What every patient should know about ADT (hormone) therapy
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- Опубліковано 26 кві 2023
- This video is a recording of Prostate Cancer Canada's April 2023 Coast to Coast Support Group meeting held over Zoom.
Dr. Richard Wassersug is a PhD research scientist and Co-Lead of the national ADT Educational Program (see: LifeonADT.com). He is also the lead author on the book Androgen Deprivation Therapy: An essential guide for prostate cancer patients and their loved ones.
Dr. Wassersug is speaking here on 'What every patient should know about ADT (hormone) therapy.'
He was joined by his Co-Lead of the program and Co-Author of the book, Dr. Lauren Walker. Dr. Walker is a registered psychologist, and holds an academic appointment as an Adjunct Associate Professor in the Departments of Oncology and Psychology at the University of Calgary. She earned her PhD in Clinical Psychology in 2013 and completed a Clinical Fellowship specializing in Oncology and Sexuality in 2015.
Dr. Walker attended the presentation and answered questions with Dr. Wassersug during the Q&A period.
For more information on Prostate Cancer Foundation Canada (formerly Prostate Cancer Foundation BC), a nonprofit proudly providing leadership and resources in prostate cancer support, awareness, and research since 1997, please visit: prostatecanada.ca
The views, information, and opinions expressed in this video are those of the individuals involved and do not necessarily reflect the official policy or position of Prostate Cancer Foundation Canada (PCFC) or its employees. PCFC is not responsible and does not verify for accuracy any of the information contained in the videos available for watching on this site. The primary purpose of these videos is to educate and inform, but these videos do not constitute, or replace, medical or other professional advice.
Thank you !!
I have prostate cancer that metastasize to my spine and before it did metastasized my Dr told me to do ADT did not mention one word about it so I filled my prescription and went home and decided to educate myself on this medication he gave me … After extensive research I told my wife that there’s no way in hell I’m going to take the medication…. So today I’m just doing radiation and my faith will get me through the rest….
I Just Went Through This Same Situation My Cancer Was All Still In My Prostate ..I Had Gleason 8 PC In One Core 7,6 In Two More Cores .Other 9 Were No Cancer .PSA Was 4.5 .I Had 4 Weeks EBT .I Refused To Take The ADT Firmagon Shot And Had Permanent Brachy Seed Implants Last June .two Weeks Ago My Oncologist Told Me That My PSA Was O.6 And A Week Later My Cancer Was Undetectable .In Remission.
I'm going to start proton therapy pretty soon.And i'm frightful that them radiating in the area is just gonna disturb the cancer and it will spread. That's what I am a scared of. Then it will get worse. Everybody's story I hear it never goes away. Surgery, But radiation, A d t. It's a never ending process. That once the medical field gets their hooks in you they never let you go!!!!!
This sounds frightening and is very discouraging. I am new to this and I guess I will have to just keep educating myself before I do anything else.
How about Proton radiation? i heard that it made someone 11 years cancer free. Are you strictly talking about hormone therapy? I would really appreciate your answer sir.
Thanks you for convincing me to stop my Adv therapy, and letting.
,
Speak or write English much?
Very great points Doctor. On ADT since 2020. Stage 4 entered bones. Psa was 325 down to.225. Lift barbells and walk. Thank you for your information
I thought my PSA of 10.5 was bad
What you ALL have never faced (especially for seniors) is: why beat this disease, why not just keep it at bay ? Isn’t your quality of life the best if you just minimize or prevent metastasis? The East Coast has this “protocol” that a prostate of all Gleason “3”s must be radiated or surgically removed? For heaven’s sake WHY? 17:43
Hi. Just been advised of PSA at 310. What medication or procedures have you been on, or been given. Thanks
I get a lupron shot every 3 months and take erleada tablets daily. Also calcium and vitamin d tablets. Stay positive get plenty of sleep get rid of stress. Hang in there good luck
What are you talking about, I am confused, I never heard of Gleason 3 being radiated.@@richardgrayson4006
Thanks, you have convinced me to stop Avt, becaused the side efects are worthlessness.
What about elevated liver enzymes?
Excellent presentation 👏.
Would love for you to do a series on PLUVICTO, as there seems to be substantially more benefits to a certain category of prostate cancer patients
Hi there, we had Dr. Phil Cohen speak to us about Pluvicto in January. You can check it out here: ua-cam.com/video/2Of11lIL1fc/v-deo.html Hope that helps!
I have had just one injection of ADT. I have decided to not have the further scheduled 5 doses. I had a small though aggressive prostate cancer. Treated with radiation. My PSA kept rising after 12 months. The special PET scan indicates 4 nodes now have cancer spread.
I have been prescribed hormone tre without any information given to me. The side effects appear to outlay the treatment. I have chosen keto diet, vit D and more active life with less stress.
Do you think I am going down the wrong track?
Hi @12superoo, we can't provide medical advice, but would definitely suggest that you discuss your treatment decision further with your doctor, or get a second opinion as to what's recommended in your case from another healthcare professional, if possible. While there can be many side effects from ADT, there are also effective strategies to manage them, including those you have suggested - exercise, eating a low carb diet, and Vitamin D - that you may want to consider trying in conjunction with your treatment before deciding to go completely off of ADT. I hope that helps.
@@ProstateCanadawhy Dr's speak against eating red meat when dealing with PC?
Let's face Facts, Hormone therapy is chemical castration.
You never mentioned Cushing syndrome.
Being on Lupron for 6 months. Will side effects go away?
See my post. the longer you are on it the less chance you have. The odds are against you!
Where is your post?
@@wes613
Don't listen to these idiots on these UA-cam comments sections they're not doctors and they don't know what they're talkin about
No! But you get used to it and it becomes no big deal.
I think there's so much money involved with the pharmaceuticals. That's the
Reason behind giving you these hormone treatments.
hmmmm. I am going to remain EXTREMELY cautious! I don't like the sounds of this at all!
No better solutions than that ????????
Hi Patrick, we'd suggest checking out Dr. Wassersug and Dr. Walker's full course on dealing with ADT side effects called Life on ADT. You can sign up and learn more at www.lifeonadt.com. Hope this helps.
You’re in the toilet, make the best of it.
So not only does the man get the bad news that he has prostate cancer, but “oh, by the way we are going to block your testosterone so you feel even worse!” You doctors need your heads examined! This sounds absurd!
Quit your pissing and moaning. You got a better plan than all the medical community across the planet then go for it.
I’m going to Duke, they never put on Vitamin D when I was on Lupron for one year now I have severe back pain. Cancer came back and they tried Lupron again. I can’t take it and I told them so. Gave it to me anyway.
Not so sure I wouldn't rather be dead than try to 'beat' cancer with ADT. Also, cannot believe that a reputable physician would not take the time to educate patients/partners about all of the side effects before administering the drugs.
You are completely right. These doctors experiment on you are not honest with you for there huge paychecks and then when it goes bad just throw you under the bus saying, "There is nothing more we can do, bye!!!"
Hi. I agree with you. I have had a recjfrence of my prostate cancer and docs are plannong ADT. The thing is with so much info on side effects already available on public domain, still when you aks thr doctor to discuss thr various side effects they try to present it as normal. They dont dwell at depth on all the various side effects these meds cause.
@@wes613what an asshole post
My first onconlogist completely downplayed the effects of chemical castration. She was recommending external beam radiation along with ADT and did not give me full information about alternatives. I was being treated as a CUSTOMER for their expensive radiation machine instead of a patient. Luckily, I educated myself and recently finished HDR Brachytherapy (two treatments). PSA tests will happen, so we'll see. But all I have to say is SHAME on my first oncologist.
I don't find the side effects of ADT so difficult to deal with, I choose to live.
Very depressing....... may want to rethink your presentation format these videos
Ridiculous. You should be fully aware of all of the impacts of Prostate cancer treatment including the use of ADT. It's not a Pep talk. Or you can just blindly trust your doctor, who will never present this information to you.
This is unbelievably frightening and very depressing you are right man. I will seek other opinions.