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The Overdiagnosis Trap: Why Common Prostate Screenings Often Lead to Unnecessary Harm · Intellectual Medicine

• 0:00
  Prostate cancer is misunderstood by doctors and by extension by
• 0:03
  patients. Atypical doorman cells do not
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  need to be cut out of you. That will cause you harm.
• 0:10
  Fight cancer like a man. Ask important questions.
• 0:14
  Do not be intimidated by conventional medicine.
• 0:17
  Don't make rush decisions. Prostate cancer is over
• 0:20
  diagnosed. It's driven by fear of
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  malpractice and pursuit of profit.
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  I'm going to tell you exactly how.
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  Prostate cancer in the United States is profoundly
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  overdiagnosed. It's driven by fear of
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  malpractice and pursuit of profit.
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  I'm going to tell you exactly how, but it helps to reflect a
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  bit about how we got where we are.
• 0:51
  You know, why am I doing this? I don't know.
• 0:54
  It's part of my character, asking questions, challenging
• 0:58
  dogma. When I was in 6th grade, I
• 1:01
  became annoyed because they kept canceling gym class for these
• 1:05
  doofy little meetings. You know, assemblies.
• 1:10
  So I started a petition telling them to stop doing that, and it
• 1:14
  got a lot of signatures. And then one day, a very
• 1:17
  intimidating large teacher held from Maine cornered me in the
• 1:22
  hallway, grabbed me by the neck and put me up against the wall.
• 1:25
  You could do it back in those days, you know, kids were scared
• 1:28
  of authority. He said, you tear that petition
• 1:30
  up. That became a motivation moment
• 1:34
  for me. I didn't tear the petition up.
• 1:37
  I presented it. And gym classes proceeded.
• 1:41
  Good outcome. But my Mama gave me a warning.
• 1:44
  She said, be careful of the coat holders.
• 1:47
  What do you mean? Because you know the folks that
• 1:49
  say, Steve, you'll get in the fight.
• 1:52
  We'll hold your coat. So I call upon you, how are we
• 1:58
  doing this? Shannon and I have investigated
• 2:01
  part of our life savings in bringing this information to
• 2:04
  you. Publishing the book, promoting
• 2:06
  the podcast, developing the protocol took over 10 years.
• 2:12
  The doctor Pedruti Prostate Cancer Protocol.
• 2:15
  It's the solution to the problem of what to do with daily cancer.
• 2:20
  Now we need your help or we'd like, we'd like to ask for it.
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  How can you support this endeavor?
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  No, we're not a nonprofit that 90% of the time.
• 2:30
  Maybe I'm exaggerating. Nonprofits are bogus.
• 2:34
  They become a shield while the profit goes in the pockets of
• 2:38
  people through benefits and salaries.
• 2:40
  I mean, back in Rhode Island they have these not-for-profit
• 2:44
  marijuana distribution centers. Why are so many people tripping
• 2:49
  over themselves to open this up out of the goodness of mankind
• 2:53
  while they drive Bentleys into work?
• 2:55
  Anyhow, we digress. Point being that you can join
• 2:59
  the Doctor Pedroree Men's Vitality group now.
• 3:02
  This group gives you access to information, research, It gives
• 3:07
  you an invitation to the monthly question and Answer seminars
• 3:11
  that I host live every month. And importantly, it helps us to
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  fund our endeavor. What are we up against?
• 3:19
  Oh, nothing much. Just a 12 to $15 billion
• 3:23
  juggernaut that can outspend and outmarket us on every corner.
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  Yeah, We just happen to have this little advantage called
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  truth. So what about this over
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  diagnosis I'm talking about? Yeah, that's right.
• 3:36
  Doctor Petrine, Men's Vitality. You can Google that.
• 3:39
  You can check it out. Then there'll be links to it.
• 3:41
  We invite you to join it. This is just for men.
• 3:47
  Women were contemplating a lady's auxiliary.
• 3:50
  If you think that that would be desirable, let us know.
• 3:53
  But how about this notion? It's become a multi, multi
• 3:57
  billion dollar business. You don't make that money simply
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  treating people who are actually sick.
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  You make it by making men who are otherwise totally healthy
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  become convinced that they have to take an action.
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  They're going to die if something's not done.
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  You must get this biopsy done ASAP.
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  Nonsense. At a recent meeting, See, even
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  even the conventional medicine docs, they don't know what
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  cancer is. They don't know what it is.
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  OK, We have the Gleason score. The Gleason score is what they
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  look at in the microscope when they biopsy the prostate.
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  They look at the tissue. They go, oh, those cells look
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  kind of funny. I'm going to call that a six,
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  maybe A7 when it's given the numeric title or label from a
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  pathologist who's just looking through a microscope, has never
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  met the patient, has no idea what the clinical background is
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  in most cases, and is just looking at cells.
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  They give it a number, the number says cancer.
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  The doctor tells the patient you have cancer.
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  At a recent meeting, this was hotly debated.
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  Many urologist and many oncologists felt that they
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  shouldn't call this condition cancer.
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  Why not? Because they said the majority
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  of them are what's known as inulin cells.
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  Now I talk about this. These are atypical dormant cells
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  residing within the prostate gland that nearly every man will
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  make at some point in his lives. Think about that.
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  If it's a if, it's a phenomenon that will occur to nearly every
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  man at some point if they live long enough, it's no longer a
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  disease state. It's a natural occurrence.
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  So let's make this big distinction.
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  Prostate cancer is profoundly over diagnosed, over treated.
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  It's motivated by fear and profit, and those are hard
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  motivational variables to stop. Now, there is such a thing as
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  prostate cancer. It's just not what is most
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  commonly diagnosed. Those atypical dormant cells
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  require an igniting event to start to become cancerous.
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  They're sleeping quietly in the gland.
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  What can you do to help prevent them from igniting?
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  We don't know exactly all the triggers, but we have a sense
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  about some of them and they're in my book.
• 6:36
  There it is. Fight cancer like a man.
• 6:40
  There's a recipe in there of lifestyle support, things you
• 6:43
  can do. There's the doctor Pederuti
• 6:46
  men's Vitality supplement that I've created.
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  These are all benefits, but the important thing is to avoid
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  harm. Do not let them biopsy your
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  prostate. I already told you, inevitably
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  they're going to be these atypical dormant cells.
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  They're going to label them as cancer.
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  They're going to drive you into making bad decisions out of
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  fear. You don't want to die of cancer?
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  Hell no. Well, here's the only treatment
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  that's available. Radiation surgery.
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  No, we know they don't work. We know they don't work to
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  prevent you from dying of prostate cancer.
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  Guaranteed you do harm. So we have all these forces
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  driving the over diagnosis. The PSA test with its arbitrary
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  cut off. It's not a bad test folks.
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  I support getting APSA test, just don't let the urologist
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  interpret it for you. When your family doctor says hey
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  I'm going to send you to the urologist, pause him or her.
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  Is there an alternative? Maybe we should just look at
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  this again in three months maybe?
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  APSA of 6.5 is normal for me and doesn't mean cancer is
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  happening. Stepping into my world Pedroity
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  protocol, non biopsy diagnosed. We can determine to a large
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  degree of medical certainty whether or not there's a
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  potential of these atypical dormant cancer cells to be
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  present and what to do about them.
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  No biopsy. So let's stop the overdiagnosis.
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  In order to stop that, you don't stop the PSA test, but rather
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  you interpret it differently. We know that in cadaveric
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  studies, over 80% of men who achieved the age of 90 or
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  greater and died of some other cause had prostate cancer cells
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  within the gland. 80% think about that.
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  So ironically, one of my personal goals is to develop
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  prostate cancer at some point in my life, atypical dormant cells
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  in the gland. I will never get a biopsy.
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  I know what I know. I'm promoting this to you as
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  well because men are being harmed everyday,
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  psychologically, emotionally. It's it's damaging
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  relationships, it's damaging their global health.
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  So stop already. The reason why I say someday I
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  want to have prostate cancer is because I hope to live that
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  long. I'm planning on living past 100.
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  I'm sorry to disappoint my critics, but I don't intend to
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  disappear anytime soon, nor should you.
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  So this is different than anything else in the cancer
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  world. There's not another organ in
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  your body that we know will inevitably develop cancer cells
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  within it, not another organ. So anytime you look at what's
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  happening in cancer and they paste it on to the prostate, bad
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  things are going to happen. These are entirely different
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  phenomenon. So you you look at the sequence,
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  what happens? You have an elevated PSA,
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  whatever that cut off is this week, let's call it 4.0.
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  You got to be careful. You got to be careful of
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  not-for-profit promotional activities.
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  What's behind the door? At one neurological conference I
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  attended, they had a free screening service.
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  A not-for-profit was promoting this.
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  We go into communities for the underprivileged where we'd offer
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  a free PSA test. OK, seems good enough, right?
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  It's one thing you realize. APSA test cost about 10 bucks.
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  All right, So no great service on that level.
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  Then you look at who's funding them.
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  Yeah, it's the same folks behind the over diagnosis juggernaut.
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  It's the same for profit companies and the entities in
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  that will profit from fear in the heart of men.
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  Then they're cut off. This shocked me. 2.0 PSA 2.0
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  rang the bell, set the alarm up. Oh my goodness.
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  Let's just, Bob, see everybody. Absurd.
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  So you have the biopsy phenomenon.
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  You've got the PSA arbitrary cut off.
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  Now men are being herded into the fear column.
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  The problem is that if I'm a urologist and you're referred to
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  me by your family doctor because you have a high PSA, it doesn't
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  serve me at all to really talk to you about it.
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  I get paid to do stuff if I do a biopsy.
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  I've performed what is now considered the standard of care
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  in many cases. Now, the standard of care is
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  awful. It shouldn't be the standard of
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  care, but it's simply a group of docs that all have the same
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  information behaving in the same way.
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  Folks, that's what the standard of care is.
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  The standard of care is not necessarily good for you.
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  You have to be discriminating. You have to ask important
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  questions. So the doc is looking at you.
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  You got this elevated PSA. The doctor can either tell you,
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  well, I don't think that this is likely to be a problem for you.
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  So you go about your way. Three years later, you end up
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  with metastatic cancer. You're going to sue the doctor.
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  Misdiagnosis, delayed diagnosis of cancer.
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  That's what they're worried about in part.
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  Oh, by the way, they get paid. They get paid pretty well for a
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  prostate biopsy. You get paid very poorly for
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  talking and thinking. I know, I'm a family doctor.
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  Talk to your family, doc. Ask him.
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  Gee, how's the profession going, doc?
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  They'll tell you. Not so good.
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  We've been devalued. The doctor patient relationship
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  has been diluted. Many primary care doctors have
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  been beaten into the corner. Get back.
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  Let us handle this. The prostate biopsy juggernaut
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  continues. So fear profit.
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  Now you've got the the, the biopsy, the doc gets paid, the
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  pathologist, the Gleason score. In my world, a Gleason score is
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  a useless study to acquire #1 it requires tissue to be gotten.
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  A biopsy #2 it doesn't really direct you toward a treatment
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  that makes sense. Now, how do we know that we're
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  over diagnosis and over treating?
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  The question comes up about cross cultural and cross
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  national levels. It turns out that developed
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  nations, that is nations with a high profit margin to be
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  garnered from doing medical stuff, have the highest rates of
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  prostate cancer. The underdeveloped nations have
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  much lower rates. Same human beings, same Homo
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  sapiens, different rates of cancer because we're over
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  diagnosing it, we're harvesting prostate glands, we're giving
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  radiation where it shouldn't be given, all because of this
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  failure to acknowledge the difference between atypical
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  dormant cells and actual cancer. Now the challenge for you if
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  you're harboring atypical dormant cells, So what do you do
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  about them? Right?
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  Am I going to just wait and see what happens next?
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  Am I going to get a biopsy every year and see if they have
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  altered? Don't do that, don't do that.
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  This can be monitored without biopsy.
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  Interventions can be rendered. The protocol I've developed
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  entails nutraceutical supplementation that has been
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  curated as well as lifestyle as well as a repurposed drug
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  regimen, all of which you can apply.
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  The guidelines are in my book, except for the prescription drug
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  part of it. You need to have a doc
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  monitoring this or a nurse practitioner.
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  They're out there. They're becoming certified in
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  the doctor Petty Reid protocol. You can find them when you need
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  them. But my overarching message is to
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  back away from the fear. Take a breath.
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  Let's analyze what we have. If it is atypical dorm in cells,
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  any conventional treatment will absolutely do you harm.
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  Now, it is true that most men don't die from prostate cancer,
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  but some do. And here's the vexing component.
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  What do you do? How do you know if you're
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  destined to be that person? There's not a great test to
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  determine that. Not a biopsy, not a genetic
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  screen, not a single test that can declare what you really want
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  to know. What you really want is Peace of
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  Mind. You know, do I have to worry
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  about this? Am I going to die from it?
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  Well, let's start out with the reality.
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  You're going to die from something.
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  You don't want it to be prostate cancer.
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  That's understood. But what if and how do you alter
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  that outcome? We know that you can bend the
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  ark. It's not a coincidence that in
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  the United States we have surging levels of cancer because
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  we have a carcinogenic lifestyle.
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  So much of America, so much of what we have now embraced as
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  normal, the obesity epidemic, lack of physical movement, the
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  exposure to toxins from lead to mercury on down.
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  This is where we need to take a step back.
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  Stop focusing just on the prostate and look at the global
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  risk factors. It doesn't really afford you a
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  greater life if you don't die of prostate cancer but you get
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  colon cancer instead or lymphoma instead.
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  This is why a globally anti cancer lifestyle is a foundation
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  over diagnosis of prostate cancer to be avoided.
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  APSA test, yes get it. But no don't let them scare you.
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  I I implore upon you, before you get your PSA done, read my book.
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  It will inform you about how to interpret that data.
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  Your knowledge will be your shield to being harmed by an
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  overzealous medical system that stands to profit from taking
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  actions that don't really support your health.
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  It is not so much evil in play as it is the inevitable
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  consequence of distorted incentives.
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  Nobody gets paid to think, nobody gets paid to talk.
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  Everybody gets paid when you do stuff.
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  The more biopsies, the more surgery, the more radiation, the
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  more medical intervention, right?
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  The money machine starts to churn.
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  Look, I'm not against profit. I'm a bit of a capitalist
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  myself, right? I think it's a good thing.
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  The problem becomes 1 of myopic incentives.
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  There's something called an enlightened this form of
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  motivation to enlighten capitalism, meaning that the
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  best interest of the patient correlate with the profit motive
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  of the physician. This is where most family
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  doctors live because as a primary care doctor, you don't
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  make your income from any procedural entity from a
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  surgical endeavor. You make it by treating
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  patients, keeping them healthy. I'm a board certified family
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  physician. I'm called upon to step into the
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  space of prostate cancer Through my years of experience,
• 18:44
  extensive research, and the fact that this, that this type of
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  overdiagnostic merry go round is not going to stop because
• 18:54
  somebody that is currently profiting from it is going to
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  get up one day and say, you know what?
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  I think I've had enough. Somebody out there is saying I'm
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  one of the best in the country. I'm one of the best in this
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  area. I'm one of the best at doing
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  biopsies. When I do a biopsy, I do it
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  better than anybody else. When I do a prostatectomy, I do
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  it better than anybody else. Once Upon a time somebody
• 19:21
  bragged that they were the best at doing lobotomies.
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  Being the best at a semi useless, harmful procedure is no
• 19:30
  claim to glory. It's a propagation of fear, harm
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  where profit supersedes rational intervention.
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  Looking at advances in our knowledge, it's hard to fault
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  doctors for doing prostatectomies in the year 2015
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  before the research came to light that they were not
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  affecting the death rate from cancer.
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  It was hard to fault them for doing radiation prior to then.
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  Before the research came to light that were causing harm,
• 20:05
  but today if a doctor does a prostatectomy and doesn't first
• 20:10
  tell you well, the surgery can make you impotent, make you leak
• 20:16
  urine, can cause harm and has not been shown to actually
• 20:21
  change your risk of dying from prostate cancer.
• 20:24
  Now when would you like to schedule it or the radiation
• 20:27
  specialist? Well, this radiation, it can
• 20:30
  increase your risk of lymphoma, leukemia, possibly damage your
• 20:33
  heart, and it can damage your rectum and your bladder such
• 20:37
  that in the future, you may have trouble holding your stool.
• 20:40
  And you may need to wear a diaper every day just so you
• 20:43
  don't poop your pants. Oh, by the way, it's not been
• 20:47
  shown to change your risk of dying from prostate cancer.
• 20:51
  Now, what would you like to get started?
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  You know, I got bills to pay. No, this is awful and I come to
• 20:59
  you with a message of hope. This is not one of passive
• 21:03
  passivity. This is not a circumstance of
• 21:06
  nihilistic hopelessness. There's a ton of things that can
• 21:09
  be done. Men, we can fight cancer like a
• 21:13
  man without sacrificing ourselves.
• 21:16
  Just don't let them mislabel and over diagnose what's happening.
• 21:22
  Don't let them pretend with all their confusing language and all
• 21:28
  their staging. We need biopsy.
• 21:30
  We have to get tissue. No, you don't.
• 21:34
  Till such time that a better approach arises.
• 21:38
  Conventional medicine in the particularly these early stages,
• 21:42
  which are hard to determine, don't have much to offer you.
• 21:47
  Now then where do you go from here?
• 21:49
  You gather knowledge. Join the doctor Pedro de Men's
• 21:52
  Vitality group. That's how you can through your
• 21:56
  membership fee, you got to pay for that every month.
• 22:00
  You can support the message that we're trying to spread, right?
• 22:05
  Don't be a code holder. You don't have to jump into the
• 22:08
  fire with me. We're simply asking for your
• 22:11
  support by virtue of exchanging that support for knowledge,
• 22:16
  education, and access to more information.
• 22:19
  Ultimately, men, whatever you decide to do is OK because
• 22:25
  nobody really knows 100% what the best path is for any
• 22:29
  individual to walk. The biggest problem I have with
• 22:33
  conventional medicine is the monopolistic control that
• 22:36
  overshadows your freedom of choice.
• 22:39
  When you're given no other choice but what conventional
• 22:43
  medicine offers, you really don't have a choice at all.
• 22:47
  Well, thanks for taking the time.
• 22:50
  Check out my book. We're going to continue to come
• 22:52
  to you with this information. We're going to continue to ask
• 22:55
  you to partner with us. We're not big pharma.
• 22:58
  We don't have any funding other than what Shannon and I put into
• 23:02
  it out of our savings. Well, that's good.
• 23:06
  You know, we got nothing else to do with that money other than
• 23:09
  send messages to you guys, you know, pay our rent, stuff like
• 23:12
  that. All right, gang, until the next
• 23:14
  time, flight cancel like a man. Ask important questions.
• 23:18
  Do not be intimidated by conventional medicine.
• 23:22
  Don't make rush decisions. Prostate cancer is over
• 23:26
  diagnosed. Prostate cancer is misunderstood
• 23:29
  by doctors and by extension by patients.
• 23:32
  Atypical doorman cells do not need to be cut out of you.
• 23:36
  That will cause you harm. Bye folks, till next time,
• 23:40
  Thanks for watching.