Interviewer: How important is early dedication, when it comes to Prostate Cancer? And it you talked about the poodles and the Pitt bulls, if we detect a poodle, is that necessarily a good thing. Poodle being a less serious form of prostate cancer.
Dr. Phranq Tamburri: You could probably make a two hour movie about that point, that is what you just asked is the Simmel question of the Prostate cancer debate. And I'm not trying to skirt this, but you need to know how loaded that question is. The Urology Association, the American Urological Association, every year they have a conference. They talk about antibiotics, urine track infections, female urinary sling procedures, yawn, and then finally the speech comes up about prostate cancer biopsy or PSAs and then the place turns into old world Parliament. All these doctors go nuts and throw punches. It got so bad one group decided to have a spin-off conference, which I'm going to be attending next week, to deal with just this concept of active surveillance, to biopsy, to not biopsy that is how loaded this issue is. We often say it's just like vaccinations, allergies, there is different things out there, but vaccinations, without getting off the topic, is loaded beyond simply one issue. It brings in civil rights, I'm sorry, constitutional rights, herd immunity and larger issues. And that's what this prostate cancer, you just asked, is dealing with.
Because when you are diagnosed with cancer, the system has set up to think cancer equals death. That's what we all think of. The system now is starting to recognize that most people we have cancer in us all the time. And if that's true it means most of the time it doesn't kill us. So now what you did if you're a doctor and you find cancer, but you think it's a poodle? What do you tell the patient? Oh, I guess what I found cancer in you, but I think it's a poodle whatever that means and go home and have a nice day. I mean, I mean patients their head is spinning. They don't take that down lightly. And let's say that you are wrong and if you see a 100 patients and you are right 99% of the time, but one patient, you know, it's called a practice and the doctor misses the poodle for a pitbull and all you need is one is to sue the doctor and say technically that was cancer, shouldn't you have removed the cancer? So guess what doctors do they treat every case as if it's a Pitt bull because they don't want to be sued. This obviously brings in a whole litigation and tort reform and debates that we are having today. But that is why this prostate issue of question of how do you know which one and how does treatment change. It's a crux of it that we don't know what to do for the medical system. That is what to do with a poodle? We don't know what to do with it because of all the litigation issues. And the education that a man has to have to know the difference. And, lastly, if I tell you, yes, I think you have cancer, but I it's not going to kill you or I don't think it will, how will you react? For a patient to know "they have cancer," even though we all know we have it in us anyway, but for someone to be diagnosed with it. How are they going to react? How will they react with their wife? We are dealing with mind and body and spirit. And many times a man might have a diagnosis even if it isn't a serious diagnosis, but their mind and spirit may not be able to handle that and that is a different area of healing.
We're often told that early detection is a key in beating cancer. But is that really the case? Dr. Phranq Tamburri discusses some big issues that arise when talking about early detection. He deals with prostate cancer, but it may apply to many other cancers. What he says will make you really think about early cancer detection.
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