i listened to the show, a complete sales pitch for AS by those who profit from it and those who advocate for it for various reasons. Would have been nice to have some respected folks that have valid concerns about
AS on the panel in order to give it at least a minimal amount of balance and, in my opinion, credibility. Specially given the fear mongering concerning treatment evident on the program. Seemed like the goal of the panel, according to the program, is to continue to push the AS agenda as aggressively as possible in order to get people to buy into it. Reminds me of cult movements.
Didn't hear anything I haven't heard here a million times now. Clinically insignificant disease, barbaric treatments and non acceptable side effects, greedy US doctors who like to cut and burn, OT resulting from fear of litigation, fear and hysteria/anxiety/fear upon diagnosis, reason winning out with acceptance of AS etc, etc, etc. This coming from a guy who profits from AS.
Like I said above, had this panel revolved on surgery by a surgeon and pro treatment panel or radiation by a radiologist and pro radiation panel it would have been met with the same exact skepticism.
When Klotz says 2/3 of patients never have problems, and only 10% have gleason score progression, he needs to be more specific about
the average age of these 2/3 of people who never have problems.
He said says most young men followed 10-15 year (not enough btw) show they will have no problems and that they don't need treatment and never will. So he has no issue offering surveillance to the vast majority of young men in their 40s. This goes counter to what most experts in US say. He then of course talks about
fear of SEs. He does not get into the personal reasons why men would want treatment at that age and he certainly ignores the fact that a significant amount of guys don't even have SEs or overcome them rather quickly.
One panelist asks "how do we get the message out" referring to AS for G6 guys. I don't know, but certainly not like this because they're preaching to the choir and probably failing to connect with the vast majority of men in the process.
Klotz then says it takes MARKETING to get this message across and that it's groups like the panel and it's members who have to spread the message. And there you have it in case you really needed a weatherman to tell you which way the wind blows.
His comments about
AS being more popular in Canada than in America because of differences in character in America and Canada, because Canadian urologists are busier than US urologists is ridiculous. He says only 5% can't hack AS mentally but this number does not jive with other numbers quoted and floated around here (40%) and then he makes the silly generalization that those 5% are made up of socially isolated and inept loners or type A industry leaders who just take action in life.
I'm going to take a shower.
Post Edited (davidg) : 3/19/2014 8:45:59 PM (GMT-6)