Dr. Peter Attia

Yeah. For folks who want to know more about that, Sid Mukherjee, I think it was in The Emperor of All Maladies, has a chapter on this.

Yeah. For folks who want to know more about that, Sid Mukherjee, I think it was in The Emperor of All Maladies, has a chapter on this.

So let's talk about that. So a woman has a stage one or a stage two breast cancer. Typically these days, I think they're moving mostly to neoadjuvant chemo before resection.

So let's talk about that. So a woman has a stage one or a stage two breast cancer. Typically these days, I think they're moving mostly to neoadjuvant chemo before resection.

So tell me a little bit about that. I was completely unaware of that. So I'm a woman, I've had a lumpectomy, sentinel node was negative. So I've got an incision about this long for the listener, five centimeter, six centimeter incision. They've probably closed it with beautiful internal sutures. I've got some steri strips. They're off in a week and I've got a nice little scar a week later.

So tell me a little bit about that. I was completely unaware of that. So I'm a woman, I've had a lumpectomy, sentinel node was negative. So I've got an incision about this long for the listener, five centimeter, six centimeter incision. They've probably closed it with beautiful internal sutures. I've got some steri strips. They're off in a week and I've got a nice little scar a week later.

I come and see you how many weeks after that?

I come and see you how many weeks after that?

We do a CT scan. Just to be sure, planned pre-resection because you're seeing the tumor itself? What I meant was pre-treatment. Got it.

We do a CT scan. Just to be sure, planned pre-resection because you're seeing the tumor itself? What I meant was pre-treatment. Got it.

And it's also, I'm guessing, where the tumor was in the breast. So if you have large breast and a superficial tumor, definitely prone would be amazing. The tumor bed is so far from the patient.

And it's also, I'm guessing, where the tumor was in the breast. So if you have large breast and a superficial tumor, definitely prone would be amazing. The tumor bed is so far from the patient.

Okay. Yeah. So this is infinitely more involved than I thought, which means I'm not the only one that probably was ignorant of what is involved. How long does each session take?

Okay. Yeah. So this is infinitely more involved than I thought, which means I'm not the only one that probably was ignorant of what is involved. How long does each session take?

When did this become so automated with the robotic arm and stuff? Did you do this in your residency or were you the ones manually doing that in residency?

When did this become so automated with the robotic arm and stuff? Did you do this in your residency or were you the ones manually doing that in residency?

The actual radiation beam is generated by what? The ion is generated by?

The actual radiation beam is generated by what? The ion is generated by?

When you say that a typical treatment might be 15 gray over the course of the three weeks fractionated over 15 treatments. So it's actually about 40.

When you say that a typical treatment might be 15 gray over the course of the three weeks fractionated over 15 treatments. So it's actually about 40.