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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Treatment For Metastatic Prostate Cancer?

Dear sir My father was 70 years old he was diagnosed .diabetes - blood pressure – high cholesterol and he done bypass surgery in1999. Suddenly in 2000 we noticed that he have T3 advance prostate cancer and he were treated by one injection of hormone and external radiation for 6 weeks in Cleveland clinic Ohio . from that date until 2010 he was living happy. but since 2 years remission occurred & noticed , bone scan taken showed black spots on his bones the urology doctor in U.A.E said it is metastatic prostate . and he advised to be treated by zoladex injections every 90 days & zomita once every month. until 2 months ago my father faced bad feelings sever back pain , lower abdomen , legs , shoulders pain . fatigue beside his PSA under control .0.04 normal average . the urology doctor decided to continue the hormone treatment and go on to oncology clinic with chemotherapy toxtere injection total of 10 injections. One injection every 3 weeks . we already used 2 and remain is 8 injections . each injection consist of 120 ng ,, from that day my father cannot handle the side effects of the chemotherapy and he vomits a lot . fatigue and tired feeling sleepy always and can t eat . please I request kindly from your departments to inform are we going on perfect treatment track . or there is easier and deferent ways and other choices of treatment than we can select to my father . and please inform me about the total cost of the treatment . your assistance highly appreciated Best regards Hassan abbas my contact numbers +971 50 0000 +971 50 0000 . e-mails . YYYY@YYYY
Fri, 18 Sep 2015
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Oncologist 's  Response
Dear Hasan, I appreciate your concern. Your father is suffering from metastatic prostate cancer. he hs been rightly put on taxotere therapy but it seems he is unable to tolerate the drug well. I would like to tell you that he should first undergo bilateral orchidectomy because testosterone produced by testes acts as fuel for the cancer. After that he can be put of anti hormonal(calutide) tablets and chemotherapy can be stopped. Moreover if he does not respond to calutide there are still other options like enzalutamide, abiraterone and sipeulucel T available. So you need not to worry. You can discuss all these options with your treating doctor,
regards
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What Is The Best Treatment For Metastatic Prostate Cancer?

Dear Hasan, I appreciate your concern. Your father is suffering from metastatic prostate cancer. he hs been rightly put on taxotere therapy but it seems he is unable to tolerate the drug well. I would like to tell you that he should first undergo bilateral orchidectomy because testosterone produced by testes acts as fuel for the cancer. After that he can be put of anti hormonal(calutide) tablets and chemotherapy can be stopped. Moreover if he does not respond to calutide there are still other options like enzalutamide, abiraterone and sipeulucel T available. So you need not to worry. You can discuss all these options with your treating doctor, regards