IMRT do or not do on undetectable PSA

Posted by denis76 @denis76, 2 days ago

I'm 49 years old. My cancer is genetic (ATM gene mutation), Gleason 4+5

Three years after diagnosis, initial PSA 530 , three bone metastases, and metastases to the pelvic, cervical, and pulmonary lymph nodes. The prostate is still there, but they didn’t perform surgery on me because the doctor said it was dangerous.

Chemotherapy and ADT began in May 2024, start was Erleada in February 2025. Current PSA - 0.02

I repeatedly asked many doctors of various specialties about IMRT, but they all said it was too late. The tumor had spread throughout the body and could only be weakened with chemotherapy, ADT, and ARSI.

Does it make sense to do IMRT in my case?

Thank for any reply. Be Health and god bless you all!

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

heavyphil | @heavyphil | 1 day ago

In reply to @jeffmarc "@heavyphil That’s easy for you to say!!!" + (show)

@jeffmarc So glad YOU, of all people responded to that!
I have a ‘like’ from a forum member in my email that I CANNOT delete no matter what I do. Nothing works!
I even shut down my iphone, rebooted and it was gone for a few hours…and now it’s back. I can’t block him because I think it will block ALL the Mayo incoming mail.
What do you think, as a computer expert, hmmm? Before you answer I need to know your hourly billable charge 😂 Best,
Phil

Jeff Marchi | @jeffmarc | 1 day ago

In reply to @heavyphil "@jeffmarc So glad YOU, of all people responded to that! I have a ‘like’ from a..." + (show)

@heavyphil
Your email comes from a mail service. It seems you’re talking about one particular email you keep getting back in your feed. Instead of working on the phone to get rid of it, go to your mail Service web site and delete it there. If you’re using IMAP, that should stop it. POP3 would not ordinarily do that.

I was charging $140 an hour when I retired 11 years ago. I don’t charge anybody anymore because I don’t really do much for anybody. I do get a kick out of helping people when they have no clue what’s going on. I have to help my wife all the time, one thing is that She keeps going to websites that Take over the screen and say you are infected, call us to fix. Do not restart your computer. I Immediately restart her computer and it’s gone. Had one neighbor I had to help a few weeks ago, He couldn’t log into his PC because he didn’t remember his password for the PC. He didn’t even have his email on the phone, which you needed to get to, in order to reset the password. He also didn’t know his email password. Keep hearing A Bing from the other room, when I request the password reset, I asked about the sound and He tells me, my emails are on my wife’s phone. That was all I needed to fix it, her phone. The funny things people get into.

heavyphil | @heavyphil | 22 hours ago

In reply to @jeffmarc "@heavyphil Your email comes from a mail service. It seems you’re talking about one particular email..." + (show)

@jeffmarc Oh man, THANK YOU!
I will do that ASAP.
Your wife is not the only one who’s had the pleasure of having her PC turn into a blaring alarm with a screen blinking INFECTED!! in bold red font.
A few years back, I had a supposed Apple technician calmly walking me into my online pension account to check and be sure it had not been breached.
I actually got to the point of almost typing in my password when I yelled a few expletives into the phone and abruptly hung up, pulled the plug and ran and hid under the covers.
A short while later, a real Apple technician had a good laugh at my story and told me what you just said. Just pull the plug hang up the phone and all will be well. Thanks again for the great advice!

Jeff Marchi | @jeffmarc | 20 hours ago

In reply to @heavyphil "@jeffmarc Oh man, THANK YOU! I will do that ASAP. Your wife is not the only..." + (show)

@heavyphil
With a PC you just hit ctrl+alt+delete Go to the bottom right and Select restart. When it comes back up, you’re clean.

On a Mac, you just hold the power button down for 10 seconds till it shuts off and then restart it.

This type of thing really does freak people out, And they frequently call those numbers on the screen and get totally hacked.

heavyphil | @heavyphil | 2 hours ago

In reply to @jeffmarc "@heavyphil With a PC you just hit ctrl+alt+delete Go to the bottom right and Select restart...." + (show)

@jeffmarc BTW, that hack didn’t work; deleted at Optimum website (mail host) but can’t get it off phone. Any other tricks up your sleeve, Jeff? Thanks!
Phil