Dr. David Samadi
👤 PersonAppearances Over Time
Podcast Appearances
Correct. These are very aggressive cancers. Typically, if you look at the past 10, 15 years of his PSA, they gradually climb up, even though the PSA is not always the most specific test, but you will see a rise. There would be some symptoms when it comes to these aggressive prostate cancers. Typically, prostate cancer is asymptomatic.
But they would have some vague symptoms of urinary issues, getting up in the middle of the night, sometimes even blood in the semen, etc. Obviously, he's 82 years old. And over 50% of men over the age of 80 will have prostate cancer if you diagnose them. The problem with him is that he has a very aggressive Gleason 9. Now, the worst is Gleason 10. So this is up there.
But they would have some vague symptoms of urinary issues, getting up in the middle of the night, sometimes even blood in the semen, etc. Obviously, he's 82 years old. And over 50% of men over the age of 80 will have prostate cancer if you diagnose them. The problem with him is that he has a very aggressive Gleason 9. Now, the worst is Gleason 10. So this is up there.
But they would have some vague symptoms of urinary issues, getting up in the middle of the night, sometimes even blood in the semen, etc. Obviously, he's 82 years old. And over 50% of men over the age of 80 will have prostate cancer if you diagnose them. The problem with him is that he has a very aggressive Gleason 9. Now, the worst is Gleason 10. So this is up there.
And the fact that it has metastasized, either in the first scenario, it was completely missed, which is hard to imagine, or it was not reported at a time of diagnosis many years ago, and they're just reporting the metastases. Or this story, I think there are more questions than answers, given what we see today with the type of cancer that he has. It doesn't make sense.
And the fact that it has metastasized, either in the first scenario, it was completely missed, which is hard to imagine, or it was not reported at a time of diagnosis many years ago, and they're just reporting the metastases. Or this story, I think there are more questions than answers, given what we see today with the type of cancer that he has. It doesn't make sense.
And the fact that it has metastasized, either in the first scenario, it was completely missed, which is hard to imagine, or it was not reported at a time of diagnosis many years ago, and they're just reporting the metastases. Or this story, I think there are more questions than answers, given what we see today with the type of cancer that he has. It doesn't make sense.
That certainly is one possibility, that's for sure. But the timing of this and the fact that it was just released now is very strange and odd. Now, the treatments are obviously very, very difficult.
That certainly is one possibility, that's for sure. But the timing of this and the fact that it was just released now is very strange and odd. Now, the treatments are obviously very, very difficult.
That certainly is one possibility, that's for sure. But the timing of this and the fact that it was just released now is very strange and odd. Now, the treatments are obviously very, very difficult.
As you know, Megan, if I would have met him about 10 years ago when this cancer was just localized within prostate cancer, with our technology of robotic surgery, we could have saved his life with possibility of radiation afterwards if he needs it. Now that the cancer is spread to the bone, the prognosis is poor.
As you know, Megan, if I would have met him about 10 years ago when this cancer was just localized within prostate cancer, with our technology of robotic surgery, we could have saved his life with possibility of radiation afterwards if he needs it. Now that the cancer is spread to the bone, the prognosis is poor.
As you know, Megan, if I would have met him about 10 years ago when this cancer was just localized within prostate cancer, with our technology of robotic surgery, we could have saved his life with possibility of radiation afterwards if he needs it. Now that the cancer is spread to the bone, the prognosis is poor.
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.
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.
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.
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.
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.