rick
Dr. Mark … mperloe@ancan.org

Bob S – Maryland
bye all.

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 4, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 14, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 14, 2024

MEDICARE RENEWAL – If you are comparing Traditional Medicare + Medigap to Medicare Advantage, please read this AnCan Blog Post: https://ancan.org/medicare-health-insurance-choices/
AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostics.
If you missed any recent recordings, you’ll find a full list either on our YouTube Playlist or visit our Blog Post https://ancan.org/our-recent-blog-posts-in-case-you-missed-them/   Sign up for our Blog by checking the New Blog box at https://ancan.org/contact-us/
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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download
AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.
All AnCan’s groups are free and drop-in … join us in person sometime!
Join our other free and drop in groups:
Editor’s Pick: Use Pharmacists to fill in for HCPs for drug interactions (rd)
Topics Discussed
New man on Pluvicto, but is he concordant?; are HCPs diligent in checking drug interactions?; darolutamide and rosuvastatin – heads-up; get a clear treatment plan before starting RT; spot RT done – maybe a drug holiday next; as Tx progresses, anxiety drops; 18 days way too short to taper prednisone; do vibration plates help?; Embr helps another man – and maybe two; use your pharmacist to discuss drug interactions
Chat Log
  • david opp sent: 5:25 PM

    Hi Jerry.

  •  Keith Lawrenz, Ventura, CA sent: 5:46 PM

    Frank if you are interested in chatting 1×1 please reach out to me

  •  Jim Marshall, Alexandria, VA sent: 5:52 PM

    Frank. I have ATM as Somatic too. Jim Marshall

  •  AnCan – rick sent: 6:03 PM

    Dr. J … you have to recognize that Dr. Jack is neurotic about all his numbers.

  • Steve Roux, MI  sent: 6:11 PM

    drugs.com. easy check for interactions.

  • Steve Roux, MI  sent: 6:31 PM

    Good meeting guys but I need to get some dinner! See you all next week. And…kudos to Rick for the great blog on Medicare!

  • Julian – Houston  sent: 6:31 PM

    time to go – thanks for another great evening!

  • Adam  sent: 6:32 PM

    Gotta go Rick but thanks for another session. Was gonna let you know I finally got into seeing Dr. E at Houston Methodist so you should get that toaster in the mail!

  • Richard Fiske  sent: 7:06 PM

    Hi Thuc: I haven’t dived for a while b/c I am on three blood pressure medications. One thing I learned in the Navy was that only Ibuprofen underwent hyperbaric testing. I had one friend who was on flexeril who’s heart stopped coming back from 190ft. I wouldn’t dive on while on any serious drugs.

  • AnCan – rick sent: 7:08 PM

    Embr watch https://embrlabs.com/

  • dan: alexandria, virginia sent: 7:10 PM

    great meetings guys… I have to get to my family meeting…. O&U

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 4, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 8, 2024

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 8, 2024

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostics.
If you missed any recent recordings, you’ll find a full list either on our YouTube Playlist or visit our Blog Post https://ancan.org/our-recent-blog-posts-in-case-you-missed-them/   Sign up for our Blog by checking the New Blog box at https://ancan.org/contact-us/
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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download
AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.
All AnCan’s groups are free and drop-in … join us in person sometime!
Join our other free and drop in groups:
Editor’s Pick: Don’t suffer in silence with joint pains after starting ADT (bn)
Topics Discussed
Only 6 months of Orgovyx with his salvage radiation — too short?;  aching joints on ADT are incapacitating him; he struggled to get proton beam but standard radiation therapy is looking better and better; public service message: get your flu shot!; PSA creeping up despite hormone therapy — should his docs be doing more?; put questions for the doc in writing; is a broader field of coverage better for salvage therapy?; feeling better after radiation fatigue, and battling melanoma, too; suspicious lymph node, but it’s dangerously close to the rectum
Chat Log
? · 6:32 PM
All imaging was negative so how do fiduciary makers help?
Jeff · 6:38 PM
https://www.cambridge.org/core/journals/journal-of-radiotherapy-in-practice/article/abs/role-of-fiducial-markers-in-the-assessment-of-prostate-bed-motion-in-postprostatectomy-patients-treated-with-volumetric-modulated-arc-therapy/AF625C517EF1EF486837975016056600
? · 6:38 PM
Good job Jerry getting educated so quickly. This group is here for you
John A · 6:55 PM
NSAID
Steve L · 6:59 PM
Is there a minimal PSA for a meaningful PSMA or Somatic Blood Biopsy?
John A · 7:16 PM
Dr Emmanuel Antonarakis
Steve Roux, MI · 7:40 PM
hey guys I gotta run my Tucker out for a walk. Good meeting all! See you next week!
? · 7:48 PM
Steve there’s a new tracer called curium available via trial only at this time for low psa values
Steve L · 8:13 PM
Rick,  What is your homeland?
Low/Intermediate Prostate Cancer Video Support Group, Oct 21, 2024

Low/Intermediate Prostate Cancer Video Support Group, Oct 7, 2024

Low/intermediate Prostate Cancer Video Support Group, Oct 7, 2024

 

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

WELCOME all to our newly recorded Low/Intermediate Prostate Cancer Group. To receive notice when new recordings are posted, either follow us on this YouTube Channel or sign up to our Blog via https://ancan.org/contact-us/ – check New Blog box.

Join our other free and drop in groups:
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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download
AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.
All AnCan’s groups are free and drop-in … join us in person sometime!

Editor’s Pick: A careful review of treatment options can help you avoid decision regret. (bj)

Topics Discussed

New prostate cancer diagnosis — how do I avoid decision regret?; prostate cancer treatment considerations — surgery vs radiation; using nomograms to predict likelihood of recurrence; PROMISE research study and germline DNA testing; decipher test; external beam radiation; cyber knife; somatic DNA testing; catheter; Gleason score; TULSA Pro; electroporation; kegel exercises; Prostate Cancer Research Institute (PCRI); RTIRE trial update; COVID and PSA spikes; High-Intensity Focused UltraSound (HIFU) and other focal treatment options; applying study results to your situation.

Chat Log

AnCan – rick
http://nomograms.mskcc.org/Prostate/index.aspx

George Toronto
I have a question for Michael

George Toronto
cancel my question please

Causley
Michael – this is Causley E.  I’m in the group with you.  I had surgery 2 years ago and can share my experiences with you when time permits.

Boykin Jordan (DC Metro)
PCRI – https://pcri.org/

Boykin Jordan (DC Metro)
PCRI (YouTube) – https://www.youtube.com/c/thepcri

AnCan – rick
PROMISE test – free trial by mail.  https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=Webinar

AnCan – rick
Dr. Ming Zhou https://profiles.mountsinai.org/ming-zhou