Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Happy New Year – to learn more about what AnCan has achieved in the past 12 months, please visit https://mailchi.mp/ancan/ancans-year-end-summary

We also learned recently that in 2021 almost 15,000 visitors have watched 258,000 minutes in viewing time on our YouTube Channel – THANK YOU!

All AnCan’s groups are free and drop-in – join us in person sometime! You can find out more about this and our other 10 monthly prostate cancer groups at https://ancan.org/prostate-cancer/

To sign up to receive a weekly Reminder/Newsletter for this Group or others, go to https://ancan.org/contact-us/

Editor’s Pick: We all know this group is for men living with advanced prostate cancer. It’s also for men lviing with advanced bladder cancer …. listen in to find out why! (rd)

Topics Discussed

PROMISE may be the ticket; advanced bladder cancer may not be so different from PCa; disease recurs after 20 years; Provenge on the Islands; dexamethasone vs prednisone with abi; dex and heart rate; nocturia and how to deal with it; Agent Orange and otehr VA issues; BAT experience; entering hospice; GU Med Onc recommends RT

Chat Log 

Herb Geller (to Everyone): 4:10 PM: On a Mac, the chats are in Documents>GoToMeeting Chats

Peter Kafka (to Everyone): 4:13 PM: psma scan time

Peter Kafka (to Everyone): 4:15 PM: Oliver Sator at Tulane would be a good option.

Carl Forman (to Everyone): 4:18 PM: I had tried to get a telemed appt with Sator for a second opinion, but was told he only sees new patients in person.  Didn’t want to get on a plane to see him.

John Antonucci (to Everyone): 4:20 PM: HIya Jake

Jake Hannam (to Everyone): 4:20 PM: pylarify

Alan Moskowitz (to Everyone): 4:22 PM: Could he have had C 11 Choline  scan?

Joe Gallo (to Everyone): 4:27 PM: Invitae

Jake Hannam (to Everyone): 4:28 PM: I might have some input on oxycodone. I’m an old pro.

Julian Morales-Houston (to Everyone): 4:30 PM: I got the Color this week?

Bill Lewis (to Everyone): 4:34 PM: I’ve done more than 8000 self catheterizations. lewis.bill@gmail.com

AnCan – rick (to Everyone): 4:45 PM: You ain’t going to hear this type of stuff anywhere else, Gents!!!

Alan Moskowitz (to Everyone): 4:48 PM: Avoid any gas causing foods –

Mark Horn (to Everyone): 4:53 PM: Many thanks everyone

Bill Lewis (to Everyone): 5:02 PM: To Steve: my oncologist would give you a special version of Chemo, including Taxotere and 2 other drugs right away. Love to talk.

Jake Hannam (to Everyone): 5:02 PM: axumin       PSMA Pet

Vic (to Everyone): 5:05 PM: from the PEACE 1 study/trial and be sure to talk with the GU MO

Erwin Zoch (to Everyone): 5:10 PM: I suggest that unfamiliar acronyms be defined when 1st used for newcomers e.g,, SBRT is Stereotactic Body Radiation Therapy (or RadioTherapy).

Bob Smith (to Everyone): 5:12 PM: Regarding Steve’s comment on head bump, is it common for concussions to lead to PCa brain or other?

Herb Geller (to Everyone): 5:13 PM: I have not seen any suggestion that a concussion can promote a PC metastasis

Peter Kafka (to Everyone): 5:13 PM: I have never heard of incidents like this leading to cancer metastasis.  But I am no expert.

AnCan – rick (to Everyone): 5:16 PM: Bob – not sure there is any correlation that I have heard of.PCa spreads without any interference from outside forces – unfortunately.

Steve Barber (to Everyone): 5:22 PM: My imaginatve, “pet” theory is that 35 years of cell phone use/radiation conpromised the integrity of bone in my skull on the right side.

Vic (to Everyone): 5:24 PM: what study supports the abi with meals?

Jake Hannam (to Organizer(s) Only): 5:30 PM: bone scans are notoriously insensitive

AnCan – rick (to Everyone): 5:31 PM: Vic – we have articles around abi with food.  But only re. reducing the dose with food.

Jim Marshall, Alexandria, VA  (to Everyone): 5:41 PM: Jiimmy – Count your blessings you ARE.   Think of what happens if you are not.    Jim Marshall

Joel Blanchette, Reston VA (to Everyone): 5:41 PM: I am on the exact schedule as Jimmy and Herb.

Julian Morales-Houston (to Everyone): 5:42 PM: This is my schedule to a T!

Stan Friedman (to Everyone): 5:43 PM: I have obstructive sleep apnea and the therapy reduces the number of times I get up to one, maybe two.

Vic (to Everyone): 5:44 PM: I’ve had some success just ignoring the urge to go an being able to fall back to sleep without leaking

AnCan – rick (to Everyone): 5:44 PM: Myrbetriq

Bill Lewis (to Everyone): 5:47 PM: Food added to full-dose Zytiga: PMID 25777155; DOI: 10.1038/pcan.2015.7 — Bill Lewis

Steve Barber (to Everyone): 5:47 PM: Thanks to all!  At this time I must get off the meeting.  I look forward to another visit and appreciate all the input today. Steve

AnCan – rick (to Bill Lewis): 5:49 PM: Tx Bill – we will definitely take a look at the refernce. I am sure Len and Herb are on it.

Len Sierra (to Organizer(s) Only): 5:51 PM: I just did.  2015 study with 41 patients.  They claim 16% better response on food with full dose.  No increase in tox.  Hard to believe.

Len Sierra (to Organizer(s) Only): 5:53 PM: I’d need to read the full paper.  And see if anyone was citing this study.

Herb Geller (Private): 5:53 PM: IT is a small retrospective study from 2015,  They say that abi with food lowered T, so there must have been an issue with their initial therapy.

AnCan – rick (to Organizer(s) Only): 5:53 PM: Maybe you can look closer ….. But even so, changing dose like that must inc. medical advice.   Did these men fail abi then up the dose.

Herb Geller (to Organizer(s) Only): 5:54 PM: T is a small retrospective study from 2015, They say that abi with food lowered T, so there must have been an issue with their initial therapy.  It is totally flawed

Peter Kafka (to Everyone): 5:55 PM: Don’t forget the water quality at Fort Bragg

Jake Hannam (to Everyone): 5:57 PM: Military water quality is notoriously bad and still being EPA-remediated across  the country

Herb Geller (to Everyone): 5:59 PM: I looked at the abstract of the study. Thay say that abi with food caused a decline in T levels as well as PSA in a small percent of men. The fact that T declined suggests they were undertreated before switching to food. T should be undetectable with any effective dose of abi

Joe Gallo (to Everyone): 6:01 PM: Veterans Population ~19,000,000

Veterans in VHA System ~9,000,000

Veterans in VHA with Prostate Cancer 488,984

Veterans in VHA with Metastatic Prostate Cancer 16,282

Veterans diagnosed with Prostate Cancer each year ~15,000

Cumulative (10year) Cost of High Risk PCa Patient2

~$200,000

Total Economic Burden for High-Risk Patients in VHA ~$3,256,400,000

Vic (to Everyone): 6:02 PM: Is a vet rep needed for St. Louis, MO.? If so, who should be contacted?

Joe Gallo (to Everyone): 6:03 PM: Vic and anyone interested let me know and I will forward the info.    joeg@ancan.org

Vic (to Everyone): 6:04 PM: please do Joe, thanks

Vic (to Everyone): 6:14 PM: the nasa astronauts used a penis prosthesis for urinating, perhaps that would be available and helpful for you Jake

Erwin Zoch (to Everyone): 6:15 PM: Thanks to all of you for this amazing information!  Thanks to Jay for encouraging me to join this group.  I hope to be with you again soon.

Jay Mills (to Everyone): 6:16 PM: Best of luck tomorrow Erwin with your appointment.

Peter Monaco (to Organizer(s) Only): 6:18 PM: Need to sign off gents! I will handle all recordings this week. Best regards and Happy New Year!

Jake Hannam (to Organizer(s) Only): 6:19 PM: you too peter and thanks for your help

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 23, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 15, 2021

All AnCan’s groups are free and drop-in – join us in person sometime! You can find out more about this and our other 10 monthly prostate cancer groups at https://ancan.org/prostate-cancer/

To sign up to receive a weekly Reminder/Newsletter for this Group or others, go to https://ancan.org/contact-us/

Editor’s Pick: AnCan is honored with the first time presence of a PCa doyen this week. Even he is overshadowed by conversation between two men with 60+ chemo treatments between them! (rd)

Topics Discussed

Snuffy lives through this PCa elder; testosterone supplementation; keep an eye on bone densitty; lo-fat abiraterone protocol; cryo alternative for spot Tx of lesion; GERD effects seveal of our guys; cabaziatxel + carboplatin protocol for small cell/NE disease; CEA as a marker; TP53 + PTEN cast suspicion on PCa type; diet may slow growth; is AUS causing fevers?; comparing notes on mutliple chemotherapies; drug holidays; lesions disappear with treatment …. but another shows up.

Chat Log

Larry Fish (to Everyone): 4:15 PM: lupron before casodex?

Joe Gallo (to Organizer(s) Only): 4:16 PM: PSMA?

Larry Fish (to Everyone): 4:18 PM: did they try stopping casosex?

Herb Geller (to Organizer(s) Only): 4:19 PM: Bless him! Getting tooth implants at 89!

Jake (to Organizer(s) Only): 4:20 PM: Is that BAT?

Len Sierra (to Organizer(s) Only): 4:20 PM: No, Andro-gel.

Herb Geller (to Organizer(s) Only): 4:20 PM: Its a modified BAT but it depends upon the dose of andro-gel

Jake (to Organizer(s) Only): 4:21 PM: thanks

AnCan – rick (to Organizer(s) Only): 4:24 PM: Not really BAT -BAT uses extremes and swamps AR receptors. This is a crazy Snuffy protocol

Pat Martin (to Everyone): 4:25 PM: Any genetic testing?

AnCan – rick (to Everyone): 4:26 PM: This Testosterone Tx is highly controversial!!

Jimmy Greenfield (Private): 4:27 PM: Snuffy Myers has left quite a footprint! I almost feel like I know him.

AnCan – rick (to Jimmy Greenfield): 4:28 PM: Some crazy ideas and some that proved viable

Dennis Correia (to Everyone): 4:51 PM: Journal of Clinical oncology March 28, 2018 for info the Abi low dose with low fat breakfast.

Len Sierra (to Everyone): 4:51 PM: From Dr. Russell Szmulewitz, (U Chicago) director of the clinical trial showing equivalent effectiveness of Zytiga with food at ¼ the dose with a low fat meal. Abiraterone, approved in 2011 for the treatment of metastatic prostate cancer, has a “food effect” that is greater than any other marketed drug. The amount of abiraterone that gets absorbed and enters the blood stream can be multiplied four or five times if the drug is swallowed with a low-fat meal (7 percent fat, about 300 calories). That can increase to 10 times with a high-fat meal (57 percent fat, 825 calories).

Pat Martin (to Everyone): 4:52 PM: I was under the impression that the docs did not think the patients would follow precise instructions.

Jake (to Organizer(s) Only): 4:56 PM: omeprazole (Zantac?) might be the answer

Joe Gallo (to Organizer(s) Only): 4:57 PM: Prilosec

Jake (to Organizer(s) Only): 4:58 PM: right! thanks Joe.

Herb Geller (to Organizer(s) Only): 5:03 PM: I just read an article that CEA with PC is a very bad prognostic factor

Len Sierra (to Organizer(s) Only): 5:04 PM: I agree, Herb.

Herb Geller (to Organizer(s) Only): 5:05 PM: Although another paper says there is no correlation with OS. So no real data.

Herb Geller (to Everyone): 5:14 PM: Initial Management of Noncastrate Advanced, Recurrent, or Metastatic Prostate Cancer: ASCO Guideline Update Abiraterone 250 mg daily with a low-fat breakfast has been examined as an alternative to abiraterone 1,000 mg on an empty stomach for men with metastatic castration-resistant prostate cancer (CRPC) and was shown in a small phase II trial to be noninferior based on the PSA response rate over 12 weeks…….. read more at https://ascopubs.org/doi/pdf/10.1200/JCO.20.03256

Walter Dardenne (to Everyone): 5:51 PM: I have to leave, Happy Thanksgiving to everyone.

AnCan – rick (to Everyone): 5:51 PM: Same to you Walt – tx for coming

AnCan – rick (to Everyone): 5:52 PM: where else can you hear two guys speak with so much chemo under their belt!?!

Joel Blanchette, Reston VA (Private): 5:54 PM: OK

Stephen Saft (to Everyone): 5:55 PM: I have a friend who has PSA in the 1500-2500 range. He has had few symptoms of the disease and no metastatic disease.

Pat Martin (to Everyone): 5:57 PM: Ya’all have a great Thanksgiving. Gonna run. See you next week

AnCan – rick (to Jim Ward): 6:08 PM: I’m telling Alexa that your pussy cat showed up on the call

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 15, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 15, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 9, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 9, 2021

All AnCan’s groups are free and drop-in – join us in person sometime! You can find out more about this and our other 10 monthly prostate cancer groups at https://ancan.org/prostate-cancer/

To sign up to receive a weekly Reminder/Newsletter for this Group or others, go to https://ancan.org/contact-us/

Editor’s Pick: The importance of having a GU Med Onc (genitourinary medical oncologist) comes up more than once. And keep good records!(rd)

Topics Discussed

If chemo didn’t do the trick….; uncertain if trial is effective; draft a GU med onc – quickly!; 3 yrs off HT and treatment holding; in the midst of Provenge; the importance of good record keeping; PSAMA baseline scan; the PROMISE germline trial

Chat Log

Edward Clautice (to Everyone): 4:15 PM: 3/29/201 PSA 8.9 5/6/201 Biopsy 8 cores Gleasons range from 3+3 to 4+5.  Average Gleason 7.5. Also has perineural invasion

6/29/2015 Urologist removers prostate and some associated nerve (the one which controls erections) are removed at surgery; Inova Hospital Fairfax VA Lymph nodes biopsied. 0/3 with cancer Seminal vesicles are involved Prostate. Gleason 4+5 Positive margins seen. Tumor volume 70%

7/30/2015 – 10/?/2015

Begin radiation treatments of the prostate bed Receive a whole bunch of radiation. Doc says, never again get radiation there.

10/16/2015 PSA 0.4

1/28/16 Switched to Dr J Aragon-Ching, Oncologist PSA –  <0.1 Also receive Lupron Testosterone 6 ng/L

5/15/2018 Continue with DR Aragon-Ching getting Lupron and generally getting <0.1 on PSA

5/15/2018

Move from Fairfax to central Kentucky Sign up with Dr. Monte Metcalf. Regular oncologisy at regular hospital

8/?/2018 PSA begins to rise. Not sure how high. Begin Casodex. PSA drops

12/?/2019 PSA now rising again Switched over to Abiraterone. Dr Metcalfe seems not as concerned as I am . Abiraterone works for maybe 6 months

6/?/2020 PSA begins to rise again I decide to switch over to that giant teaching hospital (U of Kentucky) I keep driving past. Also  I now have much better medical insurance so I actually can switch over.

11/2/2020 PET scans, CT scans, every other kind of scan Lots of bone tumors, not a lot of soft tissue tumors (there were some reasons for this next delay, and honestly I forget exactly what they were) A couple times Dr PW takes my scans to the weekly med school oncology faculty meeting. “Tumor of the week club.”

2/?/2021 Bone biopsy. Shows tumors to be metastatic. PSA running about 7; which Dr PW says is really low compared to the tumor mass I have. Dr PW has senior UK pathologist personally check biopsies to make sure it is prostate cancer and not “small cell.” Senior pathologist confirms this is true.

4/15/2021 +/- Stop abiraterone Begin Docetaxel every 3 weeks, for 10 treatments Zoledonic acid (?for bones) every 6 weeks and keep getting anti-hormone shot, elegard , every 12 weeks Also prednisone PSA 7.11 I am allergic to docetaxel and it tries to stop me from breathing. Docs give me stuff so this does not happen any more. Minimal side effects that stop me from wanting to get more treatments of docetaxel

8/12/21 PSA 4.88

11/3/2021 Docs just posted results of yesterday’s CT scans and nuclear medicine scans PSA 3.7 Scans show no soft tissue tumors Scans show lots of widespread bone tumors. “Impression: Widespread bone metastases.” “New subtle foci of….” 4 or 5 places “Bones/joints: Focal mildly intense increased uptake involving……” a four line list of different bones. “Compared to previous: Progressive bone metastases.

11/4/2021 Get last docetaxel Talk with Dr PW about what comes next

Note: Up to this time I have zero symptoms of pain from tumors or anything else in my bones. I exercise and lift weights regularly.

Vic (to Organizer(s) Only): 4:32 PM: Is sequencing of tumor the way to determine if the cancer as advanced from MSPC to MRPC?

Vic (to Organizer(s) Only): 4:34 PM: Are any LU-177 trails open to MSPC?

Len Sierra (to Everyone): 4:42 PM: Vic, no, sequencing is done to see if there are mutations for which there are therapies that target that mutation.

AnCan – rick (to Vic): 4:44 PM: Vic ….. PSA rising is the sign of hormone resistance.   The only trial available to HSPC requires no prior hormone therapy

Jake (to Organizer(s) Only): 5:07 PM: No, I checked. It actually recorded 49 seconds including my apologies and the discussion about logging off and back on. Weird! You made the right decision since it is too undependable …

Vic (to Organizer(s) Only): 5:14 PM: what is bi-polar androgen therapy? Eligard plus Abiraterone?

Joe (to Everyone): 5:18 PM: gotta run gents, great to see y’all again

Rusty (Private): 5:23 PM: BBL have another meeting going on.

Len Sierra (to Everyone): 5:23 PM: Carlos, this comes from the Provenge Treatment Guide:              How to Prepare:

  • Stay hydrated by drinking more water in the days leading up to your

appointment

  • Avoid caffeinated beverages on the day of your appointment
  • Eat calcium-rich foods such as dairy products, dark leafy greens, or

supplements

  • Eat a hearty meal within four hours of your appointment
  • Wear loose-fitting clothes, with sleeves that can be raised above the elbow
  • Bring a current photo ID
  • Consider arranging transportation to and from the procedure

eric  (to Everyone): 5:24 PM: ok thanks you.

eric  (to Everyone): 5:27 PM: hey rick in order to particoate in the trail you sent me. Are you saying if I was still on the Orgovyx. I would be eligible for the Netashim trial?

AnCan – rick (to eric ): 5:27 PM: If me I would consider getting back on an LHRH drug like orgovyx ASAP. If not orgovyx or firmnagon, then be sure they give you at least 15 days of bicalutamide first. Some docs forget! you don’t nbeed with Orgo or Firma. Put pressure on them to give youa  quick appt. You don’t need Song now you need a GU (genitourinary) medical oncologist

Herb Geller (to Everyone): 5:29 PM: Actually, one other person at Hopkins is Catherine Handy Marshall.  She is an Antanorakis understudy and I think Carl saw her.

AnCan – rick (to eric ): 5:29 PM: Eric – if you were still on Orgovyx AND your PSA was rising you would be eligible.

Carl Forman (to Everyone): 5:29 PM: Yes I did see her; impressive.

AnCan – rick (to eric ): 5:31 PM: So here’s another name above. Catherine Handy Marshall

Pat Martin (to Everyone): 5:33 PM: See ya all next Monday.

Herb Geller (to Everyone): 5:37 PM: https://www.hopkinsmedicine.org/profiles/details/catherine-handy

Frank Fabish (to Everyone): 5:39 PM: Got to go guys. Thanks

AnCan – rick (to Everyone): 5:47 PM: https://www.fiercehealthcare.com/tech/invitae-scoops-up-consumer-health-tech-firm-ciitizen-for-325m  Bought by Invitae

AnCan – rick (to Vic): 5:50 PM: Vic …. are you any realtion to Lauren Paglisotti? We spoke to her at Michael J Fox

Len Sierra (to Everyone): 5:52 PM: That’s the goal of most startups — get bought out by a larger compary and cash in!

Vic (to Everyone): 5:57 PM: Thanks all!

Carlos Huerta (to Everyone): 6:00 PM: Good night all

AnCan – rick (to Everyone): 6:08 PM: Gotta run over to te RMCmeeting.G’night Gents

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 28, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat Recording, Oct 18, 2021

Hi-Risk/Recurrent/Advanced PCa Video Chat Recording, Oct 12, 2021

 

All AnCan’s groups are free and drop-in – join us in person sometime! You can find out more about this and our other 10 monthly prostate cancer groups at https://ancan.org/prostate-cancer/.

To sign up to receive a weekly Reminder/Newsletter for this Group or others, go to https://ancan.org/contact-us/.

Editor’s Pick:A tough choice between Herb goes fishin’ and reading PSMA scans …. very tricky still (rd)

Topics Discussed

VERU-111 trial – oral chemo; recurrent diesease at age 56; RNA sequencing but maybe not quite ready for prime time; what next after cyclophosphamide; is CHEK2 significant; Provenge discussion; Lu177 trials; brain met slows progression to trial; dubious CBCs; reading PSMA scans … x 2!; when to start chemo; SBRT dosage; CT vs PSMA SCANS; how long to remain on ADT; Herb goes fishing!

Chat Log

Jake Hannam (to Everyone): 5:22 PM: GU (genito-urinary) medical oncologist

rick stanton (to Everyone): 5:29 PM: might consider immunotherapy – might consider sequencing and considering appropriate targeted therapy (or both)

Pat Martin (to Everyone): 5:34 PM: A good rule of thumb I stay close to: ​Pain is NOT therapeutic

Jefff Preston (to Everyone): 5:37 PM: Wouldn’t Mr. Ernst’s father have taken some much more challenging chemo… different than the meds now.

Rick Ernst (to Everyone): 5:49 PM: Thanks for listening to my story. I need to leave the meeting.

rick stanton (Private): 5:54 PM: I could weigh in on targeted and immunotherapy if you wish

Joe Gallo (to Everyone): 5:59 PM: germline/iinherited. somatic.

rick stanton (to Everyone): 5:59 PM: I recommend whole exome RNASeq as well

rick stanton (to Everyone): 6:00 PM: Tempus XT will run that test in addition to ~648 “hot spot” genes. This can provide your med oncologist insights into immunotherapy options

Jake Hannam (to Everyone): 6:02 PM: You can buy it but ask about the trial (free)

Rick Davis (to Everyone): 6:03 PM: Embr Wave trial https://myrcc.redcapcloud.com/?#join=352a5988a6ee4219888676c627c3bd2f .

Rick Davis (to Len Sierra): 6:08 PM: Will RNA Seq show anything that is currently available???

Len Sierra (Private): 6:10 PM: My guess is no.

Carl Forman (to Everyone): 6:11 PM: Interesting 30 min. video with Dr Aparicio at MD Anderson – PC & Immunotherapy, Changing the outlook for metastatic PC https://summit.cancerresearch.org/event/prostate-cancer-and-immunotherapy/

Rick Davis (to Everyone): 6:14 PM: Most interesting point made by Aparicio – that bone Mx is more resistant to immunotherapy!

Joe Gallo (to Everyone): 6:22 PM: Most common somatic are Oncotype Dx, Prolaris, Decipher.’

Rick Davis (to Everyone): 6:26 PM: Joe – those are not really suitable for advanced PCa

rick stanton (to Everyone): 6:30 PM: gotta help my wife – so I need to hop off – THANK YOU all!! Look forward to next time

Rusty (to Everyone): 6:31 PM: Have a great week everyone! I will not be on next week due to my shoulder replacement next Monday.

Jake Hannam (to Organizer(s) Only): 6:31 PM: good luck rusty!

Rick Davis (to Everyone): 6:33 PM: Wish you the very best with your shoulder, Rusty! Watch the recording to find out how Herb did at Reel Recovery

Jake Hannam (to Organizer(s) Only): 6:40 PM: Hi Herb!

Len Sierra (to Organizer(s) Only): 6:41 PM: What happened Herb? Did you get a fish hook through your finger??

Herb Geller (to Organizer(s) Only): 6:42 PM: :Greetings from Reel Recovery

Joe Gallo (to Organizer(s) Only): 6:42 PM: Take pictures Herb!

Jake Hannam (to Everyone): 6:46 PM: Procrit

Len Sierra (to Everyone): 6:46 PM: Procrit = erythropoietin

Jake Hannam (to Everyone): 6:46 PM: https://www.procrit.com/

Bill Bradford (to Everyone): 6:47 PM: Thanks to all for listening to my story and providing great information. I will try to be a regular / frequent attendee to this group, as well as the U60 group. I did have one generic question for the group. I just started Zytiga + prednisone (in addition to the eligard I started 6 weeks ago). I know Zytiga is tough on the liver. I do enjoy a glass or two of wine each evening and a few beers on the weekend. Is it recommended to strictly abstain while on Zytiga?

Pat Martin (to Everyone): 6:47 PM: When I was anemic they prescibed Fe pills and licquid meds. All they did was constipate me. I brought it to my PCP she had me get a couple infusions.

Jeff Marchi (to Everyone): 6:49 PM: you can drink moderate amounts without issues, normally I drink a glass of wine or a beer every day, tests are good for liver and kidney dr never said to stop CONTINUED AT

Bruce Bocian (to Everyone): 6:50 PM: Pecking order at U of Chicago Adekunie “Kunie” Odunsi, Director ​Dr. Walter Stadler, Deputy Director, this is who I see.

Martin Wice (to Everyone): 6:54 PM: Have to go. Thank you.

Jake Hannam (to Everyone): 6:54 PM: I suggest you get a copy of the CD and ask for a 2nd opinion

John Ivory (to Everyone): 7:00 PM: I saw Szmulewitz at UChicago for a year (till my insurance didn’t work)–thought he was fantastic

Bruce Bocian (to Everyone): 7:00 PM: Good night!

Alan Moskowitz (to Everyone): 7:00 PM: Thanks Jake.

Joel Blanchette, Reston VA (to Everyone): 7:00 PM: Impression IMPRESSION: No definite marrow replacing lesion in the right occipital condyle. Focus of increased uptake on recent PET CT could be related to degenerative change. Multilevel degenerative changes in the cervical spine. Images and interpretation personally reviewed by: Arvin Kheterpal, MD

Bill Bradford (to Everyone): 7:00 PM: I have to drop off guys – glad to be part of the group.

Alan Moskowitz (to Everyone): 7:01 PM: Thanks everyone for your thoughts. Have to leave now.

Joe Gallo (to Everyone): 7:05 PM: joeg@ancan.org

Stephen Saft (to Everyone): 7:15 PM: I am going to say good night. I am exhausted. It is great to be part of these high level discussions. i appreciate the opportunity to listen and share. Good Night. Night.

Jake Hannam (to Everyone): 7:15 PM: Good to see you!

Ken (to Everyone): 7:22 PM: thanks guys…got to go! good job LenJ