In the first episode of Genetics for Healthcare: A Podcast for Patients, Emmy Award-winning journalist Steve Pickett of CBS Dallas-Ft. Worth shares his experience with back-to-back cancer diagnoses that threatened his life and career. Rome and Steve discuss genetic factors and risks associated with prostate cancer, emphasizing the importance of knowing your family history.
Rome explains how inherited genetic mutations—especially in families with a history of prostate, breast, or ovarian cancer—can increase cancer risk.
This conversation highlights the need for routine doctor visits and screenings, including PSA tests and digital rectal exams, particularly for Black men, who face higher risks of diagnosis, advanced-stage disease, and death. The episode also explores genetic counseling and how genomic testing, including circulating tumor DNA, plays a role in personalized treatment and monitoring.
We’re honored to share patient stories that empower and encourage you. Excited to welcome Emmy Award-winning journalist Steve Pickett!
Questions for Steve: As a kid, did you always want to be a journalist? What drew you to television? Walk us through your first diagnosis (prostate cancer). How did your family view healthcare and screenings? How long did it take from testing to diagnosis and treatment? How did you discover your second cancer (throat cancer)? Did you have any family history of cancer? Was genetic testing discussed during your treatment? How much did you learn from your doctors versus on your own? Prostate Cancer & Genetics (National Cancer Institute Stats): Prostate cancer risk is highly linked to inherited genetic factors—about 60% of risk comes from heredity. Families with a history of prostate, breast, or ovarian cancer have a higher risk than the general population. If your mother or sister had breast cancer, your risk for prostate cancer is higher. If your father or brother had prostate cancer, your risk for breast or ovarian cancer is higher. If cancer runs in your family, consider genetic counseling.
Black Men & Prostate Cancer African ancestry = 70% higher risk of developing prostate cancer than white men. Start PSA testing & digital rectal exams at 40. Barriers: Lack of access to care, insurance issues, and failure to discuss family history. Solution: Get tested annually, use your insurance, and talk to your doctor about your history—this can lead to more frequent screenings that insurance may cover, helping prevent or detect cancer early. One of the biggest challenges? Not talking about it. Awareness can save lives. The Role of Genetic & Genomic Testing Some cancer drugs target genetic mutations PARP inhibitors Immunotherapy Precision-based chemotherapy Genomic testing aids survivorship Circulating tumor DNA can help monitor prostate cancer. Many doctors aren't fully aware of these resources—that’s why this podcast exists: to empower YOU to ask the right questions and get clear answers.
Clinical Trials & the Future of Cancer Treatment Black and brown patients participate in clinical trials at lower rates. The future of cancer drugs is targeted therapy, based on the genetics of trial participants. Without diverse participation, disparities in treatment outcomes could grow. Why Genetics Matters to Patients What are three key questions patients or caregivers should ask their doctors? This podcast empowers patients to be partners in their care—helping you take control, advocate for yourself, and make informed decisions.