Hi-Risk/Recurrent/Advanced PCa Video Chat, May 10, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 10, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 10, 2022

If you’re a Vet and want to be notified when our new Vets Group starts, please let Joe Gallo know at joeg@ancan.org. Right now we plan to go ‘public’ on June 23 and each 4th Thursday thereafter. May will be a practice session.

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/

Editor’s Pick: It ain’t easy to find ‘good help’ in Canada – especially with a rare type of prostate cancer (rd)

Topics Discussed

rare sarcomatoid PCa tumor; finding a GU med onc in Canada; mCRPC trial participation; Mx disease stabilizes; longer term Tx risk from same protocol; HCP collaboration; PSA drop 12 weeks after 1st Pluvicto; supplementing testosterone for bone strength; newbie to trimix; Peter Kafka nails it AGAIN with his words of wisdom

Chat Log

Peter Kafka – Maui (to Organizer(s) Only): 6:24 PM: PSA at DX around 4.XX

Herb Geller (to Everyone): 6:25 PM: https://www.foundationmedicine.ca/

Ancan – rick (to Organizer(s) Only): 6:34 PM: https://www.foundationmedicine.ca/ Foundation Medicine Canada

Ancan – rick (to Everyone): 6:36 PM: Dr. Kim Chi UBC https://medicine.med.ubc.ca/profiles/kim-nguyen-chi/

Ancan – rick (to Everyone): 6:48 PM: http://www.med.uottawa.ca/MedicalOncology/eng/MichaelOng.html

Julian Morales-Houston (to Everyone): 6:50 PM: need to leave – will try to come back later.

John Antonucci – CT (to Everyone): 6:52 PM: Like Herb, I’m looking at the llit. on sarcomatoid. I’m hoping to find an author fom Canada; if I do I’ll write in. It also seems to me so far the treatment is the same for both variants.

Jeff (to Everyone): 7:03 PM: ENTRUMADENANT,ZIMBERELIMAB,DOCETAXEL EVERY 21DAY FOR A TOTAL OF TEN TREATMENTS  i ALSO OPTED FOR AN ORCHECTOMY ………….,I WAS TIRED OF THE FEMALE MENOPAUSE FROM ADT THERAPY

Herb Geller (to Everyone): 7:08 PM: https://clinicaltrials.gov/ct2/show/NCT04381832 Adenosine Receptor Antagonist Combination Therapy for Metastatic Castrate Resistant Prostate Cancer (ARC-6)

Jeff (Private): 7:10 PM: You found it Herb the study

Herb Geller (to Jeff): 7:11 PM: Yes, that’s the study.

C Huerta (to Everyone): 7:22 PM: What doctors do we know in Australia?

Ancan – rick (to Everyone): 7:24 PM: Michael Hoffman

Carl Forman (to Everyone): 7:25 PM: https://www.petermac.org/users/prof-michael-hofman his biography

George Rovder Arlington VA (to Everyone): 7:29 PM: https://clinicaltrials.gov/ct2/show/NCT04381832#contacts try this link

Ancan – rick (to Everyone): 7:51 PM: AYR

Frank Fabish – Ohio (to Everyone): 8:03 PM: Got to leave. See you all next week.

Jeff (to Everyone): 8:09 PM: thank you all FAIR THEE WELL

George Rovder Arlington VA (to Everyone): 8:13 PM: Thank you Peter Kafka, great job moderating. Thank you all men. Good meeting.

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 10, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Apr 26, 2022 

Hi-Risk/Recurrent/Advanced PCa Video Chat, Apr 26, 2022

BREAKING NEWS …. AnCan launches 2 new groups in April – Lupus and Pancreatic Cancer. Find more information on our website https://ancan.org under Groups menu tab.

And coming in May …. a Vets Prostate Cancer Group and Chronic Pain Group.

All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about this and our other 11 monthly prostate cancer groups 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/

Editor’s Pick: Perhaps enzalutamide/Xtandi is causing balance issues … sound familiar? And at the end – finding Pluvicto NOW (rd)

Topics Discussed

Peter K manages his own meds; pain issues from AUD; calcium & Vit D; Pluvicto vs Ac225+Lu177; denovo Mx man needs better guidance; balance issues & enz v daro; great report on UCSF’s GU med onc Dr. Borno; Pluvicto fails to hold chemo-naive man; long-term participant thinks about adding treatment

Chat Log

Herb : 3:24 PM: Len sent an e-mail that his eyes are dilated and filled with a dye so he can’t read the screen.

George Rovder Arlington VA (to Everyone): 4:03 PM: https://faculty.mdanderson.org/profiles/patrick_pilie.html

Peter Kafka – Maui (to Everyone): 4:04 PM: Dr. Pilie – Duke Medical school, He is a genitourinary med onc at MD Anderson

George Rovder Arlington VA (to Everyone): 4:05 PM: 2015-2018 Clinical Fellowship, Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX  Assistant Professor, Department of Genitourinary Medical Oncology, Division of Cancer Medicine, The Univ. of Texas MD Anderson Cancer Center, Houston, TX

Julian Morales-Houston (to Everyone): 4:07 PM: Eleni Efstathiou

George Rovder Arlington VA (to Everyone): 4:08 PM: https://www.houstonmethodist.org/doctor/eleni-efstathiou/

AnCan – rick (to Everyone): 4:20 PM: Luke Nordquist

George Rovder Arlington VA (to Everyone): 4:20 PM: https://www.gucancer.com/meet-dr-luke-nordquist

Julian Morales-Houston (to Everyone): 4:35 PM: This link works better: https://greatnonprofits.org/org/ancan-foundation

George Rovder Arlington VA (to Everyone): 4:37 PM: Borno https://cancer.ucsf.edu/people/borno.hala

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 10, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Apr 18, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Apr 18, 2022 

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/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Two new AnCan groups starting this month – 1) Pancreatic Cancer 2) Lupus. Check webiste

Editor’s Pick: Hear about VERY rare form of PCa …. and we revisit metabolic syndrome more than once (rd)

Topics Discussed

Denova Mx Dx …. in Maui!!; germline vs somatic mutations; med onc leaves disease largely untreated; very rare PCa type Dx; did abi cause metabolic issues?; puzzling scalp pain after spot RT to skull base; gabapentin side effects; younger man with denovo Mx has successful Tx; switching to Nubeqa+Orgovyx vs metabolic issues; 2014 participant returns doing well; Dennis Correia back with us; KP caves over Lu177; Pluvicto experiences

Chat Log

AnCan – rick (to Organizer(s) Only): 5:04 PM: Dr. George !!! A leftover from Dominic days

Len Sierra (to Organizer(s) Only): 5:08 PM: Yes, it’s been years since Dr. George S. joined us.

Joe Gallo (to Everyone): 5:16 PM: Rana McKay UCSD

Henry (Private): 5:17 PM: Hey Rick — for the new fellow — recommend triplet therapy per Arasens or Peace? (After PSMA scan of course).

Maria (to Everyone): 5:18 PM: Hi everyone, I just wanted to check in and say Hi, Jeff is enjoying his hormone & zytiga vacation, April PSA is undetectable. You are all in my thoughts…

Joe Gallo (to Everyone): 5:19 PM: Welcome. Thanks for the update Maria.

Joe Gallo (to Everyone): 5:25 PM: Rana Clinic 858-657-7876

AnCan – rick (to Everyone): 5:50 PM: https://doctors.umiamihealth.org/prov…

Alan Babcock (to Everyone): 5:53 PM: I might be in the wrong group. I am 9 weeks out from a prostatectomy. Dr. Correa, from Fox Chase is minitoring my PSA.

George Rovder Arlington VA (to Everyone): 5:55 PM: Alan, This group is for Stage 4 metastatic and Stage 3 Very High Risk.

AnCan – rick (to Everyone): 5:55 PM: Alan – you are best in Peter’s Low/intermediate group that meets every 2nd & 4th Monday same time and place. We know Dr. C very well

Edward Clautice (to Everyone): 5:56 PM: I received lutetium treatment in Germany last week. Cost about $25k. The appointment was made and paid for before the FDA approved pluvitco. The care was very good. They ran daily scans to monitor lutetium attachment to tumor sites. I am looking now to continue pluvitco here in the USA, potentially at the U of Florida. Question:703-463-0490. clautice@verizon.net. Take care, Ed

George Rovder Arlington VA (to Everyone): 5:57 PM: Thanks Ed. Best of luck.

George George Rovder Arlington VA (to Everyone): 6:00 PM: Josh Allen https://www.inova.org/doctors/joshua-…

Edward Clautice (to Everyone): 6:03 PM: Jeannie Aragon-Ching George Rovder Arlington VA (to Everyone): 6:04 PM: https://www.inova.org/doctors/jeanny-…

Joe Gallo (to Everyone): 6:10 PM: Embrlabs.com  Embr Wave

Julian Morales-Houston (to Everyone): 6:20 PM: Nubeqa

AnCan – rick (to Organizer(s) Only): 6:23 PM: Dennis Correia is in the house … please give him a shout out! Welcome back.

Don Kramer (to Everyone): 6:40 PM: I just got appeal approval for PSMA formerly denied by UHC med. advantage. Don’t give up if you are originally denied on a potential option for diagnosis you know is approved by medicare but advantage is denying. will share more next week. great meeting thank you all.

Frank Fabish – Ohio (to Everyone): 6:53 PM: Got to go guys. See you next week.

George A Southiere Jr (to Everyone): 6:59 PM: great to see all the new guys and the old guys.enjoyed the meeting tremendously

Jerry Pelfrey – Mexico (to Everyone): 7:09 PM: Jerry, sorry I have to leave.

Henry (to Everyone): 7:12 PM: Thanks all; I have to drop off now. Have a great rest of your evening, gents!

MIke Yancey (to Everyone): 7:17 PM: Enjoyed being on this call for the first time. Plan to join again next week. Gotta run for tonite.

John Birch (to Everyone): 7:19 PM: Need to go, thank you everyone for sharing and info

Special Presentation: Prostate Cancer and Treatment Regret

Special Presentation: Prostate Cancer and Treatment Regret

In April, we had Dr. Christopher Wallis (Assistant Professor of Urology, Department of Surgery, University of Toronto and Urologic Oncologist) give a talk to our AS group titled “Prostate Cancer and Treatment Regret”, a common phenomenon patients experience after making their choices for treating their prostate cancers.

Dr. Wallis found in his research that about 13% of patients with localized disease overall have second thoughts about their choices. This includes patients on active surveillance. The surgical group had the most reset followed by radiation and AS.

“Every choice has risks and benefits. The goal isn’t just to cure the disease but to live a better quality of life” Wallis said.

He said that in counseling patients, one of his challenges is that there is not “a perfect correlation between symptoms and disease.” In other words, some patients are OK with losing their sexual potency—a major concern—while others are devastated. Some have similar reactions to incontinence. “Patient-centered care improves outcomes,” he observed. Walis said long-term, “financial toxicity” from treatment also is a largely unexplored topic.

Watch this presentation here:

 

Slides will be posted when available.

For information on our peer-led video chat ACTIVE SURVEILLANCE PROSTATE CANCER VIRTUAL SUPPORT GROUP, click here.

To SIGN UP for the Group or any other of our AnCan Virtual Support groups, visit our Contact Us page.

 

Hi-Risk/Recurrent/Advanced PCa Video Chat, May 10, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Apr 12, 2022

Hi-Risk/Recurrent/Advanced PCa Video Chat, Apr 12, 2022

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/       Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Editor’s Pick: We are talking lots of appetite, diet and exercise to manage ADT & chemo this week (rd)

Topics Discussed

Appetite issues; enz and dizzy spells; ARASENS darolutamide trial; hot flashes … again; creeping up on darolutamide ; PSA testing – to how many decimal places?; 2 men consider mitigating ADT with exercise and more; not all PCa in same man makes PSMA; Pluvicto continues to bring PSA down

Chat Log

Marc Valens (to Everyone): 3:23 PM: Try Larabars. No added sugar, just fruit and nuts

AnCan Herb (to Everyone): 3:38 PM: Enzalutamide can cause hypertension, but no information on postural hypotension

Len Sierra (to Organizer(s) Only): 3:40 PM: From RxList website: Stop using enzalutamide and call your doctor at once if you have: dizziness, spinning sensation; a seizure (black-out or convulsions);

AnCan – rick (to Organizer(s) Only): 3:43 PM: Len – that’s the concern around it causing seizure

AnCan – rick (to Everyone): 3:44 PM: ARANOTE and ARASEC

ARANOTE (Saad) …… https://www.urotoday.com/video-lectures/clinical-trials-for-my-patients-prostate-cancer/video/mediaitem/2533-aranote-darolutamide-in-addition-to-adt-vs-adt-in-metastatic-hormone-sensitive-prostate-cancer-mhspc-fred-saad.html?utm_source=newsletter_10261&utm_medium=email&utm_campaign=clinical-trials-for-my-patients-in-prostate-cancer&acm=30276_10261

ARASEC (Shore) Aranote ….https://www.urotoday.com/video-lectures/clinical-trials-for-my-patients-prostate-cancer/video/mediaitem/2548-darolutamide-plus-adt-in-metastatic-hormone-sensitive-prostate-cancer-the-arasec-trial-neal-shore.html?utm_source=newsletter_10261&utm_medium=email&utm_campaign=clinical-trials-for-my-patients-in-prostate-cancer&acm=30276_10261

James Barnes (to Everyone): 4:43 PM: I also was on Enzalutimide and could not tolerate the anxiety and brain fog. I have been doing much better on Aberaterone for the past 6 months.

Frank Fabish – Ohio (to Everyone): 4:45 PM: Hey guys got to go. Thanks for your input. See you next Monday.

Jim Ward (to Everyone): 5:08 PM: Gotta run, gents. Good night!

Len Sierra (to Organizer(s) Only): 5:12 PM: G’night, Gents.

Peter Monaco (to Organizer(s) Only): 5:17 PM: Good evening gents!

John Birch (to Everyone): 5:17 PM: Great news on the numbers Dennis! Need to go, thanks everyone!

AnCan Herb (to Everyone): 5:18 PM: I gotta go. For those celebrating Passover, I hope you enjoy your Seder. And then for those celebrating Easter, all the best.