Dr. Meyers, My husband is currently 9 treatments into a second round of taxotere and carboplatin. He is also taking emcyt the day of chemo and the day after. He takes calcitriol (70 pills) the night before chemo. The first round of chemo kept the cancer under control for 13 months. This time he started in Sept. and his PSA was 36. It has fluctuated up to 64, and for the last month and a half is staying around 50. He is 67 & has no other major health issues. He feels very tired afternoons & evenings, but otherwise he feels ok and eats well. His original dx was in 2006 with a PSA of 29 and a Gleason of 9. He had cryosurgery in 2006, has been on ADT, tried HDK. We are headed back for the next tx on Tuesday the 15th Dec. His oncologist is considering mitoxantrone, which would be new to my husband, or a combo of gemzar, alimta & sutent. We are moving into new territory here are are looking for further ideas and advice. (Additional meds he is taking are Lovenox, ethinyl estradiol, 125 mcg Leukine, Avodart, Proscar.)

I can tell from the treatment plan you relate that your physician is very knowledgeable about prostate cancer. This is a very sophisticated treatment program. His skill is also apparent in your husband’s mild side effects on this aggressive program. In my experience, excellence in supportive care is one of the major factors that separate really skilled medical oncologists from the average oncologist. Your oncologist’s plans for the next treatment also seem very appropriate. I would love to meet him over cocktails or coffee to exchange ideas.

Ask Dr. Espinosa

Geo Espinosa, N.D., L.Ac, CNS, RH (AHG) is the Director of the Integrative Urological Center at New York University Langone Medical Center. Before joining NYU, Dr. Espinosa was a clinician, researcher and director of clinical trials at the Center for Holistic Urology at Columbia University Medical Center. He is a licensed naturopathic doctor, licensed acupuncturist, a Certified Nutrition Specialist and a Registered Herbalist. Dr. Espinosa is an author of the naturopathic entry in 1000 Cures for 200 ailments, by Harper Collins; March 2007 and “Prostate cancer – Nutrients that may slow its progression,” Food and Nutrients in Disease Management - Maryland: Cadmus Publishing, 2009.

Ask Dr. Myers

Medical oncologist and prostate cancer survivor, Dr Charles "Snuffy" Myers was a key player in creating AZT, Suranim, and Phenylacetate while working at the National Institute of Health. With over 250 research papers published, Myers is one of the leading developers of today's prostate cancer canon on both the research and treatment side of the test tube. Former Cancer Director at the University of Virginia, Myers opened the American Institute for Diseases of the Prostate in 2002 to provide men with the kind of comprehensive care that saved his own life. Dr. Myers has long been popular among prostate cancer patients as a speaker because of his ability to explain science and medicine in easy-to-understand language.

Ask Dr. Latini

Dr. Latini welcomes your questions about the psycho-social dimensions of Prostate Cancer, particularly those presented by Gay and Bisexual men. Dr. Latini is an assistant professor of urology at Baylor College of Medicine. Before joining Baylor, he spent six years in the Department of Urology at the University of California, San Francisco. Dr. Latini is a clinical health psychologist whose work concentrates on cancer survivorship and symptom management for persons living with genitourinary cancer.