Hi-Risk/Recurrent/Advanced PrCa Video Chat, July 20, 2026
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
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… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
This newbie MD lacking his own records; starting HT may cause inflammation and urinary issues; side effects from salvage RT; high liver markers persist but fall with pause in HT; medical leave makes all the difference; addressing hot flashes; Reel Recovery gets more AnCan accolades; alternating annual whole body MRI and PSMA scan when stable; 6 month shot with no buffer administered???; successful video chat with dr. E; maybe mono daro may be easier to follow than switching Orgovyx to E2; consider wide boar or open MRI if claustrophobic
Chat
Ancan sent: 5:13 PM
I have a nutrition question about eggs and poultry skinless. Choline causing aggressive prostrate cancer or recurrence according to pumped.
Jim Marshall, Vet Sup Grp. Moderator
sent: 5:32 PM
meeting 1st & 3rd Mondays at 08:00pm ET – 2nd & 4th Tuesdays at 06:00pm ET. Jim
It may be coincidence but my hot flashes increased in intensity and frequency after adding Nubeqa to Orgovyx. I had been on Orgovyx only for 7 months prior.
Jim Stewart Reno, NV sent: 6:46 PM
signing off, thanks again for all the input!!!!
Stan Friedman sent: 6:48 PM
where was this?
Jeffrey G sent: 7:11 PM
Hey – I didn’t ask for time. It must have been the other Jeff
Eric Curtis sent: 7:14 PM
Thanks again guys. Catch you next time Monday roles around.
Bob Rieder – Eden Prairie, MN sent: 7:21 PM
Thanks to everyone for the discussion tonight! Signing off for this session.
Hi-Risk/Recurrent/Advanced PrCa Video Chat, July 14, 2026
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
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… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: If radiation forces a catheter, do you continue with the treatments?
Topics Discussed
Newbie hangs up on us; how frequently do you need a PSMA scan’; make your personal evaporative cooler; switching to estrogen or adding patch for hot flashes; rash from apalutamide; MSKCC comes up with options – RLT, chemo or more HT; bicalutamide tides Gent over to RT + Lupron but Flomax needed; moving to 1/4 dose abi protocol; curious response to DEXA scan; PSA holding low after RP and pre RT; holding steady but more spot RT needed for shoulder; debulk RT calls for catheter after – check with GU MO before continuing
Chat
Barry Blomquist sent: 3:15 PM
How you doing?
Jeff Marchi – San Francisco sent: 3:17 PM
hey Barry, who you asking
Barry Blomquist sent: 3:26 PM
Sorry
Ancan sent: 3:26 PM
Lol
Jim Marshall, Vet Sup Grp. Moderator sent: 3:38 PM
Have a Vet retired over in Estonia, Stage IV who has been on Double Dose Bicalutamide for many years. He is happy with it, have explained the alternatives but he is happy with how he is being treated. Jim Marshall.
Jeff Marchi – San Francisco sent: 3:47 PM
I know a guy that used casodex on and off for 5 years. would stop and PSA would rise and he would go back on Eventually needed an ARPI
Jay in MN sent: 3:58 PM
I cool off by jumping in the lake in MN🤪
Steve L sent: 4:03 PM
The Armstrong Study only address patients with nmCRPC and mCRPC. I am mCRPC which is not part of the conclsion of the analysis. Are there any studies appropriate for me
correction follows
Armstrong study is of mHSPC ans nmCRPC.
Copy of Conclusion of Armstrong Study follows “Given the frequent discordance and poor prognosis of imaging-based progression in the absence of PSA changes during enzalutamide treatment in mHSPC and nmCRPC, periodic surveillance using imaging is recommended.”
I need to jump onto another Zoom session at 8p Eastern. Good night, fellas.
Wes – San Diego sent: 4:56 PM
Damn, figured this out; long time; got an update, mostly all good; maybe next week.
Wes – San Diego sent: 5:02 PM
Curious to see why radiation to help issues of bladder/colon; sounds counter-intuitive.
Bob Alvord sent: 5:12 PM
Thank you for time to discuss my situation. Gotta run now and see you next week.
phil sent: 5:16 PM
Thank you for taking time for me and good advice. Planning on getting more radiation, hopefully at least 5 more sessions on shoulder. if more needed will follow up. Thanks again. and also staying on until clean
Hi-Risk/Recurrent/Advanced PrCa Video Chat, July 6, 2026
COMING SOON… AnCan Heart Group – new support group for all things cardio and open to all!
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
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… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: Unique wearable cooling devices for those darned hot sweats
Topics Discussed
PSA reaches 0.22 6 yrs after RRP with suspicious former SVI region; this Gent starts HT treatment with mets after 9 years of AS; neck fans & other unique cooling devices; MSKCC GU med onc sleeping on the switch… again; IHT looking good but possible iliac wing fracture; stable report; Ide Brothers give grief Down Under – statins at fault? abi switch?; switch to Schweizer at Hutch; self doctoring mono daro doesn’t work – GU MO needed quickly; AnCan’r accepted for ANDROMEDA
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
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… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: 1) SUV may be key to advanced treatment 2) 7 lesions really high volume?
Topics Discussed
7 metastases should be considered high volume and may indicate triplet protocol including chemotherapy; low SUV may indicate that lesion is NOT metastatic; old GU MO and new GU MO disagree on PSMA reading and treatment; managing two doctors: does he need a PSMA scan with a PSA of 0.12?; fatigue and brain fog in younger Gent maty call for switch in HT; switching docs at Fred Hutch, UW; starting IHT, but how best to monitor; first appointment with Dr. E coming up
Chat… (shortest ever in this group!!!)
Bill Lawler sent: 5:16 PM
Left Iliac bone
AnCan – Rick sent: 5:19 PM
877 582 7011 GoTo Assistance
If you need to dial in 646 749 3129 then 222 583 973
AnCan – Rick sent: 5:32 PM
dexamethasone in place of pred.
AnCan–John A sent: 5:34 PM
Lorente, Omlin, et.al. Tumour responses following a steroid switch from prednisone to dexamethasone in castration-resistant prostate cancer patients progressing on abiraterone. BrJCancer, 2014 Oct14 doi;10.1038/bjc.2014.531
AnCan thanks the following sponsors for making this recording possible: Novartis, Blue Earth Diagnostics and Foundation Medicine.
Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants.
AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed 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
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… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.org/veterans/
Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room
Editor’s Pick: Many tasty tips this week… our fave – clinical trials DON’T cover all costs
Topics Discussed
Liquid biopsies and biomarkers; Bispecific T-Cell Engagers (BITE) for TP53+RB1 Gent; is it time to test for small cell? – Provider doesn’t think so; dry mouth from denosumab/Xgeva – not quite, that’s ONJ – great dental health discussion; Reel Recovery takes his mind off seeking HT break; germline negative, but should T3b Gent stop HT after 9 months; the 2 Davids discuss trials managing oligoMx lightly; clinical trials often don’t cover all costs; our first Long Game man goes onto mono daro with 6 months NCI grace; Dr. E orders more tests to guide HT treatment – and suggests Good Patch for hot flashes; don’t worry yet about ‘morphing’ tests; PPI can elevate chromogranin; hypersensitivity to docetaxel demands dose adjustment; better GU doc on Florida Gulf Coast
Chat
Larry in AK sent: 5:13 PM
I will seek circulating tumor cell analysis searching for evolutionary changes in my cancer over time. Still in its infancy as a tool
Danny Lankford (Minnesota) sent: 5:29 PM
My wife and I are using Open Evidence. https://www.openevidence.com/ but you need an NPI (provider ID) to access it. It’s been amazing to help me along on my journey.
AnCan – Rick sent: 5:44 PM
oxybutynin -ditropan
Alfredo in Wimberley sent: 5:44 PM
OXYBUTYNIN (ox i BYOO ti nin) treats symptoms of an overactive bladder, such as loss of bladder control or frequent need to urinate. It works by relaxing muscles in the bladder. It belongs to a group of medications called antispasmodics. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. COMMON BRAND NAME(S): Ditropan XL
Danny Lankford (Minnesota) sent: 5:45 PM
same here on the venlafaxine 37.5mg for me and my mouth is dry as can be
I’m taking 2.5 mg of oxybutynin once a day, in the evening when I take my Apalutamide. Still get warm and sweat, but has taken the intense feeling of a hot flash away.
Another good mtg., have to go, see everyone next week.
Jann Nielsen sent: 6:35 PM
Great meeting. Have to go.
Luther sent: 6:43 PM
Good thing I’m seeing her on Wed. then
Frank Ciambra sent: 6:49 PM
I didnt hear a thing larry
Larry in AK sent: 6:51 PM
There are organizations that re-distribute prescription drugs. It is illegal, but some prosecutors shy away from prosecuting humanitarian bending” of the law.
Alfredo in Wimberley sent: 6:51 PM
I have to leave, best regards to one one and all!
Matt sent: 7:01 PM
evening fella! I’ll follow up. Cheers 😉
Bruce Schrimpf sent: 7:03 PM
Thanks for the information about Dr. Stish writing an article! I have had a long day and will call it a night.
