Malcolm Gladwell, one of my favorite authors, recently did a show on his podcast “Revisionist History” concerning the use of dogs in screening for prostate cancer. You probably recognize his name from his many books including “The Tipping Point”; if you haven’t tried his podcast, I recommend it.

If there’s one thing that keeps men from getting their prostate examined, it would be the invasive nature of the prostate exam known as the digital rectal exam. This refers to the old meaning of digital: performed with a finger. If any problems are suspected, the typical follow-up procedures include the protein specific antigen test (PSA) and prostate biopsy. I know first-hand how uncomfortable these exams can be, and I understand why men would put it off whenever possible, even to the detriment of their health. But what if there were another way? Time to let the dogs out.

No, this new method did not involve dogs doing what they always seem to do, which is to sniff behinds; these dogs were trained to identify prostate cancer in urine samples. Exactly what they’re trained to identify is still a mystery, but most likely it’s a protein. How accurate were they? Over 95%. Anyone that tests positive by canine would then be followed up by a human physician.

Will we be making appointments to see our canine diagnosticians anytime soon? Probably not—even though just about every type of cancer you can think of has been canine-tested and found to be accurate. Are there other conditions that canines can identify? Yes, and I’ll cover that on Saturday.

The Insider Conference call is tomorrow night. I’m going to talk about the COVID vaccine as well as answer Insider questions. Become an Insider before 8 p.m. Eastern Time, and you can join in on the call.

What are you prepared to do today?

        Dr. Chet

Reference: Urologiia. 2019 Dec;(5):22-26.