Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

Recent Webinar Recording & Sides – Let’s talk Medicare 2024! 

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 reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/          Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Full of urine and free of care (bn).

Topics Discussed

Remedies for full-bladder anxiety before radiation: Gemtesa, the Lunderg clamp, the Wiesner clamp, and the perfect glass of water; men who know less about their cancer than they should; does starting Provenge mean dropping abi?; what is Provenge?; docs OK ADT holiday after 7 months — we have our doubts; controversial off-label fenbendazole; painfully swollen leg 5 months after chemo — lymphedema or something else?; happy camper with rebounded testosterone and PSA low 9 months after radiation; struggling with rectal pain from a massive prostate tumor — a case for palliative care; he’s impatient for testosterone recovery; a doc predicts end of the road for Lupron as monotherapy becomes standard of care.

Chat Log

AnCan – rick · 6:10 PM
King Charles birthday too!

AnCan – rick · 6:17 PM
Alan B …. bet you wish you had known about that!!

AnCan – rick · 6:18 PM
Gemtesa – virbegron

AnCan – rick · 6:29 PM
Lundberg clamp; via Amazon

· 6:36 PM
Wiesner clamp also Amazon

AnCan – rick · 6:38 PM
Here’s teh study Vic referenced https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10320463/

AnCan – rick · 6:41 PM
Provenge / Sipileucel-T

todd rieke · 7:01 PM
Fenbendazole

AnCan – rick · 7:13 PM
Please run the use of any complementary or alternative medicine with your HCP!!

todd rieke · 7:13 PM
fenbenlab.com

J. Ward · 7:20 PM
Thanks. Wishing you success with Fenben and also with your consults at MDA and Guancale. I see Dr. Corn at MDA.

Jim Marshall, Melbourne, FL · 7:42 PM
I was on ADT for 5 years and it took 9 months for the testosterone to begin.

Julian – Houston · 7:47 PM
I got off all my medications 1 year ago and testosterone is at 125 last month.

Jim Marshall, Melbourne, FL · 7:49 PM
After 15 months the testosterone has trended down from 144 for the last 3 months. Interesting.

Julian – Houston · 7:50 PM
About the same, testosterone went up to 155 and came back down to 125.

 

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

Recent Webinar Recording & Sides – Let’s talk Medicare 2024! 

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 reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/          Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Several Gents face new lesions, and a couple of GU med oncs overlook the obvious! (rd)

Topics Discussed

Oligometastatic treatment strategies; could this be a recurrence?; single new bone lesion; PSMA shows metastatic lymph node; can prednisone suppress testosterone?; dehydration/low potassium causes brief blackout; full bladder strategies during RT; can you do Provenge while on androgen blockers; GU med onc overlooks PSMA scan; Next Generation Sequencing needed post Pluvicto; AUS coating could be the problem; chemo only works 25% of time

Chat Log

  • Peter Kafka – Mauisent · 6:33 PM
    For some guys it is a question of whether the mets are causing pain or discomfort in deciiding to radiate
  • AnCan – ricksent · 6:44 PM
  • GARY Zsent · 8:02 PM
    What does foundation medicine mean?
  • Jim Marshall, Melbourne, FLsent · 8:03 PM
    The firm does genetic testing for PC.
  • GARY Zsent · 8:03 PM
    Thank you
  • AnCan – ricksent · 8:07 PM
    Genomic testing – not genetic
  • GARY Zsent · 8:08 PM
    Thank you very much, everyone!
  • Peter Gudel – MNsent · 8:15 PM
    Thanks all!
Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 24, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 24, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

UPCOMING WEBINAR – Let’s talk Medicare 2024!Monday, Oct 30 8.00 pm Eastern Register at http://tinyurl.com/ancanmedicare . We plan NOT to make this scary!!!

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 reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/          Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Facing the future as a three-year drug holiday falters. (bn)

Topics Discussed

Smooth recovery for kidney transplant patient who chose surgery over radiation; beginning of the end for a three-year drug holiday; turning to Pluvicto after chemo failure — which treatment is worse?; what it’s like undergoing Pluvicto therapy yet again; off ADT for 18 months, but now unexplained fatigue as PSA rises; controversy over Jonathan Epstein; prophylaxis for ADT bone loss; when triplet therapy makes sense; putting out the welcome mat for questions.

Chat Log

Peter Kafka – Maui · 7:20 PM
How much radiation from Pluvicto can a person safely have if multiple cycles are involved?

Al L · 7:26 PM
i didn’tmention it but I talk to Dr Scholz next week as well. He has patients that have had more Pluvicto sessions than I have had. I will be asking him about tolerating multiple rounds.

Peter Kafka – Maui · 7:33 PM
Has Marc had previous PSMA scans? Have they shown up stuff? Just wondering with low PSA profile.

Rick Davis · 7:45 PM
The Active Surveillor

Gary P · 7:52 PM
Here is the WP article:

Gary P · 7:54 PM
https://www.washingtonpost.com/health/2023/10/22/johns-hopkins-jonathan-epstein-pathology/

Julian – Houston · 7:54 PM
check this article out: https://www.sportskeeda.com/pop-culture/news-why-jonathan-epstein-placed-leave-johns-hopkins-pathologist-addresses-alleged-misdiagnosis-leading-patient-s-bladder-removal?&p2=%5EEQ%5Edec21%5E&prod=HP&cmpgn=dec21&annot=false&sameTabLaunch=false&o=APN12179&installSource=direct&geo=en_US&browser=firefox&darkMode=false&ueid=003fc064-7553-4a55-b6ea-be63cd29de9e&doi=2021-12-26

Peter Kafka – Maui · 7:56 PM
NY Post article from 10-23-23

Peter Kafka – Maui · 7:56 PM
https://nypost.com/2023/10/23/news/johns-hopkins-doctor-allegedly-bullied-staff-to-match-his-wifes-diagnoses-improperly-removed-bladder-report/

Rick Davis · 8:03 PM
Howard’s blog is at https://howardwolinsky.substack.com/

Peter Kafka – Maui · 8:17 PM
What is Chucklet therapy

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 16, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 16, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

UPCOMING WEBINAR – Let’s talk Medicare 2024!Monday, Oct 30 8.00 pm Eastern Register at http://tinyurl.com/ancanmedicare . We plan NOT to make this scary!!!

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 reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/          Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s Pick: Common themes this week… mono-darolutamide and drug holidays  (rd)

Topics Discussed
Newbie faces recurrence post-RRP; younger newbie has delayed debulking with advancing situation; spot RT for the General; two opposing situations with mono-daro… a holiday for one and no T for the other; Embr Wave adn estrogen patches; clean scans has doc suggesting a drug holiday; is spot RT alone just whack-a-mole?; abi stops working so what’s next; Zometa gives severe flu like symptoms; Len gets positive scans and turns to spot RT and mono-daro; Paxlovid

Chat Log

  • sent · 5:55 PM
    Stacy Loeb
  • Alan Babcocksent · 6:02 PM
    I will be leaving periodically to check on my wife who is having eye surgery tomorrow.
  • Carlos Huertasent · 6:09 PM
    cognitive what ?
  • Alan Babcocksent · 6:11 PM
    Cognitive Behavioral Therapy for Daily Life – Great Courses
  • Jeff G.sent · 6:33 PM
    Since I started to eat tofu, I no longer get hot flashes and sweats. Would not be a good plan for pts with gynecomastia.
  • sent · 6:51 PM
    No
  • Gary Psent · 6:56 PM
    darolutamide or nubeqa
  • Jim Marshall, Alexandria, VAsent · 7:21 PM
    Len has the COOL (aka NO SWEAT) gene
  • AnCan – ricksent · 7:22 PM
    97.3 …. Len is cool!!
  • David Muslinsent · 7:23 PM
    i listen to 97.3
  • David Muslinsent · 7:26 PM
    got to go guys. Great meeting as always. Thanks for moderating Len
Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 14, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

UPCOMING WEBINAR – Let’s talk Medicare 2024!Monday, Oct 30 8.00 pm Eastern Register at http://tinyurl.com/ancanmedicare . We plan NOT to make this scary!!!

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 reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/          Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Does it make sense to keep your cancer off guard?… & the Group talks A-fib! (rd)

Topics Discussed
AnCan loses two long term men on same day; Zometa side effects; 3+3 (??) newbie addresses mets after 20 years; Gent running out of options needs current sequencing … and new doc; does it make sense to keep the cancer off guard?; addressing A-fib; reducing visceral fat with exercise addresses sarcopenia; darolutamide refused so Gent starts with Orgovyx alone; Payer wrongly refusing NGS somatic testing; blood in urine could be RT cystitis – cystoscopy required; PCa recurs only within the gland.

Chat Log

  • Matt Kriegersent · 3:32 PM
    Here are my recent PSA trends, it’s been a bit of a rollercoaster and I would appreciate any feedback. My treatment history is external radiation and HDR brachytherapy completed April 2020, and I was on 2 anti-androgens until June 2022. So 9 (Sept.)/2022 <.06, 1/2023 .06, 3/2023 .06, 6/2023 .35, 7/2023 .17, 8/23 .24, 9/2023 .07 I’m seeing my urologist tomorrow because a few weeks ago, for the only time other than the one biopsy and brachy, I had some blood in my urine – that was surprising but hasn’t happened again since.
  • sent · 3:35 PM
    Too many things to do. You need to talk with the group. You need to make changes now.
  • Jim Marshall, Alexandria, VAsent · 3:44 PM
    Genitourinary Medical Oncologist
  • John Asent · 3:48 PM
    “LHRH antagonist drugs include relugolix (Orgovyx) and degarelix (Firmagon). These will suppress testosterone rapidly and don’t need the premedication with another drug.
  • Jim Marshall, Alexandria, VAsent · 3:50 PM
    Abiraterone for Castration-Sensitive guys is 5MG of Prednisone
  • John Asent · 3:50 PM
    Then, a second dug may be added to add to the testosterone suppression: abiraterone or darolutamide or enzalutamide.
  • marc valenssent · 3:56 PM
    genitourinary MedOnc at Fred Hutchinson in Seattle: Petros Grivas
  • J. Wardsent · 4:00 PM
    I need to hop off now; thanks for allowing me speak about Ken Anderson.
  • TonyFigsent · 4:00 PM
    Brandan Guercio, MD. GU Medical oncologist at Strong. https://www.urmc.rochester.edu/people/26819600-brendan-j-guercio
  • TonyFigsent · 4:01 PM
    Ask to be assigned to him. Harvard Medical degree, MSK Fellowship
  • “Thomas” Maticasent · 4:10 PM
    Where are these “protocols” and/or “guidelines” that Rick mentions?
  • sent · 4:16 PM
  • AnCan – ricksent · 4:37 PM
    Interval workouts, Gents …. I’m standing in for Jimmy. I do them on the rowing machine. eg 2 min on, 2 min off.
  • Geoffsent · 4:40 PM
    Can Jack throw out a couple of lit. references for us?
  • AnCan – ricksent · 4:45 PM
    Here you go Geoff… A Masterclass on Reversing Visceral Fat to Increase Longevity and Reduce Chronic Disease https://podcasts.apple.com/us/podcast/a-masterclass-on-reversing-visceral-fat-to-increase/id1381257272?i=1000629888710&ign-itscg=30440&ign-itsct=catchall_podcast_ep
  • Jeff G.sent · 4:45 PM
    I eat it with date syrup or pomegranate molasses, or maple syrup or honey. Sometimes I add roasted almond slivers, and raisins.
  • Geoffsent · 4:46 PM
    Thanks for the link!
  • Jim Marshall, Alexandria, VAsent · 4:53 PM
    STEVE -Say the Somatic test is REQUIRED for treatment to proceed.
  • Herb Courtney, Oak View, CAsent · 4:59 PM
    Gotta go. Thanks all. Another good learning experience.
  • sent · 5:08 PM
    Thank you all, need to sign off
  • Julian – Houstonsent · 5:16 PM
    Need to go! Thanks!