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Revisionist History

The Trust Diagnosis

Revisionist History

Pushkin Industries

History, Society & Culture

4.762K Ratings

🗓️ 21 May 2026

⏱️ 39 minutes

🧾️ Download transcript

Summary

The episode centers on the dilemma of a man with an advanced, metastatic case of prostate cancer. His name is Dan. Every doctor he spoke to had a different opinion on what he should do — or whether it was even worth doing anything at all. His question was: which of these many opinions should I trust? The episode centers on which doctor he ended up committing to, how he made that decision of where to place his trust, and how his choice probably saved his life. What Dan will explain — and he is someone who has spent his life as a crisis communications specialist — is that trust only comes at the end of a careful and intentional process.

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Transcript

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0:00.0

Pushkin.

0:10.6

I have a friend named Dan. I've known him for years. He's in his 70s, lives outside Washington, D.C.

0:18.4

He's in the crisis communications business. Companies call him in when

0:22.4

they have a big problem. In fact, that's how I met him. I was working on a story about one of his cases,

0:28.3

and he called me up. Dan and I talk all the time. And last fall, he said something to me in passing

0:34.8

about having to go for a bunch of tests.

0:39.0

He didn't say why.

0:40.9

It didn't seem like a big deal.

0:49.5

Last May, my internist told me that he was pretty sure I had prostate cancer.

0:57.0

And for me, it was a, I can't say it was a nothing reaction, but it was certainly a very modest reaction.

1:00.5

I said to him, isn't this a minor league of cancers?

1:06.0

And isn't it a right of passage if you're a man my age?

1:07.7

And that's how I thought about it.

1:16.7

And it was reinforced when I connected with a urologist who said to me,

1:19.9

anytime in the next few months have an MRI.

1:31.7

So I thought of it as a minor thing, and my first contact with my expert reinforced that.

1:37.4

So I didn't even bother to do anything until August, from May to August.

1:44.5

And I go from a, so a blood test to an MRI, to a biopsy, to a PET scan.

1:47.1

And then it was, yeah, you got it.

1:58.5

And then the next deal was you should just go and get some radiation and some hormone therapy.

2:04.5

And I had to draw it out of the physician, and it was a casual matter of fact.

2:07.6

And that was sort of dumped in my lap at that point.

...

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