October 19, 2024 • 17 mins
Dr. Choctaw discusses the often-overlooked topic of breast cancer risk in transgender women, explaining the hormonal factors involved and advocating for greater awareness and inclusive healthcare practices within the transgender community.
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Episode Transcript
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(00:00):
Coming up on this episode of theHealthy, Wealthy Wise podcast.
Now, certainly you can have breastcancer in both breasts at the same time.
That does occur, but it's not, myexperience was it was not very common.
Some patients who would get breastcancer in one breast would say.
Welcome podcast with Dr.
(00:22):
William T.
Choctaw, MD, JD.
This podcast will provide you withtools and actionable information
you can use to help lead the way.
Healthy, Wealthy, and Wise Life.
It's powered by the over 50 years ofmedical experience of this Yale University
Medical School trained surgeon, who isalso a Western State Law School trained
(00:43):
attorney, with executive experience beinga former mayor of Walnut, California, as
well as the current chairman of the nonprofit Servants Arms, and as president
of Choctaw Medical Group, Incorporated.
This is the leadership moment.
Masterclass edition already in progress.
(01:04):
Are there any questions?
Any questions?
Yes.
Okay,
excellent question.
His question was, what's the age thatwomen would start doing mammograms?
And the reason that's an excellentquestion is that it's controversial.
Uh, it used to be that youstarted doing the mammogram at 60.
(01:25):
Then they said, well, no,I'll start doing it at 55.
Then some said, no, I'llstart doing it at 50.
So now my answer is, And ask yourrespective physician, uh, but it's gonna
be around about 50ish or so, you know.
Some may do it at 4 to 5, somemay do it a little over, but it's
gonna be around about that range.
But it does vary, but you shoulddo the screening mammogram, again,
(01:48):
because the mammogram picks uplungs that are too small to feel.
Yeah, of course.
I'm like the entire circle.
Okay.
Uh.
Uh.
Do transgender womenhave risk of cancer too?
Transgender?
Yes.
Okay.
Interesting question.
(02:11):
Um, I would say yes, and thereason is that transgender process
involves hormone injection.
Um, uh, because when we talkabout, uh, Uh, the breasts, and
actually I want to show one slide.
Um, when we talk about the, the breasts,
(02:33):
Sorry about the call ins.
I know, he's going crazy over here.
Okay.
All right.
That's fine.
Um, let, let me, they, they, thebreast tissue is ducks and labus.
Uh, they're, they're like ducksthat go to the nipple 'cause
that's where the milk goes.
Right.
And at, and then at the endof the, of the duct, um, is
(02:56):
like a little bunch of grapes.
We call them LOEs.
That's where the milk is made.
Right?
And that's based on hormones.
Um, um, uh, uh, oxytocinand other types of hormones.
Those hormones, uh, basically arefelt to contribute to breast cancer.
Oh, and that, that's one ofthe reasons why women have
(03:18):
more breast cancer than men.
Now we have breasts, very little tissue.
Um, but our rate is not as high as womenbecause of the hormones and the tissue.
Transgender women.
have the breasts, you know,that's how they get the breasts.
They have hormone injections.
Now it's artificial, but the breastis, it's still breast tissue.
(03:38):
Um, and so their, their riskis certainly higher than men.
Uh, and so they, theydo have breast cancer.
Thank you.
Good question.
Thank you for that.
Good question.
I would say at least once a year.
I think, I think, now, again,uh, in general, but certainly go
to your healthcare professional,see what they recommend.
(03:58):
But in general, I think that'susually the recommendation.
I think Kaiser, go ahead.
I think
females should start having mammograms.
Well, as I said, it variesdepending on who you talk to.
Um, um, I, I would recommend,you know, 50 and above.
But talk to your doctor andsee what he or she recommends.
(04:20):
Cause it, it, it changes.
Different people recommend different ages.
This is my point.
For
those of you that are online,please unmute your microphone if
you have a question or a comment.
Any other questions?
Yes, sir.
I noticed I hear a lot of peoplealways, they have, I guess,
massive, uh, Mastectomies?
(04:42):
Yeah.
Okay.
And it's both.
Ah,
okay.
Um, most, most of the times, thequestion was, um, some people who
have breast cancer ends up, endup having bilateral mastectomies.
Okay.
Many times that's a choice.
Now certainly you can have breastcancer in both breasts at the same time.
That does occur.
(05:04):
But it's not, my experiencewas it was not very common.
Some patients who would get breastcancer in one breast would say,
you know, doctor I don't want toworry about this other breast.
Just take both of them off.
Um, I personally would not do thatbecause I said well you know I'm not
(05:24):
going to remove a breast that doesn'thave a disease because you can't change
your mind about that after it's gone.
However, there are patientswho do choose to do that, and
that is done in some people.
But most of the time, it'susually just one breast.
Breast cancer is notuniversally bilateral.
Okay,
(05:46):
reconstructive surgeryis something that's done.
Some patients prefer to have it done.
These patients have mastectomies.
where we're removing the breast.
A number of times I would operate beside,uh, the plastic surgeon who would operate
beside me as I would remove the breast.
He would then step in and thendo the breast augmentation, uh,
(06:06):
to, uh, to replace the breast.
And sometimes we cando it at the same time.
Other times patients will wait two orthree months later, once everything
is healed, then they would go see theprosthesiologist and have that done.
A lot of my patients would plan to dothat and then by the time they've had
their mastectomy, a couple weeks laterthey say, you know what, I think I'm done.
(06:29):
I don't want, you know, I'm done.
Because you can wear, um, um, padding.
You know, you can wear the special bras.
So that you can wear the low cut gowns.
Um, and no one can tell thatyou've had a mastectomy or not.
So it's not something that you need.
for some women.
And so my experience was more andmore and more, um, my patients who had
(06:52):
the one, the single mastectomy wouldjust go with the bras and clothing
and they would be okay with it.
Oh, yes.
Thank you.
Thank you.
Um, yes, you had a question.
Um, what is the average age of breastcancer and if it's less than, let's
(07:13):
say, 50 years or 45 years, why themammogram is advised around that time?
Well, that's a good question.
Um, I use, as I mentioned,breast cancer increases with age.
It increases with age.
So if you're 60, you're more likely toget breast cancer than if you're 35 or 45.
(07:35):
Um, um, and that's why I alwayssay ask your individual physician
what he or she recommends becauseit really does vary a lot.
Uh, but what we know is thatit occurs in older women.
So then the key is when do I startscreening and is there a downside
to getting a mammogram earlier?
(07:56):
Yeah, there might be a littleradiation, but usually it's not.
But that's a judgment call.
That's a judgment call.
What is the age range for Kaiser?
You know?
Okay, it might be.
Because it keeps changing, too.
It keeps changing.
Somebody would do a paper, and theneverybody would go out and change it.
(08:16):
And that's why that number keeps moving.
It keeps moving.
Remission.
Remission is that the cancer is gone.
Or that
Back.
Yes.
It can come back.
It can come back.
Lorraine, you had a
question?
Yes.
The question of, of, uh, individualsthat decide to have, um, bilaterals.
(08:38):
Um, could that be, um, becauseof they have the type of gene
that you were talking about?
The BRCA, absolutely.
Like Angela Jolici decided.
Yes, the BRCA.
Right.
Yes, absolutely.
Those are, those are probably the onesthat get the battle out of them the most.
And the reason is that theyknow that their chance of
getting breast cancer is high.
(08:59):
relatively high.
And they just say, you know what, Idon't want to think about this anymore.
You know, I want it done.
And that's fine.
Yep.
Yes.
Uh huh.
Does that mean that it's stillthere for them to get cancer again?
Because I know somebody had made,um, mentioned about remission,
(09:21):
but it's still like cancer.
And it's like, I guessit's not really going away.
And, and, and, and Iunderstand your question.
A lot of times it'll depend on, dependon what your doctor means by remission.
And that's probably always agood question to ask your doctor.
If she says, well, you're in remission.
He said, well, what, whatexactly does that mean?
Because it can mean eitherone of those things.
(09:43):
It could mean the cancer's there and it'sbeen growing, but it stopped growing.
Right.
It can mean the cancer's there, it's beengrowing, but now it's getting smaller.
It can mean that the cancer was there,but now it's completely gone in terms
of how we see it, uh, type thing.
So it really depends on what yourdoctor defines your mission to be.
Uh, yes sir.
Can I
(10:04):
ask you a remission question?
Um, hello?
Yes.
One moment please.
If you dictate a person has, uh, its ownremission, that means cancer is gone.
If it comes back, is it the sameor is it a different species?
It would be the same, usually.
(10:25):
It would be, more likely thannot it would be the same.
So, yeah.
Yes.
Okay.
No, it's, it depends on the patient.
It depends on the patient.
It depends on what thatphysical condition is.
That's why all these things about exerciseand eating right and not drinking and
all that sort of stuff, it depends onwhere that body is, um, at that time.
(10:49):
Uh, because a lot of it's gonna dependon the body's ability to fight the
cancer and if that body is much weaker.
Then, theoretically, you couldsay the cancer is strong, so it's
related to what that body's condition
is.
Those who had cancer, it was inremission, and then when it comes
back, I guess sometimes they say it'svery aggressive, and then the person
(11:14):
don't live as long, they die, so, youknow, it comes back, and, um, I guess
it's more aggressive than the person.
Well, it depends on, it could bemore aggressive, but I would argue
the person is probably weaker.
You know, that when they first gotit, they were of a certain age and
(11:35):
a certain body habitus or whatever.
But then if you tell me that there havebeen so many days and months and years
of, fighting cancer, you know, more likelythan not, at the end of their process, and
they're older, and we're all, we're allolder, and by being older, we're not as
strong as we were when we were younger.
Uh, but it depends on the individual.
(11:57):
Yeah.
Someone online has Online,did you have a question?
Yes, I had a question.
Um, it's multiple layers.
So the first portion, well,first of all, can you hear me?
Because I'm driving.
I don't know if you can hear me.
Hello?
We're good.
Can you
hear me?
Okay.
So, um, the first part is, if somepeople elect to have, um, of course,
(12:25):
the reconstruction surgery, Um, after,um, having breast cancer, um, I was
wondering, what is the percentagesof the, um, prosthesis failing?
And then the second part to that is, whenthe prosthesis fails, what is the, um,
(12:52):
and the debris is within the tissue,what is the percentage of being able
to remove all of that successfully?
I guess that's what I would like to ask.
Okay, uh, let me make sure I understand.
The prosthesis is just an object.
It doesn't succeed or fail.
It's just something that's placed there,uh, to give, um, um, a certain tissue,
(13:14):
a certain form, and for appearances.
Um, so it doesn't succeedor fail in general.
So by failure I mean that it, theprosthesis is no longer holding its shape
and so the item, the substance that wasinside of it is now leaking outside of it.
So to me that's failure.
(13:34):
Uh, okay.
The prosthesis can be replacedand you just replace it.
Okay.
And what happens to that substances
that are now within your bodyand is that easily removed?
Uh, if you're talking about, it soundslike you're talking about an implant.
Okay.
Um, an implant is, is,is a type of prosthesis.
In general, and again a plastic surgeoncan answer this better than I, but
(13:56):
my experience has been that once the,um, prosthesis is removed, let's say,
some prostheses, prostheses leak.
Uh, and so, uh, doctors remove them andreplace them, and my experience, what
I've seen, uh, has been the patientsusually do pretty well, but again, I
don't put them in and take them out,and so I don't know a hundred percent,
(14:18):
but most times they can be removedand the patients do reasonably well.
Okay, thank you so much.
You're welcome.
Okay.
Yes.
Yes, sir.
As a father of two girls.
Yes.
Um, what's the best way we can help?
Sometimes we're kind of like limitedin that, not limited because of
knowledge, but limited in thesense of that's more a woman thing.
(14:41):
Okay.
How can we help?
How can we more effective?
Okay.
I, I, no, excellent question.
I would say, uh, have regular checkups,regular physicals, and as a part of
their regular physical, have thembegin in the habit of examining the
breasts, their breasts themselves.
Because part of it is just becomingfamiliar with your breasts.
(15:03):
You know, and as you, you know, you'rewashing in the shower or bathtub
or whatever and you examined it andsaw, you know, I didn't feel this
before, then you feel a little moreor whatever, uh, that's what they saw.
I think that's probably the best thing.
And just eat healthy, exercise, basically.
Okay?
Yes, sir.
Okay.
(15:24):
Yes, sir.
Uh
huh.
Yes.
The only other thingabout visiting is laundry.
This is what they were saying.
I don't know how true this is, butit has no cause, no fever, no nothing
in it, and as you do, you get somesymptoms, but not like the symptoms
you get with the old type virus.
The new virus is going to bemore contagious, more dangerous.
(15:47):
Okay.
But anyway, we went inand got enough shots.
Okay,
okay.
Now, I understand your question.
Uh, the reason why you want to get the newshots is because or updated shots, they
call them boosters, is if you're over 60.
Because the COVID, the infectiousseason is coming back around, you know,
(16:07):
usually that hits around about December,January, it's coming back around.
So I, and I, my wife and I gotthe, got the same thing you did.
So being over 60, Uh, we got the boostershot, which also affects the new bars.
There are differences between thenew bars or the latest, the latest.
Variation of the virus, um, fromthe others, but, uh, it does, in
(16:33):
fact, it may not be as detectable interms of symptoms as the other, but
the impacts on patients in terms ofmortality and morbidity is still great.
So the recommendations, you get it anyway.
So that, that was what we did.
That's what I did.
Did I, did I explain it to them right?
Yep.
Okay.
Very good.
(16:53):
Thank you very much.
God bless.
Have a wonderful day.
Bye bye.
Thank you, sir.
Thank you.
Bye-Bye.
Thank you, Jay.
Thank you, sir.
Thank you for listening to the Healthy,wealthy and Wise Podcast with Dr.
William t Choctaw, MDJD.
You can listen again to this andany of the previous episodes.
(17:14):
Leave a comment or pose questions tothe doctor by going to www.twp.com.
That's www.thwwp.com and you've got it.
It's also available whereveryou get your podcasts.
Be sure to follow, like, share, andsubscribe if you haven't already.
(17:36):
Then tune in for the nextepisode of the Healthy, Wealthy,
and Wise podcast with Dr.
William T.
Choctaw, M.
D., J.
D., a production of ChangemakersCommunications, LLC.
Coming up on this episode of theHealthy, Wealthy Wise podcast.
Now, certainly you can have breastcancer in both breasts at the same time.
That does occur, but it's not, myexperience was it was not very common.
Some patients who would get breastcancer in one breast would say.
Welcome podcast with Dr.
(00:22):
William T.
Choctaw, MD, JD.
This podcast will provide you withtools and actionable information
you can use to help lead the way.
Healthy, Wealthy, and Wise Life.
It's powered by the over 50 years ofmedical experience of this Yale University
Medical School trained surgeon, who isalso a Western State Law School trained
(00:43):
attorney, with executive experience beinga former mayor of Walnut, California, as
well as the current chairman of the nonprofit Servants Arms, and as president
of Choctaw Medical Group, Incorporated.
This is the leadership moment.
Masterclass edition already in progress.
(01:04):
Are there any questions?
Any questions?
Yes.
Okay,
excellent question.
His question was, what's the age thatwomen would start doing mammograms?
And the reason that's an excellentquestion is that it's controversial.
Uh, it used to be that youstarted doing the mammogram at 60.
(01:25):
Then they said, well, no,I'll start doing it at 55.
Then some said, no, I'llstart doing it at 50.
So now my answer is, And ask yourrespective physician, uh, but it's gonna
be around about 50ish or so, you know.
Some may do it at 4 to 5, somemay do it a little over, but it's
gonna be around about that range.
But it does vary, but you shoulddo the screening mammogram, again,
(01:48):
because the mammogram picks uplungs that are too small to feel.
Yeah, of course.
I'm like the entire circle.
Okay.
Uh.
Uh.
Do transgender womenhave risk of cancer too?
Transgender?
Yes.
Okay.
Interesting question.
(02:11):
Um, I would say yes, and thereason is that transgender process
involves hormone injection.
Um, uh, because when we talkabout, uh, Uh, the breasts, and
actually I want to show one slide.
Um, when we talk about the, the breasts,
(02:33):
Sorry about the call ins.
I know, he's going crazy over here.
Okay.
All right.
That's fine.
Um, let, let me, they, they, thebreast tissue is ducks and labus.
Uh, they're, they're like ducksthat go to the nipple 'cause
that's where the milk goes.
Right.
And at, and then at the endof the, of the duct, um, is
(02:56):
like a little bunch of grapes.
We call them LOEs.
That's where the milk is made.
Right?
And that's based on hormones.
Um, um, uh, uh, oxytocinand other types of hormones.
Those hormones, uh, basically arefelt to contribute to breast cancer.
Oh, and that, that's one ofthe reasons why women have
(03:18):
more breast cancer than men.
Now we have breasts, very little tissue.
Um, but our rate is not as high as womenbecause of the hormones and the tissue.
Transgender women.
have the breasts, you know,that's how they get the breasts.
They have hormone injections.
Now it's artificial, but the breastis, it's still breast tissue.
(03:38):
Um, and so their, their riskis certainly higher than men.
Uh, and so they, theydo have breast cancer.
Thank you.
Good question.
Thank you for that.
Good question.
I would say at least once a year.
I think, I think, now, again,uh, in general, but certainly go
to your healthcare professional,see what they recommend.
(03:58):
But in general, I think that'susually the recommendation.
I think Kaiser, go ahead.
I think
females should start having mammograms.
Well, as I said, it variesdepending on who you talk to.
Um, um, I, I would recommend,you know, 50 and above.
But talk to your doctor andsee what he or she recommends.
(04:20):
Cause it, it, it changes.
Different people recommend different ages.
This is my point.
For
those of you that are online,please unmute your microphone if
you have a question or a comment.
Any other questions?
Yes, sir.
I noticed I hear a lot of peoplealways, they have, I guess,
massive, uh, Mastectomies?
(04:42):
Yeah.
Okay.
And it's both.
Ah,
okay.
Um, most, most of the times, thequestion was, um, some people who
have breast cancer ends up, endup having bilateral mastectomies.
Okay.
Many times that's a choice.
Now certainly you can have breastcancer in both breasts at the same time.
That does occur.
(05:04):
But it's not, my experiencewas it was not very common.
Some patients who would get breastcancer in one breast would say,
you know, doctor I don't want toworry about this other breast.
Just take both of them off.
Um, I personally would not do thatbecause I said well you know I'm not
(05:24):
going to remove a breast that doesn'thave a disease because you can't change
your mind about that after it's gone.
However, there are patientswho do choose to do that, and
that is done in some people.
But most of the time, it'susually just one breast.
Breast cancer is notuniversally bilateral.
Okay,
(05:46):
reconstructive surgeryis something that's done.
Some patients prefer to have it done.
These patients have mastectomies.
where we're removing the breast.
A number of times I would operate beside,uh, the plastic surgeon who would operate
beside me as I would remove the breast.
He would then step in and thendo the breast augmentation, uh,
(06:06):
to, uh, to replace the breast.
And sometimes we cando it at the same time.
Other times patients will wait two orthree months later, once everything
is healed, then they would go see theprosthesiologist and have that done.
A lot of my patients would plan to dothat and then by the time they've had
their mastectomy, a couple weeks laterthey say, you know what, I think I'm done.
(06:29):
I don't want, you know, I'm done.
Because you can wear, um, um, padding.
You know, you can wear the special bras.
So that you can wear the low cut gowns.
Um, and no one can tell thatyou've had a mastectomy or not.
So it's not something that you need.
for some women.
And so my experience was more andmore and more, um, my patients who had
(06:52):
the one, the single mastectomy wouldjust go with the bras and clothing
and they would be okay with it.
Oh, yes.
Thank you.
Thank you.
Um, yes, you had a question.
Um, what is the average age of breastcancer and if it's less than, let's
(07:13):
say, 50 years or 45 years, why themammogram is advised around that time?
Well, that's a good question.
Um, I use, as I mentioned,breast cancer increases with age.
It increases with age.
So if you're 60, you're more likely toget breast cancer than if you're 35 or 45.
(07:35):
Um, um, and that's why I alwayssay ask your individual physician
what he or she recommends becauseit really does vary a lot.
Uh, but what we know is thatit occurs in older women.
So then the key is when do I startscreening and is there a downside
to getting a mammogram earlier?
(07:56):
Yeah, there might be a littleradiation, but usually it's not.
But that's a judgment call.
That's a judgment call.
What is the age range for Kaiser?
You know?
Okay, it might be.
Because it keeps changing, too.
It keeps changing.
Somebody would do a paper, and theneverybody would go out and change it.
(08:16):
And that's why that number keeps moving.
It keeps moving.
Remission.
Remission is that the cancer is gone.
Or that
Back.
Yes.
It can come back.
It can come back.
Lorraine, you had a
question?
Yes.
The question of, of, uh, individualsthat decide to have, um, bilaterals.
(08:38):
Um, could that be, um, becauseof they have the type of gene
that you were talking about?
The BRCA, absolutely.
Like Angela Jolici decided.
Yes, the BRCA.
Right.
Yes, absolutely.
Those are, those are probably the onesthat get the battle out of them the most.
And the reason is that theyknow that their chance of
getting breast cancer is high.
(08:59):
relatively high.
And they just say, you know what, Idon't want to think about this anymore.
You know, I want it done.
And that's fine.
Yep.
Yes.
Uh huh.
Does that mean that it's stillthere for them to get cancer again?
Because I know somebody had made,um, mentioned about remission,
(09:21):
but it's still like cancer.
And it's like, I guessit's not really going away.
And, and, and, and Iunderstand your question.
A lot of times it'll depend on, dependon what your doctor means by remission.
And that's probably always agood question to ask your doctor.
If she says, well, you're in remission.
He said, well, what, whatexactly does that mean?
Because it can mean eitherone of those things.
(09:43):
It could mean the cancer's there and it'sbeen growing, but it stopped growing.
Right.
It can mean the cancer's there, it's beengrowing, but now it's getting smaller.
It can mean that the cancer was there,but now it's completely gone in terms
of how we see it, uh, type thing.
So it really depends on what yourdoctor defines your mission to be.
Uh, yes sir.
Can I
(10:04):
ask you a remission question?
Um, hello?
Yes.
One moment please.
If you dictate a person has, uh, its ownremission, that means cancer is gone.
If it comes back, is it the sameor is it a different species?
It would be the same, usually.
(10:25):
It would be, more likely thannot it would be the same.
So, yeah.
Yes.
Okay.
No, it's, it depends on the patient.
It depends on the patient.
It depends on what thatphysical condition is.
That's why all these things about exerciseand eating right and not drinking and
all that sort of stuff, it depends onwhere that body is, um, at that time.
(10:49):
Uh, because a lot of it's gonna dependon the body's ability to fight the
cancer and if that body is much weaker.
Then, theoretically, you couldsay the cancer is strong, so it's
related to what that body's condition
is.
Those who had cancer, it was inremission, and then when it comes
back, I guess sometimes they say it'svery aggressive, and then the person
(11:14):
don't live as long, they die, so, youknow, it comes back, and, um, I guess
it's more aggressive than the person.
Well, it depends on, it could bemore aggressive, but I would argue
the person is probably weaker.
You know, that when they first gotit, they were of a certain age and
(11:35):
a certain body habitus or whatever.
But then if you tell me that there havebeen so many days and months and years
of, fighting cancer, you know, more likelythan not, at the end of their process, and
they're older, and we're all, we're allolder, and by being older, we're not as
strong as we were when we were younger.
Uh, but it depends on the individual.
(11:57):
Yeah.
Someone online has Online,did you have a question?
Yes, I had a question.
Um, it's multiple layers.
So the first portion, well,first of all, can you hear me?
Because I'm driving.
I don't know if you can hear me.
Hello?
We're good.
Can you
hear me?
Okay.
So, um, the first part is, if somepeople elect to have, um, of course,
(12:25):
the reconstruction surgery, Um, after,um, having breast cancer, um, I was
wondering, what is the percentagesof the, um, prosthesis failing?
And then the second part to that is, whenthe prosthesis fails, what is the, um,
(12:52):
and the debris is within the tissue,what is the percentage of being able
to remove all of that successfully?
I guess that's what I would like to ask.
Okay, uh, let me make sure I understand.
The prosthesis is just an object.
It doesn't succeed or fail.
It's just something that's placed there,uh, to give, um, um, a certain tissue,
(13:14):
a certain form, and for appearances.
Um, so it doesn't succeedor fail in general.
So by failure I mean that it, theprosthesis is no longer holding its shape
and so the item, the substance that wasinside of it is now leaking outside of it.
So to me that's failure.
(13:34):
Uh, okay.
The prosthesis can be replacedand you just replace it.
Okay.
And what happens to that substances
that are now within your bodyand is that easily removed?
Uh, if you're talking about, it soundslike you're talking about an implant.
Okay.
Um, an implant is, is,is a type of prosthesis.
In general, and again a plastic surgeoncan answer this better than I, but
(13:56):
my experience has been that once the,um, prosthesis is removed, let's say,
some prostheses, prostheses leak.
Uh, and so, uh, doctors remove them andreplace them, and my experience, what
I've seen, uh, has been the patientsusually do pretty well, but again, I
don't put them in and take them out,and so I don't know a hundred percent,
(14:18):
but most times they can be removedand the patients do reasonably well.
Okay, thank you so much.
You're welcome.
Okay.
Yes.
Yes, sir.
As a father of two girls.
Yes.
Um, what's the best way we can help?
Sometimes we're kind of like limitedin that, not limited because of
knowledge, but limited in thesense of that's more a woman thing.
(14:41):
Okay.
How can we help?
How can we more effective?
Okay.
I, I, no, excellent question.
I would say, uh, have regular checkups,regular physicals, and as a part of
their regular physical, have thembegin in the habit of examining the
breasts, their breasts themselves.
Because part of it is just becomingfamiliar with your breasts.
(15:03):
You know, and as you, you know, you'rewashing in the shower or bathtub
or whatever and you examined it andsaw, you know, I didn't feel this
before, then you feel a little moreor whatever, uh, that's what they saw.
I think that's probably the best thing.
And just eat healthy, exercise, basically.
Okay?
Yes, sir.
Okay.
(15:24):
Yes, sir.
Uh
huh.
Yes.
The only other thingabout visiting is laundry.
This is what they were saying.
I don't know how true this is, butit has no cause, no fever, no nothing
in it, and as you do, you get somesymptoms, but not like the symptoms
you get with the old type virus.
The new virus is going to bemore contagious, more dangerous.
(15:47):
Okay.
But anyway, we went inand got enough shots.
Okay,
okay.
Now, I understand your question.
Uh, the reason why you want to get the newshots is because or updated shots, they
call them boosters, is if you're over 60.
Because the COVID, the infectiousseason is coming back around, you know,
(16:07):
usually that hits around about December,January, it's coming back around.
So I, and I, my wife and I gotthe, got the same thing you did.
So being over 60, Uh, we got the boostershot, which also affects the new bars.
There are differences between thenew bars or the latest, the latest.
Variation of the virus, um, fromthe others, but, uh, it does, in
(16:33):
fact, it may not be as detectable interms of symptoms as the other, but
the impacts on patients in terms ofmortality and morbidity is still great.
So the recommendations, you get it anyway.
So that, that was what we did.
That's what I did.
Did I, did I explain it to them right?
Yep.
Okay.
Very good.
(16:53):
Thank you very much.
God bless.
Have a wonderful day.
Bye bye.
Thank you, sir.
Thank you.
Bye-Bye.
Thank you, Jay.
Thank you, sir.
Thank you for listening to the Healthy,wealthy and Wise Podcast with Dr.
William t Choctaw, MDJD.
You can listen again to this andany of the previous episodes.
(17:14):
Leave a comment or pose questions tothe doctor by going to www.twp.com.
That's www.thwwp.com and you've got it.
It's also available whereveryou get your podcasts.
Be sure to follow, like, share, andsubscribe if you haven't already.
(17:36):
Then tune in for the nextepisode of the Healthy, Wealthy,
and Wise podcast with Dr.
William T.
Choctaw, M.
D., J.
D., a production of ChangemakersCommunications, LLC.
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