Hi-Risk/Recurrent/Advanced PCa Video Chat, June 11, 2024

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostics.
AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.
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Editor’s pick: Two men with metastasis sites that raise thorny questions (bn).
Topics Discussed:
His de novo metastasis was discovered less than a week ago — family rallies to his side as he weighs who to see and how to treat; midway through Provenge — leukapheresis yesterday, infusion in two days — what to expect?; radiating a spot near his clavicle means a tricky tradeoff; insurance cutover puts Orgovyx so near yet so far; will node radiation reignite bad radiation prostatitis?; at a treatment crossroads, but his spirits are too low to act; testosterone rising after ADT — why gynecomastia now?; Pluvicto’s been great and he wishes it could last.
Chat Log
AnCan – rick · 6:18 PM
PROMISE clinical trial https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=WebinarRO
G – Denver · 6:23 PM
Please do put the names here or to my email.  Any help will be appreciated!
G – Denver · 6:25 PM
Buzby – Boulder CO
G – Denver · 6:30 PM
Dr. Michael Morris  – MSK
G – Denver · 6:30 PM
Dr. Thomas Flaig… anShultz
Gary P · 6:31 PM
Gents, I have to jump to another call. I will catch the recording.  Take care.
G – Denver · 6:31 PM
TY Gary
G – Denver · 6:32 PM
Dr. Leslie Busby, MD – Boulder, CO
AnCan – rick · 6:33 PM
rd@ancan.org
John A · 6:34 PM
Busby: Blood and GI
AnCan – rick · 6:38 PM
Flaig is a GU medical oncologist but we have no experience with him
G – Denver · 6:41 PM
Elizabeth S . . .?
G – Denver · 6:41 PM
Kessler.
John A · 6:42 PM
We should keep Flaig in mind for BC he’s deep into it
AnCan – rick · 6:49 PM
Fong – Provenge https://ancan.org/5th-monday-webinar-dr-larry-fong-explains-immuno-oncology-mon-sept-30-8pm-edt/
Len Sierra · 6:51 PM
From the Provenge website: Eat calcium-rich foods, such as dairy products and dark leafy greens, or take supplements; Eat a hearty meal within 4 hours of your appointment
AnCan – rick · 7:13 PM
Good suggestion, Dr. Jeff
AnCan – rick · 7:14 PM
But Ben has a good point too.
Ken Doyle · 7:29 PM
Prostate removed in 2009 and PSA has slowly increased to 4 but has accelerated some to about an increase of about 1 per year.
My 2018 Axumin scan showed two hotspots in prostate bed.
Then 2023 PSMA did not show hotspots due to distended bladder with tracer in it.
1. Should the scan provider have made sure that my bladder was empty and should I expect them to do a do over of the PSMA scan?
2. At age 80 and 14 years out with PSA increase of 1 per yr should I just “forget about it”?
AnCan – rick · 7:30 PM
Tx ken – for sure we’llg et to you!
Dr. Jeff · 7:31 PM
ImagingWest
Dr. Jeff · 7:31 PM
Hawthorne NY
Dr. Jeff · 7:32 PM
https://www.imagingwest.com/about
Ben Nathanson · 7:32 PM
thanks!
G – Denver · 7:34 PM
Need to drop – looking forward to our next session!
Matt M – Sac · 7:44 PM
Good evening gents!  Have a great night andweek!
eric · 7:51 PM
I was going to say that there are exercises  you can do from your chair.
eric · 7:52 PM
I do them expecailly when I’m in the office
AnCan – rick · 7:53 PM
He’s a big exerciser… we have to change attitudes
Adam · 7:59 PM
Gotta drop. Thanks for another great session!
Adam · 7:59 PM
You should!
Kirt Schaper · 8:07 PM
gotta drop
Steve Roux, MI · 8:11 PM
Good night gents! Time for some pills and a slice of pie. Have a GREAT week all!