Hi-Risk/Recurrent/Advanced PCa Video Chat, Feb 25, 2025

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Editor’s Pick: Will estradiol replace the hated ADT?

Topics Discussed

After a few rounds of, “Hmm, this is worse than we expected,” he aims to get ahead of the curve; off ADT, and waiting apprehensively for his bloodwork; exciting news from Dr. Wassersug about estradiol — no hot flashes, preserves bone density, the patches are cheap, and they’re already available (but for women); surgery or cortisone for his trigger-finger syndrome — and is it ADT-related?; was PSA spike due to a faded 6-month Eligard shot?; doc sees results and says, “Let’s start the drug holiday now!”; what’s a crosslink collagen test?; Pluvicto trial’s four-month survival gain feels troublingly small; doc wanted to keep chemo in a back pocket — is it time?; “what’s impacting my life most now is a shortness of breath” — a cardio-oncologist might help;  after a week of Orgovyx he feels no change…but ADT’s side effects develop over time.

Chat Log

Steve Roux, North Michigan · 6:49 PM
Matthew – sign up for the reminder emails for meeting reminders and a lot of other good stuff.

Jim Marshall, Alexandria, VA · 6:49 PM
1st & 3rd Mondays at 08:00pmET and 2nd  & 4th Tuesdays at 06:00pmET    High Risk Group

Jerry Grimes, Brighton, MI · 6:56 PM
I am on estradiol, through informed consent.  I feel great.  Can confirm Dr. Wassersug’s comments about symptom relief.

Jerry Grimes, Brighton, MI · 7:00 PM
I was paying approx $140 per 3 months for two 0.1mg/day patches, changed twice weekly.

Jerry Grimes, Brighton, MI · 7:01 PM
My insurance did not cover this.

John  M · 7:05 PM
Robert: Which ADT drug were you on?

Matthew L · 7:09 PM
the names are gone. at each person on the main screen how what happen

AnCan  – rick · 7:10 PM
Make the window larger

Steve Roux, North Michigan · 7:10 PM
👍

Steve  L · 7:11 PM
names gone if one person has enlarged image but names present if all small images.

 

AnCan  – rick · 7:42 PM
David Smith, GU MO at Uof M (Go Blue)!! https://www.rogelcancercenter.org/physicians/david-c-smith-md

AnCan  – rick · 7:47 PM
👍

Jim Marshall, Alexandria, VA · 7:49 PM
Pluvicto and ATM mutation says it works very well.    jim marshall

AnCan  – rick · 8:14 PM
Effie Andrikopoulou, MD

AnCan  – rick · 8:14 PM
https://www.uwmedicine.org/bios/effie-andrikopoulou