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HOLIDAY ROAD TRIP TODAY.
.
.
. >>>
. >>> IT'S A NEW DAY FOR THOSE
WITH PROSTATE CANCER.
. FIRST, DR. JURIDGE, WE TALK
ABOUT IT AND AWFUL LOT.
I THINK WE MAKE THAT ASSUMPTION
EVERYONE KNOWS.
EVERYONE KNOWS. WHAT IS PROSTATE CANCER, AND
MORE IMPORTANTLY, I THINK, WHO
DOES IT AFFECT?
>> WELL, PROSTATE CANCER IS A
MALIGNANCY THAT INVOLVES THE
PROSTATE GLAND.
PROSTATE GLAND. IT OCCURS IN ONE OUT OF SEVEN
MEN.
MEN.
MEN. WE
MEN. WE SEE NATIONALLY ABOUT 250,000
NEW CASES EVERY YEAR OF
PROSTATE CANCER.
PROSTATE CANCER. AND PROBABLY SOMEWHERE AROUND
40,000 TO 50,000 CANCER DEATHS
IN MEN THAT ARE DIRECTLY
RELATED TO PROSTATE CANCER.
SO IT'S A VERY COMMON
CONDITION, ONE OF THE MOST
COMMON CANCERS THAT OCCUR.
>> THAT PREVALENCE, THAT NUMBER
IS ASTOUNDING.
IS ASTOUNDING. BUT I MENTIONED EARLIER THAT
YOU'RE WITH THE LOUISVILLE HIFU
CENTER OF EXCELLENCE.
FIRST, WHAT DOES THE ACRONYM
STAND FOR?
STAND FOR? >> HIFU STANDS FOR HIGH-
INTENSITY FOCUSED ULTRA SOUND.
THIS IS USED TO TARGET CANCER
TISSUE, PRODUCING A DESTRUCTION
OF THE CANCER IN A VERY PRECISE
FASHION, AND IT HAS SOME
INCIDENT CHARACTERISTICS THAT
MAKE IT APPROPRIATE AND
APPEALING FOR CERTAIN MEN WITH
PROSTATE CANCER.
PROSTATE CANCER. >>
>>
>> >>
>> >> AND
>> >> AND WHO ARE THOSE MEN?
WHO ARE THE BEST CANDIDATES FOR
A PROCEDURE?
A PROCEDURE? THE BEST CANDIDATES FOR HIFU
THERAPY ARE MEN WHO HAVE BEEN
DIAGNOSED WITH PROSTATE CANCER
AT A FAIRLY EARLY STAGE.
AND WE DETECT THIS IN MEN BASED
MOST COMMONLY ON PHYSICAL
EXAMINATION OF THE PROSTATE,
WHICH IS DONE AT THE DOCTOR'S
OFFICE, A SIMPLE BLOOD TEST,
WHICH SOMETIMES SHOWS
ABNORMALITIES IN THE PSA, WHICH
STANDS FOR PROSTATE SPECIFIC
ANTEFEN.
ANTEFEN.
ANTEFEN. WHEN WE DIAGNOSE PROSTATE
CANCER AT AN EARLY STAGE, WE
HAVE A NUMBER OF ONYXES.
PATIENTS WHO ARE MOTIVATED BY
THREE THINGS, WE FIND THAT HIFU
THERAPY IS SUITABLE.
THEY WANT THEIR PROSTATE CANCER
ERADICATED, BUT THEY'RE ALSO
HIGHLY MOTIVATED TO PRESERVE
NORMAL BLADDER FUNCTION AS WELL
AS NORMAL SEXUAL FUNCTION.
AND THAT'S WHERE HIFU HAS SOME
NEGLIGENCE IN MANY CASES OVER
SOME OF THE OTHER TREATMENTS.
>> SO WHAT REALLY
DIFFERENTIATES HIFU FROM YOUR
TRADITIONAL PROSTATE CANCER
TREATMENTS?
TREATMENTS? I MEAN, I'M THINKING BOTH IN
THE TREATMENT ITSELF, AND THEN
ALSO IN THAT LIFESTYLE OF THE
PATIENT, WHICH YOU STARTED TO
TALK ABOUT.
TALK ABOUT. >> RIGHT.
>> RIGHT.
>> RIGHT. TYPICALLY, WHEN WE FIND A
PATIENT WITH EARLY PROSTATE
CANCER, THE KEY THING IS TO
DISCUSS ALL THE APPROPRIATE
OPTIONS THAT ARE SUITABLE FOR
THAT IMAGINE.
THAT IMAGINE. IT MIGHT INCLUDE SIMPLY CLOSE
SURVEILLANCE.
SURVEILLANCE. AND WE HAVE PROGRAMS IN PLACE
TO DO THAT SAFELY AND
APPROPRIATELY FOR A SIGNIFICANT
NUMBER OF PATIENTS.
ALSO TRADITIONAL PROSTETCTOMY
IS SUITABLE IN THIS CONTEXT AS
WELL AS DIFFERENT TIMES OF
USING RADIATION ENERGY
DELIVERED TO THE PROSTATE.
AND AGAIN, IN PATIENTS THIS
DIAGNOSIS, WE DISCUSS ALL OF
THESE OPTIONS.
THESE OPTIONS. WE'LL INCLUDE, WHEN IT'S
APPROPRIATE, THE HIFU OPTION.
AND IN MANY CASES, GO THROUGH
THE PROCESS OF EDUCATING THE
PATIENT AND THEIR FAMILY, IN
MANY CASES, AND SORT OF GIVING
THE PATIENT WITH ENOUGH
INFORMATION THE ABILITY TO MAKE
A DECISION THAT THEY THINK IS
BEST FOR THEM GIVEN THEIR
WISHES AND THEIR EXPECTATIONS.
>> AND LASTLY, DR. JURIDBE,
WHAT IS YOUR EXPERIENCE WITH
HIFU?
HIFU?
HIFU? CLEARLY, YOU'RE SUPPORTIVE OF
THE PROCEDURE.
THE PROCEDURE. >> YES.
>> YES.
>> YES. YOU KNOW, I HAD A LOT OF
EXPERIENCE WITH IT.
I INITIALLY GOT STARTED
INVESTIGATING IT TO SEE IF IT
HAD VALIDITY AND BE SUITABLE
FOR PATIENTS.
FOR PATIENTS. THIS IS COMING UP ON 13 OR 14
YEARS AGO.
YEARS AGO. AND AFTER GAINING QUITE AN
EXTENSIVE EXPERIENCE WITH THE
TECHNOLOGY, IDENTIFY COME TO
FIND THAT IT FITS IN VERY
NICELY NOT AS THE ONLY OPTION
FOR PATIENTS, BUT AS AN
APPROPRIATE OPTION THAT CAN
ACHIEVE CANCER ERADICATION THAT
IS VERY SIMILAR TO OTHER
TREATMENT METHODS, WHILE
PRESERVING THESE IMPORTANT
QUALITY-OF-LIFE ISSUES FOR A
HIGH PASSENGER OF MEN.
>> AND BOTH OF THOSE CERTAINLY
GO HAND TO HAND.
THANK YOU SO MUCH FOR TAKING
THE TIME.
THE TIME.
THE TIME. >> MY PLEASURE.
THANK YOU FOR HAVING ME
>>