The Peter Attia Drive #39 - Ted Schaeffer, M.D., Ph.D.: How to catch, treat, and survive prostate cancer
02:31:55
Lab Selection Advice
- Prioritize mentorship, intellect, and drive when selecting a research lab.
- Identify your passions to fuel your motivation and ensure research success.
Clinical Experience Before PhD
- MD-PhD students should gain clinical experience before starting their PhD.
- Clinical exposure helps develop translational thinking, essential for impactful research.
Grandfather's Influence
- Ted Schaeffer's grandfather died of prostate cancer, shaping his career path.
- This personal experience motivated him to specialize in prostate cancer research and treatment.
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Introduction
00:00 • 2min
The AMA Podcast - Why I'm Not Selling Ads
01:58 • 4min
Doctor of Medicine, You Never Walk by an Open Door Without Looking Inside
06:04 • 2min
Why Did You Go to NIH?
08:09 • 4min
Interviewing Your Best Boys, You Still Learn Something
12:11 • 3min
What Was the Most Interesting Experience You Had While at NIH?
14:55 • 3min
Is There a Transition in Cancer Immunology?
18:11 • 2min
What Is a Tyrosine Kinase?
20:09 • 2min
CML and GI Stromal Tumors - Is Glee-Vac Curable?
21:47 • 2min
Mentorship Matters, Motivation Matters
23:53 • 2min
MD PhDs - What's the Difference?
26:10 • 5min
Is John Hopkins the Best Urology Program?
31:20 • 2min
The Pursuit of Excellence
32:58 • 2min
You Pay a Little Bite to Spade, Right?
34:37 • 3min
The Blood Loss From Prostate Cancer Surgery
38:04 • 2min
The Prostate Is Deep, Right?
40:10 • 3min
The History of Urology at Hopkins
42:46 • 2min
I Love Sunday School, Right?
44:16 • 2min
Putting an NG Tube in Without Killing
46:45 • 2min
Having a Prostatectomy Is a Big Complication of Surgery
49:13 • 2min
Is There a Paradigm Shift in How Surgery Is Doing?
50:46 • 2min
Prostate Cancer Surgery
53:05 • 4min
Is Prostate Cancer a Cancer That Comes Without It?
57:00 • 2min
PSA Is a Protein That Breaks Down Prostate Epithelium
58:43 • 3min
PSA - What Is Normal PSA?
01:01:43 • 3min
Prostate Specific Antigen Test
01:04:16 • 2min
Getting a PSA of 0.1 Is a Red Flag
01:06:02 • 2min
The 4K Score Is a Game Changer for Primary Care Physicians
01:07:54 • 3min
Prostate Cancer - I Wish Every Cancer Had a Test Like This
01:10:28 • 2min
Prostate Cancer
01:12:23 • 3min
Breast Cancer and Mammography - The Same Controversy Exists
01:14:58 • 2min
The Role of PSAs in Prostate Cancer
01:16:54 • 2min
What Do You Think About Screening for Prostate Cancer?
01:18:41 • 2min
Prostate Cancer - Is There a Formal Recommendation?
01:20:21 • 1min
What Is a Shared Decision Making Process?
01:21:50 • 3min
Is There a Screening Recommendation on Rectal Exam?
01:24:37 • 2min
Prostate Biopsies
01:26:10 • 2min
Can I Be Misled by His 4K?
01:28:04 • 2min
MRI for Prostate Cancer?
01:29:51 • 3min
Do You Need a Biopsy to Screen for Prostate Cancer?
01:33:18 • 5min
I Love Just Talking to My Patients
01:38:15 • 2min
Bernie's the Best Internist I've Ever Had a Referral From
01:40:15 • 2min
Is Pat Walsh the Best Surgeon in the World?
01:42:10 • 4min
The Gleason Sum of Six
01:45:48 • 2min
Don't Do a Prostate Biopsy Unless You Know What You're Going to Do
01:47:53 • 2min
Do You Know What Is Multi-Core 7?
01:50:05 • 3min
The Relationship Between Prostate Cancer and Five Alpha Reductase Inhibitors
01:53:28 • 2min
Is Finasteride Inducing a More High Grade Cancer?
01:55:51 • 2min
The Biggest Tool
01:58:12 • 2min
Prostate Cancer - Is Estradiol Playing a Greater Role in Prostate Growth?
02:00:27 • 2min
Prostate Cancer - What's the Lag Time?
02:02:31 • 2min
Is Sirtunin 3 in Prostate Cancer?
02:04:18 • 2min
Prostate Cancer - What's Your Name?
02:06:40 • 5min
Prostate Cancer - What Antibiotic Should I Take?
02:11:21 • 2min
Prostate Prostate Inflammation After Prostate Biopsy
02:13:19 • 3min
Is Botox a Prostate Injection?
02:16:24 • 2min
Prostatectomies - Robot vs Open?
02:18:08 • 2min
Is There a Male Contraceptive on the Horizon?
02:19:43 • 2min
Is There a Reversal Right on Vasectomies?
02:21:19 • 2min
Is There Anything You'd Love to Have on Your Desktop?
02:23:10 • 2min
Porsche 911 Turbo - Is That a Good Car?
02:25:03 • 2min
Is the Senna the Best McLaren Car?
02:27:05 • 2min
The 911 Turbo S Is Faster Than the 918 Turbo S at the Ring.
02:28:54 • 3min
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.
Learn more at www.PeterAttiaMD.com