Managing Terminal Prostate Cancer | #MarkScholzMD #AlexScholz #PCRI

0:22 What are the next steps for a patient whose cancer is progressing in spite of treatment?
3:22 How is pain management handled during palliative care?
4:57 At what point would cancer be considered to extensive for a clinical trial?
6:56 What does the timing of the transition from treatment to palliative care look like?
8:30 What other options are there for treatment paths besides those previously mentioned?
10:39 At what point should a patient with advanced cancer get genetic testing?
11:00 What proportion of prostate cancer patients are at a point to consider palliative care?
12:46 How can patients best advocate for themselves to their physician?
13:58 Alex's conclusions


Who we are:

[tomswoverland]

I failed Pluvicto now waiting for an appointment for 4 spots to be targeted radiation. Wish me luck. Thanks for the video’s.

[kashishsharad]

God bless you both for providing insightful guidance to patient and caregivers. I have watched all your videos and that has helped me immensely in taking care of my fathers prostate cancer. PC is complex and each patient has their own biology and in this uncertain context, your videos work like a GPS and advance notification system. You help us (caregivers) by reducing anxiety and more importantly make informed decision for our patient. God bless you and wish you a all the very best from the bottom of my heart.

[johnmartinez]

I have this and I'm still kicking...

[edwardbertorelli]

Amazingly sensitive presentation thanks

[fredwelf]

Why can’t you either continue with the Pluvicto or retake another 6 cycles of Pluvicto if relapse occurs.

[kanwarjitnanda]

I have had prostrate cancer and have taken 8 85 mg sessions of docetaxel and 32 months of hormonal therapy. Prostrate cancer had spread outside to the nodes. Now totally under control .Psa is .04 for the last 2 years. After 3 years should I continue with the hormonal treatment ( imjections testosterone deprivation therapy).pls advise

[russelmills]

Could you please talk about the new drug SA53?

[starlight]

Question my dad has only tried hormone blockers and chemotherapy. His PSA was 0 for almost 2 years with hormone blockers. Then it stopped working and was put on chemotherapy which he couldn't tolerate. The chemotherapy made him weak so we don't want him on anymore. Is pluvicto or immunotherapy something we can ask the oncologist about?

[RH-xdnx]

I curious on men who passed in Dr Sholz practice, what was their gleason score? Did men with 3+3, 3+4, 4+3 pass away. Men with high gleason score normally have a battle obviously. I guess my question is have Dr Sholz ever see anyone loose their life from pc who had a 3+3 ?

[jamescompton]

Thanks for the excellent information. Our doctors seem to rushed to explain our condition and next treatments.

I was stage 4 at diagnoses and two years later CRPC. Since docetaxel attacks rapidly going cells, would activating the ones still in remission by ADT (wake them up) by using testosterone injections exposes them more effectively to docetaxel treatment?

[sandrawesterlund]

Appreciate so much all your videos and the information on Prostate cancer. My husband has stage 4 metastatic prostate cancer to bones. He just finished Pluvicto. He is awaiting his follow up PSMA to see how it has helped.
But I his wife had seen the discussion on terminal prostate cancer and Actinium-255 was mentioned. I could not find any information on Actinium-255 but I did find an article on Actinium-225 for prostate cancer. Could the 225 be correct and not the 255 ?? Await your response. Thanks Sandra W

[jimbaker]

I'm at the point of this video!!I got gene test and was brk 1 -2 gave me lynparza, , do you think this will help?
Has any body u know took Ivermectin??I'm seeing people who have tried it and it

[blackpine]

No mention of Fenbendazole…..in last resort cancer cases…….why it’s off patent and cheap……

[russelmills]

Could you please talk about the new drug SA53?