Editor’s Pick:  Staging your prostate cancer BEFORE treatment ….. and of course – exercise, exercise, exercise!!!

Topics Discussed

Stage your disease before starting recurrence treatment; ADA and ADT; staging your disese before starting any treatment!; PSMA scan vs color doppler; radiating pelvic girdle vs systemic treatment; abscopal effect from RT; persisiting with olaprib; doc says exercise is essential; MyVictory coming soon; PSMA scan in Taiwan; metformin for prostate cancer; foot and hand syndrome from chemo; how long does it take for testosterone to return after ADT?

Chat Log

Dell Jensen (to Everyone): 5:18 PM: I concur. I would wait on the radiation till you are fully healed and have good urinary control

Dell Jensen (to Everyone): 5:19 PM: ADT is necessary to control the cancer.

Peter Kafka (to Everyone): 5:19 PM: What kind of doctor is guiding this gentleman?

Mark Perloe (to Everyone): 5:20 PM: My UCLA med onc suggests that the studies on ADT are primarily with EBRT. There are limited studies on ADT with SBRT. I was told that six months may be sufficient.

Mark Perloe (to Everyone): 5:21 PM: I’d advise a PET Scan with DCFPYL or GA68 PSMA prior to doing a treatment plan.

Peter Kafka (to Everyone): 5:22 PM: Northern or Southern Indiana? How far from Chicago? Probably should do genetic testing and anything else that can be done safely in this Covid-19 climate. Should be under the care of a good GU med onc before embarking on ADT

Dell Jensen (to Everyone): 5:24 PM: Very good doctors at Northwestern

Mark Perloe (to Everyone): 5:40 PM: Is anyone attending PCRI online conference this Friday?

Dell Jensen (to Everyone): 5:47 PM: I wish I could but I have training this weekend

John I. (to Everyone): 6:38 PM: Thanks Mark P. I’ve been searching for a good set of exercises like that

AnCan- rick (to Everyone): 6:40 PM: ….. https://www.radpowerbikes.com/

Carl Forman (Private): 6:47 PM: you mentioned there is possibly someone who may be able to get me a discount for radpowerbikes?

Wang Gao Shan (to Everyone): 6:54 PM: Both UCLA & Taiwan asked if I am currently taking Metformin and if stop taking it before the PSMA scan. Should I wait to start taking the Metformin until I have had the GA68 PSMA scan?

Mark Perloe (to Everyone): 6:59 PM: With MRI’s or any injectable dye, you need to be off metformin for 3-4 days after. You can stop a day or so before or on the day of treatment. Please follow your docs advice. It’s best when you restart that you build up slowly again and not back to full level.

Peter Kafka: 7:01 PM: Got to sign off. My question came to me at 2 am this morning out of working with 2 guys stuck with Kaiser. The question is: Do second opinions within the Kaiser system work or is there too much “company” loyalty within the system?