Lifestyle Medicine In High Risk Prostate Cancer with Adam Kibel, MD EP 81 скачать в хорошем качестве

Lifestyle Medicine In High Risk Prostate Cancer with Adam Kibel, MD EP 81

#prostatecancer #prostatehealth #gleason #prostatecancertreatment In this episode, we challenge the terminology: Should Gleason 6 prostate conditions honestly be labeled as "cancer"? Many experts, including our esteemed guest, Dr. Adam Kibble - Chair of Urology at Harvard Medical School and Dana-Farber - believe the answer is a resounding "no." Delve deep into the nuances of a Gleason 6 diagnosis and why it might be more manageable than it sounds. Dr. Kibble, an alumnus of Cornell University with a residency from Harvard and a fellowship from Johns Hopkins, has dedicated his practice to the minimally invasive treatment of urologic cancers. With over 400 peer-reviewed papers to his name and substantial grant support from the National Cancer Institute, his insights are invaluable. ---------------- Chapters📚 00:00 Lifestyle Medicine In High-Risk Prostate Cancer with Adam Kibel, MD 05:53 What have you seen that's really unusual in the space of prostate cancer? 07:06 The definition of high-risk prostate cancer.Gleason Pattern 8. 08:32 Explain the difference [ between Adjuvant and Neoadjuvant Chemotherapy] 11:45 Second opinion: do they know the Gleason score the first pathologist  scored? 14:15 We need to understand where the cancer is before we can focally ablate it. 17:15 Grade predicts whether the patient will fail therapy. 24:34 I've heard four things that I can do. How do I come up with a decision? 27:56 We're over-treating patients who have Gleason 6. 29:03 Gleason 4 plus 3. 29:49 About 1 percent of Gleason 6s. Can develop an aggressive disease. 30:31 Between 40 and 60 percent of patients who are put on active surveillance fail to show up for their follow-up. 33:55 How often do you order these genomic tests like Oncotype DX? 37:13 MRI really helps me... not only around the diagnosis but around the management strategy. 38:33 Lifestyle changes have been shown to decrease patient's risk of cardiovascular mortality 40:11 If you have a prostate [and] you live long enough. You're going to get prostate cancer. I care about the aggressive type. 42:28 Forest Bathing. 46:34 Anna Pli, Epidemiologist at Harvard T.H. Chan School of Public Health 47:37 We've identified a "Polygenic Risk Score,"...who's at increased risk for cancer. 49:36 For Those with a family history of prostate cancer or low-risk disease, this is an opportunity. 55:07 70 years old. He's been eating poorly his whole life. Diagnosed with fairly significant prostate cancer...He says I want to change my diet. 57:41 People are eating too much... Let's eat less. 58:28 Men on ADT need protein. 59:26 Genetics is only gonna work if we can then change the environment and influence the genetics or influence the outcome. 01:01 Prostate Cancer patients who visit emergency rooms on weekends - 20% increased risk of morbidity compared to those who seek care during weekdays. ___________ NOTES: Dr. Kibel's website - https://www.dana-farber.org/find-a-do... Lifestyle Medicine and High-risk prostate cancer - https://pubmed.ncbi.nlm.nih.gov/35637... ___________ Thanks for watching this episode. You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE. [https://drgeo.com/] 📌 Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how to live better with age.    / geoespinosand   📌 ---------------- Follow Dr. Geo on social media. 📌 Facebook [https://bit.ly/POD-FB-DrGeo], Instagram [https://bit.ly/INSTA-DrGeo_Official] Become a member of Dr. Geo's Health Community. [https://bit.ly/POD-signupform] 📌 Improve your urological health with Dr. Geo's formulated supplement lines: XY Wellness for Prostate cancer lifestyle and nutrition: [https://bit.ly/POD-XYW] Mr. Happy Nutraceutical Supplements [https://bit.ly/POD-MRHAPPY]. for prostate health and male optimal living. You can also check out Dr. Geo's online dispensary for other supplement recommendations Dr. Geo's Supplement Store [https://drgeo.com/store/] ---------------- Thank you to our sponsors.✅ This episode is brought to you by AG1 (Athletic Greens) [athleticgreens.com/drgeo]. AG1 contain 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, your nervous system, your immune system, your energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens) [athleticgreens.com/drgeo]. ______________________________________ DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from using the information contained in this video, including but not limited to economic loss, injury, illness, or death.