Peter Kafka’s Version of ‘The TALK”

Peter Kafka’s Version of ‘The TALK”

Our Board President, he prefers this to Chair(!), reflects this week on a conversation many must face!

Recently AnCan in partnership with UsToo initiated a webinar series titled; The Talk.  The series focused upon the significance of conversations with family, particularly our children regarding the implications of a diagnosis and treatment for cancer.  My younger son Jeffrey and I participated in the panel of the first webinar speaking about the reality of genetic driven prostate cancer and the possibility of passing it on to my children.

Last night I was thinking about another “TALK” which was a big part of my experience this year and one which is often difficult to have.  In early May of this year my one sibling, my sister passed away at the age of 78-1/2 years.  She was kind of a renegade and a rather unique woman.  Her first love and passion was riding motorcycles.  When she died, she left 3 bikes in her garage including her 1981 RS -1100 BMW.  She began her motorcycle experience way back in the 1950’s as a beatnik in Greenwich Village.  Later she made numerous trips to ride in Asia, Europe and all over N. America attending many BMW rallies.

I mention this because as her health declined in her later years, she was quite clear with me about not wanting to prolong her life when she could no longer ride her bikes. She and I had numerous “talks” about end of life issues.  She always thought she would “go out” in a fiery crash, but alas it was not to be.  She broke her hip and because of many other leg problems it was doubtful that she would be able to walk again.  After hip surgery she was moved into a nursing home where she lasted about one week.

Her last couple of weeks she was pretty foggy and incoherent but she and I were able to connect via Face Time a day or two before the end.  She knew me, and expressed her wish to get out of the facility and go home.  I told her that until she could master a walker she could not do so.  She knew that was not to be and I asked her if she was going to go to “Plan B”?  She said; “Yes, it would be Plan B”.  A day or two later she refused her food and meds and removed her oxygen and facilitated the end of her journey.  She knew she lived a remarkable life and lasted beyond her expectations and was ready to depart.

I am very thankful that we made the space to have, The Talk so that we both were prepared for the unexpected.  It made the transition so much easier.  I guess I bring this up because it is kind of the elephant in the room for all of us and so many ignore this reality and put off The Talk.  Most likely very few if any of you who participate in our Low and Intermediate Prostate Cancer Virtual meetings will pass on as a result of this disease, but still the fear tends to lurk in the mind. 

Hi-Risk/Recurrent/Advanced PCa Men & Caregivers Recording – Oct 5, 2020

Hi-Risk/Recurrent/Advanced PCa Men & Caregivers Recording – Oct 5, 2020

Editor’s Choice: ‘Young’ man with little kids faces liver mets; &, good discussion of current clinical trials.

Topics Discussed

55-yr old man sees cancer metastasize to liver; getting a port; chemo fatigue; switching oncs to a GU specialist; ipilimumab+nivolumab; scans if not PSMA avid; edema explained by lymphedema; current trials discussed for mCRPC; staying the course 2nd time around with docetaxel; consider SBRT before IMRT; abi or enz first; 2nd timne around for PSMA, but where?; use the same lab for your tests; Viewray @ UCLA used for salvage RT; fatigue from RT+HT – exercise!

Chat Log

Carl Forman (to Everyone): 5:09 PM: Shana Tova to our Jewish participants.

Herb Geller (to Everyone): 5:10 PM: Thanks, Carl. L’Shana Tovah to all as well

David Muslin (to Everyone): 5:11 PM: L’Shana Tova guys

AnCan Barniskis Room (to Everyone): 5:22 PM: L’shana tova to all … may you all be well inscribed

Len Sierra (to Everyone): 5:34 PM: Talking to children about a parent’s terminal illness. http://tiny.cc/mssysz

John I (to Everyone): 5:34 PM: Fraz, I remember seeing a story like this a long time ago. A guy recorded answers to all the questions his 6 & 8 year olds would have after he was gone. https://abcn.ws/36DOFj4

John I (to Everyone): 5:34 PM: Definitely

John I (to Everyone): 5:35 PM: I’m not as qualified as you, but happy to help when it gets tough for you

John I (to Everyone): 5:46 PM: The Under 60 group is this Thursday (in 3 days) 7 pm – 8:30 pm EDT

Mark Perloe (to Everyone): 6:28 PM: might Alan be eligible for a 177 Lu clinical trial?

alan moskowitz (to Everyone): 6:44 PM: Mark – I would be reluctant to do that Lu trial – I think one needs to have exhausted other conventional treatments first. In my mind it is too experimental in nature – but it is on my Radar.

Carl Forman (to Everyone): 6:54 PM: Global Knowledge Exchange Webinar: NEXT GENERATION PSMA 6 speakers + Q&A; beta, alpha, auger + more Register here: http://bit.ly/nextgenpsma Proudly hosted by @pros_tic @PCF_Science Oct 7 12PM PT 3PM ET

Mark Perloe (to Everyone): 7:06 PM: consider ViewRay SBRT 5 days with no fiducials or spaceOAR. See ViewRay.com. I finished today.

Mark Perloe (to Everyone): 7:09 PM: Thanks Rick. such good advice.

AnCan Barniskis Room (to Everyone): 7:11 PM: https://ancan.org/shop/

John I (to Everyone): 7:11 PM: https://amzn.to/2I0YI7G That’s for the sweatshirt: https://amzn.to/2I0YI7G

John I (to Everyone): 7:14 PM: Gotta run, guys, Thanks! See the young’uns on Thursday.

Hi-Risk/Recurrent/Advanced PCa Men & Caregivers Recording – Oct 5, 2020

Hi-Risk/Recurrent/Advanced PCa Men & Caregivers Recording – Sept 1, 2020

 

Editor’s Pick: Tough one this week – a toss up between treatment options for men with recurrent disease …. and finally taking a drug holiday after 3+ years! rd

Topics Discussed

PCRI Virtual Conference 2020; chemo edema disappears overnight; Covid Test; alkaline phosphatase discussed; recurrence treatment options for two of our guys; after 3 years of success – drug holiday!; treating the primary for metastatic men; available PSMA screening trials; starting ADT

Chat Log

AnCan – Rick (to Everyone): 3:08 PM: 877 582 7011 + GtM Support

AnCan – Rick (to Everyone): 3:20 PM: To register for PCRI ….. https://pcri.us7.list-manage.com/track/click?u=e61bab2d681f6500ca8a92f0e&id=ccc38b0e20&e=27da33585f

AnCan – Rick (to Everyone): 3:39 PM: Dennis M’s trial – https://www.clinicaltrials.gov/ct2/show/NCT03437941

AnCan – Rick (to Everyone): 4:05 PM: NGS new rules ….. https://ancan.org/much-excellent-news-from-foundation-medicine/

Len Sierra (to Everyone): 4:14 PM: Trial at Carbone Center: PSMA-based 18F-DCFPyL PET/CT and PET/MRI Pilot Studies in Prostate Cancer Brief Summary: The overall goal of this research is to validate and develop a non-invasive imaging biomarker of prostate cancer detection, progression, and recurrence. Development of such a biomarker may be useful to differentiate indolent from aggressive prostate cancer phenotypes allowing for selection of an appropriate risk adaptive therapy. Principal Investigator: Steven Cho Sex(es): Male Age: 18 Years and over

Rich J (to Everyone): 4:16 PM: https://clinicaltrials.gov/ct2/show/NCT04186845?term=psma&cond=Prostate+Cancer&cntry=US&state=US%3AVA&city=norfolk&draw=2&rank=3

Rich J (to Everyone): 4:17 PM: Imaging Study to Investigate Safety and Diagnostic Performance of rhPSMA 7.3 (18F) PET Ligand in Suspected Prostate Cancer Recurrence (SPOTLIGHT)

Jeremy (to Everyone): 4:58 PM: UCLA has increased their price to $3K /Users/jeremylew/Desktop/Screen Shot 2020-09-01 at 4.57.31 PM.png

Ken A (to Everyone): 4:59 PM: thanks Jeremy….

Ken A (to Everyone): 4:59 PM: looking at the trial UCLA has….

Jeremy (to Everyone): 4:59 PM: Tried to show the screenshot, but it didn’t post. BUt the price they gave me last week was $2977

The TALK – Multiple Sclerosis ….. Speaking To Your Family

The TALK – Multiple Sclerosis ….. Speaking To Your Family

AnCan has the distinct honor to partner with one of the pre-eminent MS couples in our Nation, Dan & Jennifer Digmann (A Couple Takes on MS). They co-moderate our Multiple Sclerosis videochat virtual support group along with 3 others peer moderators; and are now producing the 3rd webinar in AnCan’s The TALK Series that will focus on MS. Here is Jen’s post from their own Blog published last week. If you know anyone living with MS … or their families, please forward! (rd)

Dan and I have spent the past several months working with AnCan to organize and coordinate an incredibly important online event that will help families living with Multiple Sclerosis.

We are beyond thrilled to invite you to “The Talk – Multiple Sclerosis …. Speaking to Your Family About Your Disease.”

Here is what you need to know about this free webinar:

• It is scheduled for 8 p.m. EST Wednesday, September 30.

• Four families from throughout the United States will share their diverse stories and experiences of communicating about MS.

• Brenda Miller, an MS certified nurse and MS patient, will moderate the conversation.

• Dr. Aaron Boster, founder of The Boster Center for Multiple Sclerosis and leading MS vlogger, will serve as the featured speaker.

• You must register to participate, so we encourage you to register today!

Check back here in the coming weeks for further details about “The Talk – Multiple Sclerosis …. Speaking to Your Family About Your Disease.” And remember to take the time to register to participate.

Renal Medullary Carcinoma

Renal Medullary Carcinoma

Our moderators are patients and caregivers who intimately understand the struggles associated with RMC.  We aspire to come together to give strength, bring encouragement, and provide support to patients and caregivers from all over the world. This is a peer-moderated group. As such, we cannot provide medical advice; we can speak about our own experiences with RMC. We are here for you, and look forward to meeting you! Moderator bios are found below.


2nd Tuesday of each month at 8 pm EST/EDT