#ProstateCancer

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4:48 Physical activity and exercise are important to make you feel better plus mental health booster
5:31 What comes to mind from the Genetics lecture?
9:24 How does liquid biopsies relate to early screening?
14:29 15-20 years ago total body CT scans not finding actionable cancer-MRI's now can
18:25 The problem of over diagnosed Prostate Cancer
19:05 Active Surveillance - why isn't every man tested for BRCA mutations?
23:16 How does being BRCA positive correlate with treatment in breast vs prostate cancer?
27:25 Random biopsies - root cause of over treatment until 2015
28:26 How does MRI replace biopsies in liver cancer? What about Prostate? PET scans?
30:53 Information is evolving too fast for one person to keep track of
31:25 GINA - Genetic Information Nondiscrimination Act 2009
32:58 Statistics show mortality rates for men with 3+3 PCa is lower than general population
34:10 Lynch Syndrome
38:05 Familial Hypercholesterolemia
39:09 Sharks and Minnows
42:52 70% of men with PSA above 4 will never get diagnosed with prostate cancer
43:41 Gadolinium contrast agent - yes or no?
44:09 MRI second opinions
48:00 MRI's can miss up to 20% of clinically significant cancers but...
49:01 Historical reason for going off active surveillance
51:02 New role for PSMA test
53:39 Around one half of men with high gleason scores will never metastasize
56:43 PSMA scans can now pick up small amounts of cancer
58:59 MRI's and PSMA scans
1:03:36 How often can MRI complement PSMA?
1:04:12 DIY Combat Manual
1:06:27 Different types of Stage 4 cancer
1:08:03 Insurance and pharmaceutical company appeals
1:12:01 Follow up - Plan B
1:15:39 Hormone resistant men with treatments from Dr. Kwon
1:17:20 Law of probability - clinical trials
1:23:11 Sharks and minnows
1:24:11 How close is a clinical trial to completion and success?
1:30:24 For some Medicare covers drugs for high cardio event risk patients
1:32:40 What are the downsides and cautions of some drugs?
1:34:39 How does lifestyle effect drugs?
1:37:25 The more you exercise the bigger the reward
1:41:39 Active surveillance patients improved with exercise - ERASE 2022 randomized trial
1:43:10 "I did all these healthy things and I still got cancer?"
1:46:27 You can benefit in a multitude of ways with exercise/taking care of yourself
1:53:01 We are cars
1:55:42 When a doctor says exercise makes a difference you should believe it
2:02:05 Diet questions
Don't know your stage? Take the quiz: visit www.prostatecancerstaging.org
To learn more about prostate cancer, visit www.pcri.org
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Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

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30 апр 2024

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Комментарии : 33

@ThePCRI 2 месяца назад

Here are the timestamps for your convenience: 4:48 Physical activity and exercise are important to make you feel better plus mental health booster 5:31 What comes to mind from the Genetics lecture? 9:24 How does liquid biopsies relate to early screening? 14:29 15-20 years ago total body CT scans not finding actionable cancer-MRI's now can 18:25 The problem of over diagnosed Prostate Cancer 19:05 Active Surveillance - why isn't every man tested for BRCA mutations? 23:16 How does being BRCA positive correlate with treatment in breast vs prostate cancer? 27:25 Random biopsies - root cause of over treatment until 2015 28:26 How does MRI replace biopsies in liver cancer? What about Prostate? PET scans? 30:53 Information is evolving too fast for one person to keep track of 31:25 GINA - Genetic Information Nondiscrimination Act 2009 32:58 Statistics show mortality rates for men with 3+3 PCa is lower than general population 34:10 Lynch Syndrome 38:05 Familial Hypercholesterolemia 39:09 Sharks and Minnows 42:52 70% of men with PSA above 4 will never get diagnosed with prostate cancer 43:41 Gadolinium contrast agent - yes or no? 44:09 MRI second opinions 48:00 MRI's can miss up to 20% of clinically significant cancers but... 49:01 Historical reason for going off active surveillance 51:02 New role for PSMA test 53:39 Around one half of men with high gleason scores will never metastasize 56:43 PSMA scans can now pick up small amounts of cancer 58:59 MRI's and PSMA scans 1:03:36 How often can MRI complement PSMA? 1:04:12 DIY Combat Manual 1:06:27 Different types of Stage 4 cancer 1:08:03 Insurance and pharmaceutical company appeals 1:12:01 Follow up - Plan B 1:15:39 Hormone resistant men with treatments from Dr. Kwon 1:17:20 Law of probability - clinical trials 1:23:11 Sharks and minnows 1:24:11 How close is a clinical trial to completion and success? 1:30:24 For some Medicare covers drugs for high cardio event risk patients 1:32:40 What are the downsides and cautions of some drugs? 1:34:39 How does lifestyle effect drugs? 1:37:25 The more you exercise the bigger the reward 1:41:39 Active surveillance patients improved with exercise - ERASE 2022 randomized trial 1:43:10 "I did all these healthy things and I still got cancer?" 1:46:27 You can benefit in a multitude of ways with exercise/taking care of yourself 1:53:01 We are cars 1:55:42 When a doctor says exercise makes a difference you should believe it 2:02:05 Diet questions

@drhalinmn Месяц назад

Thank You!

@russelljohn5258 2 месяца назад

In discussing my Lupron therapy of chemical recurrence after prostatectomy, none of my doctors, Urologist, Oncologist, Radiation Oncologist, General Practitioner, mentioned exercise. I have tried to exercise but since being on ADT I feel like I am 90 years old, before I felt like a healthy 75 year old. I have told my oncologist I am done with Lupron, he wanted to do another 12 months, (already done 12). My highest PSA 10 years after prostatectomy was 0.41. Also 2 PSMA Pet scans, a year apart, and done at UCSF, were both negative. So 6 months after my 7 weeks radiation treatments and 12 moths of ADT, I am done with ADT despite the oncologists warnings that cancer could come back. I told him I feel I am in more danger from my health deteriorating from ADT than I am from prostate cancer. So we'll do surveillance and if PSA goes up we'll deal with it then.

@John-the-Bass 2 месяца назад

I agree with you. Good decision

@robwells230 Месяц назад

I was Coerced, deceived, intimidated and extorted into one shot of Eligard which was described as a six month shot. The horrific quality of life destroying side effects were so INSUFFERABLE that I refused further ADT inspite of being ordered on this toxin for two years. Now, a year and a half after that shit expired, and my testosterone level remains well below baseline and I was never informed about the long lasting and often permanent CASTRATION that results from this cruel and barbaric ADT. The CROSS CANCER INSTITUTE treated me more like a concentration camp inmate than a patient.

@russelljohn5258 Месяц назад

I am sorry to hear that. My Doc has been pretty good, wants to be sure I understand the reason for the treatments and the both the risks of the treatment as well as the risks of deciding to forego that treatment, so after a year of Lupron and 7 weeks of radiation, I told him no more Lupron shots and explained why, and the effects it had on my overall health and concluded by saying "I am more worried about the general decline in my health due to the Lupron than I am about the prostate cancer." I then asked to be given Testosterone shots instead of lupron. After reminding me of the risks, and I again explained my plan of action, monitor PSA if it starts up get another PSMA Pet scan to locate it then zap it. He agreed, started me on a small dose T shot to begin. I feel am feeling a little better, especially psychologically and get my second shot in 2 weeks. Obviously your options really depend on the state of your cancer and its agressiveness etc. Do not be afraid to get a second opinion, I actually got two opinions which generally agreed with my oncologist's though they did recommend only 9 months to a year of ADT therapy not the 18-24 months my Onco recommended.

@brandy8093 7 дней назад

@robwells230 thanks for the great information and I hope you're doing well.

@TiHerr74 2 месяца назад

Admitingly writing this before watching the entire video but I’m one of the millions of men in a watchful waiting mode (high PSA, PI-RADS 3 MRI). I’ve tried unsuccessfully to obtain bio-marker tests or a second opinion of my scan despite multiple attempts. It should not be this difficult.

@mostguitarswins Месяц назад

This is a great discussion that taught me a lot about the nuances of diagnostics and treatment. The message, above all, is to take responsibility for your health and get on with doing the things that make a real difference, like exercising and eating a healthy diet.

@Rockinrn 2 месяца назад

Neither my radiation oncologist, nor my urologist, nor my medical oncologist ever mentioned a word about exercise.

@PredatoryTeeth 2 месяца назад

We tremendously thank you for this!

@nelsonoliva2119 2 месяца назад

I would like to know what Dr.Scholz and PCRI think of the decipher genetic test as a prognostic tool for tumor behavior and prediction of metastasis? I hope you guys see this, thanks as always for the amazing info.

@ThePCRI Месяц назад

Hello, we are not able to answer case questions on our comment section but we can help you through our Helpline who can speak with you either by phone or email. Here is the link to contact them: pcri.org/helpline

@daisuke6072 Месяц назад

Excellent reassuring as usual in many respects. I know the criticality of exercise although I am still not at the ADT stage, it’s just such a pain for individuals with an inborn aversion to it and attraction to mental pursuits. Still I’m doing 5km plus of running and walking a day though I have yet to come to grips (pun intended) with resistance training and overcoming my anti-jock mentality.

@jaktao6044 2 месяца назад

you guys are the good guys!

@Floyd930 Месяц назад

Very useful as always!

@jaktao6044 2 месяца назад

Dr. Scholz - great ties! I was floored literally when after having to travel a fair distance to this specific physician who has the micro-ultrasound (high resolution) overlay fusion w/MRI technology, tells me he only does 12-16 random biopsies! Furthermore, he was stating the rectal was no big deal (just take some antibiotics) and essentially no need for the perineal method! Why have the ExactVu micro-ultrasound? Must be a combination of greed (MMM aka money making machine) for more profit via the numerous needles/pathologies and just ingrained old school mentality. WOW! So, you two are a refreshing breeze in the old slime hanging in the air. I'm in Seattle and he was the only one who has the technology and who I thought because of the accuracy would do a targeted biopsy. Any feedback would be appreciated.

@ThePCRI Месяц назад

@jaktao6044 Месяц назад

@@ThePCRI Have tried repeatedly with no success! I have written on both the administrative side and helpline with ZERO response! I was quite frankly hoping for some guidance and have been sorely disappointed in the ZERO response. It's odd that unless one has been "officially" diagnosed with prostate cancer that your questionnaire will avoid. I do appreciate your excellent videos but when it came to seriously needing help you have not been able to do so. - A simple referral for a targeted biopsy would have been greatly appreciated. I have left my coordinates and still have zero response Why is it you don't have a number to call or an email?

@ThePCRI 18 дней назад

@@jaktao6044 Hello, we are so sorry you experienced this issue. Please email info@pcri.org and they will be able to help.

@jaktao6044 17 дней назад

@@ThePCRI no problem at all! In fact, I was contacted and its greatly appreciated! My apologies for the frustration etc. You guys are awesome. Really like the ties

@michaeldelucia7352 2 месяца назад

How to prevent metastasis? Steps if metastasis occurs? Thanks!

@BobVanGelder-qt4de 2 месяца назад

On hormone therapy. Exercise definitely helps. Mostly only have hot flashes.

@robwells230 Месяц назад

What?¿?? No loss of libido?? No diabetes?? No severe fatigue?? No ED and inability to orgasm??? No mood swings?? No depression?? No osteoporosis?? No brain fog?? No sarcopenia?? No periodontal disease?? No penile atrophy?? No testicular shrinkage?? WOW, you are either a one in a million lucky guy, or a big pharma salesman.

@nyc863 2 месяца назад

Aren't eggs the richest food in Choline though. One egg is half the daily value for Choline..

@williambuckley6128 2 месяца назад

If you have a PSA of 130, should the order of testing be MRI, PSMA Pet, and then biopsy?

@ThePCRI Месяц назад

@charlescharles9625 Месяц назад

But, But.... I understand that "resistance weight training" is not recommended for prostate patients on ADT with intermediate kidney problems.

@michaeldelucia7352 2 месяца назад

How to determine if someone has shark or mino?

@ThePCRI Месяц назад

Hello Michael, here is a link to the presentation they are referring to: Prostate Imaging: MRIs & PSMA | Steven Raman, MD & Mark Moyad, MD, MPH ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-i6A_LqWOplM.htmlfeature=shared