Hi-Risk/Recurrent/Advanced PCa Video Chat, July 9, 2024

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Adderall is rescuing him from ADT fatigue — but easy does it; a friend insists his darolutamide led to sepsis; shortening IMRT with SBRT — and which goes first?; topping off the bladder for radiation — a clamp (Lundberg or Wiesner) can prevent accidents; spacer gel for rectal protection in radiation — doctor skill seems to matter; his doc is talking about BAT, but chemo seems a better first option; acute fevers have come and gone since April 2021 — finally, antibiotics and a possible explanation; starts ADT and finds he can finally sleep through the night; solifenacin (new to us) to reduce nighttime bathroom trips; his PSA isn’t responding to ADT — a consult with Dr. E might be wise; we prefer other genomic tests to Guardant; if you’re on a lutamide, watch out for supplements that interact with CYP3A4; he’ll keep the holiday in his drug holiday and put off PSA testing till he’s back; be aware of costs in a clinical trial.l

(Once again, GoTo did not capture the entire log — our apologies)

AnCan – rick · 6:45 PM

We’ve been talking BAT here for many years. Here’s a webinar with Sam Denmeade from 2017  https://ancan.org/bipolar-androgen-therapy-bat-sam-denmeade-md/

AnCan – rick · 6:50 PM

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313844/

AnCan – rick · 7:24 PM

Solifenacin (VESIcare)

John A · 7:35 PM

lab error? repeat?

AnCan – rick · 7:42 PM

Dr. Eleni Efstathiou https://www.houstonmethodist.org/doctor/eleni-efstathiou/?inm=vfad

AnCan – ricksent a chat · 8:04 PM

I realized – OK