Unexpected Med One change last Fri. Should I be concerned?

[depotdoug]

It has been an interesting ride with my adv Pca S4/w/mets recurrence now in yr two treatments. Yes, standard treatments Sept 2019 to present. Abiraterone only 250mg daily(low dose because of my cardiac issues) plus Pred 5mg daily. I was on Lupron Depot 9/2019 till June 2021. I went on Lupron hormone vacation then, primarily to more cardiac conditions.

To the point, phone call from my 2nd Med Onc RN told me that he, could not continue to treat me with all my cardiac issues. Ok should I take that as: 1) He is not qualified to deal with cancer/heart rhythm issue medication interactions 0r 2) He is looking out for the best for my cancer lifetime treatments??

I have been transferred to a well known Med One in my home town of Ft. Wayne, IN, with a new patient appt 24th Feb. Yes, closer to home than Indianapolis.

No I'm not at an all time PSA level. Trying to balance my cardiac/PCa health is interesting task. Recent PSA's: 12/01/2021 0.156ng/mL. 08/25/2021 0.126ng/mL June 2021 0.200ng/mL.

Really should I take this new unexpected Med One change as a positive or neg life experience? Plus my Cardiac Rhythm health has improved dramatically since my Cardiac Focus Heartlight X3 laser ablation Jan 04th 2022. Happy New Year.

It has been a while since updating my PCs health. Now going to a new, new doc.

Doug aka depotdoug

[depotdoug]

A forgot to write that. I’m being transferred from present medical oncologist to new medical oncologist in my home town.Park iew Cancer Institute affiliated with MD Anderson.

Dr Zhentao Zhang.

My last MO says he cant handle cardiac complicated patients. Maybe thats a niceway of putting it.

I’ve already got super EP electrophysiologist and great Cardiologists.

Oh by the my last(one thats dumping me) is cardiology trained from med school.

Hope this helps Nal

[Tall_Allen]

Discuss switching to a GnRH antagonist or orchiectomy- they seem to have lesser cardiac effects.

[depotdoug in reply to Tall_Allen]

Great response T A! Will bring that up next Thursday 09:00. Thxs. Also i see my IU Urologist March 9th.

[Hidden in reply to depotdoug]

DD you one tuff hombre amigo ! 😎👏👏👍keep rolling!

[Shooter1]

Not bad PSA reading. Sounds like heart is acting better and my not be such a complication form now on... I got of Lupron for like and cardiac side effects with Orchiectomy and feel fine about it.... Now working with second BCR --meeting with my RO tomorrow. Must be nice to live close to a Dr to handle your problems ...I usually travel 40, 75 or 105 miles to see my different drs or scan people.. Life Is Good, especially if you can keep your heart healthy.

[depotdoug]

Will do Nal! Cardiac history and current BP meds, arrhythmias are VIP. Coming soon. Just did repeat PSA, CMP and T level labs this AM.

Had new T T Echo 1:00 today

Busy doug

[depotdoug]

We had excellent Grouper last eve.Sauted with cherry tomatoes, olives, light olive oil. Fishing does a body good.

[Fuzzman77 in reply to depotdoug]

ALL grouper is good!!

[CAMPSOUPS in reply to depotdoug]

How do you get decent grouper in the mid west ?

[depotdoug in reply to CAMPSOUPS]

Fresh flown in to The Fresh Market seafood display. I don’t know.Wife baked 20 oz grouper last eve.

Tastes great all by itself. No wonder faired well on my US T T Echogram afternoon. Cardiac and Grouper make sense. Tasted freshhh.

[CAMPSOUPS in reply to depotdoug]

Nice. I'm jealous.

My life in seafood: Seattle phenomenal.

Then moved to Japan super, super phenomenal.

Then moved to Chicago pretty good.

Now the twin cities ok but difficult to source.

Sorry you've had to deal not only with PCa but cardio as well.

I wish the best for you.

[Hidden in reply to depotdoug]

Love the grouper! ❤️

[CAMPSOUPS in reply to Hidden]

Any trips to Florida must include grouper sandwiches everyday. Grilled, fried you name it!

[Hidden in reply to CAMPSOUPS]

You’re making this desert guy blush . Have you ever eaten hog fish snapper .? We speared it down in the keys . Best ever . Mmm😎👏

[CAMPSOUPS in reply to Hidden]

Snapper yes but no, not the hog fish snapper. Sounds fun.Maybe its for me. One time my wife and I were looking for the meaning of my first name. It came up as spearman lol.

[Hidden in reply to CAMPSOUPS]

Well then ! You are the spearman ! Better get under the warm water ! 👏👏😎

[CAMPSOUPS in reply to Hidden]

Well grandchildren rule. I'm glad to be here.

I remember before my dx I used to squirm and complain " no that's the wrong direction, I need to be moving south if I move at all" LOL.

[Hidden in reply to CAMPSOUPS]

If I could I’d be in the heat 2-3 months a year .

[depotdoug in reply to CAMPSOUPS]

Thanks. You living in Minneapolis St Paul?

[CAMPSOUPS in reply to depotdoug]

Yep for about 14 months now.

[Hidden in reply to depotdoug]

I was in Lakeville for a year . Coldest winter I’ve had . -40 ouch . Big houses cause nobody goes outside . ✌️😎

[CAMPSOUPS]

Flounder please. With an egg sac. MMMmmmm.

[London441]

Your track record speaks for itself, excellent. But the ongoing cardiac issues are understandably a concern. What does your cardiovascular exercise look like? Your LDL, HDL, triglycerides, your maximum HR, resting HR, 1 minute recovery (in BPM) from max exertion? Any and all of those would be helpful.

[depotdoug in reply to London441]

Yes it is, cardio workouts have increased since my Cardiofocus heartlightx3 laser cath ablation Jan 4th! 41 days 21 hrs in super Sinus Rhythm since. Yesterdays T.T. Echogram results report was also better than 2021’s Echo. Love my exercising. Thanks for reminding me about max exercise benefits..

[nonm]

Earnest Hemingway✍️🚣‍♂️

[Hidden]

Hey guy! I didn’t know that you’re a Hoosier . I spent years around Indy and Bloomington . I’ve been on constant adt 7 yrs and my veins are minuscule now . What does that say about my heart? We know that it’s not good . Guy that survive for some years usually get taken by the heart . That’s my path I think . Better that than end stage pc imho . I hope that you get a dr close by . Good luck Doug . Go Hoosiers! ❤️

[Hidden in reply to Hidden]

👏👏👏😎

[Hidden]

I see joy on your face! Those fish don’t know who there are messing with! Our best to sweet Mary❤️…. Shalom in the sunshine!

[depotdoug]

Oh yes Indy/Bloomington Hoosier.I did get transferred referred moved to a new med oncolgist right here in river city. Three rivers that is. Ft Wayne.

I see Dr Zhentao ‘Richard’ Zhang at Parkview Cancer Institute next Thursday. Parkview is a part connected with MD Anderson Texas.

Ok I went out to Parkview Cancer Inst to do my pre visit labs yesterday.

I should be excited to see a new better, more aware if my Ad PCa/cardiac issues?

But still trying to fathom being “Transferred”.

Got to lool at positives. Hard to do at times

[Hidden in reply to depotdoug]

United health care dropped me from their Medicare Medicaid service in Az a few months ago . B C B S picked us up . For a month I wasn’t covered .