Conversation: The conversation between human and AI assistant.
[|Human|] i WAS DIAGNOSED WITH STAGE 4 CANCER. AFTER ORCHIECTOMY, i WAS ON CASODEX FOR 3 MONTHS. BEFORE THE OPERATION MY PSA LEVEL WAS 500 (WITH DUTAS-T MEDICATION ). AFTER THAT IT CAME DOWN TO 6. HOWEVER SUBSEQUENT TEST AFTER 4 MONTHS SHOW AN INCREASING TREND. iT WAS 33 ON 21ST OF SEPTEMBER , 2011 AND 48 ON 22ND OF OCTOBE, 2011. I AM ON CASODEX FOR THE PAST 2 MONTHS WITHOUT FINDING LOWERING OF PSA. I AM PHYSICALLY OK, EXCEPT FOR TIREDNESS. I AM 70 YEARS OF AGE. SHOULD i CHANGE OVER TO NEW DRUG?
[|AI|]  HelloThanks for query. You have been diagnosed to have stage 4 cancer of the Prostate suggesting that the cancer has spread beyond capsule of the prostate to distant locations like bones or other organs . Cancer of the prostate is hormonal dependent cancer depending upon the Testosterone levels . Though Orchidectomy is done there is increase secretion of PSA from the cancer cells spread over to distant locations. Casodex is anti an Chat Doctor.