November 14, 2024 • 32 mins
Talked with Dr. Kiminyo, Vice President T Leroy Jefferson Medical Society. They have a community education initiative going on now regarding Prostate Cancer awareness. November has the Movember movement which focuses on Men's health issues such as: mental health, prostate cancer, testicular cancer and colorectal cancer. Young black men show a higher risk of suicide, so awareness is super important, 988 crisis line is available for help at anytime. Black men are also at higher risk for prostate cancer and should be screened at 45 instead of 55. They run a PSA test that measures the level of PSA in the blood. Imaging may also be used if levels are high. Colorectal screenings are also important, listeners can talk with their doctors about all of these issues. They can request an education seminar from TLJ by going to https://tljmedicalsociety.org.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Why get all your holiday decorations delivered through instacart Because
maybe you only bought two wreaths but you have twelve windows,
Or maybe your toddler got very eager with the advent calendar,
or maybe the inflatable snowman didn't make it through the snowstorm,
or maybe the twinkle lights aren't twinkling. Whatever the reason,
this season, Instacart's here for hosts and their whole holiday haul.
(00:22):
Get decorations from the home depots, cvs and more through
instacart and enjoy free delivery on your first three orders.
Speaker 2 (00:28):
Service fees in terms apply.
Speaker 3 (00:29):
The holidays are all about sharing with family, meals, couches, stories,
Gramma secret pecan pie recipe, and now you can also
share a cart with Instacart's family carts. Everyone can add
what they want to one group cart from wherever they are,
so you don't have to go from room to room
to find out who wants cranberry sauce, or who should
get many marshmallows for the ams, or collecting votes for
sugar cookies versus shortbread. Just share a cart and then
(00:52):
share the meals and the moments. Download the instacart app
and get delivery in as fast as thirty minutes plus
enjoy free delivery on your first three orders. Service and
terms apply.
Speaker 4 (01:01):
In mahin Tvez The present I Re Machi Nado, Nissan Cakes,
Consoonio bos personal plus Ibosinas and La Parte Superior de
los CentOS Paracreron Experience Ye jamas as is Cocado al guassi,
Remahina to Musica into forma de diescrement I re Machiinado,
(01:24):
Nissan Cakes, a Nissan Juistrad The The Boast Corporation.
Speaker 5 (01:33):
IHeart Communities presents Palm Beach Treasure Coast Perspective, which dead now.
Speaker 6 (01:38):
Good morning, Welcome to tom Beach Treasure Coast Perspective. I'm
your host, dev Nev. Thanks for spending your weekend with me.
All kinds of great things going on, and if you
haven't been yet, you want to check us out. They
have got the Lighthouse Sunset tours that happened throughout the
month and they have a cool thing coming up. It
is their Rendezvous at the Light. So this is a
really nice it's all. It's really good for the foodies
(01:59):
and stuff like that. It's a bunch of different restaurants there.
It's a big fundraiser for them, and that is coming
up on Saturday, November twenty third, and simply go to
Jupiter Lighthouse dot org and all the details are right
there for you, or you can call Nora seven three
to two seven seven nine seventy nine sixteen and she'll
be happy to give you more information about that. So
(02:21):
Jupiter Lighthouse dot org for more details on that. And
also do the really fun yoga out on the patio
under the tree and it's really fun. Definitely recommend that.
And then we have also got at more coming museum
and Japanese Gardens. They've got Akira, which is the architecture
of Neo Tokyo, going on now through April sixth of
next year. So nice exhibition happening. And they also do
(02:42):
the tai chi classes and functional fitness at the gardens
on and I believe Tuesdays and Thursdays in the morning.
So fun thing to check out. Loston Yonkers is happening.
Palm Beach Drama Works they've got a great season this year.
It's twenty fifth anniversary. It's going on now through I
believe November twenty fourth. They extended it due to popular demand,
which is really awesome. So I've got a great season
(03:03):
line up, definitely to check all that out. And if
you want to do some more yoga and you live
a little bit further north, you can do Stretch by
Candle Lights evening yoga classes at Museum Point Park, part
of the Saint Lucis County Park System. So it's going
to be starting every Tuesday from sixty seven pm as
of November nineteenth, So give them a call it the
(03:23):
FEN Center seven seven to two four six two fifteen
twenty one for more details on that. And also at
the fen Center this year, they're hosting Brunch with Santa
and that's coming up on December fourteenth, fun thing for
the kids in the family. It's gonna be from nine
am till noon. Again, give them a call seven seven
to two for six two fifteen twenty one for all
(03:45):
the ticket information and details on that. Yeah, and next
week we're going to talk to Blake from Greencay Nature Center.
They're doing a really cool the Friends of Green Kay
Nature Center Wildlife Celebration coming up on Saturday, December verse
seventh from nine am to three pm. And the location
is of course Eckering k which is one two eight
(04:07):
zero zero Hagen Ranch Road in Boyton Beach, all kinds
of exhibitor interactive things with the kids, the parents. They're
gonna be all guided nature tours. The annual ambassadors will
be there. They're really fun, lots of crafts and stuff
like that and help them raise awareness about mental health,
the benefits being out in nature, environmental awareness, and you'll
(04:27):
inspire some creativity, imagination and the wei ones. So definitely
want to check that out and we'll talk more about
that next week. And of course Saint Lucie County Christmas
Boat Parade is coming up, so if you want to
sign your boat up for it, want to reach out
to the Fort Pierce Yacht Club So it's really fun
something you can reach out to Michelle at six three
(04:48):
one seven zero seven twenty seven zero five and that's
going to be just a lot of fun. I always
love watching the boat parades, and this one's happening. The
Captain's Meeting is going to be December tw wealth, and
so definitely do all that and they'll give you all
the details on how your boat can participate or he's
come out and enjoy it. Oh and then coming up
(05:08):
on December third, it is the Sunshine Kitchen student culinary cookoff.
It was scheduled earlier but got rescheduled doing the hurricane.
So it's a really cool thing. The students come out
compete and they can win up to like fifteen hundred
dollars in prizes. It's a really short time. They get that,
they're given the foods, they make the little thing, the
judges test it, and then there's a winner based on
(05:29):
you know, they're plating the taste and flavor combinations, how
they well they work as a team, their knife skills,
all the fun things. So definitely want to sign up
to check that out. For details, give Eric coacoll seven
to seven to two four six two, seventeen ninety one.
And of course this is a little bit early, but
when you get your tickets ahead of time for this
(05:51):
Culture and Cocktails is coming up and it happens at
the Bend. This is their twentieth anniversary season and the
first one is called Laughlines. It's going to be January sixth,
a chat with award winning comedy writer Alan's Wible. So
definitely a lot of fun. Go to Palm beachculture dot
com to get your tickets because they sell out very
fast because it's very limited space there at the Bend,
(06:12):
but it's a beautiful setting, so you definitely gonn check
that out. And also a reminder, Saint Lucie County Human
Services is accepting applications for their twenty twenty four WPSL
Christmas Kids Toy Program. So if you get the SNAP
benefits and you meet the certain income requirements, just apply
and they will give you the details for that. Call
(06:33):
them it's seven seven to two for six two seventeen
ninety one and they'll tell you where to go on
the website to sign up for that, which I think
is really nice. And of course, lots of things coming up.
We have a couple of different groups helping folks with Thanksgiving,
So of course the Florida tac real Estate guys J
and R Funding LLC. They are giving away one thousand
(06:55):
Thanksgiving meals at nineteen oh one North Seacrest Boulevard and
Boyton Beach Saturday, November twenty third, starting at ten am
until they run out. For details on that, you can
call them seven eighty six two zero five fifteen sixty six.
And then of course he spoke to Greg Hazel, he's
the executive director for Boca Helping hands. They're doing the
(07:16):
thing where you can just reach out to them at
the website Boca Helpinghands dot org and donate twenty nine
dollars and seventy two cents and then you sponsor a
box of all the Thanksgiving food for a family of four.
So I think that's fantastic. So either way you can
go get one or you know, or you can donate meals.
Either way, Boca Helpinghands dot org to donate for the
(07:39):
thirty dollars for box. That's a great deal, Kenn, go
out to dinner for thirty bucks and they can feed
four people for that. I'm very impressed. Speak of being impressed,
I want to welcome my guest for today, I have
doctor Cameno from the t. Leroy Jefferson Medical Society. Thank
you so much for coming back in again. I really
appreciate you guys helping out and donating your time like this.
Speaker 7 (07:57):
Well, thank you, deb It's a real honor to return.
Speaker 6 (08:00):
So tell us a little bit about te Leeward Jefferson.
Speaker 8 (08:03):
Yeah. T. L.
Speaker 7 (08:04):
Jefferson Medical Society was started over seventy five years ago
here in pom Beach County. We were named after the
very first African American physician here in Pombach County Til Jefferson,
also known as the bicycle doctor who used to visit
families riding his bicycle door to door. And so we
are collective of essentially minority physicians and healthcare providers helping
(08:32):
to serve the underserved in Palm Beach County. And we're
basically made up of physicians and pharmacists and dentists and
nurse practitioners and you know, physical therapists and everyone who
basically come together not only network and not only mentor
our younger students in the health field, but also provide
services for those who needed.
Speaker 6 (08:53):
And you help each other out like mentor each other.
Absolutely peer to peer mentoring, Yes, yes, we have.
Speaker 8 (08:59):
Peer to peer men.
Speaker 7 (09:00):
We have mentoring for college students who are looking at
going into medical school. We have opportunities to help mentor
others in the community as we you know, battle whether
it's COVID or you know, prostate cancer or any other
issue that's facing our community.
Speaker 6 (09:18):
Well, and that's funny that you mentioned COVID because your specialty,
as a listener may remember from our last conversation, you're
the infectious disease doctor.
Speaker 8 (09:26):
I am so we were.
Speaker 6 (09:27):
Talking before the show. You actually have an office, but
you spend a lot of time and a lot of
local hospitals seeing patients in hospital.
Speaker 7 (09:34):
Correct, that's correct. I'm part of a larger infectious disease
group here in Palm Beach County and one of the
oldest actually, And fortunately when it comes to COVID, for example,
we are seeing you know, less people being admitted to
the hospital with COVID, but influenza and RSV continues to
circulate in our county and our speaks.
Speaker 6 (09:56):
Really attacks the young folks and the older folks, right, absolutely,
so we have a higher demographic of retire research that
makes sense. We don't have more rs.
Speaker 8 (10:04):
Fas, absolutely absolutely.
Speaker 7 (10:06):
So we'd like to encourage people to you know, get
your influenza vaccines and that goes not only out to
the community but to the healthcare.
Speaker 8 (10:12):
Providers as well.
Speaker 7 (10:14):
And RSV there is no treatment for it commercially available yet,
but there is an RSV a new RSV vaccine available
for those over the age of sixty five.
Speaker 6 (10:22):
So go get your shots. I know, I go pick
up my medicine. Public so like, did you get your vaccine?
They always ask me because they're so nice and if
I haven't, like I hadn't got my flu shot back
in August and there and at the end of August like,
oh we got those, we'll do that one. That's right,
come back in a couple of weeks for COVID do it.
But I was like, okay, so every time I go,
they give me like the next shot, that's right, which
(10:43):
is so they've got me off today, which I think
we talked before the show. I still need to get
the pneumonia.
Speaker 8 (10:47):
Yes, very important.
Speaker 6 (10:48):
That was a long time ago, very important, and pnemonia
said a good about ten years right, Yes. And that's
another thing like like right before COVID, like I was
talking with my primary care, I didn't realize it as
a an adult, I needed a booster for like measles, mumps, rebella,
all those detap, all those things.
Speaker 7 (11:06):
Yes, And it's I'm glad you mentioned that, deb because
you know, unfortunately we are seeing in the last several
years vaccine hesitancy with a lot of families in regards
to very simple but effective vaccines, childhood vaccines like measle,
mumps and rebella. And because of that, because of famili
has been reluctant to do that. We've had, you know,
intermittent outbreaks of measles in schools all across the United States,
(11:31):
and so it's important to remind everyone that the reason
you don't see measles or polio or any of these
very horrific infections in our children is because of the vaccines.
And so we want to continue to encourage all our
families to keep up with their vaccines. And if you
need a boostre as an adult, definitely go do that
as well.
Speaker 6 (11:51):
Yeah, I had a couple uncles like when I grew up,
found out they did not know when they were younger
they had got I believe it was momps before they
got the vac seeing they were exposed to other kids
that had them. So they go.
Speaker 9 (12:04):
Black Friday is coming.
Speaker 10 (12:05):
And for the adults in your life who love the
coolest toys, well there's something for them this year too.
Bartisian is the premiere craft cocktail maker that automatically makes
more than sixty seasonal and classic cocktails each in under
thirty seconds at the push of a button. And right
now Bartisian is having a huge sight wide sale. You
can get one hundred dollars off any cocktail maker or
(12:27):
cocktail maker bundle when you spend four hundred dollars or
more so, if the cocktail lover in your life has
been good this year or the right kind of bad,
get them Bartesian at the push of a button, make
Bark quality Cosmopolitans, Martini's, Manhattan's, and more, all in just
thirty seconds, all for a hundred off.
Speaker 9 (12:48):
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Speaker 10 (12:51):
Get one hundred off a cocktail maker when you spend
four hundred through Cyber Monday, visit.
Speaker 9 (12:55):
Bartsian dot com slash cocktail.
Speaker 10 (12:58):
That's bar te Yesian dot com slash cocktail.
Speaker 3 (13:03):
The holidays are all about sharing with family, meals, couches, stories,
gramma secret pecan pie recipe, and now you can also
share a cart with Instacart's family carts. Everyone can add
what they want to one group cart from wherever they are,
so you don't have to go from room to room
to find out who wants cranberry sauce, or who should
get many marshmallows for the ams, or collecting votes for
sugar cookies versus shortbread.
Speaker 8 (13:25):
Just share a.
Speaker 3 (13:25):
Cart and then share the meals and the moments. Download
the instacart app and get delivery in as fast as
thirty minutes. Plus enjoy free delivery on your first three orders.
Service fees and terms apply.
Speaker 1 (13:35):
Why get all your holiday decorations delivered through instacart Because
maybe you only bought two wreaths but you have twelve windows,
Or maybe your toddler got very eager with the advent calendar,
or maybe the inflatable snowman didn't make it through the snowstorm,
or maybe the twinkle lights aren't twinkling. Whatever the reason,
this season, Instacart's here for hosts and their whole holiday haul.
(13:57):
Get decorations from the home depots, cvs more through instacart
and enjoy free delivery on your first three orders. Service
fees in terms apply.
Speaker 4 (14:05):
Imachinac Aveez, The Presentment i Re Machi Nado, Nissan Cakes,
Consolito bos Personal plus Ibosinas and La Parte Superior de
los a CentOS Paracreroun Experience, Jamasque as Scucado al Guassi,
Remahina to Musica into forma de diescubrement Ire Machinado, Nissan Cakes,
(14:29):
a Nissan Jucachistrada, The The Boast Corporation.
Speaker 6 (14:35):
I'm Ready in the neighborhood Gottam, right, and their fever
got so high they became infertile.
Speaker 4 (14:41):
Right.
Speaker 6 (14:41):
They did not know that until they were grown men.
They're like, had we known?
Speaker 7 (14:46):
You know?
Speaker 6 (14:46):
There was just they were just so shocked, you know
that that was even that that could happen from that.
Speaker 7 (14:50):
Yes, and I'm glad you mentioned that because there are
severe side effects, uh and complications from these very treatable,
preventable I should say preventable infections, and so things like
measles can lead to in some patients, encephalitis and children
can end up in the hospital and children can die.
(15:12):
As you pointed out, mumps, momps can cause paratitis, it
can cause other complications including architis and men and subsequently infertility.
So yes, we don't want any of these infections, these
easily preventable viral infections, from getting worse, and nor would
you want your children to grow up with any of
(15:32):
these kind of complications. So we're asking at Tilroy Jefferson
to ensure that all family families continue with their routine
childhood vaccines.
Speaker 6 (15:41):
And if they ever how many questions, I know they
can just reach out to you guys, and you'll get
them connected. With wherever they can get them.
Speaker 7 (15:46):
Absolutely, and again Tljmedical Soociety dot org. Tljmedical Society dot
org is our website and you will find a lot
of information there as to this and any other medical issue.
Speaker 6 (16:01):
And one of the other cool things you do at
the society is you do I'm going to call it
a county initiative, and the one obviously for November is
talking about prostate cancer because November is the November which
is the men's health movement, which includes you know, talking
about suicide awareness, getting counseling for mental health issues because
(16:22):
mental health issues over fifty percent of them develop before
the age of twenty five.
Speaker 7 (16:28):
Yes, and I'm glad you mentioned that as well, because
in the African American population, we know that afric American
men specifically have about four times the risk of suicide
compared to the general population and the actual the statistics
have actually shown that the rate of increase from twenty
(16:49):
ten to twenty twenty in that ten year period showed
the highest increase in suicide in that specific population, which
is African American men. So this is their area that
Tilroy Jefferson is looking at and trying to improve, not
only diagnosis, but access to treatment for not only African
(17:09):
American men, but basically for everyone who doesn't have access
to mental health care, which is very important. So we
have individuals in our in our organization that are geared
just for that.
Speaker 6 (17:22):
That's fantastic. And I know I spoke to the folks
from two one one several about several months ago, and
of course their newest latest improvement was the nine eight
eight number. So you can call two one one if
you have a question about any of the programs that
are available. You need meals on wheels for your grandma,
for yourself, you need to know what kind of like
(17:43):
you need mobility, like you need a van to drive
you whatever the medical equipment. They can send you to
the right place. And they also help if you're having
a crisis. They I believe received enough calls that they
realized that they needed a dedicated law. So if you
call nine eight eight, you are immediately twenty four to
(18:04):
seven connected to somebody who will help you whatever the
mental crisis you're having. And it could be that you're
just feeling super sad and blue and you literally just
do not know what to do right at that moment.
You can call that number right, then excellent, there's no judging.
They're there to help. They'll do that. You can also
still call T one one and they have somebody there
to help you as well. So if you don't remember
(18:26):
nine eight eight, that's okay. T one one's going to
get you the information you need as well. But if
you can go either way, and they also have like
text options and stuff if you prefer to text, which
I think is very good. And of course, other part
of men's health is you know, testicular cancer, at the
colorectal cancer, which we're going to talk about, but I
think the big one most people think of, and I
(18:47):
know my friend's dad passed from prostate cancer and that
was really we all learned a lot. Like I didn't
know what the treatments were, they were pretty intense.
Speaker 8 (18:58):
So let's talk ab about that absolutely.
Speaker 6 (19:01):
What exactly is prostate cancer?
Speaker 7 (19:03):
So the prostate gland is a gland in men that
is found wrapped around the urethra in men. That is,
it is a gland that produces hormones, that sex hormones,
and it is a gland that in men naturally can
(19:25):
enlarge over time. And that is not cancer. That's called
benign prostate hyperplasia or BPH. The problem is in many
men that BPH, that enlargement of the prostate can turn
into cancer. And so what we have recognized over the
last several years is that there's actually, quite frankly, a
(19:46):
pandemic of prostate cancer, especially among African American men. Now, remember,
prostate cancer remains the second most cancer in men across
the board, black or white. Unfortunately, the risk of getting
prostate cancer is almost double in African American men, as
well as the increased risk of death from prostate cancer.
(20:07):
And we know that many people African American men specifically,
you could almost name anyone you know in the media
has experience, has been diagnosed with prostate cancer. Everyone from
Harry Belafonte to Al Roker, to the late Colin Powell
and Sidney Potier, even most recently Alonzo Mourning. You know,
(20:32):
all of these individuals were diagnosed with prostate cancer. And so,
as it turns out, if you look at the data
from the CDC, one in six African American men will
actually be diagnosed with some level of prostate cancer. So
this is why we're calling it a pandemic of prostate
cancer in Black men, which is why it's so important
(20:54):
to get to the screening process.
Speaker 6 (20:56):
So what exactly is the screening process? Because I know
men are some times very resistant to going to the
doctor till their wife makes them go to the doctor.
Speaker 7 (21:04):
Absolutely, and because prostate cancer is known as a silent killer,
it's difficult to know. You know, It's one thing when
you tell women and breast cancer to feel for a lump,
you know, even though that may be difficult to learn
how to do. With prostate cancer, it's a lot more sinister.
And so the current recommendations are for men starting at
(21:28):
the age of fifty five through sixty nine, this is
across the board, to go see their physician and get
what's called a PSA and that is a prostate specific antigen.
This is a marker that is produced in the prostate gland.
And so what we're looking for is an elevated PSA.
(21:49):
So we know that there's a certain level that is
considered normal for your age, but if it's beyond that
normal range and it's elevated, it could indicate early signs
of prostate cancer. So mendation was to go to your
doctor and get a blood test. It's a blood test
to look for this PSA.
Speaker 9 (22:07):
Black Friday is coming. And for the adults in your
life who love the coolest toys, well there's something for
them this year too.
Speaker 10 (22:14):
Bartisian is the premiere craft cocktail maker that automatically makes
more than sixty seasonal and classic cocktails each and ounther
of thirty seconds at the push of a button. And
right now, Bartisian is having a huge sight wide sale.
You can get one hundred dollars off any cocktail maker
or cocktail maker bundle when you spend four hundred dollars
or more so, if the cocktail lover in your life
(22:36):
has been good this year or the right kind of bad,
get them Bartesian at the push of a button, make
Bark quality Cosmopolitans, Martini's, Manhattan's, and more, all in just
thirty seconds, all for a hundred off. Amazing toys aren't
just for kids. Get one hundred off a cocktail maker
when you spend four hundred Through Cyber Monday, visit Bartsian
(22:59):
dot com. Cocktail that's Pai Tesia n dot com slash cocktail.
Speaker 3 (23:06):
The holidays are all about sharing with family, meals, couches, stories,
Gramm's secret pecan pie recipe, and now you can also
share a cart with Instacart's family carts. Everyone can add
what they want to one group cart from wherever they are,
so you don't have to go from room to room
to find out who wants cranberry sauce, or who should
get many marshmallows for the ams, or collecting votes for
sugar cookies versus shortbread. Just share a cart and then
(23:29):
share the meals and the moments. Download the instacart app
and get delivery in as fast as thirty minutes. Plus
enjoy free delivery on your first three orders. Service fees
and terms apply.
Speaker 1 (23:38):
Why get all your holiday decorations delivered through instacart Because
maybe you only bought two wreaths but you have twelve windows,
Or maybe your toddler got very eager with the advent calendar,
or maybe the inflatable snowman didn't make it through the snowstorm,
or maybe the twinkle lights aren't twinkling. Whatever the reason,
this season, Instacart's here for hosts and their whole holiday.
(24:00):
Get decorations from the home Depot, CBS and more through
instacart and enjoy free delivery on your first three orders.
Speaker 2 (24:06):
Service fees in terms apply now.
Speaker 6 (24:08):
When they're checking your cholesterol and yeah, all that stuff,
they can check for that as well. Absolutely, so now
they go and maybe it's a little bit elevated, then
you go like into more of an active surveillance mode.
Speaker 8 (24:18):
Absolutely.
Speaker 7 (24:19):
And when it comes to afric American men, the recommendation, however,
is to get that very same PCA that blood test
much sooner. Their recommendation for af American men is actually
they started at ages forty and okay, so I'm fifty two,
so I should have already, you know, been having this
(24:39):
test done on a regular basis, on an annual basis,
which is a recommendation. An annual PSA for black men
should be starting from age of forty. But to your point, deb,
once we know that you know, we're concerned or we're
making sure that someone doesn't have prostate cancer. Part of
an exam, and this is a very sensitive issue for
(25:01):
some men when it comes to their physical exam, is
the DRE.
Speaker 8 (25:05):
And what is the DRE. That is the digital rectal exam.
Speaker 7 (25:08):
And so when you are seeing your doctor, part of
that exam, if there's a concern, and even if there
isn't a concern, should always include a digital rectal exam,
and what is the doctor looking for. They're basically looking
to feel for an enlarged prostate gland. Because of where
the prostate gland is, you can actually feel for it
(25:30):
when you do a digital rectal exam, when the doctor
puts his hand in there, you can actually feel if
the prostate is enlarged and swollen, and if it is,
that along with an elevated PSA now puts you on
track towards a more intensive work up to rule out
prostate cancer.
Speaker 6 (25:49):
So that exam is key.
Speaker 7 (25:51):
Absolutely, the PSA is part of it. But the DRE
is also a key part of that because in some cases,
someone may have a normal PSA, but they're they're DRE
may be abnormal. And so if someone's DERE is abnormal,
then you want to pursue the work up a little
a little further.
Speaker 6 (26:09):
It gives you more of the like almost like the
patient history, like's of your family, my family, there's a
risk of diabetes. Yes, so I get tested. You know,
they've done the test with you drink they really serve
these sweet stuff and they take your blood test and
test and test came back normal. But because from a
history they.
Speaker 8 (26:26):
Did that you're absolutely correct.
Speaker 7 (26:28):
And if you do have a family history, and if
we're talking about men, where you know you're asking your
your father, your uncles, your grandfather, you know, did daddy
ever have prostate cancer?
Speaker 8 (26:37):
If the answer is yes.
Speaker 7 (26:39):
Then you know you should consider getting your PSA and
your digital recolle exam performed.
Speaker 8 (26:45):
If you're over the age of forty.
Speaker 6 (26:47):
Are there preventative things you can do to help, like
reduce your risk, like I know for breast cancer patients,
like be healthy, be active, and it can help reduce recurrence.
Speaker 7 (26:58):
So that's a very good question, and I don't think
there's a really good answer about that, of course, like
with much of the other cancers, you know, reducing your
smoking and your alcohol intake and keeping your your weight
within you know, a normal range, you know, whatever normally is.
Speaker 9 (27:16):
Yes is all.
Speaker 7 (27:17):
Is all meant to be helpful, But there isn't anything
specific that we can say you should stop doing other
than the fact that you know, if you have a
family history, and as you get older, if you notice
changes in two things, one your urination and two your
ejaculation during sex, if you've noticed that there's a change
(27:41):
that shouldn't occur, or your or it's something that is
happening before you anticipate. Then you may want to bring
that up to your physician, to your local doctor and say, hey,
I've noticed there's been a change either in my sex
life or in my in my urinating and.
Speaker 8 (27:57):
I need to work it up.
Speaker 6 (27:58):
Oh definitely, yeah, and again always mention it. I know
love of people are uncomfortable talking about those things, and
like we've talked before, when I initially had breast cancer,
I was super embarrassed. I don't want to tell anybody
after we went through all that. But when it came back,
I'm like, oh, this is just ridiculous. Were going to
talk about this and get that out on the table.
People were so helpful and supportive, and they're like, and
(28:20):
then you find out a lot more information. They found
out a lot more information. Some of them actually got
checked and checked early enough that they were treated and
they're fine. But because they met me. So it's kind
of a weird thing that you know. But so always
tell people go talk to your doctor, or if you
don't feel talk to the pastor or a church and
(28:40):
he'll connect you with somebody to come to a screening discreetly.
If that's what you need.
Speaker 7 (28:44):
That's right, and that's right. And so you know, one
of the things we like to do is most recently,
for example, we had a men's health Night with the
Tillroy Jeffson Medical Society and we invited men to meet
us at a local lounge and it was just for
us and we we had an opportunity to talk about
(29:08):
just this issue and about you know, the taboo around
prostate cancer and uh and how you diagnose it and
what does it mean when when your doctor says your
PSA is elevated and and yes, there are a lot
of questions out there and we feel that you know,
not enough people know about prostate cancer.
Speaker 6 (29:25):
Well yeah, and also like just because your PSA might
be a little high, don't panic. But that's also one
something we want to put out there.
Speaker 7 (29:32):
Absolutely absolutely, there, there's there's There are certainly times when
we advise a watch and wait approach, but this again
has to be done in conjunction with your doctor, so
do not take this upon yourself. We certainly encourage people
to talk to their family members if they're not comfortable
(29:53):
talking to a physician about you know, what they want
to do next. And certainly that's what we encourage to
do at TLJ.
Speaker 8 (29:59):
Jefferson.
Speaker 7 (30:00):
Society is having conversations with people who may be able
to guide you, because one approach is to watch and wait.
You know, I had a good friend of mine. I
have a good friend of mine who was very good
about getting his PSAs checked regularly and then stopped checking
them for a while because he moved from a different
state to Florida. And once he started picking up his
(30:24):
health screenings again with his new doctor, noticed that his
PSA was elevated, and so you know, he pulled me
aside and we talked about it, and you know, we
went ahead and discussed what to do next, which included imaging,
taking pictures of that area to see if there's any
evidence of not only in large prostate, but was there
(30:45):
evidence of any disease outside of the prostate, which is
very important when it comes to prostate cancer because it
can spread if it's not taken care of.
Speaker 6 (30:54):
And I know also for some folks, like I've read
somewhere like men are their eighties, pretty much all of
them have some kind of prostate issue, whether it's the
BPH where it's enlarged, yes, or they may have like
a very slow growing version of prostate cancer.
Speaker 7 (31:12):
That's right, and so that's why screening is not suggested
for people over the age of seventy because we all
at that point we almost expect everyone to have some
degree of prostatic enlargement, and so as long as they
do there's no evidence of an active, spreading cancer, then
there's no role for doing screening. Again, screening meaning we
(31:35):
want to get to the people early enough so we
can do something about it, because prostate cancer does have
a tendency, if untreated, to spread, and so one of
the first things you do when you see a doctor
after you've received your PSA levels and it's elevated is to.
Speaker 8 (31:50):
Do a biopsy.
Speaker 7 (31:51):
And prostate biopsy is something that's done by a physician,
usually a urologist, and we have plenty of them in
Palm Beach County and it's a procedure that's done in
the urologist office. It's very straightforward, painless procedure to do,
and once they do the biopsies, they can make a
determination as to how bad or not the prostate cancer is,
(32:16):
depending on how involved the cancer cells are in the
gland itself. And though based on that information, once you
have the biopsy, then you can move on to possible
treatment options.
Speaker 8 (32:28):
Very cool.
Speaker 6 (32:29):
And of course, the other thing we want to talk
about today as well, since we're in that general region
of the body, is the colorectal cancer. So what exactly
is that? Because I know I had to have a
colonoscity to rule that out, all good, thank goodness, but
I was like, wait, what now?
Speaker 9 (32:43):
Right?
Speaker 7 (32:43):
So, colorectal cancer remains now the number three most common
cancer in men, and unfortunately, much like prostate cancer, African
American men are disproportionately more affected by colorectal cancer as
far as being diagnosed and as far as morbidity and
mortality when it comes to that. So, as it stands now,
(33:05):
screening has been suggested from ages forty five and up.
In general. However, if you, like prostate cancer, have a
history of someone in your family with the same cancer,
and now we're talking about colorectal cancer, if you have
any kind of family relative with that history, it's recommended
that you have your screening done earlier.
Speaker 9 (33:24):
So what is screening?
Speaker 7 (33:25):
Screening is basically a stool test, a fecal blood test
that is checked to see if there's any evidence of
bleeding or blood in your stool and then based on
that the screening colonoscopy, which is usually done every ten years.
That's where they put the endoscope through your entire colon,
(33:45):
or they can do a what's called a sigmoidoscopy, which
is not as long, just looking at the very early
part of your colon, the sigmoid colon. That's done every
five years. So based on your stool test, based on
your you're imaging, then the doctors can make a recommendation
as to whether they need to go in and do
we need to evaluate for any polyps, because that's what
(34:08):
we're looking for. We're looking for signs of any abnormal
growths in the in the colon and to remove them
before they wait.
Speaker 6 (34:16):
And then they remove them and they biopsie them and
they make sure they make sure they're benign or not
denige or not and if they.
Speaker 7 (34:23):
If they're not benign. Chemotherapy and surgery remains the mainstay
for correctal cancer chemotherapy and surgery, unlike prostate cancer, where
chemotherapy has not been very effective. In prostate cancer, what
has been shown to be effective is radiation therapy and
UH and surgery.
Speaker 6 (34:44):
My friend's dad had prostate cancer. We took before the show,
and he had some kind of radiation with it. They
look like grains of rice, and he explained that that
way to us kids that they were injected and then
they use that and that treatment for I don't know
how many months or whatever.
Speaker 7 (34:59):
That's right, So that's breaking therapy. That's why we actually
put radioactive seeds into the prostate gland, and that way
you kind of burn the cancer out of the prostate.
Speaker 8 (35:07):
And that's one way.
Speaker 7 (35:08):
There's also external beam radiation where you don't have to
have anything invasive done. You're just laying on a table
and they're shooting radiation at the prostate to burn the cancer.
Speaker 4 (35:18):
Uh.
Speaker 7 (35:18):
And then in some cases, unfortunately, you do need the
prostate removed, and that is that's an option as well.
And then of course, if the cancer has already spread
beyond the prostate, Uh, there's there's what we call hormonal
treatments available to treat that as well.
Speaker 6 (35:37):
From when I had the breast cancer, I want to
ask they gave me tomoxifen because mine was estrogen receptor
positive and it wass it blocks the estrogen so the
cancer won't grow again. Is that what the hormone one
is for prostate.
Speaker 7 (35:48):
Exactly, and because the prostate gland is a is a
gland that produces hormones. In some cases, if you cannot
contain the prostate cancer and you're wor that it has spread,
meaning metastatic disease, there is what we call androgen deprived
therapy ADT, and that basically means we're we're giving the
(36:12):
patient medicine sort of as an anti hormone to help
keep any of this possible malignant cancer cells that are
floating around from spreading.
Speaker 8 (36:25):
Which is all good, Yes, which is all good. Absolutely so.
Speaker 6 (36:28):
Basically, so if you are forty you need to get
the PSA test.
Speaker 7 (36:32):
If you're African American, the recommendations are for forty plus
for you to get your PSA checked annually.
Speaker 6 (36:38):
Yes, what about the colorectal cancer.
Speaker 7 (36:42):
Colorectal screenings typically started forty five, but also earlier though
if you're an African American and if you have a
family history, and if you have a family history, of course,
the sooner the better.
Speaker 6 (36:53):
Right, Very cool. I think this is fascinating. The more
we know, the better we be. Yes, yes, so thank
you again for coming in and talking with us and again,
they can reach out to the society at your website.
Speaker 7 (37:05):
Yes, Tljmedical Society dot org. That's Tljmedical Soociety dot org.
There's a phone number on there. If you want to
join us at any of our activities, you're more than
welcome to. You know, it's all about helping each other
in the community.
Speaker 6 (37:20):
Oh yeah, And like they say, when the when the
water in the lake rises, all the boats go up.
So I think it's fantastic. So we're all helping each
other out by spreading the word and sharing the knowledge.
Speaker 7 (37:32):
Yes, yes, ask your friend whether he's had a PSA done.
That's what we're doing.
Speaker 6 (37:37):
I've got to ask him tonight.
Speaker 4 (37:38):
Yeah.
Speaker 6 (37:39):
So if you need help, if you want somebody to
come and do a presentation to your men's group, they
can reach out to you as well.
Speaker 7 (37:45):
Absolutely, and we're more than happy to speak to anyone
anytime about this and any other health issue affecting our
community where we're available to you.
Speaker 6 (37:56):
Oh yeah, and I know you do the different initiatives
throughout the year. Yes, yes, yes, absolutely, this is the
because of the November month, you know, men's health focus. Yes,
we don't want to get the word out about that. Absolutely,
so if you need more information, reach out to me
Palm Beach Perspective at iHeartMedia dot com and I'm happy
to for the details onto you and don't forget you know,
always download the Show's a podcast on our iHeartRadio app.
(38:19):
Hope everybody has a wonderful weekend. I'm dev Nev and
this has been my perspective. Remember life is good, so
be your healthiest view and let's get out there and
live it. Until next week.
Speaker 5 (38:31):
Enjoy iHeart Communities, the community engagement arm of the station,
champions critical issues and causes in the area of health
and wellness, social impact, education, literacy, and music and art.
Join us next week for Palm Beach Treasure Coast Perspective.
Speaker 3 (38:48):
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IHeart Communities presents Palm Beach Treasure Coast Perspective, which dead now.
Speaker 6 (01:38):
Good morning, Welcome to tom Beach Treasure Coast Perspective. I'm
your host, dev Nev. Thanks for spending your weekend with me.
All kinds of great things going on, and if you
haven't been yet, you want to check us out. They
have got the Lighthouse Sunset tours that happened throughout the
month and they have a cool thing coming up. It
is their Rendezvous at the Light. So this is a
really nice it's all. It's really good for the foodies
(01:59):
and stuff like that. It's a bunch of different restaurants there.
It's a big fundraiser for them, and that is coming
up on Saturday, November twenty third, and simply go to
Jupiter Lighthouse dot org and all the details are right
there for you, or you can call Nora seven three
to two seven seven nine seventy nine sixteen and she'll
be happy to give you more information about that. So
(02:21):
Jupiter Lighthouse dot org for more details on that. And
also do the really fun yoga out on the patio
under the tree and it's really fun. Definitely recommend that.
And then we have also got at more coming museum
and Japanese Gardens. They've got Akira, which is the architecture
of Neo Tokyo, going on now through April sixth of
next year. So nice exhibition happening. And they also do
(02:42):
the tai chi classes and functional fitness at the gardens
on and I believe Tuesdays and Thursdays in the morning.
So fun thing to check out. Loston Yonkers is happening.
Palm Beach Drama Works they've got a great season this year.
It's twenty fifth anniversary. It's going on now through I
believe November twenty fourth. They extended it due to popular demand,
which is really awesome. So I've got a great season
(03:03):
line up, definitely to check all that out. And if
you want to do some more yoga and you live
a little bit further north, you can do Stretch by
Candle Lights evening yoga classes at Museum Point Park, part
of the Saint Lucis County Park System. So it's going
to be starting every Tuesday from sixty seven pm as
of November nineteenth, So give them a call it the
(03:23):
FEN Center seven seven to two four six two fifteen
twenty one for more details on that. And also at
the fen Center this year, they're hosting Brunch with Santa
and that's coming up on December fourteenth, fun thing for
the kids in the family. It's gonna be from nine
am till noon. Again, give them a call seven seven
to two for six two fifteen twenty one for all
(03:45):
the ticket information and details on that. Yeah, and next
week we're going to talk to Blake from Greencay Nature Center.
They're doing a really cool the Friends of Green Kay
Nature Center Wildlife Celebration coming up on Saturday, December verse
seventh from nine am to three pm. And the location
is of course Eckering k which is one two eight
(04:07):
zero zero Hagen Ranch Road in Boyton Beach, all kinds
of exhibitor interactive things with the kids, the parents. They're
gonna be all guided nature tours. The annual ambassadors will
be there. They're really fun, lots of crafts and stuff
like that and help them raise awareness about mental health,
the benefits being out in nature, environmental awareness, and you'll
(04:27):
inspire some creativity, imagination and the wei ones. So definitely
want to check that out and we'll talk more about
that next week. And of course Saint Lucie County Christmas
Boat Parade is coming up, so if you want to
sign your boat up for it, want to reach out
to the Fort Pierce Yacht Club So it's really fun
something you can reach out to Michelle at six three
(04:48):
one seven zero seven twenty seven zero five and that's
going to be just a lot of fun. I always
love watching the boat parades, and this one's happening. The
Captain's Meeting is going to be December tw wealth, and
so definitely do all that and they'll give you all
the details on how your boat can participate or he's
come out and enjoy it. Oh and then coming up
(05:08):
on December third, it is the Sunshine Kitchen student culinary cookoff.
It was scheduled earlier but got rescheduled doing the hurricane.
So it's a really cool thing. The students come out
compete and they can win up to like fifteen hundred
dollars in prizes. It's a really short time. They get that,
they're given the foods, they make the little thing, the
judges test it, and then there's a winner based on
(05:29):
you know, they're plating the taste and flavor combinations, how
they well they work as a team, their knife skills,
all the fun things. So definitely want to sign up
to check that out. For details, give Eric coacoll seven
to seven to two four six two, seventeen ninety one.
And of course this is a little bit early, but
when you get your tickets ahead of time for this
(05:51):
Culture and Cocktails is coming up and it happens at
the Bend. This is their twentieth anniversary season and the
first one is called Laughlines. It's going to be January sixth,
a chat with award winning comedy writer Alan's Wible. So
definitely a lot of fun. Go to Palm beachculture dot
com to get your tickets because they sell out very
fast because it's very limited space there at the Bend,
(06:12):
but it's a beautiful setting, so you definitely gonn check
that out. And also a reminder, Saint Lucie County Human
Services is accepting applications for their twenty twenty four WPSL
Christmas Kids Toy Program. So if you get the SNAP
benefits and you meet the certain income requirements, just apply
and they will give you the details for that. Call
(06:33):
them it's seven seven to two for six two seventeen
ninety one and they'll tell you where to go on
the website to sign up for that, which I think
is really nice. And of course, lots of things coming up.
We have a couple of different groups helping folks with Thanksgiving,
So of course the Florida tac real Estate guys J
and R Funding LLC. They are giving away one thousand
(06:55):
Thanksgiving meals at nineteen oh one North Seacrest Boulevard and
Boyton Beach Saturday, November twenty third, starting at ten am
until they run out. For details on that, you can
call them seven eighty six two zero five fifteen sixty six.
And then of course he spoke to Greg Hazel, he's
the executive director for Boca Helping hands. They're doing the
(07:16):
thing where you can just reach out to them at
the website Boca Helpinghands dot org and donate twenty nine
dollars and seventy two cents and then you sponsor a
box of all the Thanksgiving food for a family of four.
So I think that's fantastic. So either way you can
go get one or you know, or you can donate meals.
Either way, Boca Helpinghands dot org to donate for the
(07:39):
thirty dollars for box. That's a great deal, Kenn, go
out to dinner for thirty bucks and they can feed
four people for that. I'm very impressed. Speak of being impressed,
I want to welcome my guest for today, I have
doctor Cameno from the t. Leroy Jefferson Medical Society. Thank
you so much for coming back in again. I really
appreciate you guys helping out and donating your time like this.
Speaker 7 (07:57):
Well, thank you, deb It's a real honor to return.
Speaker 6 (08:00):
So tell us a little bit about te Leeward Jefferson.
Speaker 8 (08:03):
Yeah. T. L.
Speaker 7 (08:04):
Jefferson Medical Society was started over seventy five years ago
here in pom Beach County. We were named after the
very first African American physician here in Pombach County Til Jefferson,
also known as the bicycle doctor who used to visit
families riding his bicycle door to door. And so we
are collective of essentially minority physicians and healthcare providers helping
(08:32):
to serve the underserved in Palm Beach County. And we're
basically made up of physicians and pharmacists and dentists and
nurse practitioners and you know, physical therapists and everyone who
basically come together not only network and not only mentor
our younger students in the health field, but also provide
services for those who needed.
Speaker 6 (08:53):
And you help each other out like mentor each other.
Absolutely peer to peer mentoring, Yes, yes, we have.
Speaker 8 (08:59):
Peer to peer men.
Speaker 7 (09:00):
We have mentoring for college students who are looking at
going into medical school. We have opportunities to help mentor
others in the community as we you know, battle whether
it's COVID or you know, prostate cancer or any other
issue that's facing our community.
Speaker 6 (09:18):
Well, and that's funny that you mentioned COVID because your specialty,
as a listener may remember from our last conversation, you're
the infectious disease doctor.
Speaker 8 (09:26):
I am so we were.
Speaker 6 (09:27):
Talking before the show. You actually have an office, but
you spend a lot of time and a lot of
local hospitals seeing patients in hospital.
Speaker 7 (09:34):
Correct, that's correct. I'm part of a larger infectious disease
group here in Palm Beach County and one of the
oldest actually, And fortunately when it comes to COVID, for example,
we are seeing you know, less people being admitted to
the hospital with COVID, but influenza and RSV continues to
circulate in our county and our speaks.
Speaker 6 (09:56):
Really attacks the young folks and the older folks, right, absolutely,
so we have a higher demographic of retire research that
makes sense. We don't have more rs.
Speaker 8 (10:04):
Fas, absolutely absolutely.
Speaker 7 (10:06):
So we'd like to encourage people to you know, get
your influenza vaccines and that goes not only out to
the community but to the healthcare.
Speaker 8 (10:12):
Providers as well.
Speaker 7 (10:14):
And RSV there is no treatment for it commercially available yet,
but there is an RSV a new RSV vaccine available
for those over the age of sixty five.
Speaker 6 (10:22):
So go get your shots. I know, I go pick
up my medicine. Public so like, did you get your vaccine?
They always ask me because they're so nice and if
I haven't, like I hadn't got my flu shot back
in August and there and at the end of August like,
oh we got those, we'll do that one. That's right,
come back in a couple of weeks for COVID do it.
But I was like, okay, so every time I go,
they give me like the next shot, that's right, which
(10:43):
is so they've got me off today, which I think
we talked before the show. I still need to get
the pneumonia.
Speaker 8 (10:47):
Yes, very important.
Speaker 6 (10:48):
That was a long time ago, very important, and pnemonia
said a good about ten years right, Yes. And that's
another thing like like right before COVID, like I was
talking with my primary care, I didn't realize it as
a an adult, I needed a booster for like measles, mumps, rebella,
all those detap, all those things.
Speaker 7 (11:06):
Yes, And it's I'm glad you mentioned that, deb because
you know, unfortunately we are seeing in the last several
years vaccine hesitancy with a lot of families in regards
to very simple but effective vaccines, childhood vaccines like measle,
mumps and rebella. And because of that, because of famili
has been reluctant to do that. We've had, you know,
intermittent outbreaks of measles in schools all across the United States,
(11:31):
and so it's important to remind everyone that the reason
you don't see measles or polio or any of these
very horrific infections in our children is because of the vaccines.
And so we want to continue to encourage all our
families to keep up with their vaccines. And if you
need a boostre as an adult, definitely go do that
as well.
Speaker 6 (11:51):
Yeah, I had a couple uncles like when I grew up,
found out they did not know when they were younger
they had got I believe it was momps before they
got the vac seeing they were exposed to other kids
that had them. So they go.
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Speaker 3 (13:03):
The holidays are all about sharing with family, meals, couches, stories,
gramma secret pecan pie recipe, and now you can also
share a cart with Instacart's family carts. Everyone can add
what they want to one group cart from wherever they are,
so you don't have to go from room to room
to find out who wants cranberry sauce, or who should
get many marshmallows for the ams, or collecting votes for
sugar cookies versus shortbread.
Speaker 8 (13:25):
Just share a.
Speaker 3 (13:25):
Cart and then share the meals and the moments. Download
the instacart app and get delivery in as fast as
thirty minutes. Plus enjoy free delivery on your first three orders.
Service fees and terms apply.
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Speaker 6 (14:35):
I'm Ready in the neighborhood Gottam, right, and their fever
got so high they became infertile.
Speaker 4 (14:41):
Right.
Speaker 6 (14:41):
They did not know that until they were grown men.
They're like, had we known?
Speaker 7 (14:46):
You know?
Speaker 6 (14:46):
There was just they were just so shocked, you know
that that was even that that could happen from that.
Speaker 7 (14:50):
Yes, and I'm glad you mentioned that because there are
severe side effects, uh and complications from these very treatable,
preventable I should say preventable infections, and so things like
measles can lead to in some patients, encephalitis and children
can end up in the hospital and children can die.
(15:12):
As you pointed out, mumps, momps can cause paratitis, it
can cause other complications including architis and men and subsequently infertility.
So yes, we don't want any of these infections, these
easily preventable viral infections, from getting worse, and nor would
you want your children to grow up with any of
(15:32):
these kind of complications. So we're asking at Tilroy Jefferson
to ensure that all family families continue with their routine
childhood vaccines.
Speaker 6 (15:41):
And if they ever how many questions, I know they
can just reach out to you guys, and you'll get
them connected. With wherever they can get them.
Speaker 7 (15:46):
Absolutely, and again Tljmedical Soociety dot org. Tljmedical Society dot
org is our website and you will find a lot
of information there as to this and any other medical issue.
Speaker 6 (16:01):
And one of the other cool things you do at
the society is you do I'm going to call it
a county initiative, and the one obviously for November is
talking about prostate cancer because November is the November which
is the men's health movement, which includes you know, talking
about suicide awareness, getting counseling for mental health issues because
(16:22):
mental health issues over fifty percent of them develop before
the age of twenty five.
Speaker 7 (16:28):
Yes, and I'm glad you mentioned that as well, because
in the African American population, we know that afric American
men specifically have about four times the risk of suicide
compared to the general population and the actual the statistics
have actually shown that the rate of increase from twenty
(16:49):
ten to twenty twenty in that ten year period showed
the highest increase in suicide in that specific population, which
is African American men. So this is their area that
Tilroy Jefferson is looking at and trying to improve, not
only diagnosis, but access to treatment for not only African
(17:09):
American men, but basically for everyone who doesn't have access
to mental health care, which is very important. So we
have individuals in our in our organization that are geared
just for that.
Speaker 6 (17:22):
That's fantastic. And I know I spoke to the folks
from two one one several about several months ago, and
of course their newest latest improvement was the nine eight
eight number. So you can call two one one if
you have a question about any of the programs that
are available. You need meals on wheels for your grandma,
for yourself, you need to know what kind of like
(17:43):
you need mobility, like you need a van to drive
you whatever the medical equipment. They can send you to
the right place. And they also help if you're having
a crisis. They I believe received enough calls that they
realized that they needed a dedicated law. So if you
call nine eight eight, you are immediately twenty four to
(18:04):
seven connected to somebody who will help you whatever the
mental crisis you're having. And it could be that you're
just feeling super sad and blue and you literally just
do not know what to do right at that moment.
You can call that number right, then excellent, there's no judging.
They're there to help. They'll do that. You can also
still call T one one and they have somebody there
to help you as well. So if you don't remember
(18:26):
nine eight eight, that's okay. T one one's going to
get you the information you need as well. But if
you can go either way, and they also have like
text options and stuff if you prefer to text, which
I think is very good. And of course, other part
of men's health is you know, testicular cancer, at the
colorectal cancer, which we're going to talk about, but I
think the big one most people think of, and I
(18:47):
know my friend's dad passed from prostate cancer and that
was really we all learned a lot. Like I didn't
know what the treatments were, they were pretty intense.
Speaker 8 (18:58):
So let's talk ab about that absolutely.
Speaker 6 (19:01):
What exactly is prostate cancer?
Speaker 7 (19:03):
So the prostate gland is a gland in men that
is found wrapped around the urethra in men. That is,
it is a gland that produces hormones, that sex hormones,
and it is a gland that in men naturally can
(19:25):
enlarge over time. And that is not cancer. That's called
benign prostate hyperplasia or BPH. The problem is in many
men that BPH, that enlargement of the prostate can turn
into cancer. And so what we have recognized over the
last several years is that there's actually, quite frankly, a
(19:46):
pandemic of prostate cancer, especially among African American men. Now, remember,
prostate cancer remains the second most cancer in men across
the board, black or white. Unfortunately, the risk of getting
prostate cancer is almost double in African American men, as
well as the increased risk of death from prostate cancer.
(20:07):
And we know that many people African American men specifically,
you could almost name anyone you know in the media
has experience, has been diagnosed with prostate cancer. Everyone from
Harry Belafonte to Al Roker, to the late Colin Powell
and Sidney Potier, even most recently Alonzo Mourning. You know,
(20:32):
all of these individuals were diagnosed with prostate cancer. And so,
as it turns out, if you look at the data
from the CDC, one in six African American men will
actually be diagnosed with some level of prostate cancer. So
this is why we're calling it a pandemic of prostate
cancer in Black men, which is why it's so important
(20:54):
to get to the screening process.
Speaker 6 (20:56):
So what exactly is the screening process? Because I know
men are some times very resistant to going to the
doctor till their wife makes them go to the doctor.
Speaker 7 (21:04):
Absolutely, and because prostate cancer is known as a silent killer,
it's difficult to know. You know, It's one thing when
you tell women and breast cancer to feel for a lump,
you know, even though that may be difficult to learn
how to do. With prostate cancer, it's a lot more sinister.
And so the current recommendations are for men starting at
(21:28):
the age of fifty five through sixty nine, this is
across the board, to go see their physician and get
what's called a PSA and that is a prostate specific antigen.
This is a marker that is produced in the prostate gland.
And so what we're looking for is an elevated PSA.
(21:49):
So we know that there's a certain level that is
considered normal for your age, but if it's beyond that
normal range and it's elevated, it could indicate early signs
of prostate cancer. So mendation was to go to your
doctor and get a blood test. It's a blood test
to look for this PSA.
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Speaker 3 (23:06):
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Speaker 1 (23:38):
Why get all your holiday decorations delivered through instacart Because
maybe you only bought two wreaths but you have twelve windows,
Or maybe your toddler got very eager with the advent calendar,
or maybe the inflatable snowman didn't make it through the snowstorm,
or maybe the twinkle lights aren't twinkling. Whatever the reason,
this season, Instacart's here for hosts and their whole holiday.
(24:00):
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Speaker 6 (24:08):
When they're checking your cholesterol and yeah, all that stuff,
they can check for that as well. Absolutely, so now
they go and maybe it's a little bit elevated, then
you go like into more of an active surveillance mode.
Speaker 8 (24:18):
Absolutely.
Speaker 7 (24:19):
And when it comes to afric American men, the recommendation, however,
is to get that very same PCA that blood test
much sooner. Their recommendation for af American men is actually
they started at ages forty and okay, so I'm fifty two,
so I should have already, you know, been having this
(24:39):
test done on a regular basis, on an annual basis,
which is a recommendation. An annual PSA for black men
should be starting from age of forty. But to your point, deb,
once we know that you know, we're concerned or we're
making sure that someone doesn't have prostate cancer. Part of
an exam, and this is a very sensitive issue for
(25:01):
some men when it comes to their physical exam, is
the DRE.
Speaker 8 (25:05):
And what is the DRE. That is the digital rectal exam.
Speaker 7 (25:08):
And so when you are seeing your doctor, part of
that exam, if there's a concern, and even if there
isn't a concern, should always include a digital rectal exam,
and what is the doctor looking for. They're basically looking
to feel for an enlarged prostate gland. Because of where
the prostate gland is, you can actually feel for it
(25:30):
when you do a digital rectal exam, when the doctor
puts his hand in there, you can actually feel if
the prostate is enlarged and swollen, and if it is,
that along with an elevated PSA now puts you on
track towards a more intensive work up to rule out
prostate cancer.
Speaker 6 (25:49):
So that exam is key.
Speaker 7 (25:51):
Absolutely, the PSA is part of it. But the DRE
is also a key part of that because in some cases,
someone may have a normal PSA, but they're they're DRE
may be abnormal. And so if someone's DERE is abnormal,
then you want to pursue the work up a little
a little further.
Speaker 6 (26:09):
It gives you more of the like almost like the
patient history, like's of your family, my family, there's a
risk of diabetes. Yes, so I get tested. You know,
they've done the test with you drink they really serve
these sweet stuff and they take your blood test and
test and test came back normal. But because from a
history they.
Speaker 8 (26:26):
Did that you're absolutely correct.
Speaker 7 (26:28):
And if you do have a family history, and if
we're talking about men, where you know you're asking your
your father, your uncles, your grandfather, you know, did daddy
ever have prostate cancer?
Speaker 8 (26:37):
If the answer is yes.
Speaker 7 (26:39):
Then you know you should consider getting your PSA and
your digital recolle exam performed.
Speaker 8 (26:45):
If you're over the age of forty.
Speaker 6 (26:47):
Are there preventative things you can do to help, like
reduce your risk, like I know for breast cancer patients,
like be healthy, be active, and it can help reduce recurrence.
Speaker 7 (26:58):
So that's a very good question, and I don't think
there's a really good answer about that, of course, like
with much of the other cancers, you know, reducing your
smoking and your alcohol intake and keeping your your weight
within you know, a normal range, you know, whatever normally is.
Speaker 9 (27:16):
Yes is all.
Speaker 7 (27:17):
Is all meant to be helpful, But there isn't anything
specific that we can say you should stop doing other
than the fact that you know, if you have a
family history, and as you get older, if you notice
changes in two things, one your urination and two your
ejaculation during sex, if you've noticed that there's a change
(27:41):
that shouldn't occur, or your or it's something that is
happening before you anticipate. Then you may want to bring
that up to your physician, to your local doctor and say, hey,
I've noticed there's been a change either in my sex
life or in my in my urinating and.
Speaker 8 (27:57):
I need to work it up.
Speaker 6 (27:58):
Oh definitely, yeah, and again always mention it. I know
love of people are uncomfortable talking about those things, and
like we've talked before, when I initially had breast cancer,
I was super embarrassed. I don't want to tell anybody
after we went through all that. But when it came back,
I'm like, oh, this is just ridiculous. Were going to
talk about this and get that out on the table.
People were so helpful and supportive, and they're like, and
(28:20):
then you find out a lot more information. They found
out a lot more information. Some of them actually got
checked and checked early enough that they were treated and
they're fine. But because they met me. So it's kind
of a weird thing that you know. But so always
tell people go talk to your doctor, or if you
don't feel talk to the pastor or a church and
(28:40):
he'll connect you with somebody to come to a screening discreetly.
If that's what you need.
Speaker 7 (28:44):
That's right, and that's right. And so you know, one
of the things we like to do is most recently,
for example, we had a men's health Night with the
Tillroy Jeffson Medical Society and we invited men to meet
us at a local lounge and it was just for
us and we we had an opportunity to talk about
(29:08):
just this issue and about you know, the taboo around
prostate cancer and uh and how you diagnose it and
what does it mean when when your doctor says your
PSA is elevated and and yes, there are a lot
of questions out there and we feel that you know,
not enough people know about prostate cancer.
Speaker 6 (29:25):
Well yeah, and also like just because your PSA might
be a little high, don't panic. But that's also one
something we want to put out there.
Speaker 7 (29:32):
Absolutely absolutely, there, there's there's There are certainly times when
we advise a watch and wait approach, but this again
has to be done in conjunction with your doctor, so
do not take this upon yourself. We certainly encourage people
to talk to their family members if they're not comfortable
(29:53):
talking to a physician about you know, what they want
to do next. And certainly that's what we encourage to
do at TLJ.
Speaker 8 (29:59):
Jefferson.
Speaker 7 (30:00):
Society is having conversations with people who may be able
to guide you, because one approach is to watch and wait.
You know, I had a good friend of mine. I
have a good friend of mine who was very good
about getting his PSAs checked regularly and then stopped checking
them for a while because he moved from a different
state to Florida. And once he started picking up his
(30:24):
health screenings again with his new doctor, noticed that his
PSA was elevated, and so you know, he pulled me
aside and we talked about it, and you know, we
went ahead and discussed what to do next, which included imaging,
taking pictures of that area to see if there's any
evidence of not only in large prostate, but was there
(30:45):
evidence of any disease outside of the prostate, which is
very important when it comes to prostate cancer because it
can spread if it's not taken care of.
Speaker 6 (30:54):
And I know also for some folks, like I've read
somewhere like men are their eighties, pretty much all of
them have some kind of prostate issue, whether it's the
BPH where it's enlarged, yes, or they may have like
a very slow growing version of prostate cancer.
Speaker 7 (31:12):
That's right, and so that's why screening is not suggested
for people over the age of seventy because we all
at that point we almost expect everyone to have some
degree of prostatic enlargement, and so as long as they
do there's no evidence of an active, spreading cancer, then
there's no role for doing screening. Again, screening meaning we
(31:35):
want to get to the people early enough so we
can do something about it, because prostate cancer does have
a tendency, if untreated, to spread, and so one of
the first things you do when you see a doctor
after you've received your PSA levels and it's elevated is to.
Speaker 8 (31:50):
Do a biopsy.
Speaker 7 (31:51):
And prostate biopsy is something that's done by a physician,
usually a urologist, and we have plenty of them in
Palm Beach County and it's a procedure that's done in
the urologist office. It's very straightforward, painless procedure to do,
and once they do the biopsies, they can make a
determination as to how bad or not the prostate cancer is,
(32:16):
depending on how involved the cancer cells are in the
gland itself. And though based on that information, once you
have the biopsy, then you can move on to possible
treatment options.
Speaker 8 (32:28):
Very cool.
Speaker 6 (32:29):
And of course, the other thing we want to talk
about today as well, since we're in that general region
of the body, is the colorectal cancer. So what exactly
is that? Because I know I had to have a
colonoscity to rule that out, all good, thank goodness, but
I was like, wait, what now?
Speaker 9 (32:43):
Right?
Speaker 7 (32:43):
So, colorectal cancer remains now the number three most common
cancer in men, and unfortunately, much like prostate cancer, African
American men are disproportionately more affected by colorectal cancer as
far as being diagnosed and as far as morbidity and
mortality when it comes to that. So, as it stands now,
(33:05):
screening has been suggested from ages forty five and up.
In general. However, if you, like prostate cancer, have a
history of someone in your family with the same cancer,
and now we're talking about colorectal cancer, if you have
any kind of family relative with that history, it's recommended
that you have your screening done earlier.
Speaker 9 (33:24):
So what is screening?
Speaker 7 (33:25):
Screening is basically a stool test, a fecal blood test
that is checked to see if there's any evidence of
bleeding or blood in your stool and then based on
that the screening colonoscopy, which is usually done every ten years.
That's where they put the endoscope through your entire colon,
(33:45):
or they can do a what's called a sigmoidoscopy, which
is not as long, just looking at the very early
part of your colon, the sigmoid colon. That's done every
five years. So based on your stool test, based on
your you're imaging, then the doctors can make a recommendation
as to whether they need to go in and do
we need to evaluate for any polyps, because that's what
(34:08):
we're looking for. We're looking for signs of any abnormal
growths in the in the colon and to remove them
before they wait.
Speaker 6 (34:16):
And then they remove them and they biopsie them and
they make sure they make sure they're benign or not
denige or not and if they.
Speaker 7 (34:23):
If they're not benign. Chemotherapy and surgery remains the mainstay
for correctal cancer chemotherapy and surgery, unlike prostate cancer, where
chemotherapy has not been very effective. In prostate cancer, what
has been shown to be effective is radiation therapy and
UH and surgery.
Speaker 6 (34:44):
My friend's dad had prostate cancer. We took before the show,
and he had some kind of radiation with it. They
look like grains of rice, and he explained that that
way to us kids that they were injected and then
they use that and that treatment for I don't know
how many months or whatever.
Speaker 7 (34:59):
That's right, So that's breaking therapy. That's why we actually
put radioactive seeds into the prostate gland, and that way
you kind of burn the cancer out of the prostate.
Speaker 8 (35:07):
And that's one way.
Speaker 7 (35:08):
There's also external beam radiation where you don't have to
have anything invasive done. You're just laying on a table
and they're shooting radiation at the prostate to burn the cancer.
Speaker 4 (35:18):
Uh.
Speaker 7 (35:18):
And then in some cases, unfortunately, you do need the
prostate removed, and that is that's an option as well.
And then of course, if the cancer has already spread
beyond the prostate, Uh, there's there's what we call hormonal
treatments available to treat that as well.
Speaker 6 (35:37):
From when I had the breast cancer, I want to
ask they gave me tomoxifen because mine was estrogen receptor
positive and it wass it blocks the estrogen so the
cancer won't grow again. Is that what the hormone one
is for prostate.
Speaker 7 (35:48):
Exactly, and because the prostate gland is a is a
gland that produces hormones. In some cases, if you cannot
contain the prostate cancer and you're wor that it has spread,
meaning metastatic disease, there is what we call androgen deprived
therapy ADT, and that basically means we're we're giving the
(36:12):
patient medicine sort of as an anti hormone to help
keep any of this possible malignant cancer cells that are
floating around from spreading.
Speaker 8 (36:25):
Which is all good, Yes, which is all good. Absolutely so.
Speaker 6 (36:28):
Basically, so if you are forty you need to get
the PSA test.
Speaker 7 (36:32):
If you're African American, the recommendations are for forty plus
for you to get your PSA checked annually.
Speaker 6 (36:38):
Yes, what about the colorectal cancer.
Speaker 7 (36:42):
Colorectal screenings typically started forty five, but also earlier though
if you're an African American and if you have a
family history, and if you have a family history, of course,
the sooner the better.
Speaker 6 (36:53):
Right, Very cool. I think this is fascinating. The more
we know, the better we be. Yes, yes, so thank
you again for coming in and talking with us and again,
they can reach out to the society at your website.
Speaker 7 (37:05):
Yes, Tljmedical Society dot org. That's Tljmedical Soociety dot org.
There's a phone number on there. If you want to
join us at any of our activities, you're more than
welcome to. You know, it's all about helping each other
in the community.
Speaker 6 (37:20):
Oh yeah, And like they say, when the when the
water in the lake rises, all the boats go up.
So I think it's fantastic. So we're all helping each
other out by spreading the word and sharing the knowledge.
Speaker 7 (37:32):
Yes, yes, ask your friend whether he's had a PSA done.
That's what we're doing.
Speaker 6 (37:37):
I've got to ask him tonight.
Speaker 4 (37:38):
Yeah.
Speaker 6 (37:39):
So if you need help, if you want somebody to
come and do a presentation to your men's group, they
can reach out to you as well.
Speaker 7 (37:45):
Absolutely, and we're more than happy to speak to anyone
anytime about this and any other health issue affecting our
community where we're available to you.
Speaker 6 (37:56):
Oh yeah, and I know you do the different initiatives
throughout the year. Yes, yes, yes, absolutely, this is the
because of the November month, you know, men's health focus. Yes,
we don't want to get the word out about that. Absolutely,
so if you need more information, reach out to me
Palm Beach Perspective at iHeartMedia dot com and I'm happy
to for the details onto you and don't forget you know,
always download the Show's a podcast on our iHeartRadio app.
(38:19):
Hope everybody has a wonderful weekend. I'm dev Nev and
this has been my perspective. Remember life is good, so
be your healthiest view and let's get out there and
live it. Until next week.
Speaker 5 (38:31):
Enjoy iHeart Communities, the community engagement arm of the station,
champions critical issues and causes in the area of health
and wellness, social impact, education, literacy, and music and art.
Join us next week for Palm Beach Treasure Coast Perspective.
Speaker 3 (38:48):
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Speaker 1 (39:20):
Why get all your holiday decorations delivered through instacart Because
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Or maybe your toddler got very eager with the advent calendar,
or maybe the inflatable snowman didn't make it through the snowstorm,
or maybe the twinkle lights aren't twinkling. Whatever the reason,
this season, Instacart's here for hosts and their whole holiday haul.
(39:42):
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Speaker 2 (39:48):
Service fees in terms apply.
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