09/10/2024 - Hi-Risk/Recurrent/Advanced PCa Men & Caregiver

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Editor's Pick: Sounding off on Medicare Advantage's hidden risks (bn)
Topics Discussed
What exactly do FDG PET scans show?; the skinny on fatty acid metabolism; drug holidays make sense to us; why suddenly three SBRT sessions and not two?; if you want your scan explained, make an appointment with the radiologist who took it; drug holidays have worked for him -- but require steady nerves; several ideas on cutting costs of Orgovyx and abi; many of us weigh in on the hidden risks of Medicare Advantage plans; one scenario where Medicare Advantage made sense; some states are strengthening Medicare regulations to cap patient costs for oral drugs; saving on abi doesn't require a visit to India; doublet vs triplet demands a GU oncologist's expertise; PTEN -- a new reason not to skip sequencing; he's getting SPECT scans along with his Pluvicto treatments; a GU medonc might decide you don't need all 6 rounds of Pluvicto if you're doing well with fewer; Pluvicto might work better if you don't bypass chemo; he's recurrent -- but maybe better off in our Low/Intermediate meeting; "TallAllen" Edel can help sort out treatment options in Southern California.
Chat Log
Steve L · 6:21 PM
I recently requested a second opinion from another Fred Hutch provider and was turned down as a matter of policy. They don't provide second opinions to other Fred Hutch providers. I would prefer a provider who provides more explanation and reasoning. Who are the recommended providers in Seattle both inside and outside Fred Hutch.
AnCan - rick · 6:24 PM
Very hard to get a 2nd opinion within the same institution EXCEPT Kaiser, We can discuss other alternatives.
Steve L · 6:32 PM
My insurance covered a Bone scan and a CT even with my PSA undetectable. I mentioned to my Doc that I had some recent bone pain in my hip.
Len Sierra · 6:39 PM
And I have had 2 CT CAP scans approved by insurance over the past couple of years while my PSA was undetectable. I cited the ARCHES trial as the logic for doing it.
AnCan Barniskis Room · 6:57 PM
They should be called Medicare Disavantage plan. They are perfect as long as you don't use them.
TonyFig · 6:57 PM
There was an AnCan Medicare webinar 11/1/23 ancan.org/?s=m...
AnCan - rick · 7:02 PM
Sumitovant Pharmaceuticals
AnCan - rick · 7:02 PM
They make Orgovyx
Don Rogers · 7:14 PM
Always ask any insurance agent who wants you on an advantage plan what his commission will be each year.
Don Rogers · 7:23 PM
Scriptco.com-abiraterone has been $80 per month (120-250 mg) for the last 2 yrs. $140 per years membership fee
Dr. Jeff · 7:23 PM
Scripto could save me a trip to India
Unknown · 7:25 PM
Costco does low cost Abbi
AnCan - rick · 8:09 PM
Artera AI test - FDA approved
Julian - Houston · 8:11 PM
artera.ai/arte...