Wednesday, February 27, 2008

Teaching points from Art's case

Case 1, ART

Here are some conclusions that one can make from Art's case.

a. He made a mistake trying an experimental treatment originally at Georgetown. Experimental treatments can get you into a heap of trouble quickly.

b. His biggest mistake was ludicrous and unfortunately, his physician is at fault. It is insane to place radioactive seeds into this poor man's prostate after the number of treatments he already underwent. This poor guy developped true "rocks with spicules" in his prostate. He was bleeding, breaking catheter balloons, and draining urine from his leg! It was a remarkeable case of how badly physicians can harm there patients. I know who treated the patient. The treatment team has a world class reputation.

c. World class reputation. This reminds me of what my favorite surgery professor used to say: IT doesnt take a brain surgeon to be a neurosurgeon. What I am conveying to you is: Dont always believe the marketing hype. Ask questions from trusted sources; seek multiple opinions when you are uncertain.

final point: The biggest mistake I see in the realm of prostate cancer is overtreatment and overdiagnosis by patients and physicians alike. Patients lose sight of the fact that doctors can make big bucks treating prostate cancer. Caveat Emptor!

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