Connect
← Return to Radiopharmaceutical treatment now instead of last resort.
Discussion
Radiopharmaceutical treatment now instead of last resort.
Prostate Cancer | Last Active: Mar 2 4:35pm | Replies (18)Comment receiving replies
Jeff.
No Not yet. I’m switching my care to Mayo Rochester in May. I’m only a couple of months into this journey. Biggest issue so far is not the cancer but trying to fight with insurance for approvals at almost every step of the way.
We’ve only talked about ADT, external beam radiation, and possibly chemo if/when the first two don’t work.
I was negative for all germline genetic tests. Negative for somatic genetic testing as well so I guess immunotherapy is out. …
Replies to "Jeff. No Not yet. I’m switching my care to Mayo Rochester in May. I’m only a..."
@lanksta25 Welcome to the club fighting for coverage. I have filed 7 appeals with the insurance typically rejecting and outside review approving. Now trying to get IMRT paid (was authorized on appeal, but fine print says authorization is not a guarantee of payment). This is on an employer self-insured plan. The insurance administrator must get a big bonus for rejecting claims.
Connect
@lanksta25 from my reseaRCH, even with Gleason 10, Stage IV, the ADT ( Orgovyx and Nubeqa) should bring your PSA down dramatically, then prob 45 seesion of EBRT. then see what is going on...you may never need Pluvicto !
also, they might want to give you a short round of chemo as well..at this point, how well you respond to the ADT is big prognostic indicator and later after radiation, might be a better time to asses further treatments if needed at all.