Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

Recent Webinar Recording & Sides – Let’s talk Medicare 2024! 

AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.

AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.

AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

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://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Several Gents face new lesions, and a couple of GU med oncs overlook the obvious! (rd)

Topics Discussed

Oligometastatic treatment strategies; could this be a recurrence?; single new bone lesion; PSMA shows metastatic lymph node; can prednisone suppress testosterone?; dehydration/low potassium causes brief blackout; full bladder strategies during RT; can you do Provenge while on androgen blockers; GU med onc overlooks PSMA scan; Next Generation Sequencing needed post Pluvicto; AUS coating could be the problem; chemo only works 25% of time

Chat Log

  • Peter Kafka – Mauisent · 6:33 PM
    For some guys it is a question of whether the mets are causing pain or discomfort in deciiding to radiate
  • AnCan – ricksent · 6:44 PM
  • GARY Zsent · 8:02 PM
    What does foundation medicine mean?
  • Jim Marshall, Melbourne, FLsent · 8:03 PM
    The firm does genetic testing for PC.
  • GARY Zsent · 8:03 PM
    Thank you
  • AnCan – ricksent · 8:07 PM
    Genomic testing – not genetic
  • GARY Zsent · 8:08 PM
    Thank you very much, everyone!
  • Peter Gudel – MNsent · 8:15 PM
    Thanks all!
Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 10, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

UPCOMING WEBINAR – Let’s talk Medicare 2024!Monday, Oct 30 8.00 pm Eastern Register at http://tinyurl.com/ancanmedicare . We plan NOT to make this scary!!!

AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.

AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.

AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

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://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Does it make sense to keep your cancer off guard?… & the Group talks A-fib! (rd)

Topics Discussed
AnCan loses two long term men on same day; Zometa side effects; 3+3 (??) newbie addresses mets after 20 years; Gent running out of options needs current sequencing … and new doc; does it make sense to keep the cancer off guard?; addressing A-fib; reducing visceral fat with exercise addresses sarcopenia; darolutamide refused so Gent starts with Orgovyx alone; Payer wrongly refusing NGS somatic testing; blood in urine could be RT cystitis – cystoscopy required; PCa recurs only within the gland.

Chat Log

  • Matt Kriegersent · 3:32 PM
    Here are my recent PSA trends, it’s been a bit of a rollercoaster and I would appreciate any feedback. My treatment history is external radiation and HDR brachytherapy completed April 2020, and I was on 2 anti-androgens until June 2022. So 9 (Sept.)/2022 <.06, 1/2023 .06, 3/2023 .06, 6/2023 .35, 7/2023 .17, 8/23 .24, 9/2023 .07 I’m seeing my urologist tomorrow because a few weeks ago, for the only time other than the one biopsy and brachy, I had some blood in my urine – that was surprising but hasn’t happened again since.
  • sent · 3:35 PM
    Too many things to do. You need to talk with the group. You need to make changes now.
  • Jim Marshall, Alexandria, VAsent · 3:44 PM
    Genitourinary Medical Oncologist
  • John Asent · 3:48 PM
    “LHRH antagonist drugs include relugolix (Orgovyx) and degarelix (Firmagon). These will suppress testosterone rapidly and don’t need the premedication with another drug.
  • Jim Marshall, Alexandria, VAsent · 3:50 PM
    Abiraterone for Castration-Sensitive guys is 5MG of Prednisone
  • John Asent · 3:50 PM
    Then, a second dug may be added to add to the testosterone suppression: abiraterone or darolutamide or enzalutamide.
  • marc valenssent · 3:56 PM
    genitourinary MedOnc at Fred Hutchinson in Seattle: Petros Grivas
  • J. Wardsent · 4:00 PM
    I need to hop off now; thanks for allowing me speak about Ken Anderson.
  • TonyFigsent · 4:00 PM
    Brandan Guercio, MD. GU Medical oncologist at Strong. https://www.urmc.rochester.edu/people/26819600-brendan-j-guercio
  • TonyFigsent · 4:01 PM
    Ask to be assigned to him. Harvard Medical degree, MSK Fellowship
  • “Thomas” Maticasent · 4:10 PM
    Where are these “protocols” and/or “guidelines” that Rick mentions?
  • sent · 4:16 PM
  • AnCan – ricksent · 4:37 PM
    Interval workouts, Gents …. I’m standing in for Jimmy. I do them on the rowing machine. eg 2 min on, 2 min off.
  • Geoffsent · 4:40 PM
    Can Jack throw out a couple of lit. references for us?
  • AnCan – ricksent · 4:45 PM
    Here you go Geoff… A Masterclass on Reversing Visceral Fat to Increase Longevity and Reduce Chronic Disease https://podcasts.apple.com/us/podcast/a-masterclass-on-reversing-visceral-fat-to-increase/id1381257272?i=1000629888710&ign-itscg=30440&ign-itsct=catchall_podcast_ep
  • Jeff G.sent · 4:45 PM
    I eat it with date syrup or pomegranate molasses, or maple syrup or honey. Sometimes I add roasted almond slivers, and raisins.
  • Geoffsent · 4:46 PM
    Thanks for the link!
  • Jim Marshall, Alexandria, VAsent · 4:53 PM
    STEVE -Say the Somatic test is REQUIRED for treatment to proceed.
  • Herb Courtney, Oak View, CAsent · 4:59 PM
    Gotta go. Thanks all. Another good learning experience.
  • sent · 5:08 PM
    Thank you all, need to sign off
  • Julian – Houstonsent · 5:16 PM
    Need to go! Thanks!
Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 2, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Oct 2, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.

AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.

AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download

Buy AnCan swag at https://ancan.org/shop/ …. T-shirts and sweatshirts!

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

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://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: What next… more Keytruda or switch to Pluvicto?? (rd)

Topics Discussed
Navigating slow-developing recurrence; early days treating denovo lymph mets; Embr to the rescue; post-RT urinary stricture creates problem; hormone therapy poses exercise issues for some of our older Gents; intermittent immunotherapy; new hip after much HT; Group suggests patience before switching therapy; older Gent favors savings to hot flashes; what next when HT does its job? – exercise and a GU med onc!

Chat Log

  • Gary Psent · 5:37 PM
  • GARY Zsent · 5:38 PM
    Thank you for the link, Gary P.
  • GARY Zsent · 5:38 PM
    Thank you, all
  • Boykin Jordan – Springfield, VAsent · 5:46 PM
    Do we meet every week?
  • Jim Marshall, Alexandria, VAsent · 5:47 PM
    Meet 1st & 3rd Mondays 0800pm ET and 2nd and 4th Tuesday 0600pm ET . Jim
  • Boykin Jordan – Springfield, VAsent · 5:48 PM
    Thanks Jim — I’ll update my calendar
  • AnCan – ricksent · 5:56 PM
    Embr wave Ancan50
    https://embrlabs.com/products/embr-wave-2
  • sent · 6:08 PM
    I’m in Palatine and am always looking for people to bicycle with.
  • russ hooversent · 6:16 PM
    holmium laser enucleation procedure
  • sent · 6:24 PM
    773-294-4151 I’m off to AZ on the 15th for the season, let’s definitely get together in the spring
  • sent · 6:38 PM
    Akeega contains two active substances: niraparib and abiraterone acetate.
  • Julian – Houstonsent · 6:39 PM
    Great talk tonight again! Catch you next week. Thank you.
  • GARY Zsent · 6:58 PM
    Gentlemen – Big thanks to all. Had Mohs outpatient surgery 730am today for basal cell on side of face…need to say goodnight for today’s forum. I look forward to our next one. Best, Gary Z.
  • Boykin Jordan – Springfield, VAsent · 6:58 PM
    Good night all. I’ve learned a lot.
  • Carlossent · 7:00 PM
    Thanks for the time.
  • Frank Fabish Columbus OHsent · 7:08 PM
    Got to go. Thanks all.
  • Carlossent · 7:10 PM
    Got to go, Thanks.
Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, Sep 4, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions are based solely on anecdotal peer experience or clinical evidence.

AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team.

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

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://ancan.org/men-speaking-freely/       Veterans Healthcare Navigation… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s pick: Five of our Regulars wrestle with recurrence this week; and one more is his own best advocate to get a scan(rd)

Topics Discussed

Eminent internist handles Gleason 4+5 diagnosis well; recurrence points to doublet therapy; abiraterone can result in cardio/BP issues; innovative GU med onc addresses lung spots with switching meds before trying RT; Gent finds his own NIH trial to his doc’s chagrin; T. flows back well post Orgovyx; PSMA scan shows oligoMx recurrence – AnCan reassures anxious Gent; with too many lesions, spot RT may yield to chemo; finally feeling better post prednisone; enzalutamide makes another man dizzy; doc agrees on FDG PET for concordance with PSMA but shies away for Payer reasons; neuroendocrine blood markers; Jimmy G remembers Jimmy B. – and Gent shares his Merkel Cell history.

Chat Log

  • AnCan – rick sent · 5:35 PM
    Embr Labs
  • AnCan – rick sent · 6:06 PM
  • Len Sierra sent · 6:19 PM
    Hi Jeff,
  • Gary P sent · 7:05 PM
  • Frank Fabish Columbus OH sent · 7:07 PM
    Thanks guys. Got to go. See you next Tuesday.
  • Geoff sent · 7:17 PM
    Thanks for those private messages to me about being afraid. I can’t seem to reply privately so thanks everyone!
  • Len Sierra sent · 7:18 PM
    According to Dr. Karim Fizazi, Darolutamide was not associated with a higher incidence of seizures, falls, fractures, cognitive disorder, or hypertension than placebo.
Hi-Risk/Recurrent/Advanced PCa Video Chat, Nov 6, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, July 11, 2023

Hi-Risk/Recurrent/Advanced PCa Video Chat, July 11, 2023

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Pfizer, Janssen, Myriad Genetics, Myovant, Telix & Blue Earth Diagnostics.

NOTE: August Schedule Change for Tuesday meeting only – Tuesday, Aug 1 and 15

UPCOMING WEBINAR: What’s Inside the Black Box? -How & Why PCa Genomic Tests Work    Register at https://tinyurl.com/ancanpcagenwebinar

AnCan’s Prostate Cancer Forum is back (https://ancan.org/forums). If you’d like to comment on anything you see in our Recordings or read in our Reminders, just sign up and go right ahead. You can also click on the Forum icon at the top right of the webpage.

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://ancan.org/men-speaking-freely/ Veterans Healthcare… 4th Thursday @ 8.00 pm Eastern https://ancan.org/veterans/

Editor’s Pick: Abiraterone can have significant cardio comorbidities (rd)

Topics discussed

Immediate recurrence following RP; older Gent seeks GU med onc after 12 years; PSA fluctuates during Pluvicto; no more Pluvicto problems – maybe thanks to AnCan!; GU med onc in Toronto – but is it needed?; abi +meddling with dosage may have lead to heart issues; older Gent continue Pluvicto; HT therapy does what it should – to the concern of this physician patient; doc raises darolutamide monotherapy; upcoming webinar and August calendar change

Chat Log

Neil Brandom sent · 3:23 PM Note to self : GU Medical oncologist  Mathew Rettic UCLA Rana McKay UCSD

AnCan – rick sent · 4:12 PM Michael Ong  http://www.med.uottawa.ca/internalmedicine/medical%20oncology/eng/MichaelOng.html

AnCan – rick sent · 4:19 PM Neil Fleshner https://www.uhn.ca/PatientsFamilies/Search_Doctors/Pages/doctor_detail.aspx?doctor=366

Len Sierra sent · 4:59 PM Jack et al., This is why you want to take darolutamide even with a low T level: Nubeqa (darolutamide) is an androgen receptor inhibitor. Darolutamide competitively inhibits androgen binding, AR nuclear translocation, and AR-mediated transcription

Alan Babcock sent · 5:02 PM That makes my wife happy. bye