Lecture on PCa Recurrence

User

Posted 03 Jun 2022 at 03:58

As with other lecturers by this doctor, I find this one interesting and worthy of viewing even if in places some might consider controversial. Quite a sizable proportion of treated men have recurrence and that can happen even many years later. https://www.youtube.com/watch?v=Q2joD360_pI

Barry

User

Posted 03 Jun 2022 at 11:27

Thanks Barry. I hope none of that will be relevant to me, but if it ever is I hope the NHS will be prepared to go for the deluxe treatment, if required.

Dave

User

Posted 03 Jun 2022 at 13:23

Barry, another video well worth watching.👍

Thanks Chris

User

Posted 03 Jun 2022 at 13:28

Thanks Barry. I watched both these videos a few days ago. Find it really interesting listening to him talk, and love that he is always pushing for curative treatment.

User

Posted 03 Jun 2022 at 14:06

that was part 2 of his talk, there are also some interest thoughts in Part 3, particularly the final thoughts. which you should find here https://www.youtube.com/watch?v=IEToOBuca1Q.

Part 1 of his talk serves more as an introduction to people diagnosed with with PCa but nevertheless gives some helpful thoughts. https://www.youtube.com/watch?v=81iAzYV39Gw

When you you see talks like these it makes you realize, (if you were not already aware), what a complicated disease PCa is and needs to be treated in different ways depending on how patients present. We sometimes have people join the forum asking for instance "why can't you just cut it out?" expecting that's the complete answer but these sort of talks help explain why it can be more nuanced and complex and clinicians are continually learning how best to treat in various circumstances.

Edited by member 03 Jun 2022 at 14:09 | Reason: Not specified

Barry

User

Posted 03 Jun 2022 at 15:58

Thanks Barry. I had actually missed part 3. It definitely worries me more in that regardless of treatment we really don’t know what is going on inside. It definitely will keep me on my toes in terms of being aware of changes and getting things checked out rather than rely on PSA.

I wonder if anyone could answer my question….could it be the case that some cancer cells in your body produce PSMA and some don’t? Therefore on a PSMA pet scan it might not show up everything? Or is it a case of if your ‘type’ of cancer produces PSMA it will be on all cells?

Thanks

User

Posted 03 Jun 2022 at 18:08

It is possible to have a mix - cells that are PSMA+ and cells that are PSMA-

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 03 Jun 2022 at 19:38

Thanks for the reply Lyn.

It’s definitely something else for me to worry about 🤦🏻‍♀️🙄😂

User

Posted 05 Jun 2022 at 17:24

It's a good thing to encourage discussion of these videos. I've been viewing that channel, mainly watching the other doctor who does short videos. This doctor is interesting and uses good graphics. Although it seems an exercise in the possible offering treatment that is unlikely on the NHS, such as the musician who had surgery to remove several mets that were in one area near his chest and others who had cryotherapy. The aggressive use of multiple drugs for some is worth noting where says an individuals case isn't just one type of cell so needs a variety of drugs. The other doctor talks about hitting hard early as well.

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