Was hoping for a better monthly PSA post Xtandi

[dockam]

Hey gang,

PSA dropped to 8.9 from 9.2 last month with a month of Xtandi 😢

Started Xtandi after a jump from 5.2 to 9.2 in a month.

Was hoping for a bigger drop, it may be the dying PCa cells releasing PSA.

Have two 1 cm pelvic lymph node that had a high activity with Axumin scan a couple months ago.

Life is still good even with #stageIVpca

Still able to do dentistry(seeing patients are an antidepressant) , hiking, and made a full blown Friendsgiving dinner last Sat

May y'all have a wonderful Thanksgiving

Much Aloha

Fight on Brothers

Randy

[Kaliber]

Hope you have a nice Thanksgiving too brother Randy . You’ve still got lots of fire in that furnace buddy, probably that Xtandi will kick in harder in a bit ... it took me 90 days to hit nadir on it.

Best wishes for the holiday 🌻🦋🌸🌼🌈🦃🦃🦃

[Hidden]

Come on Psa ,cooperate please ?

[Magnus1964]

You hit it, dying cells are probably giving off PSA.

[2dee]

I'm 78. Give the Xtandi just a bit more time.MY experience is 2018 PSA 1300+.

Lupron till 7mos ago brought PSA below 2. 7mos ago PSA spiked up above 9.

Xtandi added for 6mos brought PSA down to .3 and still falling maybe.

2Dee

[StayPositive1]

Happy Thanksgiving Randy! I hope you can still get out for a Turkey Trot in the AM. I’m hoping to bag a mile or two myself. Cheers!

[David20451]

Started Xtandi after SBRT to an enlarged lymph node so cannot cannot comment on PSA. Have you considered SBRT (focused radiation) on the lymph node. I saw a urological surgeon who wouldn't consider surgery. Too dangerous in my case. Been on Xtandi for 6-1/2 years now. Keep on keeping on. Sounds like you are doing all of the right things. Happy Thanksgiving.

[dockam in reply to David20451]

Spoke to Kaiser MO and we are going to monitor monthly PSAs. If no significant drop, then a rechallenge with Taxotere in 2021.We ruled out radiation thus far, I'd rather for whole body systemic approach to get any stray PCa cells e.g. Chemo.

[monte1111]

Chemo and lupron brought me from 59.9 to 7 right before the last chemo. It was over a year before Xtandi and Lupron brought me to <0.1.

[j-o-h-n]

Patience is a virtue, have it if you can, seldom in a woman, always in a man....

Happy Black Friday...

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 11/26/2020 9:30 PM EST - HTD

[dockam in reply to j-o-h-n]

Patients are a plus for me 😂

[j-o-h-n in reply to dockam]

How true......... But I call them customers.......

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 11/27/2020 3:47 PM EST

[treedown]

I am going to count the drop as a good thing and be happy for you OK?