Any hope?

[dpnick]

Any hope? I'm 80, diagnosed 10 years ago....did radiation, casadex, then xtandi, now going to xtigia and P..... Psa back up to 16 as xtandi faded away..... play golf twice a week ( weather permitting) go to gym once a week, have PT for dizziness every 3 weeks and hit happy hour twice a week. Should I be optimistic or pessimistic? PBN

[Tall_Allen]

I think it's better to alternate chemo and hormonals:

prostatecancer.news/2019/12...

[AlanMeyer in reply to Tall_Allen]

Allen,

As usual, I marvel at the summaries that you produce of current research. Your analyses are sophisticated and scientific. They're not trivial to understand. However they are much clearer for those of us who are not scientists than are the original research papers. They also put the results from multiple research papers together and show us how to interpret conflicting results.

Your contributions to the community are very significant and much appreciated.

Thanks.

Alan

[Tall_Allen in reply to AlanMeyer]

Alan- Good to see you back - you hadn't been posting for a while. I missed you.

[Hidden]

Be optimistic, it could be far worse.

[AlanMeyer]

Yes dpnick, I believe there is hope. You've made it ten years already and, who knows, you may get a few more. I have hope that you'll get to play more golf, and continue going to the gym for at least some time. I have hope that you'll face whatever happens to you with the same courage and attitude that you've adopted for the last ten years. I'm optimistic that you'll be able to maintain your outlook and your humanity for all of the time remaining. And I hope that I and all of the rest of us succeed in following your example.

Best of luck.

Alan

[pete-ginger]

DPN -

As someone else says below, yes, you seem to have good reason to be optimistic given how well you’ve done, don’t you think?

Plus, we’re all benefiting from the recent and continuing paradigm shift in PCx Tx. Knowledge creation is exploding.

I wonder if you’ve visited a world-class PCx center for a 2nd and/or Tx — e.g., Sloan-Kettering (NYC), Johns Hopkins (Baltimore), MD Anderson (Houston and Voorhees, NJ), Mayo (Rochester, MN), and others in the USA alone?

m.