November 11, 2025 • 28 mins
In this episode of Wellness Unmasked, Dr. Nicole Saphier spotlights men’s health awareness during Movember, with a deep dive into prostate cancer prevention, diagnosis, and treatment. She shares the powerful story of Scott Adams’ battle with prostate cancer, exploring the difficult decisions men face when choosing treatment options and the risks of unproven or alternative therapies. Dr. Saphier underscores the life-saving importance of early detection, key warning signs to watch for, and why regular prostate cancer screenings are essential for men’s long-term health. Wellness Unmasked is part of the Clay Travis & Buck Sexton Podcast Network - new episodes debut every Tuesday & Friday.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:04):
Welcome to Wellness on MASS.
Speaker 2 (00:05):
I'm doctor Nicole Saffire and I'm very excited that he
joined us this week.
Speaker 1 (00:09):
An interesting topic today.
Speaker 2 (00:10):
It is November, so that means it is November, which
means that the men's health month. You may see more
people walking around with facial hair mustaches.
Speaker 1 (00:21):
It's kind of that time of year.
Speaker 2 (00:22):
Instead of all the pink during October for Breast Cancer
Awareness Month, people are growing facial hair in November as
a reminder that men's health matters too. And in the
same vein, something very interesting happened to me a non
man this past week. So if you recall, we had
Scott Adams on the podcast a couple months ago. Now,
(00:43):
Scott Adams is he probably is most well known for
being the Dilbert creator, the comic strip.
Speaker 1 (00:52):
He's also written several books.
Speaker 2 (00:54):
He's widely known in a lot of various different circles.
Speaker 1 (00:57):
I actually love listening to him.
Speaker 2 (00:59):
He does these mourning live streams on social media called
like Coffee with Scott, and you know, he's just he
is just so real and he just talks to you
about everything that he's reading, everything that he's thinking. After
President Biden earlier this year, came out with his diagnosis
of prostate cancer. Scott Adams decided to also share with
(01:22):
the world that he too had been diagnosed with prostate cancer.
And just like President Biden, Scott was diagnosed with metastatic
or stage four advanced prostate cancer. It had metastasized, it
had left his prostate and had gone to his bones.
So when he was diagnosed, and by the way, you
can go back to our episode with Scott where he
(01:44):
goes into all details of this, Scott was diagnosed with
advanced prostate cancer. You know, he was kind of given
some unfavorable statistics, and he decided he didn't necessarily want
to undergo some of the treatments. He had some concerns
about taking anti testos therapy what would this.
Speaker 1 (02:01):
Do to him?
Speaker 2 (02:02):
So he decided not to do the standard treatments that
were being recommended. He did try some unconventional treatments, which
after about a month, I guess they noticed that his
lab values were not only not getting better, but they
were getting worse. So Scott stopped the unconventional treatments and
decided to try what was being recommended by his physicians.
(02:24):
And in Scott's own words, once he actually started taking
those medications. It was like his pain completely went away.
He was actually considering suicide because of the amount of
pain he was in and that he just did not
feel like there was any hope. And then the next
day he was taking medication and all of a sudden,
he felt fine again, and he got cats and he's
(02:46):
still live streaming. But again, you can go back to
the podcast, you can go through all of those details.
What happened in the last week was Scott took to
social media. So one of the big things that happened
after his diagnosis was President Trump called him and he
tells us all about it in the first episode. One
of the things President Trump said to him, if I
(03:07):
can ever do something for you, let me know. Now,
people say that to people all the time and they
don't really mean it. If you know Donald Trump, you
know he means it. Scott was finding himself having difficulty
getting scheduled for this new treatment that.
Speaker 1 (03:21):
He had been approved of.
Speaker 2 (03:23):
His insurance company approved it, which, by the way, that's
the biggest hurdle when it comes to healthcare in general,
is getting past the insurance companies. Well, the insurance companies
approved the medication. This treatment for Scott, but he was
having a hard time getting it scheduled because it wasn't
like just going to your pharmacy and taking a pill.
It's actually a radio nucleide targeted therapy. And I'll tell
(03:44):
you a little bit more about that. So there were
a lot of logistics, but Scott was decompensating, and he
talked about this on social media, and so he reached
out on social media.
Speaker 1 (03:57):
He said, it's Sunday or Saturday, what every day it was?
It was the weekend.
Speaker 2 (04:01):
I'm going to reach out to President Trump on Monday.
I'm gonna let him know I need help because Kaiser
of California, they're not getting it done and I'm not
doing well well. You should have seen the storm that
went across social media. You had Donald Trump Junior rfka Junior.
(04:22):
Everyone was on it. Scott got personal calls by all
these people. I was talking to him offline a little bit.
We all wanted to help anything that we could do.
And the good news is Scott already started the treatment
and according to him, he just finished his sixth round.
Speaker 1 (04:40):
So it's pretty incredible.
Speaker 2 (04:42):
But what I wanted to tell you about that was
the person who was kind of the person who was
Scott's point person when he was trying the unconventional treatments
before he decided to go and start taking some of
the medications. This person went on this tirade on social
(05:02):
media saying this treatment's not going to work for him.
Speaker 1 (05:07):
He didn't follow what I'm saying to do or like something.
Speaker 2 (05:10):
I don't even remember the exact thing, but it was
just so inappropriate, so I decided to I know, sometimes
I'm feeling a little saucy. Sometimes most of the time
I'm not. But it really upset me that this guy
did this because I'll be honest, I have a lot
of people who come in saying that they're doing what
this guy talks about doing. It's taking some of those
(05:31):
anti parasitic medications for their cancer, and they don't. They
don't take the recommendations of the standard treatments. They're just
taking the anti parasitics. Now, I'm not saying that this
guy says that's what you should do. I'm just telling
you what people do. Scott Adams being one of them,
some of the other patients I've seen, and being other ones,
they forego what's being recommended the standard of care to
(05:53):
try these medications that are being touted online by certain
people as these miracle drugs, and so unfortunately, for a
lot of people, all people that I have seen personally,
it doesn't work for and it gets worse. Now, are
there some studies that have shown that if you take
these anti parasitic medications that it can help you. Yeah,
especially in studies that are done in areas of the
(06:15):
world where there's a huge parasite overload. You think you
think getting rid of parasites might help you fight off cancer.
Speaker 1 (06:21):
Absolutely.
Speaker 2 (06:22):
And by the way, if I had a terminal cancer,
I'd probably take everything I possibly could. I would take
the standard of medicine, and maybe I would try these
other things too.
Speaker 1 (06:30):
It's possible.
Speaker 2 (06:31):
So what this guy said was I tried to help
Scott Adams and his stage four prostate cancer.
Speaker 1 (06:35):
Scott quit after one month, blah blah blah.
Speaker 2 (06:38):
He goes on he also tried to hurt thousands of
other cancer patients in the process as well. I forgive
him blah blah blah. And then he's going to say
that he pioneered this new treatment therapy that Scott is
going to do, and he's like, it's not going to work.
I wish it would, but it won't. Not even no one,
(07:00):
not even President Trump, is going to offer to him
what I can do. And like, I'm paraphrasing what he said,
but he went on and on and on, and you
know what, you know what Scott Adams doesn't need in
that moment, as he is actively dying from advanced cancer.
He doesn't need some guid He's just trying to get
famous off of social media and to say like, oh,
(07:20):
it's not going to work for you, but I'm the
only one, I'm your savior. It's actually disgusting in my opinion.
So I took his post and I said, Scott quit
after one month because it wasn't working and the cancer
was progressing. I know this because he told me on
my podcast he now suffers from advanced cancer, which may
have been avoided had he not wasted this month and
started evidence based treatment sooner. I'm not opposed to off
(07:42):
label use when fighting for your life, but it shouldn't
delay regiments with proven results. Yeah, I stand by what
I said. And this guy went cuckoo like for cocoa puffs.
He starts posting all over I'm going to sue her
and blah, blah blah. And if she does an issue
(08:02):
a public apology by.
Speaker 1 (08:03):
This time and this time, I'm gonna.
Speaker 2 (08:07):
Unleash this legal fury blah blah blah blah blah.
Speaker 1 (08:11):
It was like it was a lot needless to stay.
Speaker 2 (08:16):
And then and then there was like this massive attack
on me from all of his followers.
Speaker 1 (08:21):
He has a lot.
Speaker 2 (08:22):
I mean, people, listen, if you are promising that you
have a cheap, easy cure for cancer, and all of
us who work in the cancer industry that were the
villains and we're just these puppets a big pharma and
big blah blah blah blah blah. But you're the guy.
You're the one guy who's fighting us all and you
are here to save the day. Yeah, you get a following.
(08:45):
I mean, you've seen how cults work, and I get it.
When people are scared and something's happening with cancer, you
want every every possibility. I get it, I absolutely do.
This guy is volatile and hostile. So these people all
kind of came at me on social media. Good news,
as social media does not dictate my life, and the
(09:07):
amount of likes or followers I have is not does
not weigh in on my overall physical, mental health, or
just happiness in general.
Speaker 1 (09:15):
I actually wish that a lot of these doctors.
Speaker 2 (09:17):
On social media who were coming out yelling at me
that they would actually just spend a little bit less
time on social media and maybe more time on science
and seeing patients in the real world. And then someone
brought up a tweet that I put out from like
four years ago. I mean telling you as a doctor,
(09:38):
like who has the time? But by all means, if
you want to go through my Twitter feed for the
last five years, I think I've been on for like
nine years, you have a ways to go. She posted
like one tweet that I'd put out I wish I
don't even remember doing four years feels like forty years
ago at this point. And I said something like the
New York Yankees and the New York Mets. She just
(09:59):
have a game like hold a game where the vaccinated
can go and they can do a lottery based on
what day you got your vaccine. Like that was it,
And so it's interesting, and I was looking at my calendar, I'm.
Speaker 1 (10:13):
Like, why would I even put that?
Speaker 2 (10:14):
Like that's so weird, Like how random am I talking
about the Yankees and the Mets? But I remember what
was happening during that time. The spring season had just started,
and we always take our kids every year to spring
training and then to the games and still when it's
really cold out, and I remember we took our kids
during that time and it was awful.
Speaker 1 (10:35):
It was awful.
Speaker 2 (10:37):
The vaccines had just come out, not for the kids,
but so you had all adults had to be vaccinated.
The lines you had to go through it was terrible.
Everyone had to wear a mask. There was like ten
seats in between. Like it was the most unenjoyable experience ever.
And I think I can't really remember, but I think
(10:58):
my thought process was, why don't you? And by the way,
this the industry wasn't going to survive that way, right,
You have this stadium built for tens of thousands of
people or however money it is, and there was like
hundreds of us, and it was awful. It was an
unenjoyable experience. No one had a good time, and it
wasn't gonna last. So like, have a game where all
the vaccinated could go, then can the rest of us
(11:21):
just like go and watch baseball and eat hot dogs
in peace? Obviously that I don't wasn't communicated during that message,
but so this doctor posted it. She's like, never forget,
never forget what it was like, Oh the drama.
Speaker 1 (11:38):
But then so then her followers.
Speaker 2 (11:41):
Started going, now, practice, you should be sued and spend
the rest of your life in prison.
Speaker 1 (11:47):
And I'm like, what are you talking about?
Speaker 2 (11:49):
And then they're like, you were pushing the mandates, you're.
Speaker 1 (11:53):
Listening to wellness and mass. We'll be right back with more.
Speaker 2 (11:59):
Obviously these are all either bots or just incredibly uninformed,
because but that's.
Speaker 1 (12:04):
What they do, right, These are clickbait posts.
Speaker 2 (12:07):
So I'm like, and I'm not going to defend myself,
like you really think that that's a good use of
my time to sit and respond to all of these
whatevers who are saying factually incorrect statements. Some of them
are probably bots and other ones are probably not mentally
with it. At the bottom line is, you know, we
(12:28):
all learned a lot during COVID, and one of the
things for me, I was on TV many times a day,
every single day, and it was tough because I was
learning information on the fly like the rest of the
world was. And I got some things right, I got
some things wrong. But at the end of the day.
(12:48):
I'm very comfortable. And how I handled it was I
wiping down packages. Yeah, I did for a couple of days.
Does that seem ridiculous now, kind of? But I mean
it was a coronavirus. I have a degree in immunology.
Contact surface transmission is a thing. I didn't know much
about the virus when it first started, so I did
when the vaccines were first coming out. I was a
(13:10):
staunch supporter Operation Warp Speed because I knew the level
of bureaucratic and administrative blow and hurdles that came with
drug manufacturing and getting things approved. So, yeah, President Trump
is getting involved. Yeah, I trusted the money, the science,
it was all there.
Speaker 1 (13:29):
I did trust that.
Speaker 2 (13:30):
Maybe I blindly trusted a little too much, but I
didn't blindly trust everything they said. I was reading the
studies for myself. I was reading the data myself, and
I was reporting on the data. And yeah, the efficacy
of these drugs, these vaccines early on were incredible. Really
quickly did we learn that transmission wasn't stopped. And as
(13:51):
soon as we saw that, we started talking about it. It's
like we have a breakthrough case. We have another one.
Everyone has a breakthrough case. Okay, So these vacscenes are
not stopping transmission, and I admit I said that right away,
like hey, and I think the biggest point for me
when I stopped like I really had a problem. It
always revolved round the kids for the most part, keeping
(14:14):
them out of school, masking all that. But when they
started coming with the vaccines and the kids and the mandates,
I'm like, whoa, whoa, pump the brakes. This is when
I'll be the most outspoken that I have been. And
I didn't tout the line on anything. I really did
believe things, and I reported on it as it evolved.
So if by me originally supporting the vaccines is if
(14:38):
that's going to have certain people hate me, okay, then
that's okay. I still support the vaccines in certain situations.
I think that they have caused a significant amount of harm, absolutely,
but I still think that there is a place where
they provide some benefit. And if they're provided zero benefit,
they'd be off the market because we have our Junior
(15:00):
Martin Kerrey, Mamma OZ and President Trump in the administration,
So if there was not a single shread of data
showing that there is benefit, they wouldn't be there.
Speaker 1 (15:09):
Anymore. Let's just be honest.
Speaker 2 (15:10):
I'm kind of digressing from our November and we're going
to get back to prostate cancer. But I just wanted
to share that with you because I have never had
such a hate campaign attack on me in like a
few day period and all I can just say my
only recommendation. When I was on the red carpet for
(15:31):
the Fox Nation Patriot Awards last week, one of the
things I got asked on the red carpet. We had
a whole audience of fans. They're amazing. People showed up.
They said, you know, what's your biggest recommendation for people
for overall wellness? And I'm like, you have to just
live your life, and yeah, we focus on our physical health,
you also have to focus on your mental health because
(15:52):
they go hand in hand. And you can do everything right.
Speaker 1 (15:56):
You could be.
Speaker 2 (15:56):
Eating where I exercising, limiting social media and doing everything
that you're to be doing right and bad things can
still happen. So the biggest thing is make sure you're
enjoying your life and enjoying it with substance. And substance
is your family, your friends, your pets. I have chickens,
I have dogs, my lavender field provides tranquility for me.
(16:16):
Social media does not define me, and so for these
people who some are real people, many are bots, like you,
don't affect me the way that you wish you did.
And I implore you to get off social media more
and go out in the real world because I promise
you it'll be good for you.
Speaker 1 (16:37):
So that was my little diatribe.
Speaker 2 (16:38):
On my drama, if you will, my own little drama series.
Things have settled down, but I still am getting some
wack a doodle dus sending me some.
Speaker 1 (16:47):
How dare you messages? Anyways, Okay, I.
Speaker 2 (16:50):
Want to go back now that I want to get
back to Scott, I want to talk about prostate cancer briefly,
because we talk a lot about breast cancer, we talk
a lot about other things. Prostate cancer is incredibly common
and Scott Adams thankfully is being very open about his
journey and he's talked a lot about publicly some of
these treatments, one of them being so just like breast cancer,
(17:14):
when it comes to prostate cancer, prostate cancer.
Speaker 1 (17:17):
Early detection matters and there's a very high likelihood of
survivability if you catch it early.
Speaker 2 (17:23):
Now, a lot of people present when it's already spread,
because you know, it doesn't present with a lump like
breast cancer does, and so there's not a lot of
big symptoms with prostate cancer that they mimix. A lot
of benign things like getting up to urinate during the
night more frequently. Well, if you're a man in your
(17:44):
fifties and sixties, that happens naturally. It doesn't mean you
have prostate cancer. Just means your prostate's getting bigger. And
most of the time that's completely benign. Sometimes it can
be cancer. So it's always good to go talk to
a doctor about some of these early signs. But once
prostate cancer has advanced, most often it does go to
the bones. There are still treatments. You're never going to
(18:06):
cure stage four cancer. Unfortunately, it doesn't go away entirely.
But you can live with stage four cancer. Some people
can live for a month, some people can live for
a year, some people can live for ten years.
Speaker 1 (18:16):
I see it all the time.
Speaker 2 (18:17):
I read scans of people who are diagnosed a decade ago,
and they're still living their life. They're still watching their
kids grow up, their grandkids going up. They're dancing, they're exercising,
they're vacationing. So, you know, being told that you have
advanced metastatic prostate cancer and or other cancers, it doesn't
mean life has to stop there. There can be some
(18:38):
things we can do, you know, just to give some
basic stats on prostate cancer. Prostate cancer one of the
most common cancers in men in the United States. It
has the same statistics as breast cancer. One in eight
men will be diagnosed in their lifetime and one in
forty are going to die a bit. The good news is,
just like I said, when prostate cancer is caught early
and it's confined to the prostate hasn't left prostate, the
(19:01):
five year survival rate nearly one hundred percent.
Speaker 1 (19:03):
That's pretty good.
Speaker 2 (19:05):
When it spreads, it tends to go hematologically, meaning in
the bloodstream, and it goes to the bones and goes
to some of the surrounding lymph nodes. Once it's gone
to the bones, the survival rate drops dramatically down to
like thirty to thirty five percent in five years. Obviously,
that's a huge difference, and it underscores why screening and
(19:27):
early detection matters so much. So, how do you screen
for prostate cancer? Well, when I was in medical school.
The big thing we talked about was the digital rectal
exam and where we stuck fingers up the rear end
of gentlemen and we felt the prostate till we felt
for hard, hardened nodules. We also have blood tests that
look for PSA, which is an anagen that specific for
(19:51):
your prostate, and if it goes up, it can still
be something completely benign, but based on how quickly it
goes up, how high it goes up, it could a
sign that cancer is developing. Thankfully, we have ultrasound, we
have MRI, and we have other imaging modalities that can
help us look at the prostate these days.
Speaker 1 (20:10):
So there are lots of treatments we have.
Speaker 2 (20:13):
It's not just your traditional chemotherapy anymore, where you just
throw toxins at someone and we're trying to kill everything
cancer and everything else in the way. We still use
that unfortunately, but it's unfortunately it is still necessary when
it comes to certain cancers. But when it comes to
prostate cancer, we've gotten very specific in the way that
we're treating it. We have certain anti hormone therapies because
(20:37):
just like breast cancer, some of these prostate cancers are
sensitive to hormones. So if you shut off those hormones,
it helps, so it stops the cancer from growing. And
that was the treatment that Scott Adams didn't want to
do because, yeah, if you shut off a man's testosterone.
Speaker 1 (20:53):
How do you think he's going to feel about that?
Speaker 2 (20:55):
So there's a you know, there's an emotional component to
it as well, and Scott pokes by himself a little bit.
Speaker 1 (21:01):
You're going to have to go and listen to the
earlier podcasts.
Speaker 2 (21:03):
But so that's one very very successful therapy that we
use in a lot of people. But what he is
now recently trying, so after you try the anti hormone therapy,
if you know, it may work for a while and
then sometimes it stops working and so then you might
have to move on to something else. Usually when it
comes to cancer therapy, you have to start small before
you go to the bigger hitters, and that that's what's
(21:25):
happening with a lot of insurance companies. So Scott is
now he's announced that the treatment that he was really
trying to get and who's having a really difficult time
being scheduled for which he asked President Trump's help, was
something called pluvisito.
Speaker 1 (21:41):
Or plu victo.
Speaker 2 (21:42):
It's plu victo, plu victo, I know the name drug,
but plu Victo I think it's called. And honestly, this
type of treatment is one of the most exciting development
we've seen in prostate cancer, and to be honest, decades.
It's part of a class of treatments called radio ligand therapy,
which is like a really fancy term for essentially, you
(22:02):
are taking something that is radioactive, a little radioactive particle,
and it targets something in the body called PSMA or
prostate specific membrane antigen, and this little anigen think of
it as like a little protein or something that just
sits on the surface of can't prostate cancer cells. We
see the similar thing in breast cancer, where you have
(22:26):
certain proteins on top of breast cancer like HER two
and other and we have specific treatments targeting those. So
with prostate if you have PSMA on these prostate cells
prostate cancer cells, this little radioligand goes and finds it,
it attaches to it, and the radioligand is radioactive, and
(22:48):
so it then incorporates the radioactivity into the cancer cells
and effectively kills it. Now we all think of external
beam radiation when we talk about cancer treatment, and that's
kind of looks like like a Superman movie. An external
beam of radiation is just going into your body. It's
killing the cancer, and it really actually causes damage to
(23:09):
a lot of the surrounding tissues. These specific radioligand therapies
it really just are targeting right there, these prostate cancer cells.
I mean, it's quite remarkable. It's like sending a microscopic
heat seeking missile just straight to the cancer cells and
it doesn't affect things around it. Clinical trials have actually
shown this medication can slow disease progress by about thirty percent,
(23:32):
and in many cases it reduces pain and can improve
the quality of life for the men who've tried some
of these other treatments. Scott also mentioned that he is
taking another medication in addition to the plu Victo, and
that is called BioShield, which sounds like a very you know,
if I were coming up with a cancer medication or
(23:55):
a protective medication, BioShield that sounds like a strong name. Essentially,
what it is it helps to boost his immune system.
So the radioactive treatment is going to kill those cancer cells,
and he's boosting his own immune system to also help
kill those cancer cells, filter them out, and just try
to get him too as healthy as he possibly can.
(24:20):
So I've kind of gone on and on. But what
can we all learn from this? Well, I guess first
and foremost, stay off social media. It's obnoxious. Just kidding,
that's not what we're learning here. When it comes to
men's health, prostate cancer is one of the most common
things a man will deal with in his lifetime, not
just the cancer that can form in the prostate, but
(24:41):
some other benign things that can be forming in the prostate.
So if you are a man by the time you
are forty, you should start talking to your doctor about
what should I be doing to monitor my prostate health.
Speaker 1 (24:51):
If you have a family history.
Speaker 2 (24:53):
Of father, grandfather, brother, whatever it may be, who has
a history of prostate cancer or prostate relif issues, you
should maybe even have that conversation with your doctor earlier.
On Early detection matters, It matters for a lot of things.
Definitely matters when it comes to prostate cancer. I know
a lot of people always want that unconventional treatment, they
(25:13):
want that cancer cure. I will tell you it rarely
works for aggressive cancers. I understand the hesitation, the fear
of surgery, the side effects of hormone therapy, but delaying
care can be very dangerous. Cancer does not wait for
us to make peace with our options. Sometimes we have time,
other times we don't, and early detection really does save lives.
(25:37):
So if you have been diagnosed with a late stage
aggressive cancer, I recommend you talk to your doctors, doctor,
your family, see what's right for you. Maybe it's trying
unconventional treatments, maybe doing in combination with what your doctors
are recommending, or maybe you decide you don't want to
do anything.
Speaker 1 (25:52):
It's your journey, it's your life.
Speaker 2 (25:54):
You do you, but for everyone listening, early detection again
is very important. I know no one likes to get
a rectal exam. The good news is you don't really
need to have one anymore. Some doctors still do them
because they really can help detect prostate cancer. Some people
will just opt for that blood test where you're getting
(26:14):
the PSA test, that prostate specific antigen and it's not perfect,
but it is a powerful tool, and many men avoid
it because they don't want to talk about. You know,
those kind of exams, or they think prostate cancer is
always slow growing, but the reality is some forms are aggressive,
especially if you are an African American male, if you
have a family history of prostate cancer, because you may
(26:35):
have some sort of thing going on in your genes
that makes it grow faster. And obviously, waiting until symptoms
appear can mean that it's already too late for you
to be cured. So if you want a chance of
curing your cancer, you want to make sure you catch
it as early as possible.
Speaker 1 (26:52):
Some of those early.
Speaker 2 (26:52):
Warning signs that I kind of mentioned, frequent urination, especially
at night. Don't just call it getting old. It may
just be getting old old men, but make sure it's
not something else. Difficulties starting or stopping urination. You know,
if things just feel different when you're using the urinal,
that's a sign a weak or interrupted stream. I'm not
(27:13):
going to go into what that means, but you know,
you know what it beats blood in the urine or
in semen, pain in the lower back, hips, or pelvis.
Sometimes this can just be from the cancer and the prostate.
Sometimes this means that the cancer cells have already left
the prostate and gone to the bones and If you
overnight develop a rectile dysfunction, it's sudden.
Speaker 1 (27:34):
That's not normal either. Talk to your doctor now.
Speaker 2 (27:36):
Keep in mind those symptoms do not always mean cancer.
They can come from prostate enlargement or some type of
infection which may be easily treated with antibiotics.
Speaker 1 (27:45):
You never know. Don't be afraid to go to the doctor.
There may be an easy fix.
Speaker 2 (27:50):
But if you notice them, don't shrug them off. Please
just get checked out. I'm doctor Nicol Sapphire. This is
well in a s unmass. This is November. Going to
probably keep talking about some mens health issues, physical and mental.
Make sure to listen to Wellness un Masks with doctor
Nicole Sapphire on iHeartRadio or wherever you get your podcasts
and I'll see you next time
Welcome to Wellness on MASS.
Speaker 2 (00:05):
I'm doctor Nicole Saffire and I'm very excited that he
joined us this week.
Speaker 1 (00:09):
An interesting topic today.
Speaker 2 (00:10):
It is November, so that means it is November, which
means that the men's health month. You may see more
people walking around with facial hair mustaches.
Speaker 1 (00:21):
It's kind of that time of year.
Speaker 2 (00:22):
Instead of all the pink during October for Breast Cancer
Awareness Month, people are growing facial hair in November as
a reminder that men's health matters too. And in the
same vein, something very interesting happened to me a non
man this past week. So if you recall, we had
Scott Adams on the podcast a couple months ago. Now,
(00:43):
Scott Adams is he probably is most well known for
being the Dilbert creator, the comic strip.
Speaker 1 (00:52):
He's also written several books.
Speaker 2 (00:54):
He's widely known in a lot of various different circles.
Speaker 1 (00:57):
I actually love listening to him.
Speaker 2 (00:59):
He does these mourning live streams on social media called
like Coffee with Scott, and you know, he's just he
is just so real and he just talks to you
about everything that he's reading, everything that he's thinking. After
President Biden earlier this year, came out with his diagnosis
of prostate cancer. Scott Adams decided to also share with
(01:22):
the world that he too had been diagnosed with prostate cancer.
And just like President Biden, Scott was diagnosed with metastatic
or stage four advanced prostate cancer. It had metastasized, it
had left his prostate and had gone to his bones.
So when he was diagnosed, and by the way, you
can go back to our episode with Scott where he
(01:44):
goes into all details of this, Scott was diagnosed with
advanced prostate cancer. You know, he was kind of given
some unfavorable statistics, and he decided he didn't necessarily want
to undergo some of the treatments. He had some concerns
about taking anti testos therapy what would this.
Speaker 1 (02:01):
Do to him?
Speaker 2 (02:02):
So he decided not to do the standard treatments that
were being recommended. He did try some unconventional treatments, which
after about a month, I guess they noticed that his
lab values were not only not getting better, but they
were getting worse. So Scott stopped the unconventional treatments and
decided to try what was being recommended by his physicians.
(02:24):
And in Scott's own words, once he actually started taking
those medications. It was like his pain completely went away.
He was actually considering suicide because of the amount of
pain he was in and that he just did not
feel like there was any hope. And then the next
day he was taking medication and all of a sudden,
he felt fine again, and he got cats and he's
(02:46):
still live streaming. But again, you can go back to
the podcast, you can go through all of those details.
What happened in the last week was Scott took to
social media. So one of the big things that happened
after his diagnosis was President Trump called him and he
tells us all about it in the first episode. One
of the things President Trump said to him, if I
(03:07):
can ever do something for you, let me know. Now,
people say that to people all the time and they
don't really mean it. If you know Donald Trump, you
know he means it. Scott was finding himself having difficulty
getting scheduled for this new treatment that.
Speaker 1 (03:21):
He had been approved of.
Speaker 2 (03:23):
His insurance company approved it, which, by the way, that's
the biggest hurdle when it comes to healthcare in general,
is getting past the insurance companies. Well, the insurance companies
approved the medication. This treatment for Scott, but he was
having a hard time getting it scheduled because it wasn't
like just going to your pharmacy and taking a pill.
It's actually a radio nucleide targeted therapy. And I'll tell
(03:44):
you a little bit more about that. So there were
a lot of logistics, but Scott was decompensating, and he
talked about this on social media, and so he reached
out on social media.
Speaker 1 (03:57):
He said, it's Sunday or Saturday, what every day it was?
It was the weekend.
Speaker 2 (04:01):
I'm going to reach out to President Trump on Monday.
I'm gonna let him know I need help because Kaiser
of California, they're not getting it done and I'm not
doing well well. You should have seen the storm that
went across social media. You had Donald Trump Junior rfka Junior.
(04:22):
Everyone was on it. Scott got personal calls by all
these people. I was talking to him offline a little bit.
We all wanted to help anything that we could do.
And the good news is Scott already started the treatment
and according to him, he just finished his sixth round.
Speaker 1 (04:40):
So it's pretty incredible.
Speaker 2 (04:42):
But what I wanted to tell you about that was
the person who was kind of the person who was
Scott's point person when he was trying the unconventional treatments
before he decided to go and start taking some of
the medications. This person went on this tirade on social
(05:02):
media saying this treatment's not going to work for him.
Speaker 1 (05:07):
He didn't follow what I'm saying to do or like something.
Speaker 2 (05:10):
I don't even remember the exact thing, but it was
just so inappropriate, so I decided to I know, sometimes
I'm feeling a little saucy. Sometimes most of the time
I'm not. But it really upset me that this guy
did this because I'll be honest, I have a lot
of people who come in saying that they're doing what
this guy talks about doing. It's taking some of those
(05:31):
anti parasitic medications for their cancer, and they don't. They
don't take the recommendations of the standard treatments. They're just
taking the anti parasitics. Now, I'm not saying that this
guy says that's what you should do. I'm just telling
you what people do. Scott Adams being one of them,
some of the other patients I've seen, and being other ones,
they forego what's being recommended the standard of care to
(05:53):
try these medications that are being touted online by certain
people as these miracle drugs, and so unfortunately, for a
lot of people, all people that I have seen personally,
it doesn't work for and it gets worse. Now, are
there some studies that have shown that if you take
these anti parasitic medications that it can help you. Yeah,
especially in studies that are done in areas of the
(06:15):
world where there's a huge parasite overload. You think you
think getting rid of parasites might help you fight off cancer.
Speaker 1 (06:21):
Absolutely.
Speaker 2 (06:22):
And by the way, if I had a terminal cancer,
I'd probably take everything I possibly could. I would take
the standard of medicine, and maybe I would try these
other things too.
Speaker 1 (06:30):
It's possible.
Speaker 2 (06:31):
So what this guy said was I tried to help
Scott Adams and his stage four prostate cancer.
Speaker 1 (06:35):
Scott quit after one month, blah blah blah.
Speaker 2 (06:38):
He goes on he also tried to hurt thousands of
other cancer patients in the process as well. I forgive
him blah blah blah. And then he's going to say
that he pioneered this new treatment therapy that Scott is
going to do, and he's like, it's not going to work.
I wish it would, but it won't. Not even no one,
(07:00):
not even President Trump, is going to offer to him
what I can do. And like, I'm paraphrasing what he said,
but he went on and on and on, and you
know what, you know what Scott Adams doesn't need in
that moment, as he is actively dying from advanced cancer.
He doesn't need some guid He's just trying to get
famous off of social media and to say like, oh,
(07:20):
it's not going to work for you, but I'm the
only one, I'm your savior. It's actually disgusting in my opinion.
So I took his post and I said, Scott quit
after one month because it wasn't working and the cancer
was progressing. I know this because he told me on
my podcast he now suffers from advanced cancer, which may
have been avoided had he not wasted this month and
started evidence based treatment sooner. I'm not opposed to off
(07:42):
label use when fighting for your life, but it shouldn't
delay regiments with proven results. Yeah, I stand by what
I said. And this guy went cuckoo like for cocoa puffs.
He starts posting all over I'm going to sue her
and blah, blah blah. And if she does an issue
(08:02):
a public apology by.
Speaker 1 (08:03):
This time and this time, I'm gonna.
Speaker 2 (08:07):
Unleash this legal fury blah blah blah blah blah.
Speaker 1 (08:11):
It was like it was a lot needless to stay.
Speaker 2 (08:16):
And then and then there was like this massive attack
on me from all of his followers.
Speaker 1 (08:21):
He has a lot.
Speaker 2 (08:22):
I mean, people, listen, if you are promising that you
have a cheap, easy cure for cancer, and all of
us who work in the cancer industry that were the
villains and we're just these puppets a big pharma and
big blah blah blah blah blah. But you're the guy.
You're the one guy who's fighting us all and you
are here to save the day. Yeah, you get a following.
(08:45):
I mean, you've seen how cults work, and I get it.
When people are scared and something's happening with cancer, you
want every every possibility. I get it, I absolutely do.
This guy is volatile and hostile. So these people all
kind of came at me on social media. Good news,
as social media does not dictate my life, and the
(09:07):
amount of likes or followers I have is not does
not weigh in on my overall physical, mental health, or
just happiness in general.
Speaker 1 (09:15):
I actually wish that a lot of these doctors.
Speaker 2 (09:17):
On social media who were coming out yelling at me
that they would actually just spend a little bit less
time on social media and maybe more time on science
and seeing patients in the real world. And then someone
brought up a tweet that I put out from like
four years ago. I mean telling you as a doctor,
(09:38):
like who has the time? But by all means, if
you want to go through my Twitter feed for the
last five years, I think I've been on for like
nine years, you have a ways to go. She posted
like one tweet that I'd put out I wish I
don't even remember doing four years feels like forty years
ago at this point. And I said something like the
New York Yankees and the New York Mets. She just
(09:59):
have a game like hold a game where the vaccinated
can go and they can do a lottery based on
what day you got your vaccine. Like that was it,
And so it's interesting, and I was looking at my calendar, I'm.
Speaker 1 (10:13):
Like, why would I even put that?
Speaker 2 (10:14):
Like that's so weird, Like how random am I talking
about the Yankees and the Mets? But I remember what
was happening during that time. The spring season had just started,
and we always take our kids every year to spring
training and then to the games and still when it's
really cold out, and I remember we took our kids
during that time and it was awful.
Speaker 1 (10:35):
It was awful.
Speaker 2 (10:37):
The vaccines had just come out, not for the kids,
but so you had all adults had to be vaccinated.
The lines you had to go through it was terrible.
Everyone had to wear a mask. There was like ten
seats in between. Like it was the most unenjoyable experience ever.
And I think I can't really remember, but I think
(10:58):
my thought process was, why don't you? And by the way,
this the industry wasn't going to survive that way, right,
You have this stadium built for tens of thousands of
people or however money it is, and there was like
hundreds of us, and it was awful. It was an
unenjoyable experience. No one had a good time, and it
wasn't gonna last. So like, have a game where all
the vaccinated could go, then can the rest of us
(11:21):
just like go and watch baseball and eat hot dogs
in peace? Obviously that I don't wasn't communicated during that message,
but so this doctor posted it. She's like, never forget,
never forget what it was like, Oh the drama.
Speaker 1 (11:38):
But then so then her followers.
Speaker 2 (11:41):
Started going, now, practice, you should be sued and spend
the rest of your life in prison.
Speaker 1 (11:47):
And I'm like, what are you talking about?
Speaker 2 (11:49):
And then they're like, you were pushing the mandates, you're.
Speaker 1 (11:53):
Listening to wellness and mass. We'll be right back with more.
Speaker 2 (11:59):
Obviously these are all either bots or just incredibly uninformed,
because but that's.
Speaker 1 (12:04):
What they do, right, These are clickbait posts.
Speaker 2 (12:07):
So I'm like, and I'm not going to defend myself,
like you really think that that's a good use of
my time to sit and respond to all of these
whatevers who are saying factually incorrect statements. Some of them
are probably bots and other ones are probably not mentally
with it. At the bottom line is, you know, we
(12:28):
all learned a lot during COVID, and one of the
things for me, I was on TV many times a day,
every single day, and it was tough because I was
learning information on the fly like the rest of the
world was. And I got some things right, I got
some things wrong. But at the end of the day.
(12:48):
I'm very comfortable. And how I handled it was I
wiping down packages. Yeah, I did for a couple of days.
Does that seem ridiculous now, kind of? But I mean
it was a coronavirus. I have a degree in immunology.
Contact surface transmission is a thing. I didn't know much
about the virus when it first started, so I did
when the vaccines were first coming out. I was a
(13:10):
staunch supporter Operation Warp Speed because I knew the level
of bureaucratic and administrative blow and hurdles that came with
drug manufacturing and getting things approved. So, yeah, President Trump
is getting involved. Yeah, I trusted the money, the science,
it was all there.
Speaker 1 (13:29):
I did trust that.
Speaker 2 (13:30):
Maybe I blindly trusted a little too much, but I
didn't blindly trust everything they said. I was reading the
studies for myself. I was reading the data myself, and
I was reporting on the data. And yeah, the efficacy
of these drugs, these vaccines early on were incredible. Really
quickly did we learn that transmission wasn't stopped. And as
(13:51):
soon as we saw that, we started talking about it. It's
like we have a breakthrough case. We have another one.
Everyone has a breakthrough case. Okay, So these vacscenes are
not stopping transmission, and I admit I said that right away,
like hey, and I think the biggest point for me
when I stopped like I really had a problem. It
always revolved round the kids for the most part, keeping
(14:14):
them out of school, masking all that. But when they
started coming with the vaccines and the kids and the mandates,
I'm like, whoa, whoa, pump the brakes. This is when
I'll be the most outspoken that I have been. And
I didn't tout the line on anything. I really did
believe things, and I reported on it as it evolved.
So if by me originally supporting the vaccines is if
(14:38):
that's going to have certain people hate me, okay, then
that's okay. I still support the vaccines in certain situations.
I think that they have caused a significant amount of harm, absolutely,
but I still think that there is a place where
they provide some benefit. And if they're provided zero benefit,
they'd be off the market because we have our Junior
(15:00):
Martin Kerrey, Mamma OZ and President Trump in the administration,
So if there was not a single shread of data
showing that there is benefit, they wouldn't be there.
Speaker 1 (15:09):
Anymore. Let's just be honest.
Speaker 2 (15:10):
I'm kind of digressing from our November and we're going
to get back to prostate cancer. But I just wanted
to share that with you because I have never had
such a hate campaign attack on me in like a
few day period and all I can just say my
only recommendation. When I was on the red carpet for
(15:31):
the Fox Nation Patriot Awards last week, one of the
things I got asked on the red carpet. We had
a whole audience of fans. They're amazing. People showed up.
They said, you know, what's your biggest recommendation for people
for overall wellness? And I'm like, you have to just
live your life, and yeah, we focus on our physical health,
you also have to focus on your mental health because
(15:52):
they go hand in hand. And you can do everything right.
Speaker 1 (15:56):
You could be.
Speaker 2 (15:56):
Eating where I exercising, limiting social media and doing everything
that you're to be doing right and bad things can
still happen. So the biggest thing is make sure you're
enjoying your life and enjoying it with substance. And substance
is your family, your friends, your pets. I have chickens,
I have dogs, my lavender field provides tranquility for me.
(16:16):
Social media does not define me, and so for these
people who some are real people, many are bots, like you,
don't affect me the way that you wish you did.
And I implore you to get off social media more
and go out in the real world because I promise
you it'll be good for you.
Speaker 1 (16:37):
So that was my little diatribe.
Speaker 2 (16:38):
On my drama, if you will, my own little drama series.
Things have settled down, but I still am getting some
wack a doodle dus sending me some.
Speaker 1 (16:47):
How dare you messages? Anyways, Okay, I.
Speaker 2 (16:50):
Want to go back now that I want to get
back to Scott, I want to talk about prostate cancer briefly,
because we talk a lot about breast cancer, we talk
a lot about other things. Prostate cancer is incredibly common
and Scott Adams thankfully is being very open about his
journey and he's talked a lot about publicly some of
these treatments, one of them being so just like breast cancer,
(17:14):
when it comes to prostate cancer, prostate cancer.
Speaker 1 (17:17):
Early detection matters and there's a very high likelihood of
survivability if you catch it early.
Speaker 2 (17:23):
Now, a lot of people present when it's already spread,
because you know, it doesn't present with a lump like
breast cancer does, and so there's not a lot of
big symptoms with prostate cancer that they mimix. A lot
of benign things like getting up to urinate during the
night more frequently. Well, if you're a man in your
(17:44):
fifties and sixties, that happens naturally. It doesn't mean you
have prostate cancer. Just means your prostate's getting bigger. And
most of the time that's completely benign. Sometimes it can
be cancer. So it's always good to go talk to
a doctor about some of these early signs. But once
prostate cancer has advanced, most often it does go to
the bones. There are still treatments. You're never going to
(18:06):
cure stage four cancer. Unfortunately, it doesn't go away entirely.
But you can live with stage four cancer. Some people
can live for a month, some people can live for
a year, some people can live for ten years.
Speaker 1 (18:16):
I see it all the time.
Speaker 2 (18:17):
I read scans of people who are diagnosed a decade ago,
and they're still living their life. They're still watching their
kids grow up, their grandkids going up. They're dancing, they're exercising,
they're vacationing. So, you know, being told that you have
advanced metastatic prostate cancer and or other cancers, it doesn't
mean life has to stop there. There can be some
(18:38):
things we can do, you know, just to give some
basic stats on prostate cancer. Prostate cancer one of the
most common cancers in men in the United States. It
has the same statistics as breast cancer. One in eight
men will be diagnosed in their lifetime and one in
forty are going to die a bit. The good news is,
just like I said, when prostate cancer is caught early
and it's confined to the prostate hasn't left prostate, the
(19:01):
five year survival rate nearly one hundred percent.
Speaker 1 (19:03):
That's pretty good.
Speaker 2 (19:05):
When it spreads, it tends to go hematologically, meaning in
the bloodstream, and it goes to the bones and goes
to some of the surrounding lymph nodes. Once it's gone
to the bones, the survival rate drops dramatically down to
like thirty to thirty five percent in five years. Obviously,
that's a huge difference, and it underscores why screening and
(19:27):
early detection matters so much. So, how do you screen
for prostate cancer? Well, when I was in medical school.
The big thing we talked about was the digital rectal
exam and where we stuck fingers up the rear end
of gentlemen and we felt the prostate till we felt
for hard, hardened nodules. We also have blood tests that
look for PSA, which is an anagen that specific for
(19:51):
your prostate, and if it goes up, it can still
be something completely benign, but based on how quickly it
goes up, how high it goes up, it could a
sign that cancer is developing. Thankfully, we have ultrasound, we
have MRI, and we have other imaging modalities that can
help us look at the prostate these days.
Speaker 1 (20:10):
So there are lots of treatments we have.
Speaker 2 (20:13):
It's not just your traditional chemotherapy anymore, where you just
throw toxins at someone and we're trying to kill everything
cancer and everything else in the way. We still use
that unfortunately, but it's unfortunately it is still necessary when
it comes to certain cancers. But when it comes to
prostate cancer, we've gotten very specific in the way that
we're treating it. We have certain anti hormone therapies because
(20:37):
just like breast cancer, some of these prostate cancers are
sensitive to hormones. So if you shut off those hormones,
it helps, so it stops the cancer from growing. And
that was the treatment that Scott Adams didn't want to
do because, yeah, if you shut off a man's testosterone.
Speaker 1 (20:53):
How do you think he's going to feel about that?
Speaker 2 (20:55):
So there's a you know, there's an emotional component to
it as well, and Scott pokes by himself a little bit.
Speaker 1 (21:01):
You're going to have to go and listen to the
earlier podcasts.
Speaker 2 (21:03):
But so that's one very very successful therapy that we
use in a lot of people. But what he is
now recently trying, so after you try the anti hormone therapy,
if you know, it may work for a while and
then sometimes it stops working and so then you might
have to move on to something else. Usually when it
comes to cancer therapy, you have to start small before
you go to the bigger hitters, and that that's what's
(21:25):
happening with a lot of insurance companies. So Scott is
now he's announced that the treatment that he was really
trying to get and who's having a really difficult time
being scheduled for which he asked President Trump's help, was
something called pluvisito.
Speaker 1 (21:41):
Or plu victo.
Speaker 2 (21:42):
It's plu victo, plu victo, I know the name drug,
but plu Victo I think it's called. And honestly, this
type of treatment is one of the most exciting development
we've seen in prostate cancer, and to be honest, decades.
It's part of a class of treatments called radio ligand therapy,
which is like a really fancy term for essentially, you
(22:02):
are taking something that is radioactive, a little radioactive particle,
and it targets something in the body called PSMA or
prostate specific membrane antigen, and this little anigen think of
it as like a little protein or something that just
sits on the surface of can't prostate cancer cells. We
see the similar thing in breast cancer, where you have
(22:26):
certain proteins on top of breast cancer like HER two
and other and we have specific treatments targeting those. So
with prostate if you have PSMA on these prostate cells
prostate cancer cells, this little radioligand goes and finds it,
it attaches to it, and the radioligand is radioactive, and
(22:48):
so it then incorporates the radioactivity into the cancer cells
and effectively kills it. Now we all think of external
beam radiation when we talk about cancer treatment, and that's
kind of looks like like a Superman movie. An external
beam of radiation is just going into your body. It's
killing the cancer, and it really actually causes damage to
(23:09):
a lot of the surrounding tissues. These specific radioligand therapies
it really just are targeting right there, these prostate cancer cells.
I mean, it's quite remarkable. It's like sending a microscopic
heat seeking missile just straight to the cancer cells and
it doesn't affect things around it. Clinical trials have actually
shown this medication can slow disease progress by about thirty percent,
(23:32):
and in many cases it reduces pain and can improve
the quality of life for the men who've tried some
of these other treatments. Scott also mentioned that he is
taking another medication in addition to the plu Victo, and
that is called BioShield, which sounds like a very you know,
if I were coming up with a cancer medication or
(23:55):
a protective medication, BioShield that sounds like a strong name. Essentially,
what it is it helps to boost his immune system.
So the radioactive treatment is going to kill those cancer cells,
and he's boosting his own immune system to also help
kill those cancer cells, filter them out, and just try
to get him too as healthy as he possibly can.
(24:20):
So I've kind of gone on and on. But what
can we all learn from this? Well, I guess first
and foremost, stay off social media. It's obnoxious. Just kidding,
that's not what we're learning here. When it comes to
men's health, prostate cancer is one of the most common
things a man will deal with in his lifetime, not
just the cancer that can form in the prostate, but
(24:41):
some other benign things that can be forming in the prostate.
So if you are a man by the time you
are forty, you should start talking to your doctor about
what should I be doing to monitor my prostate health.
Speaker 1 (24:51):
If you have a family history.
Speaker 2 (24:53):
Of father, grandfather, brother, whatever it may be, who has
a history of prostate cancer or prostate relif issues, you
should maybe even have that conversation with your doctor earlier.
On Early detection matters, It matters for a lot of things.
Definitely matters when it comes to prostate cancer. I know
a lot of people always want that unconventional treatment, they
(25:13):
want that cancer cure. I will tell you it rarely
works for aggressive cancers. I understand the hesitation, the fear
of surgery, the side effects of hormone therapy, but delaying
care can be very dangerous. Cancer does not wait for
us to make peace with our options. Sometimes we have time,
other times we don't, and early detection really does save lives.
(25:37):
So if you have been diagnosed with a late stage
aggressive cancer, I recommend you talk to your doctors, doctor,
your family, see what's right for you. Maybe it's trying
unconventional treatments, maybe doing in combination with what your doctors
are recommending, or maybe you decide you don't want to
do anything.
Speaker 1 (25:52):
It's your journey, it's your life.
Speaker 2 (25:54):
You do you, but for everyone listening, early detection again
is very important. I know no one likes to get
a rectal exam. The good news is you don't really
need to have one anymore. Some doctors still do them
because they really can help detect prostate cancer. Some people
will just opt for that blood test where you're getting
(26:14):
the PSA test, that prostate specific antigen and it's not perfect,
but it is a powerful tool, and many men avoid
it because they don't want to talk about. You know,
those kind of exams, or they think prostate cancer is
always slow growing, but the reality is some forms are aggressive,
especially if you are an African American male, if you
have a family history of prostate cancer, because you may
(26:35):
have some sort of thing going on in your genes
that makes it grow faster. And obviously, waiting until symptoms
appear can mean that it's already too late for you
to be cured. So if you want a chance of
curing your cancer, you want to make sure you catch
it as early as possible.
Speaker 1 (26:52):
Some of those early.
Speaker 2 (26:52):
Warning signs that I kind of mentioned, frequent urination, especially
at night. Don't just call it getting old. It may
just be getting old old men, but make sure it's
not something else. Difficulties starting or stopping urination. You know,
if things just feel different when you're using the urinal,
that's a sign a weak or interrupted stream. I'm not
(27:13):
going to go into what that means, but you know,
you know what it beats blood in the urine or
in semen, pain in the lower back, hips, or pelvis.
Sometimes this can just be from the cancer and the prostate.
Sometimes this means that the cancer cells have already left
the prostate and gone to the bones and If you
overnight develop a rectile dysfunction, it's sudden.
Speaker 1 (27:34):
That's not normal either. Talk to your doctor now.
Speaker 2 (27:36):
Keep in mind those symptoms do not always mean cancer.
They can come from prostate enlargement or some type of
infection which may be easily treated with antibiotics.
Speaker 1 (27:45):
You never know. Don't be afraid to go to the doctor.
There may be an easy fix.
Speaker 2 (27:50):
But if you notice them, don't shrug them off. Please
just get checked out. I'm doctor Nicol Sapphire. This is
well in a s unmass. This is November. Going to
probably keep talking about some mens health issues, physical and mental.
Make sure to listen to Wellness un Masks with doctor
Nicole Sapphire on iHeartRadio or wherever you get your podcasts
and I'll see you next time
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