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  1. A new video every day for five days. Prostate cancer that moves away from the prostate (metastasises) prefers to settle in bones. In this fifth, very short, video (in a series of five) Dr Alicia Morgans wishes to give men a special message about pain. In videos in this series , expert medical oncologist Dr Alicia Morgans deals with: metastases to bone and bone scans; prostate cancer in the spine; treatments for prostate cancer metastases; issues with hormone therapy treatment; and in a last very short video, Dr Morgans wishes to give men a special message about pain. Subscribers to our YouTube channel are notified earlier than others. My special thanks to: Dr Alicia Morgans who kindly donated her time. Member John Dowling, who got me and my gear to Melbourne, and was a very efficient Production Assistant. Member Len Weis, who provided English Closed Captions (Cc) for the hard of hearing. Anthony Lowe, CEO of the Prostate Cancer Foundation of Australia (PCFA), who both invited us to interview Dr Morgans, and arranged a PCFA Education Grant to cover our expenses.
  2. Macmillan, a UK Cancer Support agency, has information about controlling the symptoms of advanced prostate cancer. Click on this link to read the information.
  3. Palliative care is not just for the end of life - that would be "terminal care". Palliative care that starts early can have many benefits - including quality of life boosted by relief of pain and other symptoms. Palliative care will be the theme of our special guest speaker at our next phone in meeting on Friday 24 July, Dr Michael Chapman, a palliative care specialist from the ACT. (Details in agenda a couple of days before.) In the meantime, this short animation (3:46 minutes) from Canada tells the story simply. https://www.youtube.com/watch?v=-SzA-kWB8-s&feature=youtu.be
  4. "Many men tell me that they fear the process of dying—suffering and experiencing pain—more than they fear death itself. While I am no fan of pain, as a medical oncologist I have been responsible for the treatment of hundreds of patients with terminal cancer. I have learned that with good communication and proper medical management, pain can almost always be effectively controlled". Click on this link to read an excellent article by leading US medical oncologist, Dr Mark Scholz.
  5. Patients with castration-resistant prostate cancer and bone metastases may experience debilitating pain that impacts daily functioning and diminishes the quality of life. Previous results from a phase III trial demonstrated superiority of Denosumab (brand name Xgeva) to Zoledronic Acid (brand name Zometa) in delaying or preventing skeletal-related events (pathological fracture, radiation or surgery to the bone, spinal cord compression) in castration-resistant prostate cancer patients with bone metastases. Participants in this trial regularly completed Pain Inventory and Quality of Life questionaiires. Researchers did an ad hoc analysis of this trial which focused on the subgroup of men with no or mild pain at the start of the trial. This analysis showed that that Denosumab therapy significantly delayed the time to worsening of pain interference and maintained a higher overall cancer specific quality of life compared to Zoledronic Acid in castration-resistant prostate cancer patients with bone metastases. Should you be having Denosumab instead of Zoledronic Acid? I agree with Joel Nowak that you should "Speak with your doctor about this question.” Previous posts about Denosumab v Zoledronic Acid are at http://forums.jimjimjimjim.com/index.php?/topic/534-denosumab-or-zometa-for-protection-of-bones-in-prostate-cancer/ http://forums.jimjimjimjim.com/index.php?/topic/535-denosumab-or-zometa-for-protection-of-bones-in-breast-cancer/?hl=zometa
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