How long does your oncologist have you on ADT?

"what to when Cessna stalls and right wing falls with nose of aircraft pointing down"

Ailerons neutral. Correct with opposite rudder first, then yoke forward to break the stall. Increase power and gently recover to level flight.

Next question, instructor? 😉

(I could have included closing the throttle right after ailerons neutral, but that kind of stall usually happens on approach when you're already at low power, so there's no point making it more complicated than it needs to be.)

Thank you for that information. My husband has stage four metastatic prostate cancer Some in the lower back and a lymph node. He is an 84-year-old organic gardener/double E design engineer. He has been on Orgovyx and Xtandi since the end of February. His PSA had risen over a year from three, to 11. 19 biopsies all came back carcinoma. He did have chirp surgery early in March, and he needed two blood transfusions and was in the hospital, a place. He has never been in his life, for four days. His urologist said he had a huge prostate, and there was a lot of bleeding He does have hot flushes and was having chills after that, but they seem to have stopped. What I am, noticing is some cognative changes. Very subtle but noticeable to me, I’m his wife. He had a cystoscopy yesterday as they found blood in his urine two weeks ago. His bladder is clear, thank God. We’re seeing his oncologist to discuss change in medication. Lupron injection was mentioned. His urologist suggested we talk to the oncologist, but he also agreed with me, that it is easier to stop a pill, than to wait six months, and even longer,if my husband has more severe reactions to the Lupron injection. He has not had any other procedures, just two PET scans, in the last six months. We went to Dana Farber for a second opinion. His doctor there wanted his PSA at .02 he is there, and last PSA, two weeks ago was .01. Has anyone dealt with the cognitive issues? my husband‘s concerned that he’s going to be a drooling, unresponsive vegetable. I still think it’s too early to know since it all has come as a huge shock to both of us and mentally dealing with this is difficult. He was active 15 hours a day, at his age trimming trees, putting a new roof on our shed and cultivating in his John Deere tractor 3 acres of property here. His urologist told him, “it’s quality of life versus medication’s.”

Yeah, "forever" means either

1. Until they figure out a better approach to long-term stage-4 prostate cancer management, or
2. We die (possibly from something else).

I also sometimes use the phrase "ADT lifer" to describe our situation. I don't know about you, but I'm pretty used to living with ADT + Apalutamide now. For me, the side-effects are just minor annoyances rather than real issues, like they sometimes could be during the first 12–18 months.

Yes, I had Gleason 7 so I’m getting 6 months of ADT.

But I envy the “doesn’t bother me” group. The side effect of hot flashes has been just brutal for me. I get one, which happens quite often, and must immediately stop what I’m doing and rush to a fan, drenched in sweat. So I’m really hoping this will be it, although its a little hard to be too optimistic about that outcome.

Yes, I had Gleason 7 so I’m getting 6 months of ADT.

But I envy the “doesn’t bother me” group. The side effect of hot flashes has been just brutal for me. I get one, which happens quite often, and must immediately stop what I’m doing and rush to a fan, drenched in sweat. So I’m really hoping this will be it, although its a little hard to be too optimistic about that outcome.

Yes, I had Gleason 7 so I’m getting 6 months of ADT.

But I envy the “doesn’t bother me” group. The side effect of hot flashes has been just brutal for me. I get one, which happens quite often, and must immediately stop what I’m doing and rush to a fan, drenched in sweat. So I’m really hoping this will be it, although its a little hard to be too optimistic about that outcome.

Dang, I want a brain transplant with North.

I had been doing OK during my 4th year on Eligard, but then recent HDR Brachy + doubling the dosage of Flowmax + starting Xtandi is kicking my butt. Yesterday I took 4 naps. A few days ago I took my morning shower twice. I do still remember my wife's name, though.

I'll be chatting with my Mayo doctor in about a month, and if things aren't improving by then, I'll ask him about Nubeqa or other options.

Thank you for that information. We’ll discuss with my husband‘s oncologist next week. The main concern is the rise in the PSA. Dana Farber was not happy until he went down to 0.02. (If I’m printing that correctly). It is now at 0.01. They told him the chance of spreading at a higher number, was likely. He was diagnosed on Valentine’s Day, of this year, 2025, been on the medication’s as of 1 March.

Can I ask, what dose of prednisone is everybody on, and how many times a day?