Johns Hopkins runs an unethical pancreas cancer screening clinic | If you can't learn, its unethical 

My dad died of Pancreatic cancer (metastatic) - possibly related to exposure to petrochemicals. Worked as a heavy machinery mechanic, the guy that goes under the big diesel beasts, and never saw his hands completely clean of grease from his pores, no matter how much he tried to clean. This was in the 1970s, 80s when workers weren’t using latex gloves (and they wouldn’t stand up anyways), and for many the quickest way to clean your hands was with gasoline as a solvent. The company had no commercial grade solvent for workers available until end of his career (some kind of orange scented degreaser). His co-worker - same job like my dad his entire adult life - died of pancreatic cancer at the same age. Both were found late stage, and my takeaway was treatment was a waste of time, and quality of life killer. Dad got a few extra months, but chemo followed by essentially on strong, knockout painkillers that prolonged a lost life. I would have skipped the chemo for what it returned.

Dr. Prasad has the ability to critique with accuracy the flaws of certain medical trials/screening programs. He is truly an advocate for patients and an important social critique of the disturbing direction of medicine. Thank you Dr. Prasad for your commitment to the truth and the scientific method.

Love this. There’s a huge difference between “a study shows …” and “a high-quality study shows …”. We need clinicians and researchers who can distinguish the two.

Thank you for exposing how these studies that get published can be so flawed. The lay public have been trained to just ‘ trust ‘ these studies because they were ‘published’. * Why is pancreatic cancer so hard to catch early?

I remain in awe of your ability to see these discrepancies and I remain ashamed that I am not nearly as adept as you at spotting them. Respect from a fellow scientist!

LMAO!!! Tell us how you really feel!!! One of your best! I wish there was a 5 star rating instead of only a thumbs up option!

Just finished "Less Medicine, More Health" by Dr Gilbert Welch. Exactly some of the things you are talking about. Odds, efficacy, extension of life, quality of life, unnecessary anxiety, economic interests, etc. Keep going Dr. Prasad; we need more in the broader medical community to seek truth and what is right vs seeking economic or other ulterior motives.

ROTFLMAO - "You should have I before you use AI!" Hilarious!

Screening means big money for those at the top who do give a s**t about the people.

Wallet biopsy 😅😅😅. You are correct. At one time, I lived in Maryland and my GP wanted a doctor there to look at imaging (but they INSISTED I had to make an appointment). Why…. Why couldn’t that doctor look at the images and give her opinion to my doctor? It was absolutely the worst experience I have ever had. After waiting hours past my appointment time, the doctor came in and said ‘why are you here’. John’s Hopkins has become a joke. Everyone in Maryland knew- I just found out the hard way.

Thank you for laying it all out clearly. I share these videos with my parents who do anything and everything their doc tells them to do without a question or research.

The wallet biopsy 😂 I’m dead.

Thank you for this great explanation about unneeded screenings. I am 71 and my dad was diagnosed with pancreatic cancer at a healthy 83. At first I was mad the primary doctor did not find it sooner. I was lucky that his Oncologist told me the truth. Now I am happy he had a few more months of golf and winter in Florida before he became too ill. And now I can enjoy my life without worrying if it will happen to me.

Yes! The wallet biopsie! 💸 💰 👏 👏 👏 And who funds these types of data gathering useless papers? 💰 thank you for the video.

Catering to patient anxiety is a huge problem in American medicine. Couple this with physician (and “provider”) anxiety about missing a diagnosis and you get over testing. It’s our job to temper these anxieties with logic and evidence. Sure, checking a box in Epic is way easier but it’s a disservice to the individual and the system at large. I think the general public equates testing with “caring “ and thoroughness. Who wouldn’t want an entire body scan (besides me, as a physician)? Feeling a bit winded? Could be a PE…better get a CT PA. Swollen joint? Better tap that thing to make sure it’s not septic Arthritis. A little ankle edema? Could be a DVT. I could go on. I think this is the fault of medical education. We need to use our clinical skills more and the checkbox less.

A great deal of research is simply busy work. Keeps the residents busy, gives the MDs prestige (they hope) and makes money if the research project is sexy enough. Having worked in medical research (in the lab and as a clinical trial coordinator) I've seen enough crappy research to last a life time.

Keep going with the truth! Too few are speaking it. Thank you!

Can you comment on the book "How We Do Harm"? It may be a bit dated now, but aims at the same points you are making.

Thank you for being a voice of sanity. I read these studies and sometimes wonder what's wrong with everybody. The lead time bias error always kills me. Like wtf, I thought we were supposed to be smart and careful

When i was a med student we had ethics lectures. One of those was on the ethics of diagnosing untreatable diseases. Don’t do it. There is no upside. Not only the anxiety of being diagnosed with a disease, but financial implications such as being denied life insurance for an inheritable disease that you have no symptoms or signs of ( like polycystic kidney disease), and being denied health insurance because you now have asymptomatic preexisting condition.

YES HE SHOULD BE HARSH ON THESE PEOPLE. This is not something that the everyday individual can dissect and so many of our agencies get away with lying to us nowadays. So yes he should be hard on them and I’m extremely grateful that he’s informing us of the truth. In today’s society that’s what bravery looks like. Thank you Doctor

Glad somebody is overseeing this stuff. They used to just get away with it. Shout out to the real scientists who maintain ethical standards and are seeking truth and improved health for the rest of us.

My paternal grandpa had pancreatic cancer. My first baby was born a month after he died in 1980. I've never been told that I'm "genomic" for pancreatic cancer, just cancer in general, mainly because I'm from a very large family. On my paternal side, 6 out of Grandpa's 16 children got some kind of cancer (Grandma died in an accident). On my maternal side, my Grandma had non-Hodgkin's lymphoma, and all but 4 of her 10 kids got some kind of cancer, just not all the same kind. (Grandpa died at age 92 with Alzheimer's, which got almost his whole family, starting with his mother). And as far as I'm aware, screening only found a couple of the cancers. The rest went in for regular screening, but if the cancer was in a location where they screen, it was missed and only diagnosed when symptoms developed, and if it was in a location that isn't screened, it wasn't found until symptoms developed. So I'm not really interested in being screened. I'm going to die of something and not waste the rest of my old age worrying about it.

many medical journals belong in a reader's digest column.

There are only a couple of decent Dr. Out there. I could name a couple like you. No wonder nobody truth the medical profession.

Anecdotally, if I ask my newly diagnosed pancreatic cancer patient when their GP first diagnosed them as diabetic. Usually they will say it was within the one year prior. Most of these don’t look to be your typical person with the metabolic syndrome of Type 2 diabetes. I would love to see these people screened with th tumour marker test ca19 and take the rest from there.

Vinay, please tell us what you really think about this study! Lol

Dr Prasad, thank you for all you do.

My healthy husband, with zero risk for pancreatic cancer, was diagnosed with it 1 year after the jab, stage 3 to 4. He had abdominal pain and did the ultrasound which showed locally advanced tumor. After that, of course, he had CT and biopsy and PET CT and the diagnose was confirmed. Am I wrong to think annual abdominal ultrasound would've helped to catch it earlier, at stage 1-2?

I wish you could be my doctor! It's so hard to find someone that critically thinks anymore.

Can you make a journal called Critical Appraisal?

The “Johns Hopkins Clinic for the Worried” 😅😅😅

I had a CT scan for something else and the doctor said that I should have an endoscope put down in my esophagus because there is air in my esophagus and that could be a sign of Cancer! 👻. Something like 60% of CT scans that show air are completely normal. I've never been a smoker and don't drink alcohol. Even if it did turn out to be cancer, the treatment for esophageal cancer is brutal with very little chance you will survive longer than if you didn't agree to it. It's all about mining revenue for for-profit hospitals owned by private equity funds.

This is a great Doctor and human. Sharp as a tack and brave as well.

This is so weird! The medical establishment is working so hard to eliminate (formerly) standard screening lab tests, including all such urinalyses and most such blood tests. They are supposedly too expensive. So where does their reasoning for this come from?

Wallet biopsy.. brilliant

thanks we appreciate your knowledgable view

2 shots and a booster of any combo of Modzer or Pfiderna is a huge curbo tancer indicator

I’m not a medical expert but in my own opinion I want to know if I have a disease sooner rather than later even if it’s metastatic and untreatable. That’s just me.

The problem with flawed studies is that they lead to protocols that are forced on physicians. Doctors are governed by protocols which, if they ignore, they are at risk of losing their licenses. We’ve recently seen what that means for patients.

Totally agree with you. Thank you. We all need to think and look more carefully and critically at screening and overall risk/ benefit.

Sir, you have "intelligent" common sense. Explaining why studies like this are so worthless and perhaps injurious is valuable. In this day of "experts" who try to influence or mislead us by invoking fear or the arrogance of their inflated credentials, you are indeed a breath of fresh air. Thank you.

that's the whole point....they're not patients....they're customers

This exact problem is why neonatal and maternal outcomes are so poor in North America compared to other first-world countries.

love these videos about bad research, keep them coming

Never forget, Johns Hopkins was the hospital that legitimized the pandemic. They were a part of event 201, which rehearsed the pandemic.

Awesome review, thank you for all you express here to help people see the ridiculousness of it, the 'journals' (advertising/marketing tools).

Great video Dr. Prasad! I think we have seen a decline in the quality of peer review. We have to get rid of pay walls in journals and have a better peer review process. AI has exposed research fraud in cancer at a very high level and the peer review process failed utterly to catch it until waaay after publication. There is a lot of money in cancer and where there is money, there are vultures.

Not JH’s first rodeo. They used to be held in high regard.

When asked what my specialty was, i replied ‘radiology’. The idiot asking piped up with ‘ oh that specialty is finished. It’s being replaced with AI’. I replied ‘ i look forward to your experience of AI not being able to decide whether the low density lesion in your liver is cancer, metastasis or benign. Let me know how AI gets on with the biopsy. Which i hope is necessary.’

Throughout most of this video I keep thinking "Yeah but..." as in "Well, they used applied genomic testing early and targeted tumors in a manner that increased survival with a mix of early intervention of chemo with immunomodulation therapy from that Euro paper like a year ago, right?" No. "Oh, well... but they increased the diagnosis of pre-metastatic cancer, Whippled those people and have a demonstrably positive outcome for a higher percentage of patients, right?". No. "OK, well they at least attempted a rational statistical control on the back end to elimi..." No. "Alright, but they didn't end up lying and throwing buzzwords around... did they? Of course they did. Yikes.

New masking RCT from Sweden--What do you think about it?

John Hopkins diagnosed my father with pancreatic cancer after a screening test in 2014. He was treated aggressively, surgery, chemo, radiation etc etc. They "cured" his pancreatic cancer, but he died of liver cancer in early 2015...

Both of my parents died at JHH. One had pancreatic cancer. The other died most likely from AIDS which was contacted by blood received during a surgery …. Thank you Fauci

Have you ever been told that during a CT of your kidney they noticed something on your pancreas? I was, and even more special they told me they had been watching it compared to other scans I had done over the previous 5 years and it had now tripled in size. Then I had EUS, but they would not biopsy because it “looked” an IPMN. But now I have to get EUS every couple of years.

I adore YOU and LOVE your passion when it comes to protecting those of us sheep who once believed Doctors were a God to us. Until I experienced idiot doctors who were so inept all they did was send me for tests and more tests which never reflected any results confirming my condition! I was sickened to learn that even the worst student at the bottom of the class, gets to be called DOCTOR and is out doing damage to innocent patients who don't know better. What happened to the Hippocratic Oath? Do Doctors still take it or comprehend what it means? Nope they seem to graduate from the Fauci school of murder. Oh, that's right- Every politician takes an OATH to uphold the Constitution, which they never do but instead subvert the rights of WE THE PEOPLE and they get off scot free!

Nice overview. It’s not restricted to medical research.

Would love to hear your thoughts on the the grail galleri trial on the NHS given the recent BMJ article and widespread criticism

It’s crucial to be critical of *any* study coming from a big name like Johns Hopkins, which the general public knows and thinks they can trust.

Thank you for being the best at research critique. I learned so much!

Thank you for all the work you do!♥️♥️♥️ Thank you for taking care of us!🙏♥️🙏 I feel safer because of what you do!♥️♥️♥️

Even if they had a randomized study there are probably too few cases to determine statistically significant difference between controls and "treatment."

I would love for you to give us your opinion on the Coronary Calcium Score test. My best friend didn’t want to go on a statin with a total cholesterol of 260, so her GP doctor encouraged her to get this test. Doctor said only zero is a good score. Since my friend’s test result was around 100, her doctor told her this confirmed that she would benefit from a statin. 🙄

Where are the ethical, competent reviewers of this journal?

Never heard of this dude before, but the cadence, energy, intellect and most of all his approach means i will be coming back asap!

I love how passionate you are. Ty for your work

Kidney failure is a side effect from the contrast dye used in a CT, MRI, X-Ray, scan. It happened to a relative of mine.

The general public has never seen a screening program it did no like

How many of the 1600 people died before the end of the study from conditions unrelated to their pancreas? How many were diabetic? how many were alcoholics?

The way you talk reminds me heavily of the amazing Sheriff of Sodium that is also here on RU-vid. By that I mean you have a very compelling way of talking. Great video.

I lost respect for John Hopkins during the Covid epidemic.

I love the term “Wallet Biopsy” 💪😆

What do you think of new breast cancer screening USTF guidelines on reducing the age to 40?

Your videos are not near long enough lol. I could listen all day lol

love your analyses Dr Prasad!!!

You’re a courageous man Deserve recognition

how do we improve without diagnosis and trialing it? 20+ years ago doctors used to say this about so many disorders. yet somehow we have better outcomes than 20+ years ago. healthcare is getting worse and it's all about money but.... how exactly do you think people are supposed to live what life they have left with no diagnosis? what magical world do you live in where people would have money and strength and QOL to make it possible? people with diagnosis can't even get meds to help with pain. how exactly do you think they're going to live on? for years with horrible symptoms? cancer has symptoms that would make someone's life hard if not impossible to live. like seriously. I get where you're coming from but this only works in a idealistic thought experiments and rarely is applicable to real life. give people a diagnosis. give them options. including pain relief so they can enjoy what time they have left.

I feel like the internal validity of every study is flawed just to get a research paper out

To be fair, looking for a proper screening for PDAC is an important task, due to the nature of the cancer. Usually most of the patients get diagnosed way too late because symptoms are first unspecific and have a late onset. But to actually perform a curative treatment you have to R0 the cancer tissue. Otherwise your patient is not gonna survive the upcoming years.

You're an ethical person first. Ethical doctor second. Your parents are probably awesome.

The “you’re so harsh on these people” is wild, peer reviewed science should be critical. Period.

Thank you Vanay for your pure honesty. Would you please address ethylene oxide gas as medical device sterilazation issue?

everybody should get ca 19-9 blood tests for screening. Screening is not the enemy

This dude holds himself up as the paragon of virtue and one who is right on everything.

"First you have to have the 'I' to have the 'AI.'" 😂

You're probably witnessing Johns Hopkins slowly turns into Johnsons & Jama.

Interesting

That's always been my take. What will I do if they find something? Become an experiment that has already proven not to work except prolong life which has no quality. I'll take homeopathy with my qualified homeopath any day. Thank you for calling this out.

I enjoy your videos and your knowledge, but they all seem very negative. It is mostly about why other people are wrong. Is there any way to do a positive series of what you recommend, what is good, or great things that are happening?

❤ Lovin' it!! Unabashalicious! Yes I made it up.

Thats a common business model or why did govs force kids and young healthy people to take vovid jabs?

So now that you have a few years to look back and seeing all these terribly designed analysis. RFK’s issues seem right on the mark, so what am I missing why doesn’t VP like RFK

Lotta bad stuff goes on at JH 😮

I'm about to begin to think that you don't like it at all

"Island of Dr. Moreau clinic" 😂

You should collab with the Sherriff of Sodium

Vivek Ramaswamy Is now a doctor

Sorry, but mammography caught my CA soon enough to not require chemo. I will forever preach Brest CA screening. 1 in 8 women are dx with breast cancer compared to 1 in 56 pancreatic CA. I'd say that constitutes breast CA screening.

I'm getting sick of having to delete the Kamala Harris begging for money to run for president commercials that are tagged into this program, plus just about everywhere else. To delete commercials. Absurd!

I get annual familial pancreatic cancer survey from JH... Wondering if it is worth it. PC is not that strongly genetically determined.