3 new survey opportunities have come our way for you …… and AnCan receives a donation for each approved respondent:
…… if you are taking or have taken and stopped relugolix (Orgovyx), you can earn upto $200 for 80 min of your time, mostly a one-on-one interview. Or, upto $350 if you interview together with your caregiver. Please reach out to us via info@ancan.org and we’ll connect you.
……. if you experience a cough or shortness of breath and are in any type of active treatment, including for urinary issues, there is an opportunity to earn $100 for 60 minutes of time from your home computer. The cough or shortness of breath does not have to be related to your diagnosis or treatment. If interested, please go to https://gigs.savvy.coop/stcancer/?r=ancan
…… if you have experienced mouth swelling and sores (stomatitis) as a result of past or current treatment, there is another opportunity to earn $100 for 60 minutes of time from your home computer. If interested, please go to https://gigs.savvy.coop/cancer-stomatitis/?r=ancan
Editor’s Pick: We discuss ‘compassionate use’ of Lu177 this week … and much more! (rd)
Topics Discussed
Complications around follow up after R2 Lu177 trial fails; Compassionate Use; Tx options after 12mo. drug holiday; Orgovyx Ambassador; rashes from both Lupron and Orgovyx; pushback on getting testosterone tests; post-RP hernia; Embr experience; peripheral neuropathy issues; doctor willing to push darolutamide; long term chemotherapy use; processing information on reports from pathologists and radiologists; BiTE AMG 509 experience; cytokine storm report
Chat Log
Jake Hannam (to Everyone): 7:39 PM: cyclophospamide with steroid
Jake Hannam (to Everyone): 8:11 PM: my oncologist recommended Viamin B6 for PIN
Jake Hannam (to Everyone): 8:46 PM: AMG 509 is a bispecific antibody that binds to two different proteins; one found on the surface of cancer cells and one on the surface of T cells in the immune system. Researchers think that AMG 509 may strengthen the immune system’s ability to fight cancer cells. It is given intravenously (by vein).
John Antonucci (to Everyone): 8:47 PM: thanks Jake
For the Embr hot flash control gizmo, visit https://myrcc.redcapcloud.com/?#join=... if you signed up and have not heard back from Embr, make sure you signed your Informed Consent. Check your email OR call Embr.
No meeting next week in the 5th week of the month, but we have two webinars:
Managing Your Medical Team – 8.00 pm Eastern, Tuesday, 8/31 Register at https://bit.ly/3jGNN1V
A Layman’s Guide to Medical Research Language, Wednesday, 9/1 at 8.00 pm Eastern at https://www.gotomeet.me/AnswerCancer ; no pre-registration required.
Editor’s Pick: Drug holiday suddenly becomes an option ….. yes or no?? (rd)
Topics Discussed
Low PSA, hi Gleason man goes through many treatments; who to see now Dr. Alicia Morgans has moved on; considering Intermittent Hormone Therapy; recurrence rears it’s head – Dr. M has moved on; “I’m mCRPC” – what does that open up?; Provenge; carcinoembryonic marker …. for PCa?? ; handling neuropathy; one of our regualars faces shoulder surgery
Chat Log
Dell (to Organizer(s) Only): 3:09 PM: Off Eligard since Dec 2020, PSA less than 0.1 and with a rising testosterone. Last week the TS was 369 and this was the first increase in PSA to 0.5. Just looking to know who is the new recommendation for Chicagoland (Northwestern) with Dr Morgans gone.
Joe Gallo (to Everyone): 3:12 PM: A drop-in presentation sponsored by the AS group. Open to all on a drop in basis at Barniskis. First Wednesday program scheduled for 8-9:30 p.m Eastern on September 1, 2021 is titled “A Layperson’s Guide to Reading Medical Research” Aurora Esquela Kerscher, PhD, is an associate professor of microbiology and molecular cell biology and a prostate cancer researcher at Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School in Norfolk, Virginia.
Larry Fish (to Everyone): 3:15 PM: where those spots all on Prostate – or had it already spread. So why radical prost…
Joe Gallo (to Everyone): 3:16 PM: Also a webinar Webinar: Managing Your Medical Team on Tuesday August 31st at 8:00-9:30 pm ET. Register now: https://bit.ly/3jGNN1V Larry Fish (to Everyone): 3:20 PM: chemo?
Herb Geller (to Everyone): 3:20 PM: Genetics?
Paul Freda (to Everyone): 3:20 PM: What was the name of that Firmagon oral substitute ? Anyone ?
Herb Geller (to Everyone): 3:20 PM: Orgovyx
John Antonucci (to Everyone): 3:21 PM: AKA relugolix
Joe Gallo (to Everyone): 3:21 PM: Daily pill
Stan Friedman (to Everyone): 3:21 PM: genetic testing?
Larry Fish (to Everyone): 3:23 PM: So what is he doing now – exaCTLY? what trials? chemos? ADL? exercise?
AnCan – rick (to Organizer(s) Only): 3:27 PM: Kelly may be good BUT how come no chemo???
Larry Fish (to Everyone): 3:28 PM: wow – pretty knowledgeable! how is his Quality of life now?
Pat Martin (to Everyone): 4:05 PM: Any doubling time
AnCan – rick (to Everyone): 4:07 PM: Pylarify 18F DcfPyl PSMA test. Made by Lantheus …. https://pylarify.com
Pat Martin (to Everyone): 4:12 PM: I’m sorry for my ignorance…in the Northwest we have a Tri-Cities but no Quad-Cities. What are they?
Herb Geller (to Everyone): 4:13 PM: I just looked it up. It is a group of cities on the Illinois-Iowa borde
Pat Martin (to Everyone): 4:14 PM: Thanks
Les Schjelderup (to Everyone): 4:15 PM: That is where I live also.
Pat Martin (to Everyone): 4:19 PM: My experience…25 months of ADT Lupron and Abiraterone. Had a vacation of several months. PSADT was 1.5 months and had an Axuminn scan to pinpoint the problems. Then went back to ADT, Eligard and Abi. Way fewer side effects and better energy.
John Ivory (to Everyone): 4:19 PM: Thanks Pat
Jake Hannam (to Organizer(s) Only): 4:35 PM: oral chemo? cyclophosphamide? not a taxane – mght work for him with lower PSA than mine
Jim Ward (to Everyone): 4:42 PM: Can someone spell the name of the report that was referenced, beginning with a “k”?
John Antonucci (to Everyone): 4:43 PM: caris
Jim Ward (to Everyone): 4:43 PM: Got it – thanks!
AnCan – rick (to Everyone): 4:43 PM: Caris ……. it’s a competitor to FMI
Paul Freda (to Everyone): 4:47 PM: How to spell lutecian ? Anyone ?
Len Sierra (to Everyone): 4:47 PM: Lutetium
Herb Geller (to Everyone): 5:04 PM: I gotta go soon
Stephen Saft (to Everyone): 5:07 PM: I am 6’5″ and 225lbs and ask about this all the time. It is mostly ignored by the Drs i have spoken to. Doesn’t make sense to me.
For the Embr hot flash control gizmo, visit https://myrcc.redcapcloud.com/?#join=… if you signed up and have not heard back from Embr, make sure you signed your Informed Consent. Check your email OR call Embr.
Editor’s Pick:Prednisone may just be a side drug to abiraterone acetate but hear what happens when your medical team fails to mention weaning off it when you stop abi – it’s BAD!! And we run cross two cases where an RO might just be thinking more about billings than patient welfare.(rd)
Topics Discussed
older gent never advised to wean off pred & lost 60# – next?; treating the primary (prostate gland); Lu177 PSMA trials; participant reports on Ac225+pembro+ enz trial; CTC explanation; Botox for bladder spasms; Pylarify used to check ‘discordant’ lesions; Antonarakis on the move; cyclophos’ stops being effective; finding Pylarify (see above); PSA moving up; ibuprofen vs tamsulosin (Flomax) for post RT frequency/urgency; RO’s, deep pockets & integrty – caveat emptor!
Chat Log
Jake (to Everyone): 5:13 PM: Welcome all!
Ted Healy- Portland, OR. (to Everyone): 5:25 PM: Have to go folks. Thank you!
Pat Martin (to Everyone): 5:25 PM: Somatic testing?
carl forman (Private): 5:32 PM: FYI. I have a film crew coming to my home this Wednesday for the video project on men living with advanced prostate cancer, that you had referred me to. Thanks.
Stan Friedman (to Everyone): 6:07 PM: Dr. Borys Mychalczak. He is the chief, radiation oncology at MSK Westchester & MSK Bergen
Rick Davis (to Organizer(s) Only): 6:23 PM: Prof Bill had this Tx!
Joel Blanchette, Reston, VA (to Everyone): 6:42 PM: (From Dr. Antonarakis) I have left Johns Hopkins, and I am not able to provide any professional advice at the moment (sorry). Please make an appointment to see Dr Sam Denmeade, so that you remain connected with a medical oncologist at Johns Hopkins. I have no idea how anything will work at the University of Minnesota, nor what needs to be done to transfer records. It may be a while before I am able to see patients there, because I am not fully credentialled in the state of MN and I don’t know how long that will take. Thanks for your patience, and please connect with Dr Denmeade in the meantime.
Rick Davis (to Everyone): 6:46 PM: Sorry Gents – just got knocked off. We are having a big monsoon.
Mark Perloe – Atlanta (to Everyone): 7:00 PM: Good evening. Have to run.
Alan Moskowitz (to Everyone): 7:02 PM: Time to leave . Goodnight all.
Bob Smith (to Everyone): 7:07 PM: My onclolgist has ordered a CT and bone scan in October. As of 3 months ago, a bone scan showed 5 suspected bone mets and one almost certain bone met. If the next ct/bone scan series shows lots of mets, would a PSMA ga 68 likely give me any additional actionable information? Or, should I go for the PSMA ga 68 test instead of the ct/bone scan series. I am a VET so I could fly from HI to West LA for another PSMA ga 68.
Herb Geller (to Everyone): 7:09 PM: I would think that a PSMA PET scan would be in order. It will give more information
Len Sierra (to Everyone): 7:09 PM: I agree with Herb on the PSMA PET.
Joe Gallo (to Everyone): 7:11 PM: Bob. VA at WLA PSMA PET is using Pyl and is available at no cost to Vets. It is significantly more detailed than a Bone or CT scan. I can give you contact info if you want.
Bob Smith (to Everyone): 7:12 PM: Thanks everyone. Joe, I have the contact info. Julian Morales (to Everyone): 7:21 PM: Thanks for the great discussion! See you next week.
‘For the Embr hot flash control gizmo, visit https://myrcc.redcapcloud.com/?#join=… if you signed up and have not heard back from Embr, make sure you signed your Informed Consent. Check your email OR call Embr.
Editor’s Pick: The importance of having a strong GU med onc to quarterback your treatment is revealed when a man finds himself shunted from trial to trial. rd)
Topics Discussed
Dealing with another recurrence after 20 yrs – can you radiate ribs?; adding back a 2nd lin AR after brief holiday; salvage RT working; low PSA shows no PSMA result; HDR procedure; coming up; choosing the right 2nd line anti-androgen; back door Nubequa via Technetium 99 scan; find strong GU med onc to QB your treatment to prevent succession of trials; debulk primary?; one too many opinions???
Chat Log
Herb Geller (to Everyone): 5:19 PM: Dr. Chadha is Hem/Onc with some interests in GU, but not a GU specialist
Larry Fish (to Everyone): 5:22 PM: ? if psma shows spread to bone – why plan to radiate lymph again – before results of ADT are in, etc.
Herb Geller (to Everyone): 5:29 PM: If It were me, I’d go to Dr. Jinsong Zhang at Moffett. He is trained in GU with good credetials.
Rick Davis (to Everyone): 5:30 PM: We know men who have seen Chahoud and are happy with him
Bill Franklin (to Everyone): 5:31 PM: I know two individuals who have gone to Dr. Julio Pow-Sang at Moffitt. Also GU with good credentials.
Rick Davis (to Everyone): 5:33 PM: Pow Sang is a urologist
Bill Franklin (to Everyone): 5:35 PM: Pow Sang is Department Chair of the Genitourinary Oncology Program at Moffitt. I know him from that aspect and assumed he was a GU.
Len Sierra (to Everyone): 5:53 PM: Jimmy G, Carl said he will pay you in grapefruit currency!
Jim Greenfield (to Everyone): 5:55 PM: Ok but the inlfation is murdurous these days
Alan Moskowitz (to Everyone): 5:58 PM: Have to leave now. take care everyone.
Ted Healy (to Everyone): 6:21 PM: Anyone visiting Portland, please do touch base with me at phoenix4357@gmail.com . Absolutely!
Bruce Bocian (to Everyone): 6:30 PM: None at all, .20, .18, .24, .27 . Have to run, thanks for doing all you do!
Joe (to Everyone): 6:47 PM: Gents, great to see y’all again. Gotta run. Thanks all. Joe
James Schraidt (to Everyone): 7:06 PM: Gotta go. Best to all.
Bill Franklin (to Everyone): 7:13 PM: I’m up very early tomorrow morning so I’ve got to go. Take care all.
Len Sierra (to Everyone): 7:14 PM: Also must close out, guys. See y’all next week!
Joe Gallo (to Everyone): 7:16 PM: Me too. My appointment is a 715am. Good call.
Dennis McGuire (to Everyone): 7:19 PM: where did Antonarakis go ?
Jake (to Everyone): 7:20 PM: University of Minnesota, 1 September
Herb Geller (to Everyone): 7:21 PM: The NIH trial that Brian is talking about combines taxol with two anti-immune antibodies.
David Plunkett, KCMO (to Everyone): 7:24 PM: I’ll try again next week.
Editor’s Pick:Today’s Group is bookended by discussions with two Virginians around seeking access to LU177 PSMA – it ain’t easy but we are getting there! (rd)
Topics Discussed
NE/small cell disease needs a different approach; more chemo …. & more… and more!; back to the Trial for BRCA man; don’t forget Ken Pienta!; T returns post HT; stretch out those cramps!; cardiologist totally misses interaction between abi and Eliquis; more SAM – statins, aspirin, metformin; calcifications in urethra – but not stonesl; how best to reach your doc; man in mid-IMRT; John I’s loss and more; can we find Lu177 PSMA before teh cancer spreads too far?; is it worh following up with another Axumin scan?
Chat Log
Herb Geller (to Everyone): 3:24 PM: His clinical trial was https://clinicaltrials.gov/ct2/show/NCT03315871. He had 2 vaccines and a bispecific antibody.
AnCan – rick (to Everyone): 3:32 PM: PROSTVAC is the vaccine!!
Jake Hannam (to Organizer(s) Only): 3:40 PM: If he’s concerned about docetaxel megadoses every three, he could try weekly as I did.. Antonarakis is leaving in September
AnCan – rick (to Everyone): 3:51 PM: https://clinicaltrials.gov/ct2/show/NCT04825652
Ken (to Everyone): 3:52 PM: just keep going… my friend
Jake Hannam (to Organizer(s) Only): 4:02 PM: My understanding is that only 5 to 10 percent of patients do not have PSMA and some docs even question if the PSMA scan is even necessary. Len is right about about adding the old FDG scan.
Ken (to Organizer(s) Only): 4:03 PM: Jake its a higher number… closer to 30 percent.
Herb Geller (to Organizer(s) Only): 4:04 PM: The deep dive actually said that scans were not really necessary for Lu177
