Recently
I became aware of an option wherein newly diagnosed PCa patients as a
matter of routine can have their cases reviewed by a Multidisciplinary
Review Board (MdRB). This service is provided by a large, well known
hospital located here in mid Michigan--one I am familiar with because
(1) I consulted one of their oncologists in my search to replace Dr.
"Snuffy" Myers upon his retirement and (2) I underwent radiation at this
facility for my gynecomestia.
In
my ongoing quest to determine what to do when Xtandi is no longer
effective, I thought perhaps such a review would help me to choose among
the options I have under consideration and provide me with one or more
solutions that have thus far escaped my attention. It also occurred to
me that one or more of the MdRB members may be aware of a clinical trial
well suited to my PCa dilemma.
I
contacted the nurse coordinator of the MdRB to determine if a review of
my case could be arranged. Shortly thereafter much to my pleasant
surprise she advised me by phone that a multidisciplinary review could
be arranged.
A
week or so later without further contact I received a phone call from
the nurse coordinator who informed me the MdRB had met and determined :
--My best choice when Xtandi fails would be Lupron
--No clinical trials were currently offered by their facility that suit my diagnosis and PCa circumstances.
While
the MdRB review provides valuable feedback for which I am most
grateful, I expected a more comprehensive report; I expected and would
have appreciated an opportunity to appear before the board to discuss
some of the more attractive alternatives I have considered in the recent
past. As one example it would have been helpful to hear what the board
thought about H D Brachytherapy for me and my circumstances. Had I been
given an opportunity to appear before the board I would have advised
them of my long term deep-seated aversion to Lupron. I had also hoped
one or more board members would be knowledgeable about clinical trials
on a much broader scale than only those offered by their facility.
Stay tuned.
*Google the title "The Beat Goes On", a 1967 Billboard Hot 100 Top 10 Hit, and listen to the lyrics by Sonny and Cher.
*Google the title "The Beat Goes On", a 1967 Billboard Hot 100 Top 10 Hit, and listen to the lyrics by Sonny and Cher.
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