I was one of your first 100 subscribers. At that time, you were perhaps an outlier, not always looked upon as mainstream by the urology community. How times have changed. And you have made that change happen! Thank you for your service.
How do we know what to ask the medical oncologist to know if we are going to get good treatment? Would you do a video on finding the right oncologist. Thanks a million for all your FANTASTIC videos. They have been life changing!!!
Neulasta was initiated before my husband's 2nd taxatere session. His blood work showed he was neutropenic one week after his first does. Dr. said he couldn't prescribe Neulasta unless there was evidence that my husband needed it. basically insurance would not pay until there was a problem. Dr. also suggested taking Claritin to help with side effects of Neulasta, which is bone pain or achy, flu like feeling. Great video.
Hi I'm 65yrs and my psa level have been 12.4 for the last 14 months. My Urologist sent me for an MRI scan and the results came back as inflammation and enlarged prostrate. My Urologist said i have prostatitis that is the reason why my psa is high. I suggested a biopsy and he was against that option as he went on to say the biopsy needle will have no target on the prostrate as no cancer is showing on MRI. Im a little nervous as both my Dad and Grandad both passed away with prostrate cancer. I even thought about paying privately to have my prostrate removed as its giving me much anxiety. I had another psa blood test yesterday and hoping the psa levels have dropped since my last blood test 2 months ago🙏
I don't know what the volume of your prostate is. But with that high PSA you should definitely know what volume your prostate is. For 12.4 PSA being normal, the prostate would have to be higher than 83cc. Look for PSA density. Divide the PSA by the volume of your prostate. If it's over 0.15 then the PSA density is abnormal and you should go to biopsy. You say that your dad and granddad had prostate cancer. Prostate cancer is one the cancers that is genetic. So it means that you are in higher risk of having prostate cancer in the future.
Taxotere didn't work for me. I had four cycles of taxotere and my PSA continued to rise. While on taxotere my hair loss began after 13 days. Also, my beard and eyebrows stopped growing. Fatigue started to set in about 2 days after each infusion, then I was extremely fatigued for about 5 days. Since the taxotere wasn't working I was switched to jevtana. I also experienced the same fatigue and tiredness as taxotere but my taste buds weren't affected as much. Also, all my hair grew back as well as my beard started to grow normally again. But most importantly, my PSA started dropping again on jevtana. From my experience jevtana is far superior to taxotere. Lastly, I went on pluvicto (lutetium-177) for six cycles spread six weeks apart. To my knowledge I experienced no side effects from pluvicto.
@@jabster58 The pluvicto treatment went well, although my PSA only got down to 0.18. How long it will stay there is anybody's guess. Pluvicto is very expensive. My health insurance paid out $48,000 for each treatment. But again, it's far superior to chemo in every way.
fascinating and pertinent stuff , this really is very useful for me to counsel my affected patients (different speciality but i see lots of Ca P comorbidity )
Thanks PCRI, I really appreciate Dr. Scholz opinion on fasting with chemo. An idea that may be of value for another time is Dr. Scholz comments on emerging treatments such as AOH1996, second generation more potent lithium therapy and others he may be aware of. Thanks so much.
Great content thank you, very good to see fasting mentioned i did 3 days before one day after worked for me, lovely voice and presentation quite soothing 2 days after 6th chemo
You two are doing a wonderful thing for people like myself. I had my MRI, and was deemed a category 5. Then just the other day I had the mri fusion biopsy and will get the results back on december 11th. My psa was a 4.4, so needless to say I will be staying tuned and watching more of your videos, well done.
Dr Shooltz & Company keep up your excellent work. I have my 2nd around of Taxotere Chemo because Xtandi does not work and my psa is 27, and PET Scan revealed that I have small prostrate cancer that was found on lymphoud, specifically at my left armpit.
Sad that treatment doesn’t seem to have progressed. My mom died of cancer 39 years ago, options were chemo, cut it out, or burn it with radiation. Same as today
This was wonderful! Thank you for this video. Really needed info for my dad and info I can use for his Chemo eval appt on Monday. I will definitely talk to his doctor concerning WBC count and pre-treatment to protect WBC count before chemo. That was our big concern.
When it comes to prostate cancer with mets with PSA at high levels over 50 and needed to start zytiga or xtandi because other treatments started to fail, why is it when you read experiences from survivors many say it didn’t help them. Many say PSA started to go down on those two treatments and then within 2-3 months PSA continued to rise again. Same experience for my dad. But sometimes you hear someone with similar diagnosis say they been on one of those pills with PSA staying low for years. Why do some people get that result but many don’t? Wondered what the difference is. Is it a combo of other meds. Dad is also on xgeva and lupron. I know others have other combos as well. I understand many react different to cancer, but I was curious why such a huge difference when on the same treatment?
My dad 68 yr old was admitted to the hospital for high diabetes..got to know he has a psa of 170 ..biopsy n psma pet scan showed metastasis to bone .. he is asymptomatic .. his chemo is scheduled for this week.. I want to ask if it is common for patients to be metastatic n asymptomatic. Also, our doctor has asked him not to do any physical work bcos it has infected his bone, though he says he feels normal..any thoughts on this pls..
After 8 sessions of docetaxel 85 mg and Degarlix . Fir how long Degarlix should be continued with psa around .04 for 2.5 years. Kindly advise should stop after 3 years or continue till the time it works
Can there be special cases (e.g. I am a Zero PSA patient) where indefinite Docetaxel cycles should be prescribed as opposed to the six cycles referenced in your video? I have advanced prostate cancer with bone metastasis and an undetectible PSA. In August 2023 I had 85% surgical removal of a prostate cancer tumor on C6 of my cervical spine. After completing ten radiation sessions to the cervical spine in December of 2023, I am presently undergoing chemotherapy with Docetaxel.
I have a 3cm X 3cm PCa tumor on my liver. The doctors are prescribing Jevtana. Any thoughts about surgery or radiation? It looks like I have a few months left, does that sound right? Tom Maloney
It's not an easy question. And even more when you don't provide other information. It may be very risky to go on radiation without ADT (=HT) with GS(4+4). Assuming that you mean GS(4+4), not GS(3+5) or GS(5+3) which are even more aggressive than GS(4+4). Maybe only when the GS8(4+4) is starting. For example tumor is very small, PSA is low, bone scan clear, soft tissue scan clear, biopsy results show only 1-2 positive cores with GS8(4+4) out of 12 and the GS8(4+4) amount of cancer is only 5% in these samples. Don't forget that GS8 (4+4) is very aggressive and can metastasize. That's one of the reasons why the hormone therapy is usually applied in GS8. RT with ADT has better recurrence-free results. It may be very risky to go to radiation. And don't forget that biopsy don't have to show everything. If you don't want ADT (=HT), you may add brachyterapy to EBRT.
After 8 sessions of docetaxel 85 mg and Degarlix . Fir how long Degarlix should be continued with psa around .04 for 2.5 years. Kindly advise should stop after 3 years or continue till the time it works
I was one of your first 100 subscribers. At that time, you were perhaps an outlier, not always looked upon as mainstream by the urology community. How times have changed. And you have made that change happen! Thank you for your service.
This lady needs to start a radio show, her voice is incredibly soothing, I could listen to her every day 🙂
I am in Australia with advanced prostate cancer, your videos are so informative, I feel empowered with my treatment plan, thank you so much
How do we know what to ask the medical oncologist to know if we are going to get good treatment? Would you do a video on finding the right oncologist. Thanks a million for all your FANTASTIC videos. They have been life changing!!!
Neulasta was initiated before my husband's 2nd taxatere session. His blood work showed he was neutropenic one week after his first does. Dr. said he couldn't prescribe Neulasta unless there was evidence that my husband needed it. basically insurance would not pay until there was a problem. Dr. also suggested taking Claritin to help with side effects of Neulasta, which is bone pain or achy, flu like feeling. Great video.
Hi I'm 65yrs and my psa level have been 12.4 for the last 14 months. My Urologist sent me for an MRI scan and the results came back as inflammation and enlarged prostrate. My Urologist said i have prostatitis that is the reason why my psa is high. I suggested a biopsy and he was against that option as he went on to say the biopsy needle will have no target on the prostrate as no cancer is showing on MRI. Im a little nervous as both my Dad and Grandad both passed away with prostrate cancer. I even thought about paying privately to have my prostrate removed as its giving me much anxiety. I had another psa blood test yesterday and hoping the psa levels have dropped since my last blood test 2 months ago🙏
I don't know what the volume of your prostate is. But with that high PSA you should definitely know what volume your prostate is.
For 12.4 PSA being normal, the prostate would have to be higher than 83cc. Look for PSA density. Divide the PSA by the volume of your prostate. If it's over 0.15 then the PSA density is abnormal and you should go to biopsy.
You say that your dad and granddad had prostate cancer. Prostate cancer is one the cancers that is genetic. So it means that you are in higher risk of having prostate cancer in the future.
Taxotere didn't work for me. I had four cycles of taxotere and my PSA continued to rise. While on taxotere my hair loss began after 13 days. Also, my beard and eyebrows stopped growing. Fatigue started to set in about 2 days after each infusion, then I was extremely fatigued for about 5 days. Since the taxotere wasn't working I was switched to jevtana. I also experienced the same fatigue and tiredness as taxotere but my taste buds weren't affected as much. Also, all my hair grew back as well as my beard started to grow normally again. But most importantly, my PSA started dropping again on jevtana. From my experience jevtana is far superior to taxotere. Lastly, I went on pluvicto (lutetium-177) for six cycles spread six weeks apart. To my knowledge I experienced no side effects from pluvicto.
How did it go
@@jabster58 The pluvicto treatment went well, although my PSA only got down to 0.18. How long it will stay there is anybody's guess. Pluvicto is very expensive. My health insurance paid out $48,000 for each treatment. But again, it's far superior to chemo in every way.
I love your ties dr Scholz I think you should give a tie to everyone that donates this would quickly increase donations
Sir can have a podcast on treatment of prostate cancer in diabetic patient.
Thier simultaneous occurance is really hight.
fascinating and pertinent stuff , this really is very useful for me to counsel my affected patients (different speciality but i see lots of Ca P comorbidity )
Thanks PCRI, I really appreciate Dr. Scholz opinion on fasting with chemo. An idea that may be of value for another time is Dr. Scholz comments on emerging treatments such as AOH1996, second generation more potent lithium therapy and others he may be aware of. Thanks so much.
correction Lutetium😝
Great content thank you, very good to see fasting mentioned i did 3 days before one day after worked for me, lovely voice and presentation quite soothing 2 days after 6th chemo
Thank you for this video❤
Thank you. Your work means so much to us .
You are always top of the line.
You two are doing a wonderful thing for people like myself. I had my MRI, and was deemed a category 5. Then just the other day I had the mri fusion biopsy and will get the results back on december 11th. My psa was a 4.4, so needless to say I will be staying tuned and watching more of your videos, well done.
Best of luck!
🤞
Dr Shooltz & Company keep up your excellent work. I have my 2nd around of Taxotere Chemo because Xtandi does not work and my psa is 27, and PET Scan revealed that I have small prostrate cancer that was found on lymphoud, specifically at my left armpit.
Did you receive spot radiation to the malignant lymph node?
Sad that treatment doesn’t seem to have progressed. My mom died of cancer 39 years ago, options were chemo, cut it out, or burn it with radiation. Same as today
Awesome site and info
Thank you Thank you Thank you!
This was wonderful! Thank you for this video. Really needed info for my dad and info I can use for his Chemo eval appt on Monday. I will definitely talk to his doctor concerning WBC count and pre-treatment to protect WBC count before chemo. That was our big concern.
Could you please talk about AI and the possible medical benefits?
how many months of survival does it add for metastatic prostate cancer (on average)
Can you address parenteral estrogen treatment for pC? Thank you.
When it comes to prostate cancer with mets with PSA at high levels over 50 and needed to start zytiga or xtandi because other treatments started to fail, why is it when you read experiences from survivors many say it didn’t help them. Many say PSA started to go down on those two treatments and then within 2-3 months PSA continued to rise again. Same experience for my dad. But sometimes you hear someone with similar diagnosis say they been on one of those pills with PSA staying low for years. Why do some people get that result but many don’t? Wondered what the difference is. Is it a combo of other meds. Dad is also on xgeva and lupron. I know others have other combos as well. I understand many react different to cancer, but I was curious why such a huge difference when on the same treatment?
My dad 68 yr old was admitted to the hospital for high diabetes..got to know he has a psa of 170 ..biopsy n psma pet scan showed metastasis to bone .. he is asymptomatic .. his chemo is scheduled for this week.. I want to ask if it is common for patients to be metastatic n asymptomatic. Also, our doctor has asked him not to do any physical work bcos it has infected his bone, though he says he feels normal..any thoughts on this pls..
After 8 sessions of docetaxel 85 mg and Degarlix . Fir how long Degarlix should be continued with psa around .04 for 2.5 years. Kindly advise should stop after 3 years or continue till the time it works
Can there be special cases (e.g. I am a Zero PSA patient) where indefinite Docetaxel cycles should be prescribed as opposed to the six cycles referenced in your video? I have advanced prostate cancer with bone metastasis and an undetectible PSA. In August 2023 I had 85% surgical removal of a prostate cancer tumor on C6 of my cervical spine. After completing ten radiation sessions to the cervical spine in December of 2023, I am presently undergoing chemotherapy with Docetaxel.
I have a 3cm X 3cm PCa tumor on my liver. The doctors are prescribing Jevtana. Any thoughts about surgery or radiation? It looks like I have a few months left, does that sound right?
Tom Maloney
Will PSA levels ever drop without treatment?
PSA can fluctuate. But that doesn't mean that the cancer went away.
Under what circumstances is skipping hormone treatment and going foward with radiation an option... in a gleason 8 situation.
It's not an easy question. And even more when you don't provide other information.
It may be very risky to go on radiation without ADT (=HT) with GS(4+4).
Assuming that you mean GS(4+4), not GS(3+5) or GS(5+3) which are even more aggressive than GS(4+4).
Maybe only when the GS8(4+4) is starting. For example tumor is very small, PSA is low, bone scan clear, soft tissue scan clear, biopsy results show only 1-2 positive cores with GS8(4+4) out of 12 and the GS8(4+4) amount of cancer is only 5% in these samples.
Don't forget that GS8 (4+4) is very aggressive and can metastasize. That's one of the reasons why the hormone therapy is usually applied in GS8. RT with ADT has better recurrence-free results. It may be very risky to go to radiation. And don't forget that biopsy don't have to show everything.
If you don't want ADT (=HT), you may add brachyterapy to EBRT.
What doses of prednisone/
After 8 sessions of docetaxel 85 mg and Degarlix . Fir how long Degarlix should be continued with psa around .04 for 2.5 years. Kindly advise should stop after 3 years or continue till the time it works