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Transcript

How Fear Sells Prostate Cancer Treatment · Intellectual Medicine

• 0:00
  I'll tell you the reason why many men make bad decisions when
• 0:03
  it comes to their prostate health.
• 0:05
  It's because they're getting bad advice.
• 0:07
  If you're getting all your advice about your prostate
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  cancer or your prostate enlargement from a urologist or
• 0:15
  an oncologist, you got a problem.
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  You're being exposed to LP bias, limited practitioner bias.
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  They claim they will cure the cancer.
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  That's just not true. What's true is sometimes,
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  coincidentally, men don't die from prostate cancer after
• 0:34
  suffering the ignomy, the misery, the castration effect,
• 0:39
  the shrinking penis, the misery, losing the prostate gland.
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  Think about your freedom to make a choice.
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  How can you make a choice when you really don't have a choice?
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  You at least deserve to have a legitimate choice.
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  Fear. That's the thing that drives men
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  to make decisions they often later regret.
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  Fear. Anxiety.
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  A decision executed after thorough contemplation does not
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  instigate regret because you've had an opportunity to reflect,
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  to think. In just about every decision in
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  life, and certainly when it comes to prostate cancer and
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  your prostate health, and I would say your health in
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  general, there's no clear path. Every turn leads to possible
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  regret outcomes. How do you eliminate regret?
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  How do you not make a bad decision?
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  It starts by backing away from fear.
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  The next step is to get good advice.
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  I'll tell you the reason why many men make bad decisions when
• 1:50
  it comes to their prostate health.
• 1:51
  It's because they're getting bad advice.
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  They're getting advice from an LP.
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  That's what we primary care docs call specialist limited
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  practitioners. If you're getting all your
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  advice about your prostate cancer or your prostate
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  enlargement from a urologist or an oncologist, you got a
• 2:14
  problem. You're being exposed to LP bias,
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  limited practitioner bias. The evidence is out there that
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  the treatments currently rendered for prostate cancer are
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  minimally effective, possibly fully ineffective, and
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  absolutely cause harm. And yet tomorrow somebody's
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  going to get their prostate gland removed.
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  To what avail? They claim it's curative.
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  They claim they will cure the cancer.
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  That's just not true. What's true is sometimes,
• 2:49
  coincidentally, men don't die from prostate cancer after
• 2:54
  suffering the ignomy, the misery, the castration effect,
• 2:59
  the shrinking penis, the misery of losing the prostate gland or
• 3:02
  getting a radiator. Coincidentally, they don't die.
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  Cause and effect, not so much. So how do you not make a bad
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  decision? Well, you're already halfway
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  there because you're listening to this podcast.
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  Now. This comes from my perspective
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  as a primary care doctor, a board certified osteopathic
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  family practitioner. What right do I have to talk
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  about prostate every bit in the world?
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  Because I've been studying this for 15 years.
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  I've been helping men through this pathway for just as long.
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  It is horribly monopolized by the industrial medical complex.
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  Think about your freedom to make a choice.
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  How can you make a choice right when you really don't have a
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  choice? Most men that I speak to and do
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  consultations with will tell me, well, I want another opinion
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  show into another urologist and I got the same advice, same
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  information. Here's the information.
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  I'm going to spare the console. You have an elevated PSA, funny
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  looking MRI. You're a man of a certain age.
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  We want to do a biopsy because we have to know what's going on.
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  OK, that's fallacy number one that leads the parade.
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  There's no clarity from a biopsy, only trauma.
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  There's no benefit, only potential metastatic spread.
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  It does not delineate the treatment pathway.
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  The Gleason score is useless, right?
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  This is all heretical information.
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  There is an industry built around biopsy, Gleason score,
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  surgery, radiation, multibillion dollar industry.
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  It should be challenged. OK, maybe it should be torn down
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  and rebuilt, but at least challenged.
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  You at least deserve to have a a legitimate choice.
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  Now that choice is 1 you'll have to make against the headwind of
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  anxiety amplifying standard of care recommendations.
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  Oh, my goodness. You have to get a biopsy.
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  Don't you want to know if it's cancer or not?
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  You must get your radiation. You have to choose.
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  This cancer can spread. Guys, slow down.
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  You got time. Yeah, something should be done,
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  but not necessarily what they're recommending.
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  Think about it. Think about it, guys.
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  What other cancer in the world do they do a biopsy for the
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  cancer, determine the cancer is present, and then say, well,
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  we're just going to do another biopsy then some point in the
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  future? It defies logic if in fact their
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  treatments, the surgery and radiation were so effective,
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  they wouldn't equivocate. They would recommend them for
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  every man in whom they biopsy. But they know that they're over
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  treating prostate cancer. They know they're doing it by
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  amplifying fear, and that fear gets promoted through mass
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  media. A dot somebody in in England
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  gets prostate cancer. Now lately in England, the
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  federal health care services have decided that they're not
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  going to do mass screening for prostate cancer in England.
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  They're not going to do Psas. They have concluded that to do
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  so would cause more harm than benefit.
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  I don't fully agree with their decision.
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  In fact, I don't agree with their decision at all.
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  The problem is not the screening, it's what we do with
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  the results. What we do with that result is
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  we drive men to make decisions without giving them time to
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  fully contemplate the consequences.
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  We sometimes soft pedal the potential harm that will come
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  because it's not fully appreciated by the surgeons, by
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  the radiologist, by the oncologist.
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  They don't necessarily dig into that detail, but it's there,
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  harm guaranteed. It's not a pleasant life when
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  you leak urine. It's a less satisfying
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  relationship when you're impotent or you'll lose sexual
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  interest. It's a less pleasant life when
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  you are less of a man. Now we adapt.
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  We adapt to the circumstance we are in.
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  I I invite you to pursue vitality above all else.
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  Do not gently succumb to treatments that offer you an
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  exchange of your vitality for the theoretical benefit of
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  curing your cancer. The cure your cancer part is not
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  true. The sucking vitality out of you
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  is guaranteed. You have to make your own
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  decisions guys. And one thing that I encourage
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  you to do reflect, decide. Don't look back.
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  If you're listening to this and you've already had your prostate
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  then removed, it doesn't mean you made a bad decision.
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  You ought not to have regret. You made the best decision you
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  could at the time. You felt as if you had to make
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  it. If you are contemplating what to
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  do, good contemplation is your friend, as long as you accompany
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  it with rational input and feedback.
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  Who should be leading the charge?
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  I told you I'm. I'm concerned about limited
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  practitioners being the final voice here.
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  They don't weigh the full equation all the time.
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  Quality of life, other aspects of your health.
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  Men that do primary treatment for prostate cancer have
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  increased rates of heart disease and dementia.
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  And what are we doing? The research is in, folks.
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  I've reported on it here. I will continue to do so.
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  The PIVOT trial, the PROTECT T trial, huge studies spanning
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  multiple years, including hundreds of men with prostate
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  cancer observing for outcomes that matter the most.
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  Do they die from prostate cancer?
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  And the difference between surgery, radiation and doing
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  nothing has turned out to be the same.
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  In other words, men who get the gland removed have the same
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  death rate from prostate cancer as men who did nothing.
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  Same for radiation. So what are we doing?
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  That detail? That study is not being promoted
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  nearly enough. That should have been a Stop the
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  Press moment. Give them a chance.
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  Let them consider something other than these God awful
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  treatments and oh by the way, another awful treatment.
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  Psychological torture should really not be done.
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  Watchful waiting. They sometimes will call this
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  active surveillance. What a bunch of BS.
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  They're trying to convince you that somehow, because they're
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  thinking about you, that's going to make a difference.
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  Somehow, they'll periodically stick a needle in your cancerous
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  prostate and that's going to help you.
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  Nonsense. What we need, gentlemen, we need
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  another pathway of rational treatment that has evidence
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  supporting it, even if there's no proof that it's going to
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  work. That proof takes 15 years.
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  I'll offer you my protocol. I'll offer it to you to
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  contemplate as an alternative to what's out there.
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  And if not my protocol, Ioffer you the freedom to back away
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  from what's being suggested, to take your time.
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  I understand that we're screaming into the wind a little
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  bit, but the voices will get louder.
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  With your help through the podcast, through the protocol,
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  we are now enrolling more and more patients every week,
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  tracking their outcomes. And one thing I can I can assure
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  you, they're thriving. They're not feeling beaten down.
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  The protocol will be disseminated in April.
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  We'll be hosting a course in Fort Lauderdale teaching other
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  clinicians how to pursue this protocol soon.
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  I want this to be another pathway forward, broadly
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  available for men at large. Then you make your best
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  decision. That's how you avoid regret,
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  guys. You avoid regret by taking your
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  time to do thorough research. And if you choose radiation, if
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  you choose prostatectomy, if you choose castration treatment,
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  it's OK. It's your choice.
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  It was your choice that you made after listening to balanced
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  voices without reacting to fear and anxiety.
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  Whenever you are put, whenever you feel pressured by a doctor
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  to do something, that becomes a form of emotional extortion, and
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  you should really back away from that moment.
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  When it comes to prostate cancer, there's rarely, if never
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  a 911 get this done now kind of a moment.
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  You have weeks, at least months more likely sometimes years.
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  Contemplate your decision. So do not let people, even
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  relatives, family members, they'll have the same concept
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  people are. Look, what do people know about
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  cancer? Not much.
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  What they know is if you have a tumor, you should cut it out.
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  That seems to make logical sense.
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  Unfortunately, with prostate cancer, it's just not true.
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  There are other paths to consider.
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  So avoiding regret means stepping away from anxiety,
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  making a frontal lobe decision, not a primitive one.
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  It means weighing all the variables.
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  It also means being prepared for a lack of uniformity regarding
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  advice. Your family members, your
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  doctors, your family doc, the specialist may all have a
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  different opinion. I really value the voice of your
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  primary care doctor, presuming the doctor has liberty and
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  freedom to advise you as they would choose to and are not
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  feeling pressured themselves by a third party, a third eye in
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  the room, somebody auditing their computer and saying, you
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  know, you really ought to send them to see the urologist get
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  that prostate removed. You know, we have the the
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  Davinci robot here at the institution that employs you,
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  doctor, and that institution makes money by harvesting
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  prostate glands. Dr. And if you're not referring
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  people, we're going to question your quality of care.
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  We might even bring you up in front of the committee.
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  This really happens, guys, it really happens.
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  Think about the pressure, think about the financial incentives.
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  It took decades before we finally debucked the marketing,
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  the finance, and the money behind Big Tobacco.
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  Decades before we accepted what the studies told us it's
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  harmful. Now, I'm not drawing a straight
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  analogy between the tobacco industry and the industrial
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  medical complex. Let's just say it's a rough
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  analogy. We have evidence in hand with
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  credible studies done by highly respected institutions without
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  significant corporate bias. In fact, when I read, when I
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  read those studies, I couldn't see any big pharma money poured
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  into it, right? Why would they?
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  It doesn't reflect positively on their treatments.
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  We have the evidence. We now need to get that out to
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  you so you can process it, so you can put it into the equation
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  and live your life like a man in charge of your fate with no
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  regret and living your life making decisions that suit you.
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  Because I said it, because urologist said it, Because your
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  cousin Louis, who had his Glen remove said it, because you
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  decided it. All right man, until next time,
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  be well, stay strong, live life. Vitally, fight cancer like a
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  man.