Hi-Risk/Recurrent/Advanced PrCa Video Chat, Sep 21, 2026
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Sep 21, 2026
Substack is coming to AnCan… or maybe AnCan is coming to Substack. We’ll be posting the best from our Reminders and Blog Posts. Watch our for more details.
NEW AnCan HEART Group for all things cardio.Sign up for Reminder at https://ancan.org/contact-us/. For ProsCard mailing list, please write to dr.john@ancan.org to be added to the distribution and Dr. John’s weekly heart primer.
AnCan thanks the following sponsors for making this recording possible: Novartis, Telix and Blue Earth Diagnostics.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/
Join our other free and drop in groups:
Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/
Veterans Healthcare Navigation… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: Go to ‘Extra Time’ to hear Newbie with PTEN, TP53 and maybe RB1
Topics Discussed
denovo N1 Newbie waits on treatment recommendations; uro assumes Newbie is denovo M1 but SUV is low – needs verification; T rises but PSA holds steady – CRPC??; offered Veozah trial – but hide the Embr watch; PSA increases from 0.16 to 1.6 – could be inflammation or RT; insist on a bone strengthener and switch docs; at least 12 m. of doublet; Reel Recovery rave review; arousal 3 months after stopping org, but Gent expects more; late Newbie faces PTEN, TP53 and possibly RB1 – treatment path???
Chat
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Sergio sent: 5:41 PM
David – ty for your message. Let’s def connect. I can be reached at gonzaler84@hotmail.com. We can find time later in the week if this works for you.
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Bill Lawler sent: 6:09 PM
When i was prescribed those two drugs, I was advised to stagger the start dates by ten days to two weeks.
FEZOLINETANT
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Avery sent: 6:35 PM
Bill Lawler – Are you in the DMV area? If so, which hospital is your care? FYI- I just received the exact same markers and barrigel and I start my 5 and half weeks of radiation treatments on Wed at Sibley.
ok thx
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Bill Lawler sent: 6:41 PM
Avery, My 28 treatments start on Oct. 1. Greater Boston area, MGB Danvers.
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Avery sent: 6:41 PM
Bill – Wish you well
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Bill Lawler sent: 6:49 PM
Fezolinetant principal investigator: Shehzad Basaria, Brigham & Women’s Hosp.
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Bob Schwartz, USN, Venice, FL. sent: 7:08 PM
Another good mtg., have to go, see everyone next mtg.
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“Thomas” Matica sent: 7:09 PM
Good evening guys. Th
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David D Seattle sent: 7:10 PM
Thank you all, I have to sign off.
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Peter M sent: 7:12 PM
Good night gents!
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Barry Blomquist sent: 7:40 PM
Great meeting and information guys, thanks!
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Sep 15, 2026
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Sep 15, 2026
And if you’re in Los Angeles or going to PCRI Sep 18-20, please reach out to Bill Franklin as we may hold an AnCan meetup bfranklin@anccan.org
Substack is coming to AnCan… or maybe AnCan is coming to Substack. We’ll be posting the best of all our Reminders. Watch our for more details.
NEW AnCan HEART Group for all things cardi. Sign up for Reminder at https://ancan.org/contact-us/. For ProsCard mailing list, please write to dr.john@ancan.org.
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/
Join our other free and drop in groups:
Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/
Veterans Healthcare Navigation… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: Two Vets both recur after a long time and cud be candidates for MDT
Topics Discussed
San Diego Veteran faces slow recurrence over 15 years – consider Matt Rettig at W.L.A. VA ; Tacoma to OSHU is well worthwhile to see Dr.E; variant disease produces plenty of PSA but doesn’t respond – Ac225 trial @ MSKCC a possibility; NW Montana G9 Vet recurs after Brachy + ADT @ Huntsman in 2019 – PSA now 18.5; older Gent has bone density issues.
Chat
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Dan M, Tacoma WA sent: 3:26 PM
The liquid biopsy phlebotomists will even come to your house.
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Bill Lawler sent: 3:37 PM
I’ve been on Darolutamide & Orgovyk ADT treatment for two months. at six weeks my PSA dropped from 14.4 to1.18.
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Danny Lankford (Minnesota) sent: 3:41 PM
Ditto here. I started on Darolutamide and Orgovyx and my PSA went from 13-ish down to 0.04 in 3 months.
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AnCan–John A sent: 3:41 PM
in one or two years > new theranostics with new cancer cell markers
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Alfredo in Wimberley, TX sent: 4:18 PM
Sorry, I must leave early tonight. Best regards to everyone.
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Ben Nathanson sent: 4:23 PM
I’m still listening
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AnCan–John A sent: 4:30 PM
Dr Theresa Werner is now deputy director at Huntsman
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Jeff Marchi – San Francisco sent: 4:36 PM
focal therapy for Joseph
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Jeff Marchi – San Francisco sent: 4:36 PM
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Danny Lankford (Minnesota)sent: 4:40 PM
I hate ADT/Hormone therapy but it’s keeping me alive.
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Jeff Marchi – San Francisco sent: 4:46 PM
9 years ADT, I’m still alive and undetectable
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Jon McPhee Toronto sent: 4:46 PM
I was on Lupron and it was miserable. Now I’m on Zoladex and Erdeada and I’m doing much better this time around.
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Bob Schwartz, USN, Venice, FL. sent: 4:50 PM
Going to switch over to the Vet. Mtg.
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Danny Lankford (Minnesota) sent: 4:51 PM
same, going over to vet meeting. see ya next time.
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Jeff Marchi – San Francisco sent: 4:52 PM
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Barry Blomquist sent: 4:55 PM
Great meeting, next meeting:)
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Dan Z. – San Diego sent: 4:56 PM
Thanks for an informative first meeting.
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Jeff Marchi – San Francisco sent: 4:58 PM
Joseph the VA session is ancanschmier
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AnCan–John A sent: 5:00 PM
it can take a long time to get an endocrinologist, so I think start right away, and mention that DEXA score.
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Sep 7, 2026
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Sep 7, 2026
Are you in DelMarVa?? Reserve Wednesday night, Sep 16 for an AnCan get-together. We’ll meet for a ‘dutch’ dinner in the Chevy Chase area – location TBD. If you have not received an email invitation and would like to attend, please drop a note to boykin@ancan.org. Partners/spouses welcome!
And if you’re in Los Angeles or going to PCRI Sep 18-20, please reach out to Bill Franklin as we may hold an AnCan meetup.
Substack is coming to AnCan… or maybe AnCan is coming to Substack. We’ll be posting the best of all our Reminders. Watch our for more details.
NEW AnCan HEART Group for all things cardi. Sign up for Reminder at https://ancan.org/contact-us/. For ProsCard mailing list, please write to dr.john@ancan.org.
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/
Join our other free and drop in groups:
Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/
Veterans Healthcare Navigation… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: Severe radiation cystitis interferes with treatment plans
Topics Discussed
Was this Newbie really a 5+4 at Dx in 2010?; RT done – now to HT and what next?; crippling RT cystitis changes PrCa treatment plans; could Pluvicto be an option for mHSPC Gent; extensive initial RT preferred; why can’t RO prescribe HT?; move forward with salvage RT and adjust LHRH; muscle cramps; move to CoH, Duarte makes difference; does Pluvicto need prior hydration infusion?; surprise bone Bx – somatic sequencing may take time; RT finished – what to expect during doublet HT?; is screen for blood clot or variant PrCa?
Chat
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Jeff Marchi – San Francisco sent: 5:17 PM
877-582-7011 tech support
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AnCan–John A sent: 5:18 PM
thanks Jeff and Jim. try that Gary
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Gary P sent: 5:36 PM
The second one sent by you. Just got off phone. Thanks very much.
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AnCan – rick sent: 5:39 PM
Dr. Elizabeth Guancial https://flcancer.com/en/physician/elizabeth-guancial-md/
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AnCan–John A sent: 5:44 PM
andromeda requires 1-5 detectable mets and recurrence
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Bob Y — Los Angeles sent: 5:45 PM
Have to join my family now. Glad to see all of you.
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AnCan – rick sent: 6:11 PM
carboplatin
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Frank Ciambra sent: 6:14 PM
Good night everyone I’m going to go and try and get some rest I appreciate everyone here
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Steve Schuler (Seattle) sent: 6:18 PM
have to drop
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Jim Akin, Nash TN & Bradenton, FL sent: 6:20 PM
Interesting night, I need to drop…
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Len Sierra sent: 6:28 PM
July 31st – Pluvicto approved for mHSPC
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Jeff Marchi – San Francisco sent: 6:52 PM
ORGOVYX
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Matt Krieger – Denver sent: 6:55 PM
fwiw I took 2 years of Abi and Lupron, and did not have foot/leg cramps.
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Avery sent: 6:56 PM
do you exercise? It help
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AnCan – rick sent: 6:56 PM
Theraworx
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Len Sierra sent: 6:56 PM
Vitamin K2 for nocturnal leg cramps: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2825457
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Bob Schwartz, USN, Venice, FL. sent: 7:21 PM
Another good mtg., have to go.
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Matt Krieger – Denver sent: 7:26 PM
Damon I thought you said HDR rather than low dose brachy, but I might have misheard?
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Gary Martin sent: 7:39 PM
I’ve heard the FDG PET scans and the biomarkers including LDH, Chromogranin A, NSE, and CEA are often tracked where PSA-discordant progression may be suspected.
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Aug 25, 2026
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Aug 25, 2026
Substack is coming to AnCan… or maybe AnCan is coming to Substack. We’ll be posting the best of all our Reminders. Watch our for more details.
COMING IN SEPTEMBER… AnCan Heart Group – new support group for all things cardio and open to all! To sign up for Reminder at https://ancan.org/contact-us/. For ProsCard mailing list, please write to rd@ancan.org.
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/
Join our other free and drop in groups:
Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/
Veterans Healthcare Navigation… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: We burst his bubble that advanced prostate cancer can be cured! 😕
Topics Discussed
Newbie #1 skirts triplet but discuss debulking; Newbie #2 encouraged to rethink surgery decision; PSA falls from HT and RT right ahead; whaddya mean, there’s no cure!?!; RT ‘torture’ (really???) vs ADT for life; GUMO will consider E2; weird disease needs a 2nd opinion; Orgovyx not worth $700 for this Gent; walking helps restore muscle loss; Orgovyx produces different hot flashes; changing ARSI before Pluvicto may rock the boat; personal evaporative cooler demo
Chat
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AnCan Barniskis – rick sent: 3:10 PM
Dr. John is at a medical appointment, and Len is on his way home.
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AnCan Barniskis – rick sent: 3:28 PM
Orgovyx
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AnCan Barniskis – rick sent: 3:35 PM
in that case, we won’t add you to the heart group unless you wish?
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AnCan Barniskis – rick sent: 3:56 PM
http://nomograms.mskcc.org/Prostate/index.aspx MSKCC nomogram
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Jeff Marchi – San Francisco sent: 3:57 PM
Retzius surgery to preserve function
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Alfredo in Wimberley, TX sent: 3:57 PM
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Alfredo in Wimberley, TX sent: 3:59 PM
Here is a more recent reference https://mydoctor.kaiserpermanente.org/mas/news/a-new-era-in-prostate-cancer-surgery-retzius-sparing-technique-delivers-life-changing-results-2941449
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Jeff Marchi – San Francisco sent: 3:59 PM
Thanks Alfredo
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Alfredo in Wimberley, TX sent: 4:04 PM
Duke urologists, just fyi https://urology.duke.edu/faculty
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Jim Marshall, Vet Sup Grp. Moderator sent: 4:07 PM
Did 5 years of ADT + Abiraterone and tolerated it quite well. jim
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Alfredo in Wimberley, TX sent: 4:09 PM
What did the recent JAMA Oncology ProtecT study show? A 2025 secondary analysis looked at 15-year outcomes in men with localized prostate cancer and compared those with cribriform-positive disease to those with cribriform-negative disease. I The findings were important: Among men with cribriform-positive prostate cancer, the 15-year risk of metastasis was 25% with active monitoring, 26% with surgery, and 8% with radiotherapy plus short-term hormone therapy. Among men with cribriform-negative disease, the metastasis rates were much lower: 7% with active monitoring, 4% with surgery, and 3% with radiotherapy. Overall, cribriform-positive disease was linked to a significantly higher risk of metastasis, while outcomes for cribriform-negative disease were favorable across treatment groups.
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Bill Lawler sent: 4:45 PM
Dr. Atish Choudury, Dana Farber
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Bill Lawler sent: 4:49 PM
What time?
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Jeff Marchi – San Francisco sent: 4:49 PM
3pm pacific
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Robert sent: 4:53 PM
My update is not critical I can wait til next week.
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TonyFig sent: 4:56 PM
lost internet connection
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Robert sent: 5:01 PM
I need to run, Thanks for a great meeting
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AnCan Barniskis – rick sent: 5:03 PM
Lazarex Foundation https://lazarex.org/
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Mike sent: 5:06 PM
Thank you to all. Very grateful to have found this group. I’ll be back. 🙂
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Julian – Houston sent: 5:09 PM
Thanks for the great discussion – my update can wait for next time,
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“Thomas” Matica sent: 5:09 PM
Good night , gents.
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Bill Lawler sent: 5:17 PM
If it works, stick with it!!!
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AnCan Barniskis – rick sent: 5:17 PM
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Aug 17, 2026
Hi-Risk/Recurrent/Advanced PrCa Video Chat, Aug 17, 2026
Substack is coming to AnCan… or maybe AnCan is coming to Substack. We’ll be posting the best of all our Reminders. Watch our for more details.
COMING IN SEPTEMBER… AnCan Heart Group – new support group for all things cardio and open to all! To sign up for Reminder at https://ancan.org/contact-us/. For ProsCard mailing list, please write to rd@ancan.org.
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/
Join our other free and drop in groups:
Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/
Veterans Healthcare Navigation… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: 1) Why are Axillary lymph nodes not considered distant? 2) Why does MSKCC prefer bone Bx?
Topics Discussed
Another low risk Gent graduates to this Group; Pluvicto cleared all but foamy gland cancer; new Sony cooling gismo; urinary blockage from RT inflammation – self catheter; surgical blood clot doesn’t rule out abi+pred but doublet not indicated; HT causes hot flashes… urgency more likely tumor – RT to start; can E2 help with hot flashes? – distracts from key Q about length of HT; moving from Lupron & abi+pred to Orgovyx+daro… is monotherapy an option?; is attending PCRI worthwhile?; Axumin shows a result – local or distant and what next?; RO at Hutch selected and VA sets up genomic tests; E2 access again – attend UCSF session; MSKCC moves off the dime to set up new doublet and Pluvicto…. but why a bone Bx?
Chat
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AnCan Barniskis Room sent: 5:21 PM
Cooling blog post https://ancan.org/keeping-cool-in-the-heat-of-summer/
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Bill Lawler sent: 5:23 PM
Jeff: Please send it to me as well
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Jeff Marchi – San Francisco sent: 5:24 PM
I will send to both of you
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AnCan Barniskis Room sent: 5:27 PM
DEXA scan
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Dave Begley sent: 5:28 PM
Yes – Thank you
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Bill Lawler sent: 5:29 PM
Yes Jeff!!! Danke!!
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Don Rogers sent: 5:49 PM
lots of repeat information, but it does keep you up to date on any new science. I am very glad to hear you are thriving in your new home.
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Gary Martin sent: 6:00 PM
Different catheter brands and diameter vary in ease-of-use and pain/irritation. I find the the Coloplast Speedicath (no-touch, hydrophillic) of smaller diameter 12 easiest.
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Bill Lawler sent: 6:19 PM
Transdermal Estradiol
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Gary Martinvsent: 6:32 PM
The hot flashes, I hear, interfere with sleep, which can cause the cognitive symptoms.
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Bob Y — Los Angelesvsent: 6:40 PM
I need to leave early. My update was just some small detail. Thanks to all. My leg pain is indeed due to disc bulge hitting nerves and not the two ADT drugs.
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Gary Martinvsent: 6:42 PM
Last year the PCRI conference was recorded and available online.
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Pierre D., Olean, NYvsent: 6:54 PM
Axillary nodes should be amenable to biopsy and somatic testing
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AnCan–John Avsent: 6:58 PM
“This send there is slightly prominent left axillary node with slightly increased radiotracer activity…measuring approximately 13 x 11 mm with SUV max of 5.1”
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Lee Baylinvsent: 7:08 PM
Anyone have contact info for Richard Cramond.
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AnCan Barniskis Room sent: 7:21 PM
Tempus
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Bruce Schrimpf sent: 7:28 PM
Have a good evening. Must run.