Surviving Healthcare
Surviving Healthcare Podcast
352. UROLOGY IS THE FIFTH MOST CORRUPT MEDICAL SPECIALTY--IF YOU COUNT DENTISTS AS HEALTHCARE
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352. UROLOGY IS THE FIFTH MOST CORRUPT MEDICAL SPECIALTY--IF YOU COUNT DENTISTS AS HEALTHCARE

Say no to them all until your tongue bleeds.
NEW RESOURCE: YOHO’S APOCALYPSE ALMANAC tells how to treat many diseases. It is a little tongue-in-cheek, but it has references and links. HERE are links to download my CV, ebooks, the best recent posts, and instructions on searching my archives. Please review Judas Dentistry; the direct link is HERE.

The audio above is the complete “Screening Tests” chapter from Butchered by “Healthcare,” which includes this “Prostate Cancer Meat Grinder” section.

Every great cause begins as a movement, becomes a business, and eventually degenerates into a racket. —Eric Hoffer

Everything normies assume about doctors is wrong, for seeing an MD entails kamikaze-level risks with rare rewards. They not only take our money, but their “care” can injure or kill us. The following are in order of the severity of the health disasters they cause:

  1. Pediatricians are bribed with kickbacks to get them to mortally injure our precious children with vaccines. Since their specialty is the lowest-paid, they fool themselves and cooperate for the money. Children who have never had vaccines virtually never need doctors. If your kids get sick, use the urgent care as their sole contact with the medical system. Emergency physicians are far too busy to push vaccines. See my Paul Thomas interview for more.

  2. Barbers initially performed tooth extractions, and dentists devolved from them into a specialty that ruins health. They have been killing us with mercury since the Civil War, giving us disease with root canals since the mid-20th century, and a few years later, they began pushing the neurotoxin fluoride. The dangers of all these are settled science, and Judas Dentistry tells the story. (The free download is HERE.)

  3. Psychiatrists use drugs that cause violence, bizarre behavior, and permanent brain damage. Their “atypical antipsychotics” cut years off patients’ lives. Like vaccines, none of these “medications” have ever had valid efficacy studies, and none of these poisons should be prescribed. Ever.

  4. Oncologists oversee a fraudulent field with higher costs than any other specialty except “mental health”—if long-term care is included. Only a few cancer “treatments” add one day to patients’ lifespans.

    The Pharma companies kick back 20 percent of the drugs’ retail costs to the cancer doctors. If this were done from one physician to another, it would be a felony called “capping.” However, it is somehow deemed legal when the bribes come from drug companies.

    Prostate cancer is the sole disease for which radiation oncologists extend life (how do they look at themselves in the mirror?). However, other remedies, such as estradiol (see Hormone Secrets) and chlorine dioxide, work better.

The criminals above have fellow travelers. For example, dermatologists and cardiologists have shady practices but are petty thieves compared to the four specialties above. Butchered by “Healthcare” tells the tale of these and other specialties, including #3 and #4 above. (Free ebook download HERE.)

My friend John’s father is 80. Although he had no symptoms, he went to a urologist, who checked his “prostate-specific antigen” (PSA). It was high, so the doctor tried to enroll him in a medical treatment cascade, starting with a biopsy and probably ending with a painful, deforming radical prostatectomy surgery that would be unlikely to extend his life. The most common cause of an elevated PSA is a prostate infection, but John’s dad was never offered antibiotics.

I do not practice or give specific advice, but I told John that very little medical “care” in John’s dad’s age group is beneficial, and that most of it is an assault that has a good chance of shortening life. After I also informed them that 70 percent of men in their 70s get prostate cancer, but only two percent die of it, Dad ghosted the urologist. The following excerpt from Butchered explains the sad truths:

The Prostate Cancer Meat Grinder

Urology’s approach to this disease has undergone an embarrassing outing. The specialty traditionally recommends that the surgeon draw blood for prostate-specific antigen (PSA). The urologists also insert a finger into the patient's rectum to feel for prostate lumps.

If the blood test is high, or the surgeon feels nodules, they stick a large needle repeatedly through the rectum into the prostate to get tissue samples. If the biopsy shows cancer, urologists recommend perilous surgeries or other alarming therapies. This system has been discredited because it never improved survival rates for early disease.

The cancer is present but inactive in most men over 50. Only about twelve percent of men will be diagnosed with prostate cancer during their lives, and their five-year relative survival rate for this cancer after it is diagnosed (the percent with the disease who are alive compared to matched controls) is 97.8 percent. Ignoring it in the early stages produces the same results as treatment but without horrific surgical complications. The commonly performed operation, a radical prostatectomy, causes death in 1/200. Compromised or ruined sexuality and uncontrollable urination requiring diapers are common, often for the rest of a man’s life.

Some patients already have metastatic cancer before surgery. In these cases, it kills the patient even though he has suffered through the grisly procedure and recovery.

The PSA test is unreliable. It goes up with any prostate gland irritation due to factors such as infection or even bicycle riding. Antibiotics or anti-inflammatories are the treatments, not surgery. The vast majority of these tumors grow so slowly that death occurs from something else before the disease becomes an issue. PSA is little help in identifying aggressive cancers that would be fatal.

Here is a little math: The USPSTF (US Preventive Services Task Force) did a large-scale analysis of the research literature. They concluded that for every 1,000 men ages 55 to 69 who had their PSA checked every one to four years for a decade, it would save one man from prostate cancer. The number needed to test is 1000, over 10,000 patient-years, and who knows how many tests, possibly 50,000.

Even if you believe these small numbers are meaningful, the cost-benefit ratio is terrible. False-positive PSAs lead to biopsies, which have complications just like the true positives. Men with biopsies that show cancer get surgery or other treatments. The harms resulting from these interventions include erectile dysfunction, urinary incontinence, serious cardiovascular events, deep vein thrombosis, pulmonary embolism, and occasionally death. Checking PSA in asymptomatic men produces no improvement in survival.

The American Veterans Administration “PIVOT” trial compared surgery versus observation for localized prostate cancer over 13 years. There was no statistically or clinically significant difference in all-cause (absolute survival) or disease-specific mortality (relative survival). Prostate removal surgery is a net harm.

A Scandinavian study looked at 695 men with prostate cancer. They were divided into two groups. One had radical prostatectomy surgery, the other “watchful waiting.” With the surgery, the men were half as likely to die of the cancer (relative death rate). Their overall death rates from all causes (absolute deaths) at five and ten years were identical to those who did not have the surgery. Other researchers support these results.

By 2013, urologists partially responded to the heckling from the rest of the medical community. Their new guidelines recommended “individualizing” this test using “shared decision-making” between physicians and patients aged 55 to 69. This is misguided. Otis Brawley, head of the American Cancer Society until 2018, told the story of an unfortunate patient who was victimized by this system in his book How We Do Harm (2012):

Ralph entered the prostate cancer meat grinder after he had his PSA drawn in a shopping mall at a free cancer screening event. It was 4.3. He had twelve painful biopsies. Two of them showed moderate-grade cancer in about fifteen (15) percent of each specimen. Ralph read everything he could. He decided on robotic surgery because the advertising said it was “advanced.” It left him impotent and incontinent, and he required diapers for the rest of his life. His PSA several months later was .9. It would have been zero if the surgeon had entirely removed his prostate. He became obsessed with the idea that he still had cancer. So he went to a radiation oncologist who obligingly treated him with “proton beam therapy.” When he began seeing blood in his stools later, his surgeons found a fistula. This connects his urethra (urine tube) and his bowel. It was confirmed when he began passing bowel gas from his penis. The surgeons treated him by sewing his colon to the front of his abdomen with a “colostomy,” which required him to change a bag containing his stool several times a day. They also created a similar passage from his bladder to his belly, a urostomy. He still had both when he died of a severe urinary infection a few years later. He was 72.

The urologists, or at least the males, do not seem to understand the PSA math. Eighty percent of them and half the internal medicine specialists continue to test their own PSAs. Patients have little chance of understanding this if most physicians do not.

Like other diseases with expensive treatments, the prostate cancer industry has nonprofit “advocacy” associations growing in a dense thicket all around it. These universally promote PSA screening, which starts the cascade of billions of dollars in medical services. One organization, Us TOO, is 90 percent funded by the pharmaceutical and device companies that profit from this prostate circus. Zero, formerly the National Prostate Cancer Coalition, has funding from Amgen, AstraZeneca, Aventis, Cytogen, Merck, Pharmacia, and Pfizer.

Kimberly-Clark, the maker of Depends incontinence diapers, is another donor. Prostate cancer surgery sells a lot of adult diapers for them, and in 2021, they are advertising on TV using images of rough-looking senior men in diapers. Zero and the others claim to be independent, unbiased grassroots groups not beholden to any company.

Shared decision-making is an abdication of responsibility. We are losing trust in advisers who cannot advise. Fewer and fewer will shoulder responsibility in this age of lawsuits. Other People’s Money, a book about finance, explains the issue: “A good lawyer manages our problem; a bad lawyer responds to every issue by asking us what we want to do. When ill, we look for a recommended course of action, not a detailed description of our ailments and a list of references to relevant medical texts. The demand for transparency in finance is a symptom of the breakdown of trust.”

I recommend men pretend they do not have a prostate unless they get symptoms. (Disclaimer: I am not a prostate specialist. There may be advantages to these treatments that I did not find. Prostate cancer therapy has common themes with the rest of medicine, however. It is complex, and there are conflicts of interest. The treatment studies have large numbers, slight differences, and outsize claims.)

Many men cannot wrap their heads around the idea that they should not allow urologists to mess with their prostate. If you still do not get it and you think that there is merit in identifying prostate cancer at an early stage, consider magnetic resonance imaging (MRI) and, if necessary, laser treatment by a radiologist. These are currently the least invasive tests and therapies. If the MRI shows a tumor is likely, an imaging specialist can put a guided sampling needle into the suspicious area(s). This results in a diagnosis rate of 90 percent after only one or two sticks.

Contrast this with the usual dozen “random” biopsies that discover only about half of the cancers. You are left sore and in limbo, anticipating a new round of biopsies a year later. Or, if you received a cancer diagnosis, you have to start considering radiation or horrifying, ineffective surgery on your most private parts.

However, with MRI guidance, a laser can accurately burn tiny cancer spots. You do not get complications from surgery or radiation. Only a few centers in the USA offer this expensive but safe and accurate method. These include Desert Medical Imaging (now Halo Diagnostics) in Palm Springs, CA, and affiliates nationwide. They also offer a noninvasive treatment for benign prostatic hypertrophy using this same technology.

Since radical prostatectomy for prostate cancer is a multi-billion-dollar surgical industry, these radiologists receive a brutal reception at urological surgery meetings and are not allowed to speak. However, the standard approaches are outdated and deforming, require years of care, and have horrible outcomes.

Note well: all of these therapies are doubtful because the radiologists, like the surgeons, primarily treat low-grade prostate cancer, which rarely kills anyone. Since I can do without needles stuck in my tender places, I refuse to check my PSA ever again unless I have symptoms.

Prostate cancer that has spread or metastasized outside the gland is a different issue. For more than 50 years, synthetic estrogen has been used effectively and inexpensively to treat this, and some doctors still use it. Bio-identical estradiol is available now and should be used instead of the older horse estrogen compounds. For many patients, this suppresses the tumor, and they feel fine. The PSA should be checked at intervals to make sure.

Casodex and Lupron are the patented, expensive anti-testosterone drugs that are the current “standard of care” for metastatic prostate cancer treatment. They typically work for about five years, and then the cancer comes back. They cause heart disease, Alzheimer’s, and osteoporosis and make patients feel terrible. Otis Brawley speculates that they produce more deaths than they prevent:

Lupron is one of urology’s many embarrassments.

This is a “chemical castration” medicine, approved in 1985 to treat metastatic prostate cancer. It did not sell well until the company figured out how to pay off the surgeons. They developed a long-acting monthly shot, and urologists could buy it wholesale and retail it in their offices. This was a nasty conflict of interest that made patient care secondary.

The company increased the temptation further by giving the doctors samples. This enticed them to sell the freebies to patients and keep the money, which is illegal. Medicare paid $1200 for one of these shots. Urologists could make several hundred thousand dollars a year on this. Internally, the manufacturer called these doctors their “drug whores.” Lupron treatments accounted for 40 percent of all Medicare payments to some of these practices in the late 1990s.

After a whistleblower lawsuit and years of litigation, federal prosecutors settled this “nationwide conspiracy.” The manufacturer paid $885 million, and no corporate executives were imprisoned. The industry now skirts illegality by paying doctors an administration fee for using Lupron instead of providing free samples.

The worst part of this story is that Lupron is an atrocious drug. Men feel terrible, get hot flashes, and become impotent. Some have weight gain, fatigue, muscle loss, anemia, Alzheimer's disease, and osteoporosis. It also causes strokes, heart attacks, diabetes, and sudden death.

Otis Brawley, former head of the American Cancer Society, says men are dying earlier because of Lupron therapy. This drug and others have decreased prostate cancer deaths by 30 percent since 1990, but all-cause deaths may have increased because the drug is so toxic:

Widespread use of [anti-] hormonal agents is causing men to die of cardiovascular disease and diabetes before they would ordinarily die of prostate cancer. That’s what I suspect is taking place. If urologists stop prescribing these drugs as widely as they used to, we will see deaths from prostate cancer inch up. That could be good news. Some men who would have died earlier with strokes and heart attacks caused by hormonal treatments of their asymptomatic disease would now live long enough to die of their prostate cancer.

How We Do Harm (2012)

My friend Paul had his PSA checked every year. When he was 73, it jumped to 10 (normal is 4.0 ng/mL or less). Even though Paul felt fine, he went off to see the urologists, who obligingly biopsied his prostate. They found a tumor and now use a Lupron shot every few months to “block” his testosterone. Medicare pays them a nice injection fee. Paul feels terrible and will likely die sooner of heart disease because his testosterone levels are low.

Estrogen is a far better treatment. It is cheap, works for many, and has few side effects. Fifty years of experience show it controls metastatic prostate cancer, and although they are not interested in sex, it does not feminize men. Since companies cannot patent substances identical to those in the human body, they do not promote drugs like this. (Occasionally, delivery systems such as the estrogen patch or a supposedly unique drug strength are used to justify patent protection. For these medications, windfall profits can still be made.)

Editing credit: Jim Arnold of Liar’s World Substack.

Reviewing this again made me sick. We are all vulnerable to Stockholm syndrome if we trust doctors. If you find this valuable, throw some of your friends’ emails below and read the following link about how to help without spending money.

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Disclaimer: This is not medical advice. I do advise, however, that you value your judgment above any “provider’s.”

Parting shot #1:

Now you know why diapers for men are a thing—the urologists are to blame. Do you believe this young, studly dude ever had disfiguring prostate cancer surgery? It's unlikely, but anything is possible these days.

Parting shot #2: Learn more about chlorine dioxide

These are Mark Grennon’s newly edited books.

He is one of the authoritative founders of the movement. The paperbacks:

The eBooks: VOLUME ONE, VOLUME TWO, and VOLUME THREE

Get started by using chlorine dioxide commercial products:

Preformulated CD products from Snoot! and Frontier Pharm: Although they cannot be advertised that way, these have systemic effects and are “gateway drugs” that let you easily incorporate chlorine dioxide into your daily life. They will convince you of the benefits and encourage you to learn more. The link HERE takes you to the Frontier website and gives you a discount on their mouthwash and other products. THIS ONE is for the Snoot! Spray nasal “cleanser.” If you want to help spread the word and make money, join the Frontier affiliate program HERE and Snoot!’s HERE.

I also teach the basics of chlorine dioxide HERE.

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