WEBVTT 1 00:00:00.120 --> 00:00:03.799 The following is a paid podcast. iHeartRadio's hosting of this 2 00:00:03.919 --> 00:00:07.759 podcast constitutes neither an endorsement of the products offered or 3 00:00:07.799 --> 00:00:09.759 the ideas expressed. 4 00:00:09.400 --> 00:00:13.640 For cancer treatment. Most prefer effective, non invasive, well tolerated, 5 00:00:13.679 --> 00:00:17.640 outpatient therapy. That's doctor Liederman, the radio surgery pioneer's goal too. 6 00:00:17.920 --> 00:00:20.839 Doctor Liederman is first in America, first in New York, 7 00:00:21.039 --> 00:00:25.039 First for you with body radiosurgery. Doctor Liderman hits your 8 00:00:25.039 --> 00:00:28.600 cancer with no cutting, no bleeding. Doctor Liederman has decades 9 00:00:28.640 --> 00:00:32.359 of experience with primary and metastatic large or small cancers 10 00:00:32.399 --> 00:00:35.560 from head to toe cancer treatment with possibly a second 11 00:00:35.679 --> 00:00:39.640 chance for you even if chemo radiation or surgery didn't 12 00:00:39.679 --> 00:00:43.200 work or isn't tolerated. Goals are your best results and 13 00:00:43.320 --> 00:00:46.479 quality of life. Meet doctor Liderman to hit the cancer. 14 00:00:46.679 --> 00:00:50.840 He's New York's only Harvard trained Triple Board certified radiation oncologist. 15 00:00:51.079 --> 00:00:54.200 Call two one two choices two one two choices to 16 00:00:54.320 --> 00:00:58.640 meet doctor Liderman for a fresh second opinion. Most insurances Medicare, 17 00:00:58.719 --> 00:01:02.880 Medicaid accepted. Free book with DVD two super convenient Broadway 18 00:01:02.920 --> 00:01:05.959 in thirty eighth in Manhattan. Meet doctor Liderman to hit 19 00:01:06.040 --> 00:01:09.719 your cancer. Call two one two choices two one two choices. 20 00:01:09.799 --> 00:01:13.680 Prostate cancer very common. Men's cancer worldwide will double by 21 00:01:13.760 --> 00:01:17.599 twenty forty. Thirty five thousand men die here annually from 22 00:01:17.640 --> 00:01:22.319 prostate cancer. What to do? It's doctor Liderman with new news. 23 00:01:22.719 --> 00:01:27.400 New data reveals testing reduces prostate cancer death by twenty percent. 24 00:01:27.920 --> 00:01:31.560 Men's skipping testing have forty five percent more death from 25 00:01:31.680 --> 00:01:36.239 prostate cancer. What to do? Come for prostate cancer screening 26 00:01:36.239 --> 00:01:39.519 at Radio Surgery in New York with doctor Liederman. Easy 27 00:01:39.560 --> 00:01:44.400 to save lives, reduce prostate cancer death, possibly yours or 28 00:01:44.439 --> 00:01:48.640 your loved one. How visit Doctor Liederman thirteen eighty four 29 00:01:48.680 --> 00:01:53.879 Broadway Call two and two choices. Most insurances, Medicare, Medicaid accepted. 30 00:01:54.200 --> 00:01:57.799 It's easy with doctor Liederman, New York's only Harvard trained 31 00:01:57.920 --> 00:02:01.959 Triple Board certified Radiation on college. Call Doctor Leiderman two 32 00:02:02.040 --> 00:02:05.599 and two choices. It's easy with doctor Liederman. Trying to 33 00:02:05.719 --> 00:02:18.840 save lives. Call Doctor Leiderman two and two choices. Welcome everybody. 34 00:02:19.039 --> 00:02:22.400 It's the Radio Surgery Show with Doctor Gil Leiderman, MD, 35 00:02:23.080 --> 00:02:28.039 New York's only Harvard trained, Triple Board certified radiation oncologist 36 00:02:28.120 --> 00:02:31.879 who brings you the latest cancer treatment news, interviewing world 37 00:02:31.960 --> 00:02:36.360 renowned cancer experts, delving to special cases, and of course 38 00:02:36.800 --> 00:02:41.240 answer your questions. I'm Rob Redstone, broadcasting from the WR 39 00:02:41.280 --> 00:02:44.360 Studios in the heart of New York City, and now 40 00:02:44.439 --> 00:02:47.879 please welcome doctor Leaderman. 41 00:02:48.520 --> 00:02:50.800 Thank you Rob, and thank you Noah, and thank you 42 00:02:50.879 --> 00:02:53.400 for tuning in today and every day. Every day we 43 00:02:53.479 --> 00:02:57.120 try to learn together. We try to understand better, We 44 00:02:57.159 --> 00:03:00.680 try to understand the medical system. We understand why people 45 00:03:00.719 --> 00:03:03.280 do or don't do things, why doctors do or don't 46 00:03:03.319 --> 00:03:06.159 do things. And today there's going to be a lot 47 00:03:06.199 --> 00:03:09.439 of talk about all those issues, doctors and patients and 48 00:03:10.039 --> 00:03:14.560 everyone's response. And what I'm getting at, quite frankly, is 49 00:03:15.120 --> 00:03:20.000 President Joe Biden and his just diagnosis of prostate cancer. 50 00:03:20.120 --> 00:03:23.479 So there's been lots of headlines and how could this happen? 51 00:03:23.960 --> 00:03:29.039 How could a man who has no expense spared? Obviously 52 00:03:29.080 --> 00:03:31.680 there's millions, there's hundreds of millions of dollars that was 53 00:03:31.719 --> 00:03:35.280 spent taking care of him. As a vice president and president, 54 00:03:35.280 --> 00:03:38.479 he traveled in Air Force one, in Air Force two, 55 00:03:39.080 --> 00:03:42.080 one point eight million miles, and you know, to run 56 00:03:42.159 --> 00:03:44.560 Air Force one, Air Force two because I don't know 57 00:03:44.599 --> 00:03:48.280 so many tens or tens of thousands of dollars every minute, 58 00:03:49.000 --> 00:03:52.120 and how many Secret service and his housing and everything 59 00:03:52.199 --> 00:03:55.520 goes along with it. The government and you and I 60 00:03:55.680 --> 00:03:58.840 and all of us spend oodles of money keeping our 61 00:03:59.000 --> 00:04:02.919 president and our life officials safe. So then you can say, well, 62 00:04:02.960 --> 00:04:06.280 how would it be one hundred and twenty days after 63 00:04:06.719 --> 00:04:12.960 President Biden leaves office, he's diagnosed with stage four prostate cancer. 64 00:04:13.719 --> 00:04:17.199 So what does stage four prostate cancer mean? Stage four 65 00:04:17.279 --> 00:04:20.720 cancer means that it's traveled somewhere, whether it's to the 66 00:04:20.800 --> 00:04:24.040 lymphnodes or the bones. There's lots of things they haven't 67 00:04:24.160 --> 00:04:26.759 told us. They haven't told you, and they haven't told me. 68 00:04:27.439 --> 00:04:30.040 I'm not his doctor, so I only can read like 69 00:04:30.120 --> 00:04:31.519 you can read, and I want to try to put 70 00:04:31.519 --> 00:04:34.519 all the facts together. As a doctor who's treated about 71 00:04:35.000 --> 00:04:39.000 nine thousand men for cure over thirty five years, I've 72 00:04:39.040 --> 00:04:42.800 seen lots of men with prostate cancer and prostate issues 73 00:04:43.399 --> 00:04:48.040 and almost everything you can possibly imagine. Number One, do 74 00:04:48.079 --> 00:04:52.120 I see people come to me with stage four cancer 75 00:04:52.199 --> 00:04:55.680 that's not diagnosed, Well, yes, I do all the time. 76 00:04:55.800 --> 00:04:58.800 In fact, one of our favorite listeners is probably listening 77 00:04:58.839 --> 00:05:01.879 right now and I talk about it him every once 78 00:05:01.920 --> 00:05:03.800 in a while, not too much, but enough so that 79 00:05:03.839 --> 00:05:04.759 you'll remember him. 80 00:05:05.240 --> 00:05:05.600 Steve. 81 00:05:06.319 --> 00:05:08.560 Steve was a big executive and one of the biggest 82 00:05:08.560 --> 00:05:12.000 companies in America, and he too came to me with 83 00:05:12.040 --> 00:05:15.519 stage four cancer. He was a younger man at that time. 84 00:05:15.600 --> 00:05:18.920 He's still find he's actually with no evidence of disease 85 00:05:19.079 --> 00:05:21.120 now that he came to me almost five and a 86 00:05:21.160 --> 00:05:24.439 half years ago. And just to give you a story 87 00:05:24.480 --> 00:05:30.279 about someone else, executive, older man with stage four cancer, 88 00:05:30.399 --> 00:05:34.319 how did Steve get diagnosed? Well, Steve went to his doctors. 89 00:05:34.319 --> 00:05:37.480 He had a PSA that went from three and then four. 90 00:05:38.240 --> 00:05:41.600 And most everyone knows PSA four is kind of a warning, 91 00:05:42.399 --> 00:05:45.240 a point to serious that you have about a twenty 92 00:05:45.279 --> 00:05:48.680 five percent chance of having prostate cancer. You should know 93 00:05:48.759 --> 00:05:51.120 that you can have prostate cancer with a PSA of 94 00:05:51.600 --> 00:05:53.680 one or two or three. And if you get our 95 00:05:53.800 --> 00:05:58.240 video we have a DVD, you'll see another patient who's 96 00:05:58.639 --> 00:06:02.680 on that DVD. We call him double O seven and 97 00:06:03.360 --> 00:06:07.680 seven named Ralph from Brooklyn came to me when his 98 00:06:07.759 --> 00:06:11.639 PSA went from one to two to three and his 99 00:06:11.759 --> 00:06:17.439 doctor said, oh, everything's okay. Your PSA's only three and Ralph, 100 00:06:17.480 --> 00:06:22.240 who's really super smart, said, hey, doctor, my PSA just tripled. 101 00:06:22.560 --> 00:06:25.839 How can you tell me my psa is fine when 102 00:06:25.839 --> 00:06:30.040 my PSA is tripling? And I think this is twenty 103 00:06:30.120 --> 00:06:33.199 years ago. He was listening to guess who, doctor Liederman, 104 00:06:33.240 --> 00:06:36.560 and he knew that when the PSA triples, even if 105 00:06:36.600 --> 00:06:41.199 it's normal, normal range, so to speak, there's a serious 106 00:06:41.279 --> 00:06:44.639 risk of having prostate cancer. And Ralph, the super smart 107 00:06:44.680 --> 00:06:47.759 man that he was and is and hopefully ever will be, 108 00:06:48.839 --> 00:06:50.839 he said his doctor said to his doctor, I want 109 00:06:50.879 --> 00:06:52.480 to buy up. See. The doctor was a little bit 110 00:06:52.480 --> 00:06:55.160 shocked that the patient was now telling the doctor what 111 00:06:55.240 --> 00:06:57.839 to do. And that's always dangerous when the patient is 112 00:06:57.839 --> 00:07:00.319 telling the doctor what to do. But that's the while 113 00:07:00.319 --> 00:07:03.399 you're listening to this radio show to hear what to do, 114 00:07:03.959 --> 00:07:08.519 so that you are very educated, that you're up with 115 00:07:08.560 --> 00:07:11.360 your snuff and know how to respond. And he knew 116 00:07:11.360 --> 00:07:14.399 how to respond, and he had a biopsy, and sure enough, 117 00:07:14.439 --> 00:07:18.639 twenty years ago he had prostate cancer. And then his 118 00:07:18.759 --> 00:07:21.959 doctor said, hey, why don't you go have radical surgery. 119 00:07:22.000 --> 00:07:27.000 You should have radical surgery. And Ralph seven said, hey, 120 00:07:27.480 --> 00:07:31.079 I don't want radical surgery. I don't want to be impotent. 121 00:07:31.199 --> 00:07:34.000 I know the impetence rate is about ninety seven percent. 122 00:07:34.560 --> 00:07:36.639 I don't I want to keep my sexual life. I 123 00:07:36.639 --> 00:07:40.399 don't want surgery or radical surgery, robotic surgery. And I said, well, 124 00:07:40.399 --> 00:07:43.600 have surgery. And then Ralph said, well, I don't want 125 00:07:43.600 --> 00:07:45.480 to be leaking urine. I know that men who have 126 00:07:45.600 --> 00:07:48.959 radical surgery have about an eighty percent chance of leaking urine. 127 00:07:49.519 --> 00:07:52.279 And the doctor said, I'll forget about that. You should 128 00:07:52.319 --> 00:07:56.160 have surgery. And then Ralph said, well, I'm not going 129 00:07:56.199 --> 00:07:59.839 to have surgery. I don't want my penis shortened. And 130 00:08:02.079 --> 00:08:04.160 Ralph knew that when you cut out the prostate, when 131 00:08:04.160 --> 00:08:06.680 you remove the prostate, it's like when a plumber cuts 132 00:08:06.680 --> 00:08:08.199 out part of a pipe. They have to bring the 133 00:08:08.360 --> 00:08:10.800 ends together the pipe to make the pipe work, and 134 00:08:10.839 --> 00:08:14.800 that shortens the pipe. Well, he didn't want the radical 135 00:08:14.839 --> 00:08:17.160 surgery because he didn't want his penis short He wanted 136 00:08:17.160 --> 00:08:18.759 to keep his sexual life. He wanted to keep his 137 00:08:18.800 --> 00:08:22.199 gurinary control. And then the doctor said, forget about that. 138 00:08:22.680 --> 00:08:26.319 You want to live, get the surgery. And Ralph said, no, 139 00:08:26.759 --> 00:08:30.800 I know from doctor Liederman's data that there's better results 140 00:08:30.839 --> 00:08:34.320 with doctor Liederman and radiosurgery and this is the treatment 141 00:08:34.360 --> 00:08:38.679 he chose twenty years ago, and he's been in remission 142 00:08:38.720 --> 00:08:41.399 ever since. His PSA keeps on going lower and lower 143 00:08:41.440 --> 00:08:44.279 and lower. And a few years ago we used to 144 00:08:44.320 --> 00:08:47.320 call him Dobo seven because his PSA at that time 145 00:08:47.480 --> 00:08:51.639 was seven. Well now it's about four, so it's even 146 00:08:51.679 --> 00:08:54.600 lower yet. But here's an example of a man who 147 00:08:54.919 --> 00:09:00.360 comes knowing the facts, knowing how beneficial is and know 148 00:09:00.399 --> 00:09:03.799 what's going on in his body. And he was able 149 00:09:03.840 --> 00:09:08.320 to direct his care twenty years ago when his PSA 150 00:09:08.559 --> 00:09:10.759 was going up from one to three, two to three. 151 00:09:11.559 --> 00:09:13.960 So that's one example of a man who knows what's 152 00:09:14.000 --> 00:09:18.480 going on and what often happens in our situation being 153 00:09:18.519 --> 00:09:22.320 a cancer doctor treating thousands of men with prostate cancer. 154 00:09:22.679 --> 00:09:27.080 I want to get back to Steve and a similar story, 155 00:09:27.159 --> 00:09:30.360 but with a twist because I want to talk about 156 00:09:30.679 --> 00:09:34.679 stage for cancer and coming to me with stage four cancer. 157 00:09:35.200 --> 00:09:37.679 So Steve, as you remember, as an executive, he came 158 00:09:37.720 --> 00:09:40.360 to me about the age of seventy two, executive for 159 00:09:40.399 --> 00:09:43.200 one of the biggest companies in America. His PSA went 160 00:09:43.240 --> 00:09:46.919 from three to four, and he did all the right things. 161 00:09:46.960 --> 00:09:49.639 He went to his doctor, he went to zurologist, and 162 00:09:49.679 --> 00:09:52.440 he always said, oh, don't worry about it. Nothing's going 163 00:09:52.480 --> 00:09:55.960 to happen. Don't worry about it. And he listened to 164 00:09:56.039 --> 00:09:59.200 his expert, his experts advice. He didn't worry about it. 165 00:10:00.080 --> 00:10:02.600 The short while later he got another PSA. It was six, 166 00:10:03.919 --> 00:10:06.480 and he was very concerned, and eurologist said, oh, don't 167 00:10:06.480 --> 00:10:09.360 worry about it. Your PSA could be high because of 168 00:10:09.399 --> 00:10:13.799 your age or other things. Don't worry about it. And 169 00:10:13.919 --> 00:10:15.559 next thing you know, he got another PSA and it 170 00:10:15.639 --> 00:10:20.679 went from three to four to six to sixty sixty, 171 00:10:21.279 --> 00:10:24.000 And now he's calling in a panic as urologist, Hey, 172 00:10:24.320 --> 00:10:28.919 my PSA is sixty, and the eurologist doesn't return his 173 00:10:29.080 --> 00:10:34.039 phone calls, and wow, wow, wow, he speaks a urologists, 174 00:10:34.080 --> 00:10:36.919 He speaks to the calls his eurologists, speaks to his 175 00:10:36.960 --> 00:10:41.000 primary doctors. PSA has gone up to sixty and no 176 00:10:41.039 --> 00:10:43.120 one's returning his phone calls, And all of a sudden, 177 00:10:43.120 --> 00:10:46.399 he remembers the program he listens to every week on the 178 00:10:46.480 --> 00:10:50.080 radio is doctor Liederman and talking about cancer and talking 179 00:10:50.120 --> 00:10:53.000 about prostate cancer, talk about all the kinds of cancers, 180 00:10:53.240 --> 00:10:55.639 and he decides one day, five and a half years 181 00:10:55.679 --> 00:10:59.039 ago to call me and say, hey, doctor Liederman. My 182 00:10:59.080 --> 00:11:00.960 PSA went from the three three to four to six 183 00:11:01.039 --> 00:11:03.600 to sixty. What should I do? And I said, you 184 00:11:03.600 --> 00:11:07.279 should come here immediately. And he lives in Connecticut, and 185 00:11:07.360 --> 00:11:10.399 somebody say, oh, I'm in a state, I'm in far away, 186 00:11:10.480 --> 00:11:13.519 and no. He got in the train and he went 187 00:11:13.559 --> 00:11:16.639 to Grand Central and he walked over to Grand Central 188 00:11:16.679 --> 00:11:18.679 to our office thirteen to eighty four Broadway, and I 189 00:11:18.720 --> 00:11:22.120 saw him and I examined him, and we saw his 190 00:11:22.240 --> 00:11:25.679 records and repeated the PSA and arranged for everything. At 191 00:11:25.679 --> 00:11:29.120 that point, I ranged for a little, tiny, painless biopsy. 192 00:11:29.159 --> 00:11:32.799 I ranged for a bone scan and MRI scans to 193 00:11:32.879 --> 00:11:36.200 evaluate his whole body, because we know with a PSA 194 00:11:36.279 --> 00:11:41.120 of sixty, the cancer is highly likely to have traveled. 195 00:11:42.000 --> 00:11:44.759 And sure enough we got a biopsy and it was 196 00:11:44.759 --> 00:11:48.000 a more aggressive cancer. And sure enough, the cancer was 197 00:11:48.039 --> 00:11:51.120 traveled not only to pelvic lymphnodes, but to lymphods and 198 00:11:51.159 --> 00:11:55.759 his abdomen or an abdomino area called the retroperitoneum that's 199 00:11:55.840 --> 00:11:59.480 behind the abdominal cavity actually, and so he had stage 200 00:11:59.480 --> 00:12:04.399 four answer similar to mister Biden, and we put together 201 00:12:04.480 --> 00:12:08.240 a program. We put together a program, non invasive program 202 00:12:08.519 --> 00:12:12.559 to treat him, and he came every day from Connecticut 203 00:12:12.600 --> 00:12:16.200 for the designed number of treatments. And he still comes 204 00:12:16.279 --> 00:12:19.240 three times there, four times a year for checkups. And 205 00:12:19.240 --> 00:12:22.080 he lives in Connecticut, and he comes as a summerhouse 206 00:12:22.159 --> 00:12:28.039 in Michigan, and he comes religiously for treatment back then 207 00:12:28.240 --> 00:12:30.519 and now follow up. And he's had no treatment with 208 00:12:30.639 --> 00:12:33.600 me for five years. She had all those treatments five 209 00:12:33.679 --> 00:12:36.759 years ago with me. We put together a program to 210 00:12:37.039 --> 00:12:42.279 treat him, and he too is cancer free. So just 211 00:12:42.320 --> 00:12:45.080 because you're diagnosed with stage four cancer doesn't mean you're 212 00:12:45.120 --> 00:12:49.039 going to die or die soon, or die immediately. And 213 00:12:49.159 --> 00:12:52.600 he's living the life. He's traveling, he's traveling around America, 214 00:12:53.159 --> 00:12:55.559 has a beautiful wife, is a beautiful home. He has 215 00:12:55.559 --> 00:12:59.399 a beautiful summer home. He plants tomatoes which are delicious 216 00:12:59.440 --> 00:13:02.840 and green, and on lucky days they get to eat 217 00:13:02.879 --> 00:13:04.919 some of his tomatoes and they get to share good 218 00:13:04.919 --> 00:13:08.000 times with him, and memories of what it was like 219 00:13:08.120 --> 00:13:09.960 the panic five and a half years ago when he 220 00:13:10.000 --> 00:13:14.720 came to me stage four cancer, knowing not what to 221 00:13:14.759 --> 00:13:18.120 do with the zurologists all of a sudden, probably ashamed 222 00:13:18.480 --> 00:13:21.600 that they gave him advice that was not so fantastic. 223 00:13:21.879 --> 00:13:24.919 Eurologists said, don't worry about it, when in fact, here 224 00:13:24.960 --> 00:13:28.600 at Radio New York, we take the opposite approach, just 225 00:13:28.679 --> 00:13:31.320 like we would most likely take the opposite approach with 226 00:13:31.759 --> 00:13:34.039 President Biden, which we're going to talk about in just 227 00:13:34.120 --> 00:13:37.559 a few minutes. So my name is doctor Liederman at 228 00:13:37.639 --> 00:13:41.240 Radio sirty New York. I'll give an introduction to you 229 00:13:41.320 --> 00:13:44.480 in a few minutes. And board certified, actually triple board certified, 230 00:13:44.480 --> 00:13:49.360 Harvard Train. We accept most insurances, Medicare, Medicaid. There's studies 231 00:13:49.399 --> 00:13:52.600 who now show that men who get screened for prostate 232 00:13:52.799 --> 00:13:57.159 cancer have twenty for twenty percent better likelihood of being alive, 233 00:13:58.720 --> 00:14:01.480 and men that don't meant that missed the boat have 234 00:14:01.519 --> 00:14:05.480 a forty five percent greater death rate. So there's lots 235 00:14:05.480 --> 00:14:08.039 of reasons to come to Radio Sir New York. And 236 00:14:08.159 --> 00:14:11.000 similar data is available for women who come for breast 237 00:14:11.080 --> 00:14:15.480 cancer screening, where people come for colorectal screening, people come 238 00:14:15.519 --> 00:14:19.440 for cancer screening. There's data to show people come for 239 00:14:19.559 --> 00:14:23.960 screening live longer and better and a better quality of life. 240 00:14:24.279 --> 00:14:27.440 And that's what we want for every person, just like 241 00:14:27.960 --> 00:14:32.200 Ralph seven went to Netto's testing done, took action, so 242 00:14:32.320 --> 00:14:35.440 his PSA rising, took action, got a biopsy, came to 243 00:14:35.559 --> 00:14:39.039 radio in New York twenty years ago, and his cancer free, 244 00:14:39.519 --> 00:14:44.759 his PSAs in zero range, going lower. Sexual life is great. 245 00:14:44.919 --> 00:14:48.159 He's an athlete, he bikes forty miles a day, he 246 00:14:48.200 --> 00:14:52.360 has a beautiful girlfriend, he has nice children, and he 247 00:14:52.440 --> 00:14:55.799 is cancer free twenty years later. And he comes religiously 248 00:14:56.279 --> 00:14:59.039 to get checked up on a regular basis. And this 249 00:14:59.080 --> 00:15:02.120 is the work we do. My name doctor Liederman. We'll 250 00:15:02.120 --> 00:15:02.759 be right back. 251 00:15:02.960 --> 00:15:06.440 Many people with cancer come to doctor Liederman when surgery 252 00:15:06.480 --> 00:15:10.440 didn't help and toxic chemo stopped working. Many come in pain. 253 00:15:10.639 --> 00:15:13.720 Many people with cancer come to doctor Liederman when their 254 00:15:13.759 --> 00:15:17.799 caregiver has no more care to offer. Doctor Liederman bringing 255 00:15:17.879 --> 00:15:21.799 innovative cancer care for decades. When the next cancer drug 256 00:15:21.879 --> 00:15:25.120 is not as promised, when surgery was to fail to pass, 257 00:15:25.360 --> 00:15:28.960 we may be able to offer you new cancer treatment options. 258 00:15:29.159 --> 00:15:32.960 We treat new and recurrent cancers, small or large, most 259 00:15:33.039 --> 00:15:37.080 anywhere in the body, even if prior chemo, radiation or 260 00:15:37.120 --> 00:15:40.919 surgery didn't work. Call doctor Liederman two and two choices, 261 00:15:41.080 --> 00:15:44.399 two and two choices for a free booklet DVD thirty 262 00:15:44.440 --> 00:15:49.519 eighth and Broadway. Most insurances, Medicare, Medicaid accepted. Harvard trained, 263 00:15:49.720 --> 00:15:53.840 triple board certified Doctor Liederman two and two choices two 264 00:15:53.879 --> 00:15:57.799 and two choices for innovative cancer treatment. Best is to 265 00:15:57.840 --> 00:16:00.840 meet doctor Liederman in person. Call call two and two 266 00:16:00.960 --> 00:16:02.919 choices two and two choices. 267 00:16:03.159 --> 00:16:06.919 World's most protected man's prostate cancer missed in and out 268 00:16:06.919 --> 00:16:11.120 of White House for sixteen years. No recent PSA now 269 00:16:11.159 --> 00:16:15.320 stage four Gleason nine prostate cancer spread to his bones. 270 00:16:15.639 --> 00:16:19.399 No expense spared yet missed. Data shows men's screened for 271 00:16:19.480 --> 00:16:24.240 prostate cancer have twenty percent better survival. Missing screening means 272 00:16:24.279 --> 00:16:28.679 forty five percent higher death rate. White House doctors versus 273 00:16:28.720 --> 00:16:33.840 doctor Liederman. Nine thousand prostate cancers treated for cure over decades. 274 00:16:34.200 --> 00:16:37.720 High success rate for cures, high quality of life, generally 275 00:16:38.000 --> 00:16:43.440 avoiding surgery's failures and complications. Presidential care versus doctor Liederman, 276 00:16:43.799 --> 00:16:48.919 Harvard Train, triple board certified. Most insurances, Medicare, Medicaid accepted, 277 00:16:49.360 --> 00:16:53.120 called two and two choices two and two choices. Meet 278 00:16:53.159 --> 00:16:57.320 doctor Liederman. Thirteen eighty four Broadway at thirty eight, Conveniently 279 00:16:57.399 --> 00:17:01.159 located just hours north of the White House. Get well, 280 00:17:01.480 --> 00:17:02.399 mister President. 281 00:17:03.639 --> 00:17:06.319 Welcome back to the Radio Surgery Hour. This is Rob 282 00:17:06.359 --> 00:17:09.960 Redstone here with doctor Gil Liderman at the WR Studios 283 00:17:10.039 --> 00:17:11.880 in the hearts of New York City, were just a 284 00:17:11.880 --> 00:17:14.480 few steps from the Radio Surgery New York Cancer Treatment 285 00:17:14.519 --> 00:17:17.200 Center on Broadway in thirty eighth Street. Doctor Liederman, the 286 00:17:17.279 --> 00:17:21.079 leading cancer expert, treats prostate cancer not invasively. He was 287 00:17:21.119 --> 00:17:23.960 the first in New York with fractionated brain radio surgery, 288 00:17:24.000 --> 00:17:26.680 and he's the first in America and in the Western 289 00:17:26.720 --> 00:17:30.200 Hemisphere with body radio surgery. You can also call doctor 290 00:17:30.240 --> 00:17:32.680 Liederman at two and two choices for a free informative 291 00:17:32.680 --> 00:17:36.119 booklet and DVD. Hey, doctor Liederman, we're back. 292 00:17:36.359 --> 00:17:38.519 We're back, and this is doctor Liederman, and we're going 293 00:17:38.559 --> 00:17:40.519 to take a few minutes to speak about Joe Biden 294 00:17:40.559 --> 00:17:43.799 and his prostate cancer. Why so that you can learn 295 00:17:43.880 --> 00:17:48.079 and you can hopefully be with better care and better 296 00:17:48.160 --> 00:17:51.960 life and better survival than the president. And I've already 297 00:17:52.000 --> 00:17:54.359 told you in just a few minutes ago that men 298 00:17:54.359 --> 00:17:57.000 who get screened, men who walk in and see their 299 00:17:57.039 --> 00:17:59.279 doctor come to Radio streat in New York get tested 300 00:18:00.480 --> 00:18:03.279 twice year, and plenty men and women do that get 301 00:18:03.319 --> 00:18:06.799 screened for, whether it's breast cancer, colon cancer, lung cancer, 302 00:18:06.880 --> 00:18:10.240 prostate or whatever. Men who get screened for prostate cancer 303 00:18:10.279 --> 00:18:15.160 of twenty percent more survival, more likelihood to be alive. 304 00:18:15.839 --> 00:18:19.799 Men who don't come in have forty five percent greater death. 305 00:18:20.400 --> 00:18:23.759 So it's very easy to understand why he should come 306 00:18:23.799 --> 00:18:26.680 in to thirteen eighty four Broadway and get checked out 307 00:18:27.319 --> 00:18:30.920 about the president or former president, mister Joe Biden. So 308 00:18:30.960 --> 00:18:33.359 what we know about him. We do not know his PSA. 309 00:18:34.119 --> 00:18:37.440 He according to reports, has not had a PSA since 310 00:18:37.519 --> 00:18:42.519 twenty fourteen, and even that PSA is not public knowledge, 311 00:18:42.880 --> 00:18:45.119 so we don't know if his PSA back then was 312 00:18:45.240 --> 00:18:47.880 zero or four or forty four or one hundred and 313 00:18:47.880 --> 00:18:51.359 forty four was not made public. In fact, there's been 314 00:18:51.400 --> 00:18:54.680 no PSA ever made public. To the best of my 315 00:18:54.839 --> 00:19:00.000 knowledge of President Joe Biden as Senator vice president private 316 00:19:00.039 --> 00:19:04.160 it's citizen. Remember he's a private citizen between twenty seventeen 317 00:19:04.160 --> 00:19:08.039 and twenty twenty one, and then is four years of present. 318 00:19:08.480 --> 00:19:11.680 We do not know even now, as a man who 319 00:19:11.960 --> 00:19:15.759 has stage four cancer, what his PSA is. Why do 320 00:19:15.839 --> 00:19:18.079 I think they're not telling you what the PSA is. 321 00:19:18.119 --> 00:19:20.680 This is a speculation, it's not a fact. I'm not 322 00:19:20.759 --> 00:19:24.720 his doctor, but I imagine it's so high because he has 323 00:19:24.720 --> 00:19:28.160 stage four cancer. I believe it's so high that people 324 00:19:28.200 --> 00:19:31.839 would be shocked. Most men who have stage four cancer 325 00:19:32.200 --> 00:19:36.400 have very high PSAs. Not every man, but most men. 326 00:19:36.759 --> 00:19:39.200 And I wouldn't be surprised if it's in the hundreds, 327 00:19:39.440 --> 00:19:42.400 maybe even in the thousands. And I believe that's why 328 00:19:42.480 --> 00:19:47.119 we're not being told what his PSA is even today. 329 00:19:47.240 --> 00:19:49.279 We are being told a couple of facts. We're told 330 00:19:49.279 --> 00:19:52.480 he has a nodule in this prostate, and we're not 331 00:19:52.559 --> 00:19:55.079 told if that nodule was there or not, or even 332 00:19:55.119 --> 00:19:58.759 if he had prostate exams before. Some men refuse to 333 00:19:59.039 --> 00:20:02.400 get the exam. A prostate exam takes about a minute 334 00:20:02.559 --> 00:20:06.880 in trained hands. It's easy and safe, and it gives 335 00:20:06.880 --> 00:20:11.599 you some information, not all information. So it's a clinical 336 00:20:11.680 --> 00:20:14.440 stage of prostate cancer. And that is how big the 337 00:20:14.519 --> 00:20:18.000 prostate is when the man is examined with a finger 338 00:20:18.079 --> 00:20:22.200 exam or digital exam or recto exam. So that's one test. 339 00:20:22.720 --> 00:20:26.200 Another important test is the PSA. So you can have 340 00:20:26.240 --> 00:20:29.680 a normal feeling prostate and you can have a high 341 00:20:29.720 --> 00:20:33.759 PSA or vice versa. Either way there's something that should 342 00:20:33.799 --> 00:20:37.119 be taken action. Unless your prostate is normal and the 343 00:20:37.200 --> 00:20:42.000 PSA is low. Again, unless you're like Ralph whose PSA 344 00:20:42.119 --> 00:20:44.240 was jumping up, still in the normal range. But remember 345 00:20:44.279 --> 00:20:47.000 one to one to two to three, so there's always 346 00:20:47.039 --> 00:20:50.240 caveats to every point. If your prostate feels great and 347 00:20:50.279 --> 00:20:52.319 your PSA is low and it's always been low and 348 00:20:52.319 --> 00:20:55.960 it's not changing, that's great because there's no psa velocity, 349 00:20:56.000 --> 00:21:00.839 it's stable. So then what happens after the physical exam 350 00:21:00.920 --> 00:21:04.359 and the PSA Well, if your PSA is high or concerned, 351 00:21:04.599 --> 00:21:07.839 an MRI is appropriate. MRI will show you nodules in 352 00:21:07.880 --> 00:21:10.519 the prostate. It will show if the prostate the prostate 353 00:21:10.559 --> 00:21:13.119 has a capsule around it. It would show if there's 354 00:21:13.160 --> 00:21:16.720 a tumor that's spreading through the capsule or into the 355 00:21:16.799 --> 00:21:20.559 lymph nodes or into the semino vesicles, or whether there's 356 00:21:20.680 --> 00:21:25.000 cancer growing into the recto area or adjacent tissues. So 357 00:21:25.039 --> 00:21:28.519 an MRI is very useful for men who want to 358 00:21:28.559 --> 00:21:33.960 know more about their prostate. We advise it frequently, especially 359 00:21:33.960 --> 00:21:36.799 in men who have a high PSA more than four. 360 00:21:37.519 --> 00:21:40.000 If you have a low PSA, but your PSA is changing. 361 00:21:40.039 --> 00:21:42.599 That's another great reason to have an MRI. And I've 362 00:21:42.640 --> 00:21:45.160 seen men who have had MRIs and PSA is low 363 00:21:45.519 --> 00:21:49.799 with cancer. So I've seen most everything, but there's general caveats. 364 00:21:50.400 --> 00:21:54.960 So physical exam is important. What was the president's recto 365 00:21:55.039 --> 00:21:57.759 exam in the last ten years. No one's saying, we 366 00:21:57.799 --> 00:22:00.640 only know now as a nodule his PSA say. No 367 00:22:00.640 --> 00:22:02.839 one's saying. They're not saying what his PSA was in 368 00:22:02.839 --> 00:22:06.880 twenty fourteen or now. They're not saying what the MRI showed. 369 00:22:07.480 --> 00:22:11.039 All we know is that he has now bone metastasis. 370 00:22:11.400 --> 00:22:16.000 So he had scans. Our bone metastas is diagnosed well 371 00:22:16.000 --> 00:22:18.559 a variety of voice. You get a bone skin and 372 00:22:18.640 --> 00:22:22.400 bone skins. An injection of a radioactive material goes throughout 373 00:22:22.519 --> 00:22:25.079 the bones. It's an easy test, a safe test, a 374 00:22:25.160 --> 00:22:27.680 painless test. Takes a little bit of time because you 375 00:22:27.720 --> 00:22:30.440 have to take an injection and the materials to go 376 00:22:30.480 --> 00:22:33.240 to all the bones, and then you look at consistency 377 00:22:33.240 --> 00:22:35.720 of the bones from head to toe. A bone scan, 378 00:22:35.799 --> 00:22:38.960 a nuclear medicine bone scan. We'll look at the patient's 379 00:22:38.960 --> 00:22:42.000 body from head to toes and it's a great test 380 00:22:42.039 --> 00:22:45.440 to look at the bones, a great test, and it's 381 00:22:45.519 --> 00:22:47.960 commonly done. It's less commonly done than it used to 382 00:22:47.960 --> 00:22:49.799 be for a reason which I'll talk about it just 383 00:22:49.799 --> 00:22:53.079 a minute. So imaging tests that are commonly done, or 384 00:22:53.160 --> 00:22:57.000 the MRI of the prostate number one, the bone scan 385 00:22:57.160 --> 00:22:59.599 to see if the cancer has traveled. And then the 386 00:22:59.640 --> 00:23:03.400 most expensive test, which is becoming much more popular, much 387 00:23:03.480 --> 00:23:08.319 more commonly used, is called a PSMA test. PSMA test 388 00:23:08.400 --> 00:23:12.720 is a test nuclear medicine test where biologic materials are 389 00:23:12.720 --> 00:23:17.279 injected along with the performance of that scan, also to 390 00:23:17.319 --> 00:23:19.640 have a cat scan at the same time, so cat 391 00:23:19.680 --> 00:23:23.559 scan PSMA test, and that is probably the most sensitive test. 392 00:23:23.839 --> 00:23:26.480 It's also one of the most expensive tests in medicine 393 00:23:26.640 --> 00:23:30.640 for imaging, and the usual cost is about seven thousand dollars. 394 00:23:31.279 --> 00:23:34.799 Most insurances will cover it for a man with prostate cancer. 395 00:23:35.200 --> 00:23:38.079 It usually won't be covered if you don't have cancer. 396 00:23:38.559 --> 00:23:40.720 If a man wants to have that test and doesn't 397 00:23:40.720 --> 00:23:43.119 have cancer, you can get it done. You can buy 398 00:23:43.200 --> 00:23:46.000 it yourself, and all these things you can buy yourself 399 00:23:46.039 --> 00:23:48.960 if you want, and we have good relationships with imaging 400 00:23:49.000 --> 00:23:52.160 centers to get these tests at the most reasonable cost. 401 00:23:52.200 --> 00:23:54.480