Jerry's prostate cancer is now considered systemic.
Definitions:
Systemic means "affecting the entire body". At this time, it is not hormone refractory and has not metastasis.
Jerry's treatment will remain the same until such time as his PSA reaches a certain point and then Dr. Bob will put him back on Triple Hormone Blockade. Triple Hormone Blockade is given for 13 months. The longer window of time between treatments helps to keep it from becoming hormone refractory. Jerry started his treatment in 1999 with the 1st treatment of Triple Hormone Blockade and chemotherapy, and has not had it since. Of course, he has continued taking injections and drugs that are considered chemo drugs and drugs that fight prostate cancer, but not the actual Triple Hormone Blockade or chemotherapy treatments.
Jerry does have a umbilical; ventral; and hiatal hernia's. He will be scheduling a consultation with a surgeon to see what we need to do (if anything, at this time) to repair.
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