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AnCan thanks the following sponsors for making this recording possible: Novartis, Telix, Blue Earth Diagnostics, and Foundation Medicine. Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants. AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed are based solely on anecdotal peer experience or clinical evidence. AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team. AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 at https://www.fda.gov/media/76299/download. All AnCan's groups are free and drop-in...join us in person sometime. You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/. Sign up to receive a weekly reminder/newsletter for this group or others at https://ancan.org/contact-us/. Join our other free and drop in groups: Men (Only) Speaking Freely on the 1st and 3rd Thursdays at 8:00 pm Eastern in the Barniskis Room https://ancan.org/men-speaking-freely/ Veterans Healthcare Navigation on the 1st and 3rd Tuesdays at 8:00 pm Eastern in the Schmier Room https://ancan.org/veterans/ Veterans Speaking Freely on the 4th Tuesday at 8:00 pm Eastern in the Schmier Room https://ancan.org/speaking-freely/ Editor's Pick: Addressing the unusual: Low PSA with high-grade prostate cancer. (bj) Topics Discussed Importance of getting a second reading/opinion on your prostate cancer biopsy results; addressing the unusual: low PSA with high-grade prostate cancer; identifying risk factors that can push you from intermediate-risk to high risk prostate cancer; understanding how gentic testing help determine the best treatment options, espcially when family history exists; evaluating high-dose rate (HDR) brachytherapy as a primary treatment or boost to radiation; comparing transperineal and transrectal biopsies with a focus on lower risk infection and better patient experiences; determining when a patient should move from active surveillence (AS) based on rising PSA or new biospy results. Chat AnCan – Stuart sent a chat · 7:58 PM Dr. Ming Zhou Mount Sinai Health System Department of Pathology, Box 1194 Annenberg Bldg. 15th FL 1468 Madison Ave New York, NY 10029 Email: Ming.zhou@mountsinai.org Telephone: (212)241-8881 AnCan – Stuart sent a chat · 7:59 PM Dr. Jonathan Epstein - https://advanceduropathology.com/ Tel:516-760-2037 jepstein@imppllc.com AnCan - Rick sent a chat · 8:04 PM AnCan's GU ASCO Poster released today https://ancan.org/ancan-gu-asco26-sur... Bill Franklin sent a chat · 8:31 PM bfranklin@ancan.org AnCan - Rick sent a chat · 8:49 PM 2nd Opinions for MRIs Botimage AI for MRIs: https://botimageai.com/prostatid/ ~$250, can also be used for biopsy targeting guidance NIH 2nd Opinion MRI (no fees): Choyke, Peter (NIH/NCI) Radiologist pchoyke@mail.nih.gov Second opinion of MRI from Johns Hopkins Images and Reports for Providers | Johns Hopkins Radiology (hopkinsmedicine.org) Email: eradiologycenter@jhmi.edu Phone: 443-287-7378 Fax: 443-769-1210 -Accolade Radiology NY, PA https://accoladeradiology.com/mritap.... Radiology Check (Switzerland) https://radiologycheck.com/en Steve in Malaysia sent a chat · 8:58 PM I need to head out at 10ish (5 minutes). I'll followup with Rick and Stuart re: how to think about negotiating costs ... I was quoted $100k for HDR and $180k for MR Linac. Steve in Malaysia sent a chat · 9:01 PM Also wanted to thank you guys (Rick, Stuart and company) on all your help on this crazy journey... could never had ended up where I did without your help :) Clyde sent a chat · 9:07 PM Hey gang. Gotta run. I am graduating to the high risk group, so I will see some of you there. AnCan – Boykin sent a chat · 9:08 PM @clyde - Good luck. We will miss you in low/intermediate. David in Portland, OR sent a chat · 9:40 PM Prostate Cancer Free Foundation Intermediate Risk graph: https://www.prostatecancerfree.org/co... High Risk graph: https://www.prostatecancerfree.org/co... David in Portland, OR sent a chat · 9:41 PM Prostate Cancer Free Foundation Low Risk graph: https://www.prostatecancerfree.org/co... George in NC sent a chat · 10:04 PM Thank you all and good night! See you in 2 weeks! Very grateful to AnCan especailly Rick and Stuart!