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.
AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.
AnCan – Stuart sent a chat · 8:02 PM
Dr. Ming Zhou Mount Sinai Health System Department of Pathology, Box 1194 Annenberg Bldg. 15th FL 1468 Madison Ave New York, NY 10029 Email: Ming.zhou@mountsinai.org Telephone: (212)241-8881
AnCan – Stuart sent a chat · 8:03 PM
Dr. Jonathan Epstein – https://advanceduropathology.com/ Tel:516-760-2037 jepstein@imppllc.com
AnCan – rick sent a chat · 8:12 PM
877 582 7011
AnCan – rick sent a chat · 8:13 PM
GoTo Technical Help
David K – Jacksonville FL sent a chat · 8:18 PM
aquablation and PAE: I’ll be asking if anyone has had an aquablation or a Prostate Artery Embolization. – david K
AnCan – rick sent a chat · 8:38 PM
We are looking at a spckof cancer here…. half a millimeter
AnCan – rick sent a chat · 8:39 PM
*speck of
Steve in Malaysia sent a chat · 8:41 PM
Does anyone have contact info for support staff of Dr Epstein as I’ve been trying to get slides to Stanford
Steve in Malaysia sent a chat · 8:41 PM
He has them now
Steve in Malaysia sent a chat · 8:43 PM
I did email him a few days ago but no answer
Frank H sent a chat · 8:43 PM
Try ask for Mary jones
Steve in Malaysia sent a chat · 8:44 PM
Thanks Frank, do you have her email?
AnCan Bill sent a chat · 8:44 PM
Steve, you can check his website: https://advanceduropathology.com/
AnCan Bill sent a chat · 8:44 PM
Frank did say he was on vacation for the holidays.
Steve in Malaysia sent a chat · 8:45 PM
My issue is more that I need to get my slides from him to Stanford soon as I’m going to US mid Jan
Frank H sent a chat · 8:47 PM
I will need to check with her myself tomorrow
Greg sent a chat · 9:04 PM
When does Medicare stop paying for Telehealth?
AnCan – rick sent a chat · 9:05 PM
Right around now, we beleive.
Greg sent a chat · 9:06 PM
For just prostate consults or across the board visits?
AnCan – rick sent a chat · 9:06 PM
Check on the internet, Greg
AnCan – rick sent a chat · 9:06 PM
Across tehe board.
AnCan – rick sent a chat · 9:16 PM
Cancer & Fasting UCSF https://osher.ucsf.edu/patient-care/integrative-medicine-resources/cancer-and-nutrition/faq/cancer-and-fasting-calorie-restriction
AnCan – rick sent a chat · 9:17 PM
QiL fasting during chemo https://www.vumedi.com/video/esmo-2023-insights-effects-of-short-term-fasting-on-quality-of-life-as-an-add-on-option-during-chemo/?token=aea546f6-9f4e-41f5-98fd-3a2f2c6f6add&link_data=eyJiZXRfbWFpbF9pdGVtX2lkIjoyMDAwODM0MjQsImJldF9tYWlsX2FjdGlvbiI6ImJjIn0%3A1ryYHH%3A2ho3Ayar__FqeFstiJEPOgl60cTKcylOggsW5v-BNKQ&mc_cid=af2eade45f&mc_eid=838454d636
AnCan – rick sent a chat · 9:18 PM
Meta study from Kishan on ADT duration https://jamanetwork.com/journals/jamaoncology/article-abstract/2841671?guestAccessKey=d03b0908-90c8-497e-85cd-aebb43ec2a63&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jamaoncology&utm_content=olf-tfl_&utm_term=112025&mc_cid=0fa42784f6&mc_eid=838454d636
AnCan – rick sent a chat · 9:19 PM
Gil – also Spratt is on the metastudy.
Greg sent a chat · 9:20 PM
Which guys at Stanford?
Gil Solomon sent a chat · 9:34 PM
Thanks. I did see the ADT duration study and diminishing returns after 6 months
Gil Solomon sent a chat · 9:36 PM
Apalutamide study HEATWAVE and it is all comers regardless of cell type.
Gil Solomon sent a chat · 9:37 PM
I’m going to sign off for dinner. Thanks all.
AnCan Bill sent a chat · 9:37 PM
Have a good night Gil
Steve in Malaysia sent a chat · 9:40 PM
Thanks for info Gil
AnCan – rick sent a chat · 9:43 PM
But we know that f you are Lumin A, apalutamide does not work. Balance trial https://ascopost.com/issues/october-25-2025/biomarker-driven-apalutamide-therapy-for-patients-with-recurrent-prostate-cancer/?mc_cid=17ff95d283&mc_eid=838454d636
Steve in Malaysia sent a chat · 9:47 PM
How long after last PSA read (was same time as MRI) should I get next one?
Steve in Malaysia sent a chat · 9:47 PM
That as Oct 12
Steve in Malaysia sent a chat · 9:47 PM
*was
AnCan Bill sent a chat · 9:50 PM
Steve, you’re 2 and a half months out from the last one but you don’t have an urgent need to get PSA right now unless your doctor thinks you should.
Greg sent a chat · 9:51 PM
Will there be another email for donation?
AnCan – rick sent a chat · 9:51 PM
bfranklin@ancan.org
AnCan – rick sent a chat · 9:52 PM
Steve in Malaysia sent a chat · 9:52 PM
Thanks Bill, I’m a bit concerned as it went from 2.22 to 4.33 in 3 weeks
Steve in Malaysia sent a chat · 9:54 PM
I’ll ask Dr Sonn if needed before consult.
AnCan Bill sent a chat · 9:54 PM
When I was in your situation, I was getting it every 3 months at my doctor’s advice.
AnCan Bill sent a chat · 9:55 PM
Talk to your doc but remember, it can lead to increase anxiety.
Steve in Malaysia sent a chat · 9:55 PM
I understand re: anxiety
Steve in Malaysia sent a chat · 9:55 PM
I had an infection and was on cipro (but finished) right before last read.
AnCan Bill sent a chat · 9:58 PM
Ah, the infection could definitely be a contributer.
Steve in Malaysia sent a chat · 9:58 PM
oddly that infection was what lead to actual detection of cancer.
AnCan – rick sent a chat · 10:02 PM
Steve – the 4.33 could have a huge amount to do with the infection. I’d repeat the PSA sooner rather than later.
Steve in Malaysia sent a chat · 10:03 PM
ok, will do before I go to CA
AnCan – rick sent a chat · 10:04 PM
If it’s 2.33 what would you do, Steve?
Steve in Malaysia sent a chat · 10:05 PM
Hmmm…. not sure … I would still proceed with process I think given Epstein and Klotz recommendations.
AnCan – rick sent a chat · 10:06 PM
Stay in the moment!!!!
Steve in Malaysia sent a chat · 10:14 PM
Good luck with treatment Greg
