Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 20, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 20, 2023

HAPPY THANKSGIVING TO ALL OUR VIEWERS… may it be peaceful and full of gratitude.

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Editor’s Pick: Persevere to the very end to hear us question docs who recommend Pluvicto knowing some mets won’t respond (rd)

Topics Discussed

Different MRI presentations can confuse; balance and falling; do dormant prostate cells express PSMA?; Pluvicto offers no quick result – Ac225 next??; don’t rush the prednisone taper; does your assigned doc have the right qualifications?; urinary issues lead to kidney failure – and a neck brace!; Orgovyx causes fewer hot flashes for some men; with mCRPC, don’t anguish over 0.1-0.3 PSA fluctuations; do historic doubling patterns hold when PCa recurs?; PCa recurs only IN the radiated gland – what next after 6 mo. HT?; ultra sensitive test redundant post-RT; does Pluvicto make sense for man with hybrid PCa?

Chat Log

• Michael Wyn, Denversent · 6:15 PM
  Thanks everyone. Good bye
• Phil Dipaolasent · 6:19 PM
  Hi, I would like a few minutes during the session today, if possible! Thanks, Phil Dipaola
• sent · 6:21 PM
  Phil – you have to be here in the first 10 minutes to be sure of time. PLEASE REFER TO OUR REMINDER. That’s the protocol with so many attendees.. If we have time at the end, we’ll certainly get to you.
• sent · 6:22 PM
  Were you tested for neuropathy?
• Bill Franklinsent · 6:31 PM
  Joel, if at all possible, don’t hesitate to ask for a physical therapy referral from your PCM. All the stuff Larry talked about would be worked on.
• Bill Franklinsent · 6:37 PM
  What age is considered elderly now? This is a serious question. Sometimes all doctors think about is the number on the age line. But many of us are in great shape.
• TonyFigsent · 6:39 PM
  I thought the Surf sound in Florida got louder in the winter. Maybe it is elderly shuffling their feet.
• AnCan – ricksent · 6:52 PM
  Google …… Alpha emitter vs Beta emitter PSMA radionuclide therapeutics
• AnCan – ricksent · 7:07 PM
  Brendan Guercio https://www.urmc.rochester.edu/people/26819600-brendan-j-guercio
• Alan Babcocksent · 7:08 PM
  I will. turn 75 tomorrow, and I do not consider myself elderly!
  My wife was a geriatric nurse. She had no time for doctors who blamed problems on an individual’s age.
• AnCan – ricksent · 7:10 PM
  Happy B-day to Alan Babcock!!!
• JEFFERSONsent · 7:11 PM
  thank you so much
• Julian – Houstonsent · 7:14 PM
  Happy B-day Alan!!!
• Jimmy Greenfieldsent · 7:20 PM
  Biological age , not the number. In my parent’s time 70 was elderly. People stopped moving. I know otherwise ‘healthy”50 year olds who are truly old, physically and/or behaviorally. Unfit, set in their ways etc. Then you have birthday boy Alan Babcock- 75 years young if ever I saw it.
• sent · 7:21 PM
  Hi I have a question about PSA test sensitivity. For the first time in about 6 months my level went below the ‘undetectable’ level as my local Kaiser defines it, <.06. Very grateful for that. Going forward, I’m wondering if I should be pushing Kaiser for a test with greater sensitivity? When people talk about their PSA testing I usually hear specificity below .06, but I’m not sure if there would be value for me in that ‘extra’ sensitivity. I am 3.5 years past initial radiation treatments not taking any medications at this point.
• Alan Babcocksent · 7:22 PM
  Thanks Jimmy
• Jim Marshall, Jupiter, FL on Vacsent · 7:26 PM
  You say not under treatment but have you been not being treatec for 3.5 yrs or on a treatment holiday. I’d press for PSA tests every 4 months. I am Kaiser too. but on treatment holiday gettng PSA test every month.
• sent · 7:34 PM
  Thank you Jim Marshall for the question; after radiation I did 2 years of Zytiga/prednisone, and haven’t yet had the need to restart.
• Jim Marshall, Jupiter, FL on Vacsent · 7:36 PM
  uugst PSA test ever 1-2 months because you are on holiday. In fact I get all the blood tests I got when under treatment. Kaiser has no problem with in in the DC area.
• Jim Marshall, Jupiter, FL on Vacsent · 7:38 PM
  although if the thought is you are in remission, then 3 months for a year and then either every 4 or 6 months going forward not needing all the other tests. Jim M
• sent · 7:41 PM
  Thank you Jim M!
• Alan Msent · 7:46 PM
  Matt, I have had the ultrasensitive PSA test done by Labcorp for 10 years. I prefer to see small changes and get an early warning of pending increases or decreased in PSA. I recommend it as long as it won’t give you anxiety.
• Julian – Houstonsent · 7:47 PM
  I am also doing the ultrasensitive PSA test every 3 months!
• Alan Msent · 7:52 PM
  Need to sign off guys. Good night.
• Jim Marshall, Jupiter, FL on Vacsent · 8:03 PM
  Kaiser has always given me PSA tests with 2 decimal places from the start 6.25 years ago. It has been less than 0.01 ever since I was on ABI + Lupron and into 15 months holiday.
• Len Sierrasent · 8:17 PM
  BXCL701
• Petersent · 8:18 PM
  Good night Gents. Happy Thanksgiving!