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Waiting for the Numbers...

Prostate Cancer | Last Active: 1 day ago | Replies (17)

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@northoftheborder
Thank you North, for taking time to reply....yes, I am sensing (and will ask in 5weeks) that I am past radiation (the Dr said "no radiation" a couple months ago) and after reading my own pet scan report / biopsy, I think with 17 active nodes of PCa, (16 outside the prostate itself) it means chemo or Pluvicto is in my future. I am not worried or stressed, just trying to educate myself as best I can. I just looked up ADT effectiveness over time and it goes from months to years. Im in no hurry to get to the finish line...lol.
Saving for retirement? Another laugh, I am 72 now, retired at 55...... and so glad I did. Still having a great time working/living on my land, I have a 1/2 mile long driveway and a steel gate I lock everyday at 2pm, walk down with the dogs at 6am to open it. Life is good here in my woods ....Thank you North, I have read your posts for months now and admire the way you have overcome your obstacles. I think you (and jeff, brian, mjp phil, others) are well qualified to give advice considering your (our) collective experiences. Im looking forward to next month, asking the MO questions and getting those new numbers.
Come on snake eyes! Give me a pair of ones!

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Replies to "@northoftheborder Thank you North, for taking time to reply....yes, I am sensing (and will ask in..."

@stage4lovolmetpc Yes, I hadn't counted in your post, but 17 metastases is definitely polymetastatic, not oligometastatic. It's not so much beyond anything as just a different optimal treatment path.

There has been a lot of excitement around "triplet therapy" for people in your situation: ADT + an ARSI like Abiraterone or a -lutamide + chemotherapy all at once, instead of in sequence, to send the cancer reeling right near the start.

Dr Eugene Kwon at Mayo has been one of the biggest advocates for triplet therapy (vs the old approach of gradually escalating treatment). I think you can find videos on YouTube of him discussing it, and it sounds like it might be what your oncologist has in mind as well.

Best of luck!

p.s. I grew up not far from Oswego, on the Ontario side of the lake.