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Hi-Risk/Recurrent/Advanced PCa Video Chat, March 17, 2025

Hi-Risk/Recurrent/Advanced PCa Video Chat, March 17, 2025
*** Don’t miss our 4-LEGGED Guest on this months; Solo Arts Heal*** – March 26 @ 7.30 pm Pacific, https://ancan.cyberoptik.co/solo-arts-heal/
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Editor’s Pick: We’re talking incontinence and tricks to manage it this week + Pluvicto works! ? (rd) Topics Discussed ATM germline Gent faces recurrence; slow moving recurrence brings urinary incontinence; MRI finds hip lesion raising early Mx – do PSMA for pace of mind; neuropathy dismissed by Mayo docs as ageing – not HT or chemo???; when to ask for PSMA on recurrence; Pluvicto brings great results – enjoy it rather than ask what’s next; how do differences in MRI equipment impact interpretation? Chat Log
  • Wes – San Diego sent: 5:17 PM
    Intraductal commonly, I’m told, has a low PSA.
  • Wes – San Diego sent: 5:22 PM
    What does a medical oncologist add to surgeon and radiologist? Hormones?
  • Gary sent: 5:24 PM
    Medical Oncologist deals with everything from ADT to lutetium, docetaxel, etc.
  • Alan M sent: 5:24 PM
    https://medicine.yale.edu/news-article/william-k-oh-md-joins-yale-cancer-center-and-smilow-cancer-hospital/
  • Wes – San Diego sent: 5:26 PM
    So it would seem to me that any prostate guy would be wise to have a medical oncologist, albeit others can prescribe Lupron, etc.
  • Jim Marshall, Alexandria, VA sent: 5:26 PM
    Specifically one should look for a Genitourinary Medical Oncologist. NOt a General Meneral Oncologist. Jim
  • Gary sent: 5:26 PM
    I agree.
  • Jim Marshall, Alexandria, VA sent: 5:37 PM
    Somatic testing. Jim
  • John A sent: 5:44 PM
    dr.john@ancan.org
  • Wes – San Diego sent: 5:55 PM
    Is it related to drinking carbonated water, beer, etc. ? which prompts me much, much more than other drinks.
  • AnCan – rick sent: 5:57 PM
    Gemtessa
  • Alfredo in Houston sent: 5:58 PM

I think it is NOT generic yet, and around $500/ 30 days

  • Bob Schwartz, USN, Venice FL sent: 6:20 PM

Another good mtg. Have to go.

  • Wes – San Diego sent: 6:32 PM

heart BP meds can prompt gout and edema, which can be related to nueropathy, as they have been for me.

  • Don Rogers sent: 6:32 PM

Dan, I would suggest you contact the radiologist and set up a meeting and have the doctor explain the report. I have done this twice with great success. Don Rogers

  • AnCan – rick sent: 6:33 PM
    Don – may be harder to do at Kaiser.
  • Hank Zajic Springfield VA sent: 6:38 PM
    I just did a PSMA PET using Pylarify. The test result report recorded 8.86 mCi (millicurie) dose. not much.
  • Alfredo in Houston sent: 6:38 PM
    The amount of radiation exposure from an imaging test depends on the imaging test used and what part of the body is being tested. For instance: A single chest x-ray exposes the patient to about 0.1 mSv. This is about the same amount of radiation people are exposed to naturally over the course of about 10 days. A mammogram exposes a woman to 0.4 mSv, or about the amount a person would expect to get from natural background exposure over 7 weeks. Some other imaging tests have higher exposures, for example: A lower GI series using x-rays of the large intestine exposes a person to about 8 mSv, or about the amount expected over about 3 years. A CT scan of the abdomen (belly) and pelvis exposes a person to about 10 mSv. A PET/CT exposes you to about 25 mSv of radiation. This is equal to about 8 years of average background radiation exposure.
    https://www.cancer.org/cancer/diagnosis-staging/tests/imaging-tests/understanding-radiation-risk-from-imaging-tests.html
  • Jim Marshall, Alexandria, VA sent: 6:43 PM
    Take 100mg in the morning and 200mg at bedtime. works for me. Also take 250mg B-12. Got it from the Triple Bypass. Jim
  • david opp sent: 6:47 PM
    I take 500 mcg once a day of B12, B1 is high in the normal range.
  • Gary sent: 6:49 PM
    Thanks, rick.
  • John A sent: 7:03 PM
    musculoskeletal pain listed 7-10%
  • Alfredo in Houston sent: 7:06 PM
    Gotta go. Thank you everyone for another excellent meeting; leaving with a good vibe…