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#62 - Keith Flaherty, M.D.: Deep dive into cancer—History of oncology, novel approaches to treatment, and the exciting and hopeful future
02:57:28
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2019/7/15
The Peter Attia Drive
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Growing up around medicine, and finding a career that you love?
Medicine as a career, limitations of the med school teaching approach, and the dynamic and accelerating field of medicine and technology
Explaining chemotherapy, radiation, and how a cancer develops
Surgical oncology, cure rate of solid tumors, and survival rate after tumor removal
25 years after the War on Cancer is declared, gene sequencing, and why Keith’s was fascinated by the HIV case study
Cancer immunotherapy: History, how it works, and why some cancers respond and others don’t?
MHC complexes, and cancer cloaking mechanisms
Comparative biology of cancer: Why some cancer can evade immune detection better than others?
What we learned from the Cancer Genome Atlas Project
Defining targeted therapy, HER2 breast cancer, chronic leukemia, and the translocation of chromosomes
Tumor protein P53, the most famous tumor suppressor gene and its ubiquity in cancer
Activated oncogenes, the RAS pathway, PI3 kinase, RAF gene, and Keith’s “aha moment”
Advice for starting your career as a scientist/clinician
Fusion-driven cancers, targeted therapy, and the Bcr-Abl/chronic myelogenous leukemia case study
Targeted therapy for fusion-driven solid tumors, adjuvant systemic therapy, and the HER2 breast cancer example
Advancing melanoma treatment, survival, and cure rates with BRAF-MEK combo therapy
The fundamental pillars of cancer growth and survival, and the toolkit we need to attack cancer from all angles
Peter’s clinical framework for thinking about cancer and how Keith might improve it, and how the biotech environment is hampering our ability to put together novel cancer treatments
How useful is CRISPR in terms of tumor suppressing?
Liquid biopsies as a therapeutic monitoring tool
Stem cell therapy: The efficacy and potential risks
Aging and cancer: Is cancer inevitable?
Vitamin D supplements, sun exposure, melanoma, and exercise
How and why Keith has straddled the line between science/research and industry/drug companies, and the importance of getting more voices of practitioners at the table
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