Otis Brawley, Prostate Cancer, CDC discussed on The Peter Attia Drive
On every cancer. And there's one other one other oh, the CDC is the fifth body to weigh in. And we show them. Here are the recommendations from all five of these for every cancer. And I remember when that shift changed to for prostate cancer. There's no more recommendation while the recommendation is talk about it with your doctor pass the buck besides the I think the American kademi of family practitioners, and they don't recommend PSA screening still. I'm not sure why. But you know, that's a different discussion. But the bottom line is that almost all the guidelines now say it's a shared decision making process, which I think makes perfect sense. That's how I view mod modern medicine. Yeah. It does it. In theory, makes great sense. What I worry about Ted is theirs. A bunch of patients they get caught. They don't have doctors like you or me who are willing to be able to have had the luxury of the time and the ability to educate themselves to do that. Because I still see a lot of patients that show up and they're not getting screened because their doctors basically saying, well, obviously, this is quote, unquote. Controversial, you know, I sort of remember hearing that we shouldn't have been screening. So we're not gonna do it. And that's that's sort of my fear with these things. Well, I think I think shared decision making it require also. So then to me conceptually, it makes a lot of sense in reality. What does that actually mean? Well, that's the next question. That's the next unknown. Right as well house. Our shared decision making process, how does it occur? And when a patient sees you that's different than when a patient sees an average internist, let's say, and it's different. When a patient doesn't see any doctor. So, you know, the idea that there's the bus that rolls up that just does your bloodwork and send it back in the mail. That's terrible. I mean, I did that when I was a resin they pay me fifty bucks. Go man the bus and do that. That's not really doing that patient, those individual men any, you know, any they're not helping those people because you don't know their whole health history. You know, and all that. So I experienced that. And you know, I got into it with Otis Brawley about screening, and you know, he raised that point in. It's valid. I did that when I was rather than because I was told to do it..