Who should be my primary doctor now?

[Guest guest]

Larry,

My husband had a Gleason 9 also. He was put on Zoladex. The oncologist wanted my husband to stay on hormones for two to three years. Then with some research I found writtings of Dr. Strum. He is an expert. I printed out an article that Dr. Strum wrote, saying that one year of hormones is generally the case and gave it to the doctor. My husband stopped the hormones after one year. There was a lot more to it. But it suggested that staying on hormones for two or three years can do more harm than good. My husband had IMRT treatments also. Just something I thought you may want to research. I'll keep you in my thoughts and prayers.

Best of Luck,

Sheila

[Guest guest]

(snip)

> Then with some research I found writtings of Dr.

> Strum. He is an expert. I printed out an article that Dr. Strum

> wrote, saying that one year of hormones is generally the case and

> gave it to the doctor. My husband stopped the hormones after one

> year.

What was his PSA when he stopped?

A bit of vital additional information: What Dr. Strum recommends

this that, when on ADT (hormones), the PSA suppression is

effective IF the PSA is reduced to undetectable (defined as =/<

0.05 ng/mL) AND that level is maintained for at least one year.

Only then should the patient consider suspending ADT.

It is still necessary and prudent to test PSA periodically and

restart ADT when and if PSA rises to a preselected trigger point.

In short, time is far less important than PSA level.

Regards,

Steve J

" With all of the talk about the hazards of PC diagnosis and

unnecessary treatment, the PSA remains, without any doubt, the best

and most useful biomarker for a common malignancy in the history of

medicine.... "

-- B. Strum, MD

Medical Oncologist

PCa Specialist

[Guest guest]

Hi Steve,

My husband's PSA after IMRT and being on Zoladex for a year was 0.21. We have it checked every three months. He takes the next test in a couple of weeks. I'll keep you posted. Have a nice evening and like always I enjoy your posts. They are always informative.

Take care.

Sincerely,

Sheila

Re: Who should be my primary doctor now?(snip)> Then with some research I found writtings of Dr. > Strum. He is an expert. I printed out an article that Dr. Strum> wrote, saying that one year of hormones is generally the case and> gave it to the doctor. My husband stopped the hormones after one> year.What was his PSA when he stopped?A bit of vital additional information: What Dr. Strum recommends this that, when on ADT (hormones), the PSA suppression is effective IF the PSA is reduced to undetectable (defined as =/< 0.05 ng/mL) AND that level is maintained for at least one year. Only then should the patient consider suspending ADT.It is still necessary and prudent to test PSA periodically and restart ADT when and if PSA rises to a preselected trigger point.In short, time is far less important than PSA level.Regards,Steve J"With all of the talk about the hazards of PC diagnosis andunnecessary treatment, the PSA remains, without any doubt, the bestand most useful biomarker for a common malignancy in the history ofmedicine...."-- B. Strum, MDMedical OncologistPCa Specialist------------------------------------There are just two rules for this group 1 No Spam 2 Be kind to othersPlease recognise that Prostate Cancerhas different guises and needs different levels of treatment and in some cases no treatment at all. Some men even with all options offered chose radical options that you would not choose. We only ask that people be informed before choice is made, we cannot and should not tell other members what to do, other than look at other options. Try to delete old material that is no longer applying when clicking replyTry to change the title if the content requires it