There are more options than that, most docs don't have the clues on what or when(in later PCa progressions) and that would include some oncologists (uro-docs obviously out of their venue). This is why people seek out Drs.: Sartor, Myers, Scholz, Lam, Volgelzang, Leibowitz among others that are PCa specialists. If you take note of some of these guys therapies used on other patients, they find ways to manipulate therapies to get responses (if at all possible is the goal)....you can be even a failed patient on casodex and is some cases, returning back to it later find it could work again for awhile and in some other cases casodex can actually feed hrpca..so it needs close monitoring on patients. This might happen with other drugs that combat PCa.
The majority of average docs usually have just a couple drug therapies they use, probably because of conservative Hospitals advice from legal staff or because they really don't have clues as to what other stuff might do or not do. So, you get to decide to choose what path do I wish to look into or take, you could even choose darn the torpedos and do your own thing or no drugs...that is your right last time I checked. If you want a warranty program there is none I ever heard of. Howard H. used multiple protocols in fighting his PCa battle and recently passed away...but he did live 17 yrs. is so doing..and even Dr. Meyers and some others commented on his journey as being the first brain mets patient they knew of...likely because the protocols kept PCa at bay sooo long in other parts of the body, that it finally got a chance to start elsewhere in the body.
Examples of other stuff: leukine, (4) estrogenic drug methods(maybe you included that in hormone related therapies already, revlamid, megace, carboplatin, alpharadin (radium 223), MDV3100, Prostvac-vf, Strontuim, Samarium, phenoxodial, dasatinib, ipilimumab, Carbazitaxel (different chemo-new), gleevec, iressa, satraplatin, tarceva, dcvax, xinlay, vitaxin, Ixabepilone, aflibercept, OGX-011, zibotentan (zd4054)-in phase III (might not work too), boron (?), and more. Not to mention combinations of drugs in a therapy useage (Dr. Meyers) and some others have such to offer also. Some failed patients whom went to these kinds of guys found new ways to fight an escalating out of control psa or mets....how long is always the next vista to find out.
Some of the stuff above I would not know much about
, but either is being used or has been used on PCa. If you have the Soup Naz_ type doc....he will decide what, when etc. But other docs may want your input or offer you choices (which is the way it should be)... Quite a trip and just about
as unknown of a reality as the Twilight Zone, and some of those episodes. Your psa looks excellent right now.
Post Edited (zufus) : 1/3/2011 6:59:28 AM (GMT-7)