Dr. David Samadi
speaker
68 appearances
2 recordings
1 series
first heard May 2025
last heard 13 Oct
Dr. David Samadi’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Oct 2025 with 1.
Appearances
Now, from the time of diagnosis, whenever that is or that was, it takes about five to seven years for the cancer to metastasize to bone and another five years or so for the person to die, unfortunately, from this disease. Obviously, that's the average. The only treatment that's effective right now is not surgery. It's not radiation.
It's hormonal treatment or medical castration where it can reduce his testosterone to a very low level in order to slow down these cells from growing further. So we can slow down the progression, but there's no cure at this point.
Yes. What he's talking about is something called ADT or medications such as Elagard or Lupron, which I was just talking about, the hormonal treatment. And not only they would lower the testosterone, they can cause hot flashes and menopausal symptoms, but they can also have cardiac issues. And one of those side effects, Megan, is mental health issues, meaning like, you know, it's a little cloudy.
They're not concentrating and it can affect it. Now, don't forget that President Biden also has had in the past two episodes of aneurysm in his brain, has had multiple surgeries on that. So some of those could also affect his mental issues. And I... If you look at my Twitter about a couple of years ago, I talked about that as a doctor, I was concerned about his mental health issues.
But of course, as a doctor, you don't want to get into politics because media can always come back and attack you for being honest and telling the truth. But
given also his age, that he's 82 years old, under a lot of stress, has been in politics for many years, the brain aneurysm, two episodes, and sometimes even prostate cancer can, of course, it always metastasizes to bone, but it can also metastasize to brain. It's not as likely, but all of those are scenarios and the side effects of hormonal treatment that can cause mental health issues.
I think it's an excellent question that you're bringing up, Megan. And in my career of 25 years, I have dealt with a lot of politicians and TV moguls who have come up with prostate cancer. And unfortunately, sometimes they make a wrong medical decision based on political reasons. And this is what the point that you're bringing up is that maybe at the time it
you know, we would have had a perfect cure and put this to rest. And instead of what was going on at the time with politics and the fact that it can affect his campaign, not only him, but many other politicians that we've seen in the past, they may have made the wrong decisions. Now, I cannot be... sure of that because I'm not his doctor. I haven't looked at his records.
But one thing is clear is that it's very hard to wake up within a year and go from zero to stage four prostate cancer with metastases. Now, what they're saying is that the doctors felt a nodule. What's a nodule? It's a firmness on the prostate. 15% of prostate cancers are detected by a nodule or firmness on the prostate itself. 85% are detected by the blood test called PSA.
In today's world, if there was any question about his PSA or what we call PSA velocity or the rise of that blood test, there would be MRI all over him. There would be PET scans. There would be It's very hard to imagine that the president of the United States will go on for years without the kind of attention that normal patients will get in our practice. And this was missed.
So I have a very difficult time to believe that whether or not they made the wrong decision because of what the politics was. That certainly is a good question that you're bringing up.
Well, you know, we know that he has not had surgery because if the information they're telling us that it was just last week that they examined him and they felt a nodule, that means that the prostate is still there and nobody has removed it. And so if he had been diagnosed with prostate cancer while he was a president...
they could have treated him with this hormonal treatment given the fact that he had metastases, but he would be, even though we didn't see a lot of him on TV and he was not present for a long period of time, but you would see him at times he would break into sweat and he would have like exactly like menopausal symptoms that women go through, that he would get hot flashes, that he would be very tired and he would have a lot of symptoms and side effects of this hormonal treatment.
So, um, The story doesn't make sense. I think that certainly he's had this cancer for close to a decade or so. Prostate cancer, Gleason 9, it grows rapidly, but it takes years for it to metastasize. And I don't see too many patients like this not in today's world with the kind of screening, the MRIs and exams that we have. And if that's truly what happened, it's a major, major malpractice.
And the fact that these doctors, they just completely missed it. And it's very unfortunate.
Megan, this is not about the last year or two years ago. When you talk about such a big cancer like this, this has been cooking for many years. And someone like him, he's had at least 30 to 40 years of PSA history. Someone who is in politics like this, senators, congressmen, politicians, they have a lot of attention.
They check their cholesterol, they check their hearts, they check from top to bottom. You know, it's true that over the age of 80, we don't want to be too aggressive with PSA screening because most likely people die from other diseases than prostate cancer.
But someone like him who was just the president, there's no way in the world that their doctors would just not look at PSA and not look at the PSA in the last many years and just say, well, he's old enough and there's no indication to do this. That doesn't happen. And if it did, it's probably malpractice.
In general, it takes like, you know, probably over the last decade or so, this has been climbing up. There are cases of prostate cancer, glycogen nines, where the PSA could be very low. We've seen those because if the prostate is filled with a lot of cancer, they may not secrete enough PSA. So sometimes it could be a little tricky, but You have the MRIs.
You certainly have the digital rectal exams. You look at the PSAs over the last many years, and you will be able to detect this. So I'm not sure if he has a family history of prostate cancer or anyone else. But don't forget. President Biden was supposed to be the savior of cancer in this world.
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