Well I finally had time to read this, and I thank you Casey for posting it.
And I have the final score: Scholz 1, Brawley 0. And Mr. Emmanual, the phone in caller, get's 1 also.
Brawley was articulate enough but you could see areas that he and Scholz disagree. And I side sided with Scholz on all they were divided on.
Case and Point #1:
Dr. Brawley wasted no time in his comments about
screening and he disdain for it. Brawley feels that National Prostate Cancer Awareness month should be about
the pro's and con's of screening.
"There has to be selectivity for my thing for Prostate Cancer Awareness Month would be that prostate cancer is different from other cancers and that we need education prior to screening, and then of course if people are screened, or if they're diagnosed with prostate cancer, they need a lot of education before they select treatment."
Later Brawley says: "Well, I agree first off, I agree with almost everything that's been said here." when asked another question and he digressed back to screening again.
Tony's opinion: Clearly I agree with Mark Scholz about
educating men before screening. And I think that the ACS can really help here. And after the educated caller chimed in, Scholz acknowledged if more men were like him we would not be having as big an issue with screening. I want to mention, it was the ACS lobbyist in nevada that helped our chapter of UsTOO get a grant for screening....talk about
a confusing message?
Point 2: Is Screening is the problem or is Funding is the problem...
Mark Scholz touched on how little spending there is in prostate cancer research and education. Brawley alluded to the unsuccessful trials that John T points to. I think the ACS is not a best option for conducting studies especially when their medical director is at odds with the medical community. If they would appropriate more funding to educating men about
prostate cancer, catch them in their 20's, 30's, 40's..etc. Then perhaps we can lose the bad image of screening for prostate cancer that Brawley portrays. Remember, I was diagnosed with a late stage of prostate cancer at age 44 by a random screening. I can't imaging what I would have to have dealt with if that was still sitting inside me unscreened, untreated. It's in my DNA to disagree with Dr. Brawley in this interview, and in my heart.
Point 3: Why Emmanual get's a point and Brawley does not.
We see Mr. Emmanal here at HealingWell. People newly diagnosed who figure things out.
Mr. Emmanual is a PhD but not in medicine. he took 6 months to educate himself about
treatments and about
how to choose a great doctor. He was articulate and handled his diagnosis well.
Brawley and scholz both seemed impressed by his knowledge and how he dealt with his diagnosis. But Mr. Emmanual get's the point here because he proves that with education, screening is not a bad thing at all. Here is an interesting exchange:
Dr. SCHOLZ: Excellent point about
the variability in surgical skill. And if all the men out there were as thorough and did as much research as Lyle, we'd have a lot fewer problems.
Dr. BRAWLEY: Yeah, I would agree. Now first, I would say that men need to first make a decision whether they want to be screened or not. Because many men, the answer is: I don't want to be screened.
If they choose to be screened, they need to do as Lyle did and they need to do research, they need to ask questions.
FLATOW: All right.
Dr. BRAWLEY: ...they need to find a doctor who's good.
I think that what Lyle did was common here at HW. It seems like the ACS would first like to put the scare into screening. Scholz is a much smarter man because he recognizes there are a lot of very reachable Lyle Emmanual's out there.
And that's what we should be stressing about
during National Prostate Cancer Awareness Month...
That's my two cents worth...
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas
Blog : www.caringbridge.org/visit/tonycrispino
Post Edited (TC-LasVegas) : 9/12/2010 6:14:12 PM (GMT-6)