Editor’s Note: We mourn the loss of Dan Louie, who we have supported since 2014.
Pick of the Week: Is there an immunologic/abscopal systemic benefit from radiation therapy?
Topics Discussed
Recent RRP finds local metastasis – follow up?; deferring appointments during Covid19; monitoring testosterone levels on hormone therapy; completing SBRT to prostate and oligometastaic spots; exercise and treatment duting Covid19; abscopal/immuno systemic response from radiation therapy; Covid19 problems on Maui; Dan Louie
Chat Log
Jake (to Organizer(s) Only): 5:31 PM: did he say he is metastatic?
AnCan – Rick (to Jake): 5:42 PM: yup – one lymph node; local Mx
AnCan – Rick (to Everyone): 5:45 PM: RADICAL trial shows adjuvant may be inferior to salvage https://www.ascopost.com/issues/october-25-2019/studies-suggest-early-salvage-radiotherapy-may-be-preferable-to-adjuvant-radiotherapy-after-prostatectomy/
AnCan – Rick (to Everyone): 5:48 PM: RADICALS-RT trial
AnCan – Rick (to Everyone): 6:19 PM: Peter – we care and love you xoxox
AnCan – Rick (to Len): 6:26 PM: Let’s make Carl a guinea pig for MyVictory
Editor’s Pick: Low dose abiraterone with food succeeds with reduced side effect profile for this participant!
Topics Discussed
Covid19 and Cancer Testing; Low dose Zytiga with food succeeds; tribute to Jim St.James; Covid19 and Cancer Treatment/chemo; SBRT to oligometastatic bone lesions & prostate gland; bisphosphonate side effects; sucessful RP treatment
Close to a record number of attendees tonight – 27 is the largest since we went to weekly groups! Thanks everyone ….. rd
Editor’s Pick – the Covid19 virus may force you to delay appointments for repeat treatments – we discuss half-lives of drugs you are taking.
Topics discussed
monitoring post-salvage treatment; IHT for high volume PCa; using a GU med onc; addressing erectile dysfunction; radiation at Mayo, Phoenix; failure to prescribe buffer starting ADT; half life of LHRH and bone strengtheners; salvage cryotherapy to pre-treated spot lesion; NGS tumor sequencing in Canada
PLEASE NOTE – for reasons best known to GtM, we only have audio this week. Nor does there appear to have been any use of the Chat Window.
Editor’s Pick: LHRH drugs and mental anguish – a topic near and dear to my heart. I consider myself fortunate to have known ‘The Black Dog’, as Churchill called depression, before I went on Lupron. That was a blessing for me in that it was much esier for me to handle and absorb. My heart goes out to men who suffer depression &/or anxiety with no prior experience. (rd)
Topics Discussed:
condolences to Jim Ward; who’s at risk from COVID-19?; low PSA, soft -tissue PCa endures for 20 years; multiple treatments at one hospital visit; LHRH drugs cause anxiety and depression; medical marijuana; radiating the prostate in advanced disease; with recurrence, at what PSA level should you scan?; frequency and type of scans to monitor advanced disease
Editor’s Pick: Does cancer compromise your immune system – surprisingly there is debate!
Topics Discussed
Starting LHRH on recurrence; Intermittent Hormone Therapy; Darolutamide; Chemo vs 2nd Line Anti-androgen; getting PET scans approved; give abiraterone time; CARD trial – Jevtana; abi monotherapy?; drinking water reduced creatinine; does cancer compromise your immune system?; adding surgery to RT + ADT; questions for rad onc on starting salvage radiation
