At the PCRI-Prostate Cancer Research Institute 2006 meeting, leading onco-docs attending (Sartor, Myers, Tucker, Vogelzang?, another) and Dr. Chodak a urologist, too. Like a town hall meeting and symposium together, questions sometimes directed from the moderator(then it was Harry Pinchot) or audience/patients.
A patient was on Lupron via his docs treatments and then suddenly his psa rose (unexpectantly). Luckily this patient consulted with one of these oncologists (Dr. Tucker) for confirmation on psa rise. Onco-docs not only run blood tests, they also test your urine, and testostorone levels to see if LHRH (like Lupron) is still working as it should to near castrate levels (a uro-doc does not usually do these types of tests, urine maybe). Well testostorone was way high for a guy whom is 'taking' Lupron, so the wise onco-doc traced back the sale of the merchandise.....they are given 'Lot' numbers and such.....this one had a bogus number and was actually a counterfit drug. Was not mentioned as to whom was respondsible or if anyone got caught. Surely is suspecious.
The moral is there can even be bogus and counterfit drugs out there, who knows who slipped it into the mix, delivery guy, sales-rep, at manufacturer level, an ingenious thief whom stole the real stuff and sold it elsewhere while dropping off his counterfit look alike, or maybe even the doc pulling off such a thing (just conjecture on these).
Probably this is a rare event, it might not have been caught without the knowledge of an onco-doc.