#39 - Ted Schaeffer, M.D., Ph.D.: How to catch, treat, and survive prostate cancer

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.7 • 7.3K Ratings

🗓️ 4 February 2019

⏱️ 152 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, Ted Schaeffer, Professor and Chair of the Department of Urology at Northwestern (youngest chairman in the country), presents the roadmap for the best way to screen for, and treat, prostate cancer. We also get into the “mass screening” controversy and all the risks involved with treatment. In addition, we discuss our evolving understanding of cancer and the most exciting areas of research to come.

We discuss:

Ted’s unique path to get his PhD [5:15];
The exciting transition in science during Ted’s PhD in the 1990s [15:30];
Ted’s advice to MD-PhD students, and why he choose urology and Johns Hopkins [23:45];
History of prostate surgery, and Pat Walsh’s legendary work in prostate cancer [36:15];
Prostate surgery and the risks involved with treatment [53:00];
Screening for prostate cancer [58:00];
The “mass screening” controversy [1:12:45];
Biopsies and MRI: important things to know [1:25:30];
Why urology such a great field of medicine, and why Peter wants a goat [1:34:45];
Ted’s work with Ben Stiller [1:39:00];
Gleason grading system [1:43:45];
Testosterone, DHT and the prostate cancer controversy [1:53:15];
The metabolism of the prostate [2:03:00];
The most exciting areas of research in prostate cancer [2:08:00];
Benign issues involving the prostate: pelvic pain, infections and treatments [2:11:15];
Video of Ted’s surgeries, the latest technology, and males contraceptive options [2:18:00];
Watches and cars [2:23:30]; and
More.

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Transcript

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0:00.0	Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.
0:10.0	The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,
0:15.7	along with a few other obsessions along the way. I've spent the last several years working
0:19.6	with some of the most successful top performing individuals in the world, and this podcast
0:23.8	is my attempt to synthesize what I've learned along the way to help you live a higher quality
0:28.3	more fulfilling life. If you enjoy this podcast, you can find more information on today's
0:32.4	episode and other topics at peteratiamd.com.
0:35.3	Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of
0:45.6	minutes to talk about why we don't run ads on this podcast, and why instead we've chosen
0:50.2	to rely entirely on listener support. If you're listening to this, you probably already
0:54.8	know, but the two things I care most about, professionally, are how to live longer and
0:59.7	how to live better. I have a complete fascination and obsession with this topic. I practice it
1:05.1	professionally, and I've seen firsthand how access to information is basically all people
1:09.9	need to make better decisions and improve the quality of their lives. Curating and sharing
1:14.8	this knowledge is not easy, and even before starting the podcast, that became clear to me.
1:19.6	The sheer volume of material published in this space is overwhelming. I'm fortunate to
1:24.0	have a great team that helps me continue learning and sharing this information with you.
1:28.9	To take one example, our show notes are in a league of their own. In fact, we now have
1:33.6	a full-time person that is dedicated to producing those, and the feedback has mirrored this.
1:39.0	So all of this raises a natural question. How will we continue to fund the work necessary
1:44.0	to support this? As you probably know, the tried and true way to do this is to sell ads,
1:49.4	but after a lot of contemplation, that model just doesn't feel right to me for a few reasons.
	...

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