The Peter Attia Drive

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

Feb 4, 2019

02:31:55

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Episode guests

Ted Schaeffer

Highlights

AI Chapters

Episode notes

A Conversation About Career Paths and Reflections on Friendship

01:04

The History of Urology at Hopkins

01:30

What Was the Most Interesting Experience You Had While at NIH?

03:16

Is Finasteride Inducing a More High Grade Cancer?

02:21

Introduction

2min

The AMA Podcast - Why I'm Not Selling Ads

4min

Doctor of Medicine, You Never Walk by an Open Door Without Looking Inside

2min

Why Did You Go to NIH?

4min

Interviewing Your Best Boys, You Still Learn Something

3min

What Was the Most Interesting Experience You Had While at NIH?

3min

Is There a Transition in Cancer Immunology?

2min

What Is a Tyrosine Kinase?

2min

CML and GI Stromal Tumors - Is Glee-Vac Curable?

2min

10.

Mentorship Matters, Motivation Matters

2min

11.

MD PhDs - What's the Difference?

5min

12.

Is John Hopkins the Best Urology Program?

2min

13.

The Pursuit of Excellence

2min

14.

You Pay a Little Bite to Spade, Right?

3min

15.

The Blood Loss From Prostate Cancer Surgery

2min

16.

The Prostate Is Deep, Right?

3min

17.

The History of Urology at Hopkins

2min

18.

I Love Sunday School, Right?

2min

19.

Putting an NG Tube in Without Killing

2min

20.

Having a Prostatectomy Is a Big Complication of Surgery

2min

21.

Is There a Paradigm Shift in How Surgery Is Doing?

2min

22.

Prostate Cancer Surgery

4min

23.

Is Prostate Cancer a Cancer That Comes Without It?

2min

24.

PSA Is a Protein That Breaks Down Prostate Epithelium

3min

25.

PSA - What Is Normal PSA?

3min

26.

Prostate Specific Antigen Test

2min

27.

Getting a PSA of 0.1 Is a Red Flag

2min

28.

The 4K Score Is a Game Changer for Primary Care Physicians

3min

29.

Prostate Cancer - I Wish Every Cancer Had a Test Like This

2min

30.

Prostate Cancer

3min

31.

Breast Cancer and Mammography - The Same Controversy Exists

2min

32.

The Role of PSAs in Prostate Cancer

2min

33.

What Do You Think About Screening for Prostate Cancer?

2min

34.

Prostate Cancer - Is There a Formal Recommendation?

1min

35.

What Is a Shared Decision Making Process?

3min

36.

Is There a Screening Recommendation on Rectal Exam?

2min

37.

Prostate Biopsies

2min

38.

Can I Be Misled by His 4K?

2min

39.

MRI for Prostate Cancer?

3min

40.

Do You Need a Biopsy to Screen for Prostate Cancer?

5min

41.

I Love Just Talking to My Patients

2min

42.

Bernie's the Best Internist I've Ever Had a Referral From

2min

43.

Is Pat Walsh the Best Surgeon in the World?

4min

44.

The Gleason Sum of Six

2min

45.

Don't Do a Prostate Biopsy Unless You Know What You're Going to Do

2min

46.

Do You Know What Is Multi-Core 7?

3min

47.

The Relationship Between Prostate Cancer and Five Alpha Reductase Inhibitors

2min

48.

Is Finasteride Inducing a More High Grade Cancer?

2min

49.

The Biggest Tool

2min

50.

Prostate Cancer - Is Estradiol Playing a Greater Role in Prostate Growth?

2min

51.

Prostate Cancer - What's the Lag Time?

2min

52.

Is Sirtunin 3 in Prostate Cancer?

2min

53.

Prostate Cancer - What's Your Name?

5min

54.

Prostate Cancer - What Antibiotic Should I Take?

2min

55.

Prostate Prostate Inflammation After Prostate Biopsy

3min

56.

Is Botox a Prostate Injection?

2min

57.

Prostatectomies - Robot vs Open?

2min

58.

Is There a Male Contraceptive on the Horizon?

2min

59.

Is There a Reversal Right on Vasectomies?

2min

60.

Is There Anything You'd Love to Have on Your Desktop?

2min

61.

Porsche 911 Turbo - Is That a Good Car?

2min

62.

Is the Senna the Best McLaren Car?

2min

63.

The 911 Turbo S Is Faster Than the 918 Turbo S at the Ring.

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.