As a retired physician I find so much wisdom in this episode! This should be watched by everybody who will ever have contact with Western healthcare, especially American healthcare. It is a shame it has only 14K views so far.
@Uhlbelk4 жыл бұрын
Its not the doctors job to determine what meaningful life is. Its the doctors job to give patients realistic expectations of treatment and let them decide.
@tangoz8114 жыл бұрын
Here here
@badcheetah59274 жыл бұрын
Right on 👍 Zcat can decide what to do if she got a cancer.
@Amethyst_fairy813 жыл бұрын
110%
@laurafishbaugher23383 жыл бұрын
Kee*pppoppp
@raymilland341310 ай бұрын
These dirt bag cancer doctors (most of them) know that their treatments suck and don't work but they push the poisons because Big Pharma wants the big bucks for their pissy poisons.
@mthoodstyle Жыл бұрын
I’m now a metastatic breast cancer patient with low er+, low HER2 and low mutations, which gives me way fewer roads to try in traditional western medicine. I’m gathering data for plant therapy (RSO & cbd oil) plus mushrooms and energy and faith healing. I know it may sound crazy to some but when you don’t have any good options at the oncologist’s office you start thinking outside of the box.
@homerroad7 ай бұрын
You may not read this, since your post was 9 months ago. But check with Banerji Clinic (homeopathy) in Calcutta - it has a reputation for helping many with cancer.
@elizabethcampbell16424 жыл бұрын
I quit my folfox treatments for colon cancer after 6 rounds instead of 12 due to neuropathy that I had hoped would not be permanent. I do have it mildly but glad I did not do the 12. Survival numbers were no different for patients who did 6 instead of 12. 6 years later im still here.
@earthangel25244 жыл бұрын
So glad you are still here to tell the tale and give courage to others.
@224EF3 жыл бұрын
Did you take Xeloda?
@elizabethcampbell16423 жыл бұрын
I took Xeloda as well but only 4 weeks instead of 6 due to a cardiac reaction.
@224EF3 жыл бұрын
I took only 3 rounds of Xeloda, unable to tolerate anymore due to SEVERE pain from neuropathy in my feet. Hope all that intense suffering gave me the additional benefit of breast cancer not returning. Still have residual issues. I would rather die than go through that again.
@Spiderific4 жыл бұрын
As a cancer patient, this was particularly interesting to me. Thanks for posting
@tomdehen4 жыл бұрын
One ethical course of action for doctors in light of these incentivized treatment options is to fully inform the patient of these incentives. As an occasional patient, I am going to ask my doctor for an itemized list of these incentives. We patients need to organize and push back on this corruption.
@jmd42jmd464 жыл бұрын
Why isn't anyone paying attention to nursing home patients and polypharmacology? Are all 10 pills really keeping them alive longer?
@katiehodak63214 жыл бұрын
Agreed...:They are keeping their bodies alive longer....imho, people don’t care about quality of life for nursing home patients....we’ve made so many medical advances- except can’t “fix” neuro or musculoskeletal issues... which truly affect quality of life 😕
@mballer4 жыл бұрын
Do you think the 10 pills were keeping them alive when they weren't in a nursing home?
@badcheetah59274 жыл бұрын
sandramA heynemana Haha my dad doesn’t take meds and he is 86.
@jmd42jmd464 жыл бұрын
They usually end up on more once they get put in a nursing home. My point is NOT that they are keeping them alive longer. I honestly think that many drugs are not good for kidneys and livers of elderly patients. But who is paying attention to see if they are actually living longer on the large amounts of medications. I already KNOW they are not documenting tardive dyskinesia that you will see from a lot of these patients. It's not the vascular dementia making their tongue move weird or their body making jerky or repetitive movements.
@mballer4 жыл бұрын
@@jmd42jmd46 But now they have a pill for TD when a garbage doctor screws you up with the first pill. Add another pill, it's great for the economy, make it to your deductable, now the sky's the limit.
@leslieverlayne18104 жыл бұрын
Andddd this is why as an APRN, first dx with idc and dcis at 28, i literally had a heated (unintentional) with my onco... then found the best hema /onco at El Camino. Love this content... 10 years on lupron and exemestane.... broken bones, inability to work, picc line hidden under a long sleeved shirt... which ended up ok because it allowed me to become a nurserentrepreneur
@leslieverlayne18104 жыл бұрын
Yeah spelled that wrong! Entreprenurse!:-)
@cassondrakovach68142 жыл бұрын
As a family physician and also a cancer patient currently undergoing chemo for low grade serous ovarian cancer, I found this episode fascinating. I had a very difficult decision to make regarding treatment because there is little good research regarding treatments for my cancer. I read every study I could get my hands on and very few were good studies documenting real benefit. I decided to do chemo then Letrazole because the evidence is a little better showing longer progression free survival and overall survival compared to just chemo or just Letrazole. There is a study currently comparing my regimen to Letrazole alone but still enrolling patients so it will be awhile before data is available. I didn’t do the trial because of some marginal kidney function issues and didn’t want to have more CTs than necessary. It is important to clearly define the endpoints in studies and make sure the sample size is large but in rare ovarian cancers, that can be difficult. Great episode even if I watched 2 years late!
@doctornebula4 жыл бұрын
Excellent discussion about respecting (patients) "where they are and where they come from." Especially important in cancer care. Extremely intelligent physician including emotional intelligence.
@mathsinger4 жыл бұрын
I'm glad to see you talking about the limitations of thought, and how we have evolved to think in certain ways. It has been a long term particular interest of mine, as is complexity, the interelatedness of all things and our desire to sinmplify, which is often necessary in order to act, but which can be prone to error. We often have to make models, but should never forget that they ARE models dependent on what we choose to include. If we include other things, we will get different models. I think the most useful thing to know is the limits of our knowlege.
@NikhilAutar4 жыл бұрын
Can confirm. The tiny little things make a huge difference. When i was 17 and diagnosed, the thing that's changed my life most was my doctor writing a letter for me that allowed me a chance to study medicine
@rcjeffrey743 жыл бұрын
When I was in medical school many treatments were new, expensive, and did not seem to work well. I have been a physician for 50 years and many of those patients are cured. We are always learning and our motives are better than many doubters believe. That thought is painful since I have worked very hard, and will stand proudly before God.
@petroonajourney3503 Жыл бұрын
@robertjeffrey I am not a doctor I am a civilian. I do not believe that all medical health professionals enter the field having less than honorable intentions, I do believe there are doctors out there that has the best of their patients at heart. Thank you for your hard work, sacrifices and for being a caring human being🤗.
@DiamondLil4 жыл бұрын
When I first began menopause, my gynecologist at the time actually said that “all women” at that stage should be on estrogen replacement-no exception. I asked him, why not just pass it out at the DMV? He gave me a sour look, and I soon found a new dr. Didn’t make sense to me that any one drug should be administered to everyone by default.
@snowps12 жыл бұрын
I'm in perimenopause and my periods have become a little irregular. As soon as I mentioned it to the gyno she offered me hormones pills to regulate it. That was so bizarre. How am I supposed to even know I'm in menopause if I take hormone pills to disguise the symptoms? I declined. What I'm experiencing is inconvenient but perfectly normal. It's not something that needs medicated.
@petroonajourney3503 Жыл бұрын
My aunt just passed due to cancer, she was diagnosed only a few weeks ago and it was really advanced. She refused treatment because they would have lost not only her tongue but part of her jaw for a start, just imagine her having had to go through chemotherapy and radiation too... I would have made the same choice for myself.
@carmivanronk2753 жыл бұрын
You guys have the absolute best discussions
@camfnp28624 жыл бұрын
Wonderful show. Factual ,Very insightful , balance views and heartwarming .. and inspiring. As a newbie NP both of your experiences and knowledge - ,truly inspire me to improve my interaction and decision - making skills with our patients and to truly put our heart ❤️ on what really matters the most - our patient.
@beautifulslim4 жыл бұрын
THE LOVE OF MONEY IS THE ROOT OF ALL EVIL AND WE LIVE IN A FUCKED UP WORLD.
@sabbapixie4 жыл бұрын
I really enjoyed this discussion. I wish I could go back and have conversations with doctors who said wonderful and bad things to me. I really thought Dr Prasad had many insightful things to say.
@eunice81164 жыл бұрын
My 8 yr old nephew fell ill the hospital thought he had covid19 Tested neg they did a MRI and took bone marrow! Found he has blood cancer😥, Lymphoma, he is now having kemo therapy this past wk, It's so sad we prey he gets better... We can't see him in real just face time, he has perked up since the kemo. 😥
@sarah2.0174 жыл бұрын
Lymphoma usually has an excellent prognosis in younger people, although the treatment can be very difficult. I wish you all the best. (I'm a licensed pharmacist and a breast cancer survivor.)
@lisademartini14 жыл бұрын
I am so sorry to hear this. HUGS!
@stuartarnold94444 жыл бұрын
I hope the chemo works for him and he doesn't succumb to COVID-19 due reduced immune system.
@Spiderific4 жыл бұрын
I'm so sorry. I have cancer and it's hard for me to go through the treatments, so I can't imagine how hard it is for a child and their family. I wish your nephew nothing but the best.
@Johninsactown4 жыл бұрын
So sorry my friend
@NikhilAutar4 жыл бұрын
Re: "reductionist thinking in medicine." The major reason this exists is because a pharmaceutical gets a drug approved if it is shown in studies to be better then placebo/ current treatment. They fund most trials. Theyre financially motivated to get a drug they've invested tens- hundreds of millions on through phase 3 trials too. Which is why you see a lot of drugs not working as well as early and late studies show. Industry led drugs are 20% more likely to be positive than non industry ones.
@KenShawsanfrancisco4 жыл бұрын
Thank you, Doctor. This is one excellent and thoughtful discussion on a subject most of us will deal with.
@crisduran28765 ай бұрын
Thank you for keeping it real! 👍👏👏👏👏👏
@blankname66294 жыл бұрын
The way dr z has his mic positioned it looks to me at least like he is about to play piano haha
@babs12104 жыл бұрын
I’m confused. Peter Attia’s guests say ERT is good with exceptions.
@Muritaipet4 жыл бұрын
Sorry guys, but one of the key things I heard here is your "for profit medical system" is a major part of the problem. I'll disclose my bias, I'm from New Zealand
@Muritaipet4 жыл бұрын
@Wednesday's Child In New Zealand the focus is shifting to preventative care, through Primary Health Organisations (PHO). This also puts more funding power into the hands of General Practitioners (GP's). Sorry, I'm not sure what you call them in the USA - family doctors perhaps? As well as reducing cost to the users and promoting general health, PHO's are perceived to improve access in rural and lower socio economic area's. The current drive is towards mental health issues. Again by getting people to access psychiatric services earlier via their GP's, the idea is to keep them out of the hospital system. en.wikipedia.org/wiki/Primary_health_organisation Edit: Sorry, I forgot to say that using the metric of pharmaceutical consumption, the preventative approach may be working. I believe pharmaceutical consumption per capita in NZ has dropped over the last 20 years, and is either the lowest or second lowest in the OECD.
@PornIsHate4 жыл бұрын
Physicians for a National Health Program: PNHP.org
@BubbleHorseRacer4 жыл бұрын
I totally agree that many treatments and tests should be individualized. I personally would be able to find a lump if I had one which I did and went through Chemo, modified mastectomy and then radiation and now HER2 and Estrogen blocking treatment. I have had my treatment modified based on my response to treatment and I appreciate Dr. Leon's care. As well as my surgeon, Dr. Seydel, doing a modified mastectomy versus the radical that was recommended based on my cancer stage because the chemo eradicated all cancer large enough to show up on my post chemo PET scan. I so appreciate getting to keep all but two of my lymph nodes.
@cindydow73694 жыл бұрын
Had lump in my right breast, they remove my lump in my breast, cancer doctor came back and said they didn't get all cancer out first time. They did mastectomy to remove my breast. Thought out waiting for surgery, breast cancer doctor said was to late have any treatment. Been 11 years now
@gnrncrue4 жыл бұрын
Great conversation! I loved the metaphor about how we may be viewing the body in similar fashion as "looking at old maps {from the old days}".
@terriensberg54874 жыл бұрын
The interface we think we understand seems to be limited to tangibles. Maybe most of life is intangible, so medicine seems clunky and incomplete for no clear reason. My husband of 41 yrs has advanced kidney cancer, which is in remission for now. We would not sacrifice the intangible, sacred quality of the end of life for the distraction of harsh medical treatments that should work but don’t.
@katiejohnson85343 жыл бұрын
I know of a doctor who can help you out with this. He also help me from this same disease , He can also help cure your husband permanently
@tommysmith70312 жыл бұрын
Is this where it all started for vpzd?
@patricasmyth435919 күн бұрын
A few observations I have made that concern me: in 2021 doctors were recommending taxol and carboplatin chemo plus radiation for uterine cancer patients with deficient MMR (mismatch repair) proteins even though those treatments were shown to be ineffective. 3 years later they are combining the same treatment with Keytruda which is showing positive results. Why not Keytruda alone? 2. I need a tetanus booster but recently found I can only get it combined with diphtheria and pertussis vaccines. I have zero risk of diphtheria or pertussis. 3. There is a new shingles vaccine. However there is a slight risk of Guillain Barre disease. So even though I think vaccines are valuable, I won’t get either of them. Finally I get frustrated when doctors talk about relative reductions of recurrence for a treatment. Oftentimes it is meaningless e.g., a reduction of 6 percent to 4 percent is a 33 percent reduction. Sounds great but if you end up with life long neuropathy is that reduction worth it?
@patricasmyth435919 күн бұрын
One other thing I forgot: you might make it to five years, but that doesn’t mean that cancer won’t get you in the end. I bet big Pharma love the five year goal. Bet they would love a three year goal even better.
@stacysnyder90664 жыл бұрын
Some of us who are by no means anti vaccine ( my child got them all ) have safety concerns and want access to good data about absolute risk vs relative , NNT and ingredients in the vaccine and placebo. Without this information we cannot assess risk vs benefit. My truly wonderful primary asserts that the current shingles vaccine is 97% effective. In vaccine math that is equivalent to an absolute risk reduction from 3% unvaccinated to .08 vaccinated. (According to Wikipedia the efficacy rate of a vaccine is calculated as follows:3.0- .08/3=.97 or 97%. ) I rely on my excellent doctor to guide me towards sound medical decisions . This is some of what contributes to vaccine hesitancy, not necessarily , “crazy sauce”.
@cynthiawagstaff74584 жыл бұрын
at last we are hearing the truth!!!
@msgoody2shoes9594 жыл бұрын
Timely topic. interesting. Thx, Z! Well done.
@GertvandenBerg4 жыл бұрын
My father died from the chemo for angioimmunoblastic T-cell lymphoma... There the main problem seemed to be that it is quite rare and there are lots of unknowns. The strategy seemed to be to destroy the bone-marrow and replace it with a stem-cell transplant. It seems like it might work in this case, but the risks are tricky... (But there were few studies, not sure if that have since increased)
@JCResDoc943 жыл бұрын
*34:44** @ what point do you put out the press release* - incentives & unconscious (usually) dirvers of behavior
@embededfabrication44825 ай бұрын
KZfaq block comments telling people the truth about venture capital influence in all this
@matayahfox75754 жыл бұрын
thanks for this - i totally agree, my dad underwent chemo/radiation and it was messed up. i am premed and hope to change this culture . i think the whole covid thing kind of ties in to this too - just a bunch of chickens running around with their head cut off. i have yet to find literature to support wearing masks but from the feel of our clinic, which requires full time masking, everyone is miserable, now many looking for other jobs - kind of tying back to the whole PTSD associated with ICU. most protocols are made and enforced by management, with no medical or science backgrounds.... so thats fun. anyways seriously thanks so much for this show - i seriously would be done with medicine otherwise... sorry i feel kinda lame ranting but where else lol. oh and not to be too much of a groupie, but thanks for the humor, good lordie i wish more docs had this... you the bomb
@JCResDoc943 жыл бұрын
47:00 thats it, pts dont just feel better; theyd feel guilty if they got sick! bc they like you. or, as it would be said in mainstream cms "less likely to sue" - JC
@Dreadlock12274 жыл бұрын
Last time I was this early people still had original last time I was this early jokes
@rosemarieloncaric-spataro28614 жыл бұрын
Thoughts on Pneumonia vaccine?
@snowps12 жыл бұрын
Both of these doctors are very pro-vaccine.
@wednesdayschild36272 жыл бұрын
Thank you.
@LSD2094 жыл бұрын
Lemons not poison
@MB-su4tr3 жыл бұрын
hell yeah (also supplements and high dose fit C IV)
@VenitaRamirez2 жыл бұрын
Thank you. 🙏
@GrifFungin4 жыл бұрын
Fucking GREAT interview!
@mtfine4 жыл бұрын
Fantastic!
@leslieverlayne18104 жыл бұрын
Love this
@guythatcomments4 жыл бұрын
I dont know if this too off topic but what is the best way to extend limited oxygen supply ... would deep breaths and lowered heart rate extend time? or would oxygen still be used up at a consistent rate making the change of breathing pattern pointless
@angelacrutcher23086 ай бұрын
Judy is not fake but the ones who speak some truth, are the very ones they discount , or call fake im learning this to be true.
@Amethyst_fairy813 жыл бұрын
Hmm wondering does Welsh say what the probability is if family history even without BCA 1/2.
@jmd42jmd464 жыл бұрын
Is there a legitimate field of study with biology and quantum physics?
@OpheliaWhitemanАй бұрын
I can not believe theses people can think they can fight cancer w these drugs big Parma have been playing this game for 50 years
@manefedu8374 Жыл бұрын
Lancet study 4 x dosage given to late. Pulled back clandestinely. Pr Raoult in "IHU Méditerranée" yt channel "bilan" WAY less death
@mattheratwoods Жыл бұрын
Oh how the mighty has fallen. I still remember when you pushed the Pfizer pen so hard trying to discredit anyone else who went against the narrative. What I did miss was the APOPLOGY FOR YOUR SINS. 😊
@JCResDoc943 жыл бұрын
*40:00** **_"give me a cut, just wanna wet my beak"_** - oncology criminals poisoning people on purpose bc they are evil and bad* (paraphrase) - JC
@susanprinzi71544 жыл бұрын
What's up with the ad hominem attacks and appeals to authority?
@starkeclipse4 жыл бұрын
Dr. Z's strange fascination with the audio business at the start of this clearly made both the interviewee and I both feel a bit out of place. What in the world was that included for?
@lisakullack40554 жыл бұрын
👍
@nickmullen4022 жыл бұрын
Z dog with the epistemological tinfoil hat! Ones and zeroes?
@miccullen4 жыл бұрын
Going to answer the questions on twitter about your producer's threats to protesters? Because there's a LOT of unsubscribes headed your way the longer you refuse to address the issue, which is stupid from multiple angles.
@snowps12 жыл бұрын
What's the story here? I missed it. Where did the other guy go?
@paulkim28002 жыл бұрын
Prasad has become a professional bomb thrower. I lost all respect for him after his article in the Atlantic. He speaks from both side of his mouth. It seems to me, he is a guy jealous of Atul Gwande and he's throwing "bombs" left and right to gain recognition. It's a shame Dr. Z is giving this idiot credibility.