Hi-Risk/Recurrent/Advanced PCa Video Chat, July 4, 2022

If you missed our recent webinar, “Genetic and Genomic Testing The How’s, Why’s and Where’s”, you can find it at https://ancan.org/webinar-genetic-and-genomic-testing-the-hows-whys-and-wheres/

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/

Editor’s Pick: Two supplements catch our attention this week – melatonin, and Vitamin D. And if you’re taking supplements, be sure you run them past your medical team (rd)

Topics Discussed

82-yr old multiple cancer patient needs clear direction for his metastatic PCa; recurrence brings decsion between spot RT and chemo – and the right doc; what’s the origin of a spinal lesion?; why take melatonin?; starting a drug holiday but may need a CT scan baseline; St. Louis GU med onc recommendation; drilling down on v rare testicular lesion and how to treat it; drug holiday brings surprisingly quick relief; supplementing Vit D

Chat Log

Len Sierra (to Everyone): 5:18 PM: Zytiga first approved April 28, 2011.

Peter Kafka (to Everyone): 5:41 PM: What about Dr. Dan George in N. Carolina as a possibility. He is much closer

Ben Nathanson (to Everyone): 5:41 PM: https://www.houstonmethodist.org/doctor/eleni-efstathiou/  Eleni Efstathiou, Houston Methodist (713) 441-9948

Rick Davis (to Peter Kafka): 5:43 PM: Dr. E is a better fit. She is very patient with older men. Probably not htat different in distance to Raleigh.

Julian Morales – Houston (to Everyone): 5:44 PM: A most excellent Medical Oncologist! Very personable.

Herb Geller (to Organizer(s) Only): 6:01 PM: What is the linac radiology? A medical linear accelerator (LINAC) is the device most commonly used for external beam radiation treatments for patients with cancer. It delivers high-energy x-rays or electrons to the region of the patient’s tumor. It is coupled with MRI guidance.

Rick Davis (to Everyone): 6:03 PM: 877 582 7011 – GoTo Help Line

Marc Valens (to Organizer(s) Only): 6:03 PM: Thanks.

Rick Davis (to Marc Valens): 6:07 PM: Try calling in …. (646) 749-3129 ID# 222-583-973

Rick Davis (to Everyone): 6:16 PM: https://cancerci.biomedcentral.com/articles/10.1186/s12935-020-01531-1

Herb Geller (to Organizer(s) Only): 6:20 PM: Here is the only in vivo study on melatonin that I could find:https://pubmed.ncbi.nlm.nih.gov/28644090

Julian Morales – Houston (to Everyone): 6:22 PM: Another article, The inhibitory effect of melatonin on human prostate cancer. https://biosignaling.biomedcentral.com/articles/10.1186/s12964-021-00723-0,

Rick Davis (to Everyone): 6:23 PM: Armstrong is at Duke

Rick Davis (to Everyone): 6:30 PM: https://siteman.wustl.edu/doctor/arora-vivek-md-phd/

Rick Davis (to Everyone): 6:33 PM: Picus

Martin Perrotta (Private): 6:36 PM: good evening gentlemen. Thanks for the meeting! Martin Perrotta

Herb Geller (to Everyone): 6:40 PM: There are three important tumor markers for testicular cancer: Alpha-fetoprotein (AFP) Human chorionic gonadotropin (HCG) Lactate dehydrogenase (LDH)

Gary Peters (to Everyone): 6:44 PM: Here is the recent Andrew Armstrong paper: https://www.urotoday.com/conference-highlights/asco-2022/asco-2022-prostate-cancer/137711-asco-2022-radiographic-progression-in-the-absence-of-psa-progression-in-patients-with-mhspc-post-hoc-analysis-of-arches.amp.html

Len Sierra (to Everyone): 6:59 PM: From Mt. Sinai website: The normal range of vitamin D is measured as nanograms per milliliter (ng/mL). Many experts recommend a level between 20 and 40 ng/mL.

Rick Davis (to Everyone): 7:08 PM: Vitamin D3- Hyrdoxy 25

Herb Geller (to Everyone): 7:09 PM: also known as 25-OH-vitamin D

Julian Morales – Houston (to Everyone): 7:09 PM: VITAMIN D 3 25 DIHYDROXY

David Muslin (to Everyone): 7:10 PM: Good night all

Len Sierra (to Everyone): 7:10 PM: When Vit D is ordered, they always run VITAMIN D 3,25 DIHYDROXY