Challenging views on PCa by Doctor

There was another post elsewhere where this topic came up and it was noted that the author had vested interests which could be argued to raise skepticism.

Much as I agree that particularly in the US profit can rise over care, I can’t see an entire global medical practice over fifty years backed up by empirical research being a global scam. Most medical scandals are brought to light in far less time.

Is this a case where tin foil is for cooking not hats? I wonder.....

Edit: it was Vorstman in the other posts and indeed he did tout his services as the ”better alternative”. Apart from one other medico also with vested interests he is a lone voice.

Edit 2: Also the claim about G6 is not entirely accurate. I know of a number of cases of G6 in patients on my other forum that caused BCR and relapse.

Edit 3: The one thing that may ring mathematically true is that 85% of men make ten years and 85% of men have G6 (according to Venkman) - is there a correlation?

Edited by member 17 Feb 2019 at 22:03  | Reason: Not specified

I feel the usefulness of the DRE test was over downplayed, Certainly it is not definitive but done by an experienced doctor can quite often be a useful procedure, to help establish enlarged, over firm or irregular Prostates.

Dr Vorstman is by no means alone in asserting that there is much over-treatment in the USA incentivized by big pharma.

Sounds like a sad, bitter man. Much of what he says is correct - but he's twisted things in a very childish and negative way.

Much of it is 'straw man' argument. No-one ever suggested that a biopsy is perfect - it can't be: the only perfect biopsy is a prostatectomy.  No-one (in the UK at least) makes great claims for PSA, indeed, every reputably doctor goes on endlessly about how unreliable it is. I find it hard to believe that even in America, people believe a PR exam is an appropriate screening method ...

I could go on, but I get bored with hysterical idiots with a chip on their shoulder. Reading between the lines, this sounds like a guy who has been made bankrupt by the appalling US health care system and wants revenge.

Johnathan,

It is widely accepted in medical circles that there is some overtreatment of PCa in the UK and of course some undertreatment too but the latter largely due to late diagnosis.

It is reasonable to argue that in situations where a less damaging procedure will do the job this is preferable to more drastic treatmnents that may cause more harm. Listen to what this Internationally known UK expert says on the subject after the lengthy introductions- skip the first 5 minuets.  I think Andrew would also find this of interest as neither Professor M E nor Dr Vorstman are "idiots", an opinion supported by medical contemporaries https://www.curetalks.com/event/rsvp/HIFU-Focal-Therapy-for-Prostate-Cancer/134/

Edited by member 19 Feb 2019 at 01:43  | Reason: Not specified