Do You Need a PSA Test?

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I'm hundreds Imus in the morning adopt cats understand your point are you great thanks so we're gonna talk about to not canceled my urologist all the way yet.

And -- lawlessness Lima supervising.

Presumption -- or not.

The event a spate of articles lately about Sunday -- ability.

-- there have been a PSA -- or not -- -- your view.

Actually have a PSA test there's no doubt that the PSA test has saved many men in this country.

You know when I was training as a resident back in the eighties or just -- what -- men men would come you know -- hospital.

And have bone pain and metastatic prostate cancer before the PSA -- now with PSA.

The problem is is that yet you know we're seeing so many of these cancers that are low grade and in May not be clinically significant but at least.

We seeing it down shifting of prostate cancer -- many of them and -- come in most of the man in 2011.

Really have no symptoms at all.

My opinion bottom line absolutely we need to do the PSA the US task force got it wrong.

What they should've focused on it's not should we be doing the screening.

But once you get that biopsy who should be treated because you know with over detection you wind up doing over treatment.

That's what we should be focusing in this country not every -- with prostate cancer.

As you well know.

Needs to have this -- progressive radical treatment in many of them can go on active holistic surveillance change their diet incorporate.

You know many wonderful nutrients in their diet a modify and change those things and that will allow their PCs to stay stable and many of these men.

We'll go on living a very healthy and productive life and don't need the radical surgery -- the radiation many of them and there are some and that do.

Now but but to not do PSA screening in this country for every man over the age of fifty is actually in my opinion the wrong advice.

So ain't gonna want to lay all what I was initially diagnosed.

Adoption get caught on one -- Roche sent -- retired.

All eyes -- how long haul a longer I have before -- -- -- saw a couple launch.

Yeah well as I said while all the made to store on unchecked possible the triple right so I want to check for -- -- and did tonight.

And I want to see a doctor Peter -- or -- know -- -- as the stories are great auction absolutely no one of the things ration was about vitamin there.

Yes right away the first thing when.

We knew you had the diagnosis of prostate cancer.

I wanted to hold profile done you know you deficient anything and asked I asked him to do a vitamin.

You know I was nice about it initially with and I wasn't minds -- -- they were reluctant and they settle.

You know we don't do that that's -- part of our -- -- cancer -- and monstrous start you know -- visited a lot of doctors and from McCain yeah do.

And you know.

We have the vitamin DHS -- and we found that your levels were extremely enough.

We just published a study in Journal of Urology that in over 3000 of our patients at our center Columbia.

75%.

-- deficient in vitamin.

I would low vitamin well especially -- are staying statistic.

Is about 85% of us including children.

Are deficient important -- to -- when we say deficient.

Really if it's below forty -- on my -- Minus sixteen borrowing your down sixteen bit at the very high.

Number the population that is actually walking around efficient and we don't even have a standard -- just to test for vitamin.

Every year with his pediatrician we do.

A whole panel of blood work in -- aren't sure analysis.

And his vitamin.

Fifty.

OK well -- vitamin.

Apostles somebody comes or office or diagnosis of prostate cancer sure how do you decide who's a candidate.

Far -- holistic approach.

Great question and a lot of it comes down to first looking at the individual.

Is -- determining how old they are.

Looking at their PSA status I'd like to.

And then I look at -- capitalism.

Well I look at the biopsy and I'd like they're Gleason to be six now they can have sevens you know and there are different forms -- seven the Gleason is how aggressive the cancer -- And I do think that there are patients who Gleason seven that can go on on an -- holistic -- Tom I look at the number of tumor volume that you know how what percent how many -- of cancer they have I look at their MRI.

On -- a number of factors the other thing that is important.

Is the anxiety level you know -- -- patient yesterday is 52 years old who had prostate cancer about a year ago who is extremely anxious I didn't necessarily.

You don't think that he net needed definitive treatment but this guy would not have done well on surveillance because US and -- -- follow the diet.

He was way too anxious about his PSA and so.

He went on to have you know robotic surgery at 52 years old which is you know becoming more of this standard approach if you need definitive treatment in this country.

Probably the robotic surgery is the way to go our line I would encourage listeners that.

If you look at the data 80% of urologist in this country.

Only do about ten prostate procedures a year.

And there's no doubt that the more that you do in your senator the better you -- outcomes are going to be you cure rates are gonna go up.

You morbidity like incontinence and impotence are gonna go down.

See you need to have.

If you can have this -- -- you need to do it in and the center of excellence summit and.

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Do You Need a PSA Test?

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