Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:03):
Memphis probably presents The BEV Johnson Show.
Speaker 2 (00:08):
Let me say Bath, I've.
Speaker 3 (00:12):
Got me first. Let me you.
Speaker 2 (00:18):
Say she's gone camphis domain.
Speaker 4 (00:24):
A no matter of the problem she can have.
Speaker 5 (00:32):
So all the phone and the normans on your mind.
Speaker 6 (00:38):
She was there Jimmy d in the hair by telling
you to just keep them f.
Speaker 2 (00:48):
When arangle, I'm pegging out. This Johnson show goes well, I've.
Speaker 7 (00:53):
Got this outing game.
Speaker 4 (00:56):
Happy.
Speaker 2 (00:57):
You can hear every day w U d I ain't
my bell got me a missed hopping? Good morning, Good morning,
(01:49):
good morning, and welcome in to w d I A
The BEB Johnson Show. I'm Beb. It is indeed a
pleasure to have you with us once again on a
this Thursday, September eleventh, twenty twenty five. Enjoy this fabulous
day to day. All right, want you to put your
(02:10):
ears on me, and I do want you to put
your ears on our first hour, we will be talking
about prostate cancer.
Speaker 3 (02:17):
Yeah.
Speaker 2 (02:18):
I think this is prostate cancer months. So get all
your information that you need this day. Yeah, call in
early with your questions. Yeah, because we'll be talking with
some experts about that second hour back in the house
for all our veterans. Miss Pamela Pullings will be back
(02:38):
to help you veterans get what you need. When it's
your turn to talk, you know you can't. All you
need to do is dial these numbers nine zero one,
five three five nine three four to two eight hundred
five zero three nine three four to two eight three
(03:00):
three five three five nine three four two will get
you in to me. And if this day, this this, this,
this day, Thursday, September eleventh, twenty twenty five, is your
(03:25):
birthday like my eldest niece, the one I named, Yeah,
de Honor Marnis, Happy birthday, d D. It is her
birthday today, Dianna Marnis, great brud, Happy birthday, d D.
Yeah it turns big fifty one. That's one of the supremes,
(03:46):
y'all know it, one of my supremes. Happy birthday, Dianna.
Hope your day is simply fabulous, just like you are.
Speaker 8 (03:57):
You know it, you know it.
Speaker 2 (03:59):
That's from your mom, your dad, your children, your grandchildren,
your sisters, brother, all who love you. De Anna mar
niece Gray Cruet, Happy birthday and happy birthday to all
of you all out there who may be celebrating a
birthday on this day. You know what we say, go
(04:22):
out and celebrate your life. You better, you better. When
we come back, we'll give you some information on prostate
cancer with my guest and me, Bev Johnson on the
Bev Johnson Show only on w d I A.
Speaker 3 (05:02):
Back back back back.
Speaker 9 (05:19):
Back back, back, back.
Speaker 3 (07:37):
Back back.
Speaker 2 (08:16):
I want to take you over to Soulsville, us A.
Those are my guys, book A T and the MG's,
the Memphis guys, little Hip Huger. Welcome back to wd
I A The Bev Johnson Show. It is indeed a
pleasure to have you with us once again on this Thursday,
September eleventh, twenty twenty five. Enjoyed this fabulous day today.
(08:42):
As I said earlier, September is pro State cancer month
and this is so important. So men put your ears
on and women put your ears on so you will
know so you can help these fellows out. But once
again my brother is bit back in the house, mister
(09:04):
Ken Coppenter, who is the CEO, I will say, of
the Prostate Education Awareness Counsel as always welcomed back in
my brother, mister Ken Coppenter, How are you Ken? Fine?
Speaker 10 (09:19):
And thank you for having me Brad, you are so welcome,
appreciated because I know this is this is dear to
your heart.
Speaker 2 (09:26):
It is because I am a prostate cancer survivor turned advocate.
Speaker 10 (09:31):
I love that as you know, yes sir, you're sah yes, yeah,
and me going to patient's rooms trying to sell them
down about the high PSA numbers, letting them know that
way we got to send you over to c doctor Rayford.
Speaker 2 (09:46):
But they were scared.
Speaker 10 (09:47):
It's always they're very scared when they hear that those
numbers because they don't know what their future look like,
right right.
Speaker 2 (09:53):
And And so we're back today and so we can
tell our listeners, I know you have something that's come.
But before we do that, we have some fabulous guests
and I can't wait to talk to them. So I'm
going to give you the pleasure of introducing our guests
for today. I brought two amazing guests with me today.
Speaker 10 (10:14):
One is ESPN Jay Harris, the sports anchor for ESPN,
and glad to have him here, to get him here
in Memphis to share his inspiring story as he did
last night at.
Speaker 2 (10:25):
Le Morne College. Wow wow. Yes.
Speaker 10 (10:29):
And so we also have doctor Rayfert, Doctor Walter Rayfert,
pH d M d MBA.
Speaker 2 (10:40):
How much I have to say this kid, the I
love he represents love Jackson State University. Well, okay, you're
up a TSU so be careing doing something there. I'll
watch out.
Speaker 10 (10:55):
But I mean, look, he's the only black urologist here
in the city of so we refer a lot of
our patients. Okay, you, sir, our holds him very dear
to our heart. Yeah, so glad to have doctor Rapert
here on board.
Speaker 2 (11:10):
Look good, we'll good well to both gentlemen. Welcome, Welcome, Welcome,
Welcome to WDI AG. Welcome to the legendary wd I
A the BEB. Johnson Show. Good to have y'all here,
Thank you for being here, Thank for having us, Thank
you good good. I want to start off with doctor
Walter Rayfort. Yeah, because you know you the doctor, all right.
(11:36):
And and when we talk about doctor Rayford about prostate cancer,
when you say that word prostate, a lot.
Speaker 6 (11:46):
Of men run and hide, they do, and unnecessarily Okay,
and this is what we were saying before we came in.
You know, there needs to be a sustained educational effort
so that we can talk about prostate cancer in a
way that's none threatening in a way that men can
(12:08):
really understand that, uh, well, what the prostate cancer is,
what it does, and what happens as we to our
prostrate as we grow older, And also to inform them
that if for some reason they are diagnosed with prostate cancer,
it's not a death sentence. They can live a meaningful,
(12:31):
joyful life even after the diagnosis of prostate cancer. So
there needs to be a sustained effort.
Speaker 2 (12:38):
Yeah, so I want to go back something. You said,
what it is? What is it?
Speaker 5 (12:44):
So?
Speaker 6 (12:44):
So, prostate cancer is the abnormal growth of cells within
the prostate gland. The prostate gland is a Waldneress sized
gland that sits right underneath the bladder, right in front
of the directum. It serves as two major purposes. One
(13:05):
as a passageway through which we urinate through which we avoid,
and secondly, as a secondary sex accessory gland. It produces
a substance called psa prostate specific antigen, and this protein
helps sperm move, which is why it's a secondary sex
(13:33):
accessory organ. As men grow older, things can happen to
the prostate one it can get larger. Secondly, the tissue
within the prostate gland can can squeeze the organ. And thirdly,
it's a place where cancer can develop. Now, prostate cancer,
(13:56):
which is the focus of today's discussion, is the second
most common cancer that American man experience. This year, we
anticipate about three hundred and thirteen thousand American men will
be diagnosed with prostate cancer. Now let me just break
that down.
Speaker 11 (14:16):
Yeah.
Speaker 6 (14:17):
Wow, that means every two minutes and American male is
diagnosed with prostate cancer every two minutes, every two minutes,
every two minutes.
Speaker 2 (14:26):
Wow.
Speaker 6 (14:27):
This year, in twenty twenty five, we anticipate or is expected,
that approximately thirty five thousand men will die from prostate cancer.
That means approximately every fifteen minutes or so, and American
male will die from this disease unnecessarily. So our goal
is to educate, in form encourage man to be checked
(14:53):
for prostate cancer, starting particularly for African American man, starting
at the age of forty.
Speaker 2 (15:01):
Doctor Rayford, go back and you say that men do
not have to die with prostate cancer.
Speaker 6 (15:11):
Absolutely absolutely, you know a lot of progress.
Speaker 2 (15:15):
I'm sorry, no, no, no, no go. I was gonna say,
because I've known some men who've died and I want
you to you know, you're saying they don't have to die.
Speaker 6 (15:23):
No early detection saved lives. If a man is diagnosed
with prostate cancer in the early stages of disease, his
five year chances of death is less than one percent.
The key is diagnosed in prostate cancer early, in the
(15:44):
stage in which it has not left the prostate gland.
The other key is effective treatment. With effective treatment, and
we have lots of options, prostate cancer can be cured,
and even if cancer has spread outside the prostate land.
(16:06):
Over the last several years, we made lots of progress
in treatment of advanced prospect cancer and those treatments are
minimally invasive, associated with few side effects, and most importantly effective.
So if a man dies from prostate cancer, that would
(16:28):
the immediate suggestion is that that cancer was diagnosed late,
and he had a late stage diagnosis, and if he
had gotten to him earlier, we could have saved his life.
Speaker 2 (16:44):
So, doctor Rayford, are there any symptoms of prostate cancer?
Speaker 6 (16:51):
You know that that's a very good question. And what
I tell people when I talk with him about prostect
cancer is that the most common simp them for prostate cancer.
It's no symptom at all. Most men who have early
staged prostate cancer have no symptoms. Now that doesn't mean
that men who have problems with the prostate don't have symptoms, because,
(17:16):
as I mentioned, as we grow older, our prostate gets bigger,
and there's some tissue within the prostate that squeezes the
prostate and cause some irritative and obstructive symptoms such as urgency,
going to the bathroom in a rush, frequency. And I
tell someone, if you're urinating more than seven or eight
times a day, that's you know, you're urinating frequently, and
(17:40):
also waking up at night. Usually, you know, the average
person doesn't wake up at night to urinate, but if
you're sixty five and older, it's not uncommon to wake
up one or two times a night. But if you
avoiding more than that, that's abnormal. They can also experience
obstructive symptoms such as difficulty urinating, having the strain to urinate,
(18:04):
not emptying your bladder completely, having uh uh dribbling after
you finish urinating. Those are obstructive symptoms. Those symptoms usually
relate to a person who has an enlarged prostate or
prostate that's clamping down. However, it can also be a
symptom for advanced prostate cancer. So if and the key is,
(18:27):
if a man has any of those symptoms, he needs
to he needs to be evaluated.
Speaker 2 (18:33):
Is there, doctor Rayford, a specific age where prostate cancer
will begin and men?
Speaker 6 (18:42):
Yes, And that's a very good question, because as we
grow older, our chances of developing prostate cancer increases. So
age is a major risk factor for prostate cancer. Prostate
cancer has been seen in man as early as in
their twenties, not often, but it's been seen there. Now,
(19:06):
that's the screening recommendation. The goal is to start screening
and get a pattern of your PSA much in advance
of the likelihood in which you would be diagnosed for
prospect cancer. So for African American men, most organizations recommend
(19:28):
screening to start at the age of forty and if
there is a family history of prospect cancer to start
getting screened at forty as well.
Speaker 2 (19:40):
Wow. Yes, So it is up to a man, doctor Rayford,
going to the doctor, start getting your screenings when you
when you hear a get screened. Yeah.
Speaker 6 (19:56):
Absolutely. And what we were saying last night is that
you know, prostec cancer is not the death sentence. Yeah,
you know, it's just a bump in the road. You know,
it's a it's a it's a chronic conditions, just like
high blood pressure, diabetes, you know, heart failure, something we
have to deal with, and fortunately we have options. We
have lots of options that men can select that will
(20:18):
maintain their quality of life and sometimes improve.
Speaker 2 (20:24):
Okay, does prostate cancer ever come back? If you know,
man is diagnosed and then they survives, But does it
come back? It can?
Speaker 12 (20:36):
It can?
Speaker 6 (20:36):
So even you know, so the more common options. Treatment
categories for prostate cancer include surgery, radiation, and I refer
to as thermotherapy. In other words, we can freeze it
or we can burn it. Those are the common categories
of treatment for men who have clinically localized prostate cancer.
(21:02):
So with those treatment options, there's about a you know,
five to fifteen percent chance of it coming back, depending
upon the aggressiveness of the disease. But the good news
is that even if it does come back, we still
have options. So, you know, if a person has undergone
(21:23):
removal of his prostate and it comes back, we can
do radiation, and radiation is oftentimes a cure at that point,
and radiation is painless and associated with few side effects.
And that's the thing, you know that we have options,
so there's no need for a man to be afraid
(21:45):
to be checked for prostate cancer. And if we get
them in early, we can save their lives.
Speaker 2 (21:53):
Sounds good. I want to get over to j and
welcome again and your story. What's your story with this
prostate cancer?
Speaker 1 (22:05):
My story likely began watching my dad go through it.
He was treated with radiation and he came through it fine.
So my doctor and I had always, you know, looked
at my PSA numbers because of my father, and my
numbers were high, and she sent me to a urologist
(22:26):
and the urologist did a digital rectal exam, didn't like
what she felt, sent me to get an MRI. The
MRI showed the possibility of cancer, and a biops he
confirmed it. So now the next option was choosing treatment,
and like doctor Rayfert was saying, there are many options.
I chose surgery to have it removed because once the
(22:49):
scan showed that it had not spread anywhere, we figured
that would be the prudent thing to do, and if
it happened to come back, radiation would be an option
to treat me down the road. Hey, we chosen radiation first.
It removes surgery as an option down the road.
Speaker 2 (23:06):
So we went just in case.
Speaker 11 (23:09):
And now.
Speaker 1 (23:11):
My charge is to tell folks about it, tell my story,
say go get checked.
Speaker 2 (23:17):
It's not going to hurt you. You'll be just fine.
Speaker 1 (23:21):
And at the event last night, I talked about having
intimate conversations with complete strangers online, folks that have in
my direct messages or text messages, and we talk about
things like incontinence, directile dysfunction, can't whatever, have straight up conversations,
the conversations that we as men, black men in particular,
(23:45):
just need to have with each other. You know, take
off all the veneer of tough guy, macho this. I
don't want to talk about that, forget all that. Yes,
because I'm trying to live. I'm sixty years old and
I want to be here as long as I can,
and I want everybody. I want my brothers to be
here as long as they can too. So that's another
reason why that's part of my story. Is why we're
here today.
Speaker 2 (24:05):
I love it.
Speaker 3 (24:05):
I love it.
Speaker 2 (24:06):
If you've just tuned in this morning, we are talking
about prostate cancer. We're wanting to educate you today. September
is Prostate Cancer Month. My guests are here, Ken Coppenter,
doctor Walter Rayford, urologist J. Harrison from ESPN is here
and we're going to open up our phone lines. Fellas, Fellas, Fellas,
(24:30):
ask your questions today and also Keen is going to
be telling you about something that you can participate in.
Our numbers to call nine zero one five three five
nine three four two eight hundred five zero three nine
three four two eight three three five three five nine
(24:52):
three four to two will get you in to us.
You're listening to double You d I A.
Speaker 12 (25:00):
Don't go away. The Bev Johnson Show returns after these messages.
Speaker 13 (25:05):
Bevjsial You need know over the town working hard to
(25:36):
break you outa day never saying.
Speaker 3 (25:45):
Off people.
Speaker 2 (26:00):
Good morning and welcome back to the heart and soul
of Memphis. W D i A. We are talking prostate
cancer today so you can be aware and educate yourself.
My guest, mister Ken Carpenter is here, doctor Walter Rayfert,
who is a urologist Harrison ESPN and a survivor. Both
(26:20):
of these brothers are survivors. Tell us I am going
to our phone lines to talk to some of our listeners.
Thank you for waiting.
Speaker 8 (26:29):
Hi, Steve, Hello, my most beautiful black Violet Rose Tulu Avelio.
Speaker 11 (26:40):
Radio Hall of Fame Queen of WDIA.
Speaker 8 (26:45):
This you Bbly Elaine Johnson, Thank you, Steve.
Speaker 11 (26:51):
Bill, Bill, thank you, Hey Bill. Last time you had
I think the Gay and the Studio on, I think
you had it white.
Speaker 5 (26:57):
Yes, A.
Speaker 2 (27:01):
Had his wife, doctor Carpenter.
Speaker 11 (27:02):
Yes, I don't know how long it's gonna go. But
you know everybody know Bill, you are my friend and
beb I wrote this stuff down. So uh, the king
say that doctor ray Forer this the only black neurologist
in Memphis.
Speaker 2 (27:19):
Yeah, Ken, he wanted, Okay, I'm gonna tell you, Ken,
he said, Steve, you want to know. Did you say
Dr Rayford was the only black urologist in the city
and it's Memphis? Correct?
Speaker 11 (27:29):
Huh yes, Steve, okay, Ken, Doctor doctor Rafer, how you doing?
Speaker 2 (27:37):
Yeah, I'm doing well.
Speaker 8 (27:38):
How are you?
Speaker 11 (27:40):
What's y'all in there doing?
Speaker 2 (27:42):
Don't worry about you asked your question. You asked a question.
Speaker 11 (27:46):
Bib okay, doctor doctor Rafagh, Okay, it's two or three courses.
I hang up because I stopped by the house. I
had to fly back out because I wrote it down.
Speaker 5 (27:55):
Okay.
Speaker 11 (27:55):
One guy wants to know about salvage robotic sectimy surgery.
The other guy, I want to know about turk Now.
The guy say he had the radiation. Uh, I think
he said in twenty thirteen, he said, Pa, he went
to the doctor, the PSA came back over with a
real high. Now he said that by I'm having the radiation.
(28:19):
The doctor was telling him if they take the prostate out,
it was a good, good sign that the radiation missed
up a lot of body tissue in his body, and
then he might be have to wear a colostomy bag
for the rest of his life. The other guy said
that I think you know because they just won't go
to doctor get it checked out. He said that they
(28:40):
don't don't do surgery no more. He said, they use
a robot to take the prostate out and they go
through your stomach to take it out. I'm just writing,
just asking you what he wrote down, and you said
you need to get it checked there forty but and
another guy, I can't think of the thing. The other
guys say, you have to might have to wear a
(29:02):
bag for the rest of his life. So when your
prostate get that's so out of whack and you try
to take it out. I was just trying to see
why would you have to wear a colossomy bag for
the rest of your life, capital for the rest of
your life and uh, if you could, I'm gonna hang
up and listen. But once again it was savage robotic
prosectum and surgery and also turn and Bill, thank you
(29:25):
for inviting them guys out and the guys that I
just got to topic to they gob there's a lot
of guys out here listening about their prostate cancer because
they won't go to doctor till they PSA get so high,
until the process gets so out of whack. You know,
it ain't nothing they can do. There be telling you,
like you said, Bill, you know somebody who dad from
the uh from the surgery. But they definitely listened listening.
(29:49):
And doctor Raypeer at the end of the show, I
know you're gonna give your address to your office out
in the number because I know at least five of them.
I just got off the phone with. We was all
on the like three fway listening. So they listening right now.
So if you can explain old two proceedures and you
said forty people start needing to get a check down.
Speaker 5 (30:09):
Thank you, Bill.
Speaker 11 (30:10):
This is probably gonna be the best show you'll come.
A lot of me and needs to be listening.
Speaker 2 (30:15):
Thank you, Steve, Bye bye go. Doctor Rapey gave you
a lot of questions.
Speaker 6 (30:18):
Hey, yes, Steve, you had I had a lot of
things there. So let me try to unpack some of
the things, Steve that you said, so salvage prostetected me. Well,
the word salvage means that the person has already had
one form of definitive treatment, and usually that form is
UH surgery.
Speaker 3 (30:39):
Uh.
Speaker 6 (30:40):
Nowadays, Steve, Uh, with technology, the way the most common
way in which we remove the prostate is is using
a robot and uh and and and there's you know,
several iterations of the robot. But but that's the most
common way which we remove prostate. It's less invasive and
(31:01):
associated with a less blood loss, a quicker return to
your normal activities, and a quicker return to recovering from
any potential side effects. Now, there are times when even
after a person has undergone the robotic prostetectomy, that the
cancer returns. For your specific question, the person underwent radiation
(31:30):
therapy and for some reason the cancer returned after radiation therapy,
and an option is salvage prostetectomy. The challenge is, whenever
a person has undergone radiation therapy, the planes, the tissue
(31:51):
planes are very very difficult to identify and to separate
because the tissue planes are almost meshed into one's very
easy to get into the rectum, which sits right underneath
the prostate which has been removed. So when that happens, Stephen,
(32:21):
it's very difficult for the prostate to heal when it's
been injured. And I'm sorry, it's very difficult for the
rectum to heal when it's been injured from the radiation
and surgery. Therefore, what's usually done is what's called a
diverting colostomy, which means that rather than allowing your normal
(32:48):
passageway of your intestinal content to be normal, they will
cut it off above where the injury occurred and they
will bring that out to usually on the left side
of your body, in the lower portion called the left
lower quadrant. And because it's diverted to your skin, you
(33:14):
have to wear a bag to collect it. So oftentimes
we tell patients that if you have surgery, radiation is
not an option. It can be performed in patients who
do that do this procedure very frequently, but for most
(33:37):
urologists they prefer not to do that surgery because of
the high risk of complications. The other risk associated with
that is not only the possibility that you would get
a diverting colostomy, but also the chances that you will
not have control of your urination significantly in preezes. So
(34:01):
there's a chance that you may wear a bag for
for for to collect your you know, your waste product.
But there's also a chance that you may have incontinents
which might require you to wear pats and if worse,
a cather. Now, the second question you ask regarding a TERP,
(34:23):
which is UH which is an acronym for a transurethral
resection of the prostate.
Speaker 2 (34:29):
Is usually.
Speaker 6 (34:32):
A procedure that's done on men who have difficulty urinating,
and oftentimes those men have failed other forms of treatment.
Usually they fail medical management and they fail minimally invasive options. Therefore,
a special instrument is used to carve open the prostate
(34:56):
and create a channel, a larger channel through which they
can urinate.
Speaker 2 (35:01):
So that's what a TERP is. Okay, going back to
our phone, lines to talk with you him.
Speaker 4 (35:11):
Hi, Bev, I mean, thank you for having this show today,
and hello to the physician.
Speaker 5 (35:16):
I had a question.
Speaker 4 (35:18):
I was recently diagnosed with the prostate cancer, probably about
one month ago, and the doctor explained to me that
it was a very mild form of prostate cancer. I
don't know what myld cancer is, but so he sort
of explained that from all the areas that they did
the biopsy, one particular area came up positive for cancer,
(35:42):
and he sort of I have a follow up coming
up in two weeks, but he he suggested right now.
He told me I had various options, but the option
that he recommended to me was to just monitor it
and just see how things go. But that makes me
kind of nervous, and I just I don't know, you know,
(36:03):
if that's a good option. Do I need to do
something about this or what.
Speaker 6 (36:10):
So your physician recommended a management called active surveillance. Active
surveillance is recommended for men who are believed to have
prostate cancer that we don't think grows very fast. And
he more than likely based his recommendation not only on
(36:34):
what the pathologists saw when they looked under the microscope
at your tissue. But he may have also done some
genetic testing on your prostrate as well, and that combination
of pathology finding and genetic testing probably led him to
believe that you have the type cancer that does not
grow fast. Also, you mentioned that it only occurred in
(36:57):
one area of your prostate, so this suggests that you
have early stage, non aggressive prostate cancer. Now, actress surveillance,
you know, is a very good option. However, you also
have other options available as well, and I'm sure he'd
talk with you about surgery or radiation of whatever he
(37:20):
you know, what his office provides. But because he didn't
think that you had cancer, he thought that just watching
you closely until your cancer becomes aggressive, if it becomes aggressive,
would be the best option for you. What that does
is it prevents you from the potential side effects associated
(37:42):
with treatment. So now, having said that, and I think
all of us would agree that getting a second opinion
for you would be worthwhile, particularly since you're a little
nervous about the management option of active surveillance.
Speaker 4 (38:01):
Okay, okay, if I did go with the active surveillance,
what what should I expect? Do I expect to go
to the doctor every six months once a year how often,
and I will and I will reach out to you
to get that second opinion too. But but if I
just if we were just to watch it, you know what,
(38:23):
what what are the pros and cons of just doing that?
Speaker 6 (38:26):
So for many people, they you know, each one has
their own you know, recommendation time period. For me, I
recommend repeating the PSA every three months and repeating the
biopsy every eighteen to twenty four months. And if there
(38:46):
is a significant increase in the PSA between that time period,
I would recommend repeating the biopsy sooner. However, if the
PSA remains in a relatively stable at a relatively stable level,
then that suggests that that there's not been much progression
(39:09):
of your cancer. Additionally, there's some radiographic studies that can
be done to show that there's not much progression of
your cancer as an MRI that can be done, as
well as a PET scan, which which scans the entire body,
but for early stage cancer in only one location, you
(39:34):
are you know, a good candidate for actor surveillance. Now
in the future, hopefully in Memphis soon we will get
what's called focal therapy, which means that we can target
treatment just to the focus of where your cancer is located.
(39:54):
We're trying to get that form of treatment or here
in Memphis, but is not here yet.
Speaker 5 (40:00):
Okay, okay, all right, thank.
Speaker 2 (40:03):
You, thank you, mo and and we will make sure
that doctor Rapher gives out his numbers and stuff at
the end. Okay, thank you, thank you, Bye bye, w
D I a high big dog.
Speaker 11 (40:17):
Hey, hey, good morning, have no fear of the dog
is here.
Speaker 7 (40:21):
Okay, Hello to your guests and doctor.
Speaker 14 (40:26):
When doctor Raphel went out, I drove trucks over thirty
eight years.
Speaker 5 (40:30):
I'm retired.
Speaker 4 (40:30):
I'm sixty years old now.
Speaker 14 (40:33):
And we was always told about our prostate because they
done got equipment now in trucks, it's earl riding and
very delicate for us for the guys now. But our
prostaate and him rods do all that goals together because
when you're sitting for a long period of time and
(40:53):
time and you're bouncing up and down and on your
prostate and it sometimes mess up your hemorrhard. And not
only that, but people are setting us back in the day.
Watch your stew and I never heard y'all mentioned about
the steel, be blood and your stool sometimes, So what
(41:14):
would that occur of well, is that a sign of
cancer to or the blood that be in your stue
because or the scenarios that you gave us. I never
heard of those about your urination and things of that nature.
Speaker 6 (41:31):
So let me try to unpack what you are. You're
asking for a truck driver. One, there's no increased risk
of prostate cancer for truck drivers. Secondly, yes, you're right,
you know your chances of getting hemorrhoids may be increased,
but there's no association between prostate cancer and hemorrhoids. Most
(41:53):
likely the blood that you have in your stool is
from hemorrhoids. However, I don't want you to make that
assumption because I think most physicians will tell you that
if you have blood in your stool, you need to
ensure that that blood is not coming from anywhere else
other than you know, the hemorrhoids. So you need to
have an upper endoscopy or ana lore endoscopy. In other words,
(42:18):
you need to be evaluated from your from your mouth
all the way to your rectum.
Speaker 14 (42:25):
Okay, okay, all right, thank you answers my question.
Speaker 2 (42:30):
You're welcome, Thank you, big dog, bye bye. I want
to doctor Rayford before I asked Jada's question, have an
email and says doctor Rayford. At my last doctor's appointment,
my doctor did a blood test to check my prostate
instead of the finger test, which one is more accurate.
(42:51):
Thank you. Blood tests. Blood test? Yes, okay, okay, that
was simple enough.
Speaker 14 (42:58):
Yeah.
Speaker 2 (43:00):
So Jay, you know you're saying that that you are
this survivor and you are on the mission to let
men know it's okay to go to the doctor. Yes, yes,
I am. Yeah, and you're you're going around and talking
about it. Have you during the time when you talk
(43:21):
to men about it, do you get some apprehension men
to want to hear it? And as you said earlier,
men need to talk about this with men.
Speaker 5 (43:30):
Yes, I have.
Speaker 1 (43:33):
In a few cases I think probably over shared and
folks are a little uncomfortable and they didn't want to
continue the conversation. So you know, in those cases you
kind of you know, have to learn who you're talking to,
but you don't stop talking. You try to bring them
around to the fact that even like all the good
(43:55):
information that doctor raeferd just shared, yes, about the advance
treatments that could that could be taken if you go
to the doctor regularly, you can catch it early, so
we don't even have to bring any of that stuff
into the conversation. And that's basically my point. Yeah, I'm
(44:18):
not I'm not a doctor. I'm sitting here listening in
a learning Okay, but I know one thing. If I
hadn't gone to my annual physical, if I hadn't gotten
my regular blood test, if I hadn't checked for my PSA,
I wouldn't know anything. And there would be a good
(44:39):
chance that I would have gotten sicker and sicker and.
Speaker 2 (44:41):
Have not been here anymore. So if we get to
where we stop it from the beginning, we don't have
the end part. And I think I'm going back doctor
Raefer to the question. And I think and also Jay,
that a lot of men are afraid because they hear
it because you know, you know, you hear the about
the finger of the face and you're saying the blood
(45:02):
test so you don't have to do the finger examination
or is you're just doing blood tests? I didn't say that. Okay,
That's why I want to be clear, because because you know,
because lot of me and I I've heard them. No,
I don't want that, well, right, right.
Speaker 6 (45:18):
So you know, historically the finger or the digital record
examination has been a barrier two men from participating or
going to the doctor and getting screened. Nowadays, we want
to place less emphasis on the digital rect exam and
(45:42):
more emphasis on the blood work because there are several
blood tests that we can utilize to help us understand
the risk of prostate cancer that are more accurate than
the rectal examination. And also there are now urine tests
(46:03):
that can be used to give us an idea of
the chances of a person having prostate cancer. So we
don't want the digital record examination or the finger or
the finger wave or whatever guys want to call it
to be a barrier to be a deterrent from getting screened. Oftentimes,
(46:27):
we don't even do the recald examination unless a person
needs to undergo a biopsy, and oftentimes they want to
go undergo that biopsy under sedation, so when we do
the rec exam, they don't even feel it.
Speaker 2 (46:42):
Oh okay, okay, you guys heard that, heard that. I
want to bring a microphone back to you can and
because again you are having your foundation, the Prostate Education
Awareness Council having something this weekend and men, you need
to get there. Tell us Ken, what's.
Speaker 10 (47:02):
Happening Saturday, September thirteenth. We have a free seven point
screening for men. I mean it's free. It's free, right, Okay,
And we're saying seven point mean PSA, destosterone, HDL, LDL, glucose, traglycerides, cholesterol,
(47:27):
all of that free. So it's at Saint Augustine Catholic
Church Gymnasium. Oh yeah, okay, eleven sixty nine kerve Old
Father bertrand for those that know the Old Father of
people who know being the gymnasium from nine until nine
a m. Until one pm, and we asked gentlemen to
(47:50):
please they come out. If you haven't registered, or if
you want to register, you can go to pac pe
AC dash not under or dash okay, Memphis dot org
and go to event registration and you can register that
(48:10):
link and you don't have to worry about doing that
on site.
Speaker 2 (48:14):
Okay, but we will have on site registered. I was
gonna ask you can because some people, you know, they're
not computer savage and say, well can I just walk in?
Speaker 10 (48:23):
They can do that, yes, And there are the things
going on as well. Doctor Rayfert will be there speaking.
We have some other events. University of Tennessee will be there.
They'll be doing visual okay, blood pressure checks, you know, different,
yes things there. We have educational booth there. People can
(48:44):
talk to educators, okay about prosh day cancer Man. The
Man Support Group is one of So there's a lot
of things going on that day that men can come
out and participating.
Speaker 2 (48:56):
In the last time, kid that you all did this event.
You said men came out, the brothers came out. They did,
and I was so pleased.
Speaker 3 (49:08):
Uh huh.
Speaker 2 (49:09):
We tested ninety three, but we could have done more. Wow,
ninety three that yeah, well, we want to beat that number.
Speaker 10 (49:17):
Saturday two showed up, ninety three were tested. Wow, we
want to beat that number. And we hope that men
take advantage of what they're hearing today to come out
and register. Its only simple blood drown that they would
be doing.
Speaker 2 (49:34):
Okay, it won't blood drop, get your blood right and
come out, come out. And I love this and I
always say, jay, doctor doctor Rayford, and cant when when
when you hear about free health screenings and then you
can't afford a doctor, go to these free half screening
and can't just tell you all the good stuff you
all gonna have there.
Speaker 10 (49:55):
For them, especially guys that you know lost their job
or expected to lose that job. Okay, don't have any insurance, yes, okay,
don't have any money? Okay, so we'll open. And I
always tell them that it doesn't cost you anything to
get tested, but it may cost you everything if you don't.
Speaker 2 (50:16):
I love that. We are going back to our phone
line to talk with you. Thank you for waiting. W
D I a high caller.
Speaker 7 (50:25):
Hello bell, Yes, this is here, Virginia caller. I listen
every day, but I don't have opportunity to call every time.
But this is an interesting conversation you ought have.
Speaker 5 (50:38):
I'm a eighty one year old.
Speaker 15 (50:41):
Prostate councilor survivor.
Speaker 2 (50:44):
Congratulations.
Speaker 15 (50:47):
I went to my doctor to get a physical and
he said, look, we got we'll do the physic because
of what right now, I want you to go to
your reality of Virginia and let them check you before
your prostrate.
Speaker 5 (51:04):
And they went. I went, and they caught it and
they said, we got it. It's not in Uh, I've
got to worry. But anyway, they caught it in time,
and that been.
Speaker 15 (51:19):
I guess what about fourteen fifty years ago and they
did a procedure and I'm scared to see it because
of the scared people. But it ain't what it sounds like.
They called it seeding, and it's not what people what
some men would think it is. There's nothing taking away
(51:42):
from your body still there. And all I do now
is every year I go and get my blood tests
and I man, I'm eighty one year old. Out if
I had not went and my doctor was good enough
to check me for that along with everything else he
(52:02):
would tell me for. And he said, this is more
important for you to go and check see a doctor.
Bout teach the people that do it. They got to
play here in vi Geny because your yourrology and uh
they checked and I have no problem since you know
(52:23):
so people men need to go. It's not a death, Senator,
if you go in time.
Speaker 2 (52:30):
Well, thank you. We are proud of you. And you're
eighty one, and thank you and thank you for listening
in Virginia. Thank you so much.
Speaker 5 (52:36):
Oh I listen. Well, I'm you know, I'm mesinging my home.
I left time with my wife.
Speaker 15 (52:43):
When the depot clothes and I've got something to do
up here.
Speaker 5 (52:48):
I'm still not completely retired.
Speaker 15 (52:53):
I like it, I do it, but telling me to go.
Speaker 2 (52:58):
Okay, Well, you told him to go and because they
want to get to be eighty one like you. Thank you, caller,
Thank you, Bye bye w d I a hi.
Speaker 5 (53:08):
Caller, Good afternoon, my most beautiful asking about it. How
are you doing today, my sister?
Speaker 2 (53:13):
I'm doing well, David, How are you?
Speaker 5 (53:17):
I'm I'm holding on my sister doing well. Hold on,
I am, and and thank you for having this show.
You're a sweetheart for that you're on the road. Even
though Jackson State beat Hampton, I still.
Speaker 2 (53:30):
Love Hey, wait a minute, now, I got David, I
got that doctor ray for here that on we talking
about our school.
Speaker 5 (53:37):
Well, I'd already checked up on him. He ain't got,
he ain't got. I'm gonna look for Hampton man. No,
I'm just joking. I'm just joking. How you doing, How
you're doing, I'm doing well? Thank you, Yeah, yeah, I
I appreciate your frankness. It's interesting. I only recently had
(53:58):
a call with John I'm sixty five, with a gentleman
that was older than I am, and he talked to
me about I don't remember the name of it, but
he talked about the operation that he had for his
crop state, and he said that the only issue he
had was the pain he had after was I think
he said two or three days that he had the pain.
(54:20):
But after that, everything is working well. Sexually, He's married,
beautiful relationship with this woman. Just inspiring the way he
treats his ladies like a queen. And I think that one.
I started getting these cost exams when I became a
coast guardsman in the reserve, and that was my first experience.
(54:44):
And I tell you what, Doc, every time I hear
that glove snap, I tense up. I tense up. And
so I think the number one reason why especially brothers
aren't going, it's because of that digital exam. I never
see out why y'all called it digital. As a tech guy,
(55:04):
I'm thinking ones and zeros. I guess y'all thinking of fingers.
But in any case, the second reason is what it
can do sexually. I can remember years ago when I
was talking to her brother, and I didn't ask these
brothers this. It's what's interesting. They just were just talking
and he kind of shared this, and and the brother
said that he gave me this look. He said he
(55:26):
wished he had not got the operation. He didn't go
any further, and I'm almost certain this particular brother said
that because of what it did to him in order
to be able to perform sexually. So I guess the
second reason why we don't want to go is that
we're afraid as to what the impact it would have
sexually without significant other. Do you agree with that or not?
Speaker 6 (55:52):
Yes, I mean that is a major fear for for
a lot of men. But what I know I'd like
to do is just ask Jay, you know, just share
with the audience post operative experience.
Speaker 1 (56:03):
My post operative experience is continuing. Physically, I feel really good,
cancer free. I don't have any incontinence issues. I have
some erection issues. My doctor told me my cancer was
aggressive so he had to get close to some nerves
(56:24):
on one side. So it may take me a little
longer to be fully functional. But things are getting better
every day, I've noticed because there are exercises you can
do and things you can use. Medications to see alice
and the viagra, the vacuum pumps. There are many things
(56:44):
that you can do to help work yourself, I guess
back into sexual shape. So I understand the concerns, but
having gone through it, I can tell anyone who has
concerns that, yeah, there's a little bit of work to do,
but you can get back am mL on point doctor
(57:06):
absolutely long ago.
Speaker 5 (57:08):
How long ago was your procedure? Brother?
Speaker 1 (57:12):
June tenth, so three months yesterday.
Speaker 4 (57:15):
M h m hmm.
Speaker 5 (57:17):
That's encouraging. That's I have my doctor. I have my
with my primary October the third, and I'm gonna be
I had a yearly in the spring and with doctor
cappenent was that I mentioned that they did not do
a PSA test and I had a high PSA number
(57:38):
back when I was really really sick, and they did
check for all that I didn't have cancer or anything
like that. And I'm wondering, what is your suggestion? And
I think she also suggested a digital exam too, I
guess for the heartening to figure out whether it was
heard or now that the pross hearts, But what is
your suggestion in regards to PSA tests they be done
(58:00):
yearly and why and exaid what didn't have to be
done every couple of years. I'm like, well, no, if
I had a high you know number one point I
want and I'm black, I think I want to get
it checked out every year.
Speaker 6 (58:14):
So I mean, you're you're absolutely right.
Speaker 2 (58:16):
You know, we usually recommend.
Speaker 6 (58:22):
Beginning prostate cancer screening for African American man and man
who have a family history of prospect cancer at the
age of forty, and the frequency of PSA testing after
then depends upon what your PSA value is. What I
encourage guys, is you know I'd like to screen you
(58:43):
at least annually for several years to get an idea
of what your pattern is. And if your PSA pattern
stays less than one, then we can screen you every
other year. But if your PSA is greater than one,
i'd like to uh, I mean, if your p s
A is less than one, then you can be screened
(59:03):
every other year. If it's greater than one, i'd like
to see you on an annual basis.
Speaker 5 (59:07):
Okay, okay, all right, David, Yeah, I appreciate that.
Speaker 2 (59:12):
Well.
Speaker 5 (59:12):
I appreciate mister Coppinger, you doc and the brothers.
Speaker 2 (59:18):
ESPN. You've heard of him.
Speaker 5 (59:21):
Oh that's it's really.
Speaker 3 (59:30):
Yeah.
Speaker 5 (59:33):
All right, thank y'all. Y'all great, go I talked to
a started day, Yes.
Speaker 2 (59:38):
You did, Thank you, Dave. Good information. Today. As we
get ready to wrap up, I'm gonna start with you, Jay.
Last words you'd like to say to our listeners.
Speaker 1 (59:49):
Please go get checked.
Speaker 2 (59:51):
Please go get checked.
Speaker 1 (59:53):
Take care of it in the beginning, and we won't
even have to worry about any of the rest of
the conversation we had in the end.
Speaker 2 (59:59):
Please go get checked. Doctor Walter Rayford. The I Love
card for your last words and your telephone number so
people can get in touch with you.
Speaker 6 (01:00:09):
I'd just like to agree with everything that Jay just mentioned.
I have nothing further to add other than my telephone number,
which is nine zero one seven six seven eight one
five eight. That number again is nine zero one seven
six seven eight one five eight.
Speaker 2 (01:00:25):
You know I love you, den't the I Love I
Know A kid capter again. What's happening on Saturday. Well,
we're trying to test one hundred men, and we're talking
September se You know again, I'm I'm you saying one hundred,
but I'm telling y'all I'm going with one hundred and ten.
I hope we reached that goal.
Speaker 10 (01:00:46):
Yes, if they're out, we're going to test them, Okay,
and again September thirteenth, Saturday, Sat.
Speaker 2 (01:00:51):
Augustin Catholic Church Gymnasium.
Speaker 10 (01:00:53):
The old Father of Burtrand, that's right, Old Father Bertrand
eleven sixty nine, Her Avenue three eight one oh six
from nine am to one pm. Please come out and
register peac that's p k okay Slash not underscore dash.
(01:01:13):
If you like Memphis dot org and go to event registration.
Thank you, I love it.
Speaker 2 (01:01:21):
I love it. Thank you fellas for being here. You
all have given out good information again. Can I will
share it tomorrow so we'll get those fellas out. Thanks
and thank you all so much for being here. I
love the show and I hope men were listening. And
I know they were because all my boyfriends ken you
know they listen. So all my boyfriends, I want y'all
(01:01:41):
to be over there doctor on Saturday. All right, all right,
when we come back. More info next with me Bev
Johnson on The Bev Johnson Show as we go to
the Other Side on d i A.
Speaker 12 (01:02:00):
You're in Arkansas, Tennessee or Mississippi on Facebook, Twitter or Instagram,
Thank you for listening to The Bev Johnson Show on
w d i A Memphis
Speaker 13 (01:02:10):
The Bev jos Show