Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 5, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 5, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 5, 2022

Back after a two-week holiday hiatus, and Boy – do we have a lot of good action for Recording Participants!! Listen on …

Just a heads-up everyone – mark on your calendar that Dr. E may be joining us on Dec 19 – we’ll start a little early!

December heralds our one and only Fundraising Campaign of the year. All on the AnCan distribution already received our ‘ask’ that also includes AnCan highlights from 2022. We ask you to consider a donation based on the support gained listening to these recordings. Read our letter at https://us14.admin.mailchimp.com/campaigns/show?id=7976018

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://www.gotomeet.me/AnswerCancer
  • Veterans Healthcare … 4th Thursday @ 8.00 pm Eastern https://www.gotomeet.me/AnswerCancer

Editor’s Pick: AnCan surfaces a significant Orgovyx side effect … and what else but anxiety comes up again throughout! (rd)

Topics Discussed

Success with Keytruda/pembro; anxiety recurrence; pain, ,opiates causes question – cancer or spinal deterioration? …and more anxiety; significant Orgovyx interaction with PPI drugs; when to start RT on recurrence post RP; hot spot in gland should trigger action; ARV-766 trial vs restoring blood counts for more chemo and Pluvicto; restarting abi; all steady; hot flashes; more of Keytruda/pembro – may take time; foamy gland PCa stable

Chat Log

Peter Kafka – MAUI to Everyone 05:56 PM I can only be with you for the first hour. Sorry,

Peter Kafka – MAUI to Everyone 05:59 PM Phone in: 646-749-3129 code: 222583973##

Alan Babcock to Everyone 06:00 PM 1 866 890 8931 support number

Tom to Everyone 06:03 PM New person, thanks for hosting!

eric to Everyone 06:14 PM Hello everyone

George Rovder Arlington VA to Everyone 06:45 PM Feldenkreis, as recommended by Larry Fish https://feldenkrais.com/

Herb Geller to Everyone 06:54 PM pantoprazole

Joe Gallo to Organizer(s) only 06:57 PM Is that in the same family as Prilosec

Me to Everyone 07:27 PM Dan Geynisman GU med onc https://www.foxchase.org/daniel-geynisman

Me to Everyone 07:54 PM Ancan50 Embr code

Frank Fabish Columbus OH to Everyone 07:56 PM Thanks for hearing me. Onward and upward. See you all next week.

Tom to Everyone 08:04 PM Thanks for letting me listen in. I was diagnosed last year after months of back pain, metastatic PC with “innumerable” skeletal tumors. Degarelix worked for a few months but pain returned and PSA back up to 15+, doubling in a month or two. Next appt this week with oncology through UCLA to discuss next treatment options. Mostly focused on reducing pain.

Me to Everyone 08:04 PM Who are you seeing at UCLA?

Tom to Everyone 08:05 PM Dr melody Benjamin, out of the Ventura office

Me to Everyone 08:06 PM Is she a GU med onc?? I think not.

Tom to Everyone 08:06 PM Ok

Pat Martin to Everyone 08:07 PM Thanks for the help and input

Me to Everyone 08:07 PM Go to see Rettig at UCLA Westwood

George Rovder Arlington VA to Everyone 08:07 PM https://www.uclahealth.org/providers/mahshid-melody-mosallaei-benjamin

Me to Everyone 08:08 PM not good!!

George Rovder Arlington VA to Everyone 08:10 PM https://www.uclahealth.org/providers/matthew-rettig

Tom to Everyone 08:11 PM Thanks, I’m looking at his profile

Julian – Houston to Everyone 08:15 PM Thanks again for a great conversation! Good night to all.

AnCan Art Friends – November 17, 2022 – Northern Lights

AnCan Art Friends – November 17, 2022 – Northern Lights

We LOVE our Art Friends here at AnCan! Not only do we create beautiful things together, but we take the time to come together as a community. All of our “students” are learning more and more each time, and we use those skills in other classes.

We also truly care about what matters to you. In fact, this art class project was requested by AnCan Art Friend Sharon, who wants to see the northern lights in person. Do you have any ideas for future classes? Just let us know!!

For this class, you’ll need

  • Paper
  • Your choice of medium – markers, pen, pencil, colored pencils, paint, watercolor pencils, anything that can mark.

 

Watch here:

 

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 15, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 15, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 15, 2022

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:

Editor’s Pick: Severe side effects – a “Lupron Frankenstein” and an abdomen swollen by chemo – plus a surprise case of shingles. (bn)

Topics Discussed

Newcomer from northern Michigan finds he’s 5+4; shingles brought on by ADT?; end of radiation and a steak dinner; benefits of pelvic floor therapy; Lupron turns a newcomer’s life upside down; are Orgovyx and darolutamide chemotherapy? ; mini-poll on hot flashes: who uses what?; putting chemo on pause after success; self-advocating finally gets him Pluvicto; “what is chemo?” revisited; funny-smelling stool following chemo; chemo abdominal swelling diagnosed as ascites — he’s now on Pluvicto and improving; end-of-life discussions; gabapentin for neuropathy leaves him loopy; latest scan shows 30 bone mets gone.

Chat Log

Richaed Wassersug to Everyone 6:36 PM
Herb,

Richaed Wassersug to Everyone 6:36 PM
Can you put the ADT and Herpes ref here?

Herbert Geller to Everyone 6:37 PM
Andrologia . 2018 Mar;50(2). doi: 10.1111/and.12863. Epub 2017 Aug 8. Increased risk of a herpes zoster attack in patients receiving androgen deprivation therapy for prostate cancer F J Wu 1, L T Kao 2, S Y Sheu 1, H C Lin 3 4, S D Chung 4 5 6

Bob G to Everyone 6:37 PM
I had shingles at age 30 due to stress.

Paul Freda Lake Worth FL to Everyone 6:41 PM
Stan How is everything going with you ? Any new treatments ? PSA stable ? I am smae except for a spot on my Pancreas. Doc says its stable and not likley to become cancerous. Hope he is right. Paul Freda AEPi 1969

Steve Roux, Elk Rapids, MI to Everyone 6:44 PM
Hey guys, here is the clinical trial info – NCT#04513717 Cancer Research Consortium of West Michigan NRG-GU009, “Parallel Phase III Randomized Trials for high risk prostate cancer evaluating intensification of concurrent therapy for higher genomic risk with radiation”

Herbert Geller to Everyone 6:54 PM
Here is more information on the trial by the NRG:Parallel Phase III Randomized Trials For High Risk Prostate Cancer Evaluating De-Intensification For Lower Genomic Risk and Intensification of Concurrent Therapy for Higher Genomic Risk with Radiation (Predict-RT*) *Prostate RNA Expression/Decipher To Individualize Concurrent Therapy with Radiation Principal Investigator Paul L. Nguyen, MD, Co-Principal Investigator(s) A. Oliver Sartor, MD

Steve Roux, Elk Rapids, MI to Everyone 7:07 PM
My brother David, with ALS, was given a weekly ADT shot, NOT Lupron, which gave him these same symptoms I hear him saying. David quit the weekly shots just to have some level of normal quality of life.

Joe Gallo to Everyone 7:12 PM
len@ancan.org

Joe Gallo to Everyone 7:12 PM
embrwave

Bob G to Everyone 7:13 PM
I have a question, but have to step out for 5 – 10 min.

Steve Roux, Elk Rapids, MI to Everyone 7:14 PM
Guys, THANK YOU for allowing me to sit in for this. I will be back for future meetings! But I need to go attend another meeting!

Julian Morales – Houston to Everyone 7:38 PM
And many more!!!!

AnCan – rick to Everyone 7:40 PM
Thank you all

AnCan – rick to Everyone 7:50 PM
Beginners Guide to the End, BJ Miller MD and Shoshana Berger

Frank Fabish Columbus OH to Everyone 7:56 PM
Got to go guys. Thanks for the updates. I see my Doc next Tuesday for Labs and Exam.

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 5, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 7, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 7, 2022

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:

Editor’s Pick: Whether the word’s concordant or congruent, if your PSMA and CT scans don’t match up, talk carefully with your Provider if you’re a good candidate for Pluvicto! (rd)

Topics Discussed

Make sure your PSMA and Full CT scans are concordant .. or is it congruent??; new lesions appear in Pluvicto follow-up scans; is BAT an option to follow Pluvicto?; when best to start Tx on recurrence; starrting IHT; liver cyst shows up on an Axumin scan; tear duct issues from chemo; Pluvicto availability; does ADT control DHT – dihyydrotesterone?

Chat Log

Jim Marshall, Melbourne, FL to Everyone 06:28 PM Concordance – Agreement or consistency

Robert G (Colorado) to Everyone 06:30 PM I think this is an overview of Bipolar Androgen Therapy that was mentioned earlier. I don’t know if there is anything more recent: https://ancan.org/bipolar-androgen-therapy-bat-sam-denmeade-md/

Bob G to Everyone 06:33 PM Here’s something newer https://www.urotoday.com/video-lectures/asco-gu-2022/video/2563-the-state-of-bipolar-androgen-therapy-in-prostate-cancer-emmanuel-antonarakis.html

Bob G to Everyone 06:42 PM Took about 11 days before I felt back to normal. Easier how? So, I’m done (for now) with chemo. I retry abiraterone at 1/2 dose in another 10 days & will see. Scans in early Dec & then see Dr.

Me to Everyone 07:01 PM https://onlinelibrary.wiley.com/doi/abs/10.1002/pros.24452

Jim Marshall, Melbourne, FL to Everyone 07:19 PM For you Florida guys, you can track and predict storms, hurricanes, etc with the Ventusky weather model out of the Czech Republic at. www.ventusky.com you Gulf states can use it too along with East & West Coast. It predicts weather all over the world.

Ben Nathanson to Organizer(s) only 07:31 PM mary-ellen taplin?

george rovder arlington virginia to Everyone 07:50 PM Thank you all. Good Night.

Hi-Risk/Recurrent/Advanced PCa Video Chat, Dec 5, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 25, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 25, 2022

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 AnCan Barniskis Room      Veterans Healthcare … 4th Thursday @ 8.00 pm Eastern AnCan Barniskis Room

Editor’s Pick: We hear evidence Pluvicto may be shortlived. And before you start it, be sure all your lesions express PSMA! … and higher levels of corticosteroids may reduce PSA – who knew?(rd)

Topics Discussed

How durable is Pluvicto? concordance required for Pluvicto success; incontinence during salvage radiation; are PSMA scans viable at 0.2 PSMA; Medicare covers DEXA scans; Dr. A confirms Kwon treatment – and orders NGS; extened use of prednisone may cause cataracts … or is it aging?; and that same pred may reduce your PSA!; oral pain issues from chemo.

Chat Log

Carl Forman to Everyone 03:21 PM Dr Kwon posted a video 2 weeks ago, thru PCRI, titled PSMA and LU177 in 2022 https://www.youtube.com/watch?v=bwUJJP614f8 May have useful info.

Len Sierra to Everyone 04:03 PM  NCCN = National Comprehensive Cancer Network

rd to Everyone 04:26 PM From Bob McHugh …. ‘What does “avid” mean?’

Len Sierra to Everyone 04:27 PM Active lesion (Ed: Lesion expressing PSMA)

Me to Everyone 04:30 PM MSKCC Nomogram http://nomograms.mskcc.org/Prostate/index.aspx

rd to Everyone 05:06 PM Oral pain issues https://conquer-magazine.com/issues/2022/vol-8-no-4-august-2022/1896-simple-strategies-for-relieving-oral-pain-caused-by-cancer-treatment

TonyFig to rd 05:07 PM I started 30 day Firmagon two weeks ago. Dr. VanV ordered monthly blood/testosterone/PSA 3 days prior to each injection. No side effects this far with Firmagon. Wondering if I should stay with Firmagon monthly or switch to Lupron. Thinking of staying with Firmagon since no adverse reactions at this time. Alan Babcock to Everyone 05:10 PM I have to go. Thanks for your help.

rd to TonyFig 05:11 PM Benefit of Lupron is that you can get a 3 or 4 month shot rather than monthly. Also some folks don’t like the belly shot.

Peter Kafka – MN to Everyone 05:13 PM Good night guys, Keep fighting the fight.

John Madden (Hou) to Everyone 05:17 PM https://www.futuremedicine.com/doi/10.2217/fon.13.270

Herbert Geller to Everyone 05:18 PM https://pubmed.ncbi.nlm.nih.gov/17187697/

Jim Marshall, Alexandria, VA to Everyone 05:19 PM Here is the writelup I found Prednisone: It has been shown taking 10mg a day, can decrease the PSA result by more than 50% in many patients with hormone-refractory progressive Prostate Cancer. “In patients with serum testosterone castrate levels (less than 20ng/ml), hormone-refractory prostate cancer is defined as 2-3 consecutive rises in prostate-specific antigen (PSA) levels 12 obtained at intervals of greater than 2 weeks and/or documented disease progression based on findings from CT scan and/or bone scan, bone pain, or obstructive voiding symptoms.” So, getting this straight, if one does not have Prostate Cancer, then prednisone has no effect. But if Prostate Cancer is present, then the PSA test result is one half of its normal value. (Ed: not necessarily – PSA may also be half in all men taking pred, but they didn’t look at that!)

rd to Everyone 05:19 PM https://pubmed.ncbi.nlm.nih.gov/9697790/#:~:text=Conclusions%3A%20Prednisone%20(10%20mg%20orally,glucocorticoid%20dose%20and%20PSA%20decline.

Jerry Pelfrey to Everyone 05:20 PM Good Night gentlemen. Thank you Len for tonight.

John A to Organizer(s) only 05:21 PM gtg guys g’nite

Herbert Geller to Everyone 05:22 PM Gotta go. See you next week.