On the next Another View on Health we’ll learn the latest in prevention and treatment of prostate cancer, and we will reveal a new plan to test hundreds of men in our area. Our guests include Charlie Hill, President of the Hampton Roads Prostate Health Forum and a prostate cancer thriver; Golden Bethune-Hill, Board Member of the HRPHF; and Infeanyi Ani, M.D., Urologist and Oncological Disease Surgeon. Join host Barbara Hamm Lee and co-host, Cardiologist Dr. Keith Newby for the next Another View on Health, Friday, June 24 at noon on 89.5 WHRV-FM or stream us live on this blog!
Good afternoon everyone today’s another view on health is for men and the women who love them Especially since one out of every five African-American men will be diagnosed with prostate cancer in his lifetime and one in 20 will die from this disease so today we’ll talk about
This cancer that only men can get yet affects the entire family we’ll tackle prostate cancer from the patients perspective including screening diagnosis and the latest in treatment and from the caregiver’s perspective with tips on how to take care of the patient as well as yourself cardiologist
Dr Keith newbie is my co-host and I’m Barbara Ham Lee another view on health is next right after this news from NPR discussing today’s topics from an africanamerican perspective this is another view happy Friday everyone and welcome to another view I’m Barbara Ham Lee prostate cancer it can affect any
Man but disproportionately affects African-American men according to the Centers for Disease Control and prevention scientists are not sure why prostate cancer is more common in black men but they are studying culture environment and differences in the biology of the disease as possible reasons our guests today are experts in
Prostate cancer Charlie Hill is the president of the Hampton Roads prostate health forum and a prostate cancer thriv hi Charlie hello Bara how are you that was great thank you so much for finally being here in the studio with us thank you we’re happy to have you golden
Bethon Hill is a former is a forum board member and caretaker of Charlie hey there golden how are you great Barber thanks so much for joining us and Dr eani Anie is a urologist and oncological disease surgeon how are you Dr Anie I’m good thank you for having me great thank
You so much for being here and of course my co-host for another view on health cardiologist Dr Keith newbie hey there how are you happy anniversary well thank you very much happy birthday thank you again everything all tied into one absolutely absolutely and I understand we have a special guest visiting with us
Today her name is Miss Marcel newbie and she is this is my youngest daughter 11 years old and she wanted to hang out with dad today oh that’s fantastic well welcome Marcela we’re so happy to have you here on the show with us today so we appreciate that so Charlie you have been
At the you know ringing this Bell yelling from the hilltops about prostate cancer since 2007 when you started the form or probably even before that even before really is it making a difference I think we’re making a difference because you hear uh open conversations today uh at a level and a frequency that
Did not occur prior to 2007 you’re right we started this journey in 2002 at that time it was very difficult to get anyone to talk with you about prostate cancer prostate issues at all uh however here in 2016 more people are comfortable talking about it and we think uh it that has
Occurred because we have more women engaged and we I want to make that point initially uh the more women we can have involved in this uh the better off the entire Community is so why do what has changed that you think makes it easier now what was the barrier back back in
2002 um earlier that kept people from talking about it I think the primary barrier was inertia men were not inspired to talk about it even though they were they were getting getting sick and they were dying uh and it was a private Affair uh as more and more women
Learned that you really did not have to have this happen to you and if you if you did what you needed to do earlier there was the opportunity uh to to survive and do better I like to say that I’m a thriv and a warrior because I was
Diagnosed in 2002 and I get a chance to look at and talk with you in in 2016 absolutely that’s that is an absolute uh Miracle B on what things used the way things used to be absolutely Dr Anie I want to ask you this um there is Dr Isla
Gway wrote this in 2009 okay she’s a prostate cancer researcher at UCLA she said African-American men in particular display increased risk of suffering and death from prostate cancer compared to Men of other ancestral backgrounds black men are more likely to be diagnosed with prostate cancer are diagnosed at a
Younger age display larger tumors and are more than twice as likely to die from prostate cancer that is spread throughout the body than white males now that was written in 2009 is that still true that is still true um part of those reasons that um there are various
Factors that contribute to it um the race does play a role which is uh um is associated with the uh genetics of the cancer in itself um diet is also a component to that um some of the other aspect which we’ve studied but you know most stud don’t have any clinical um
Significant Association but access to care is a significant part of that as well which um uh un underscores um what Mr Hill is doing in terms of being able to educate um men and their family their wives or Partners um so that they get educated enough to be able to be
Motivated to seek access if they don’t have access because that’s important but it is true the mortality rate um is higher in African-Americans in fact within the Hampton Roads area which when I moved here and looked into that I was actually very surprised to find out that
The Hampton Roads area has the highest incident of prostate cancer in Virginia in the state of Virginia do we know why um I per I don’t know that’s there’s nothing that’s out there that I can quote per se but um I would probably say um it has to do with the the population
The demographics in the area um there’s no epidemiological study that I can say okay this is the reason for that but when you look and it’s interest and when you actually look at the breakdown of these population for example the data that I found is initially from uh
2003 um and when you look in 2003 and this is per 100,000 um um deaths um when you look at Virginia itself it’s about uh at that point for when you break it down by race itself about 55 per 100,000 deaths and then 22 per 100,000 that’s in
Whites or Caucasians now when you look at the Hampton Roads area in Hampton it was 59 and then if you look at nool it was 69 and then if you look at Portsmith it was 45 excuse me Port Smith was 58 now if you fast forward um to 2006 that
Was in 2003 exactly okay now when you look at 2006 to 2010 um and you do the same um calculation um Chesapeake it had gone down actually between then to 2006 now but still Hampton was 28 norol 26 but Portsmith was 35 so Portsmith still has the highest mortality rate in the
Hampton Roads area and higher than the state itself no it’s very interesting because I worked on a project with the American Cancer Society on breast cancer and Portsmouth also has the highest number of breast cancer cases um in throughout the the state of Virginia and so it makes you wonder what is happening
In particularly in that city um that that all these people are being affected by these cancers maybe uh I mean it could be I’m sure there several factors involved but one uh of course you have to look at his education understanding of the disease process and and people
And we talk about we had this show with a month about Healthcare disparities I think there is a big part of that where we do not seek the treatment early enough and we don’t take take the necessary preventative steps and I think that plays a big factor if we’re not
Taking the preventive steps we’re not going to be discovered and until it’s too late and that’s what I found even in cardiology practice I’ve discovered you know several people prostate cancers ask them have you had a prostate exam and they’ll say no and I’m like well I mean
Have you talked with your doc about it you know and and half the time they’re ducking and dodging you know the whole process and I think that’s part of the issue is just where the prostate is and how you have to get there it’s just
A lot of men just have this iversion to wanting to have that exam you know Charlie we talked about this when another view used to be on TV and we were talking about and golden I haven’t forgotten about you I’m coming to you but but we talked about the the PSA
Test and the digital rectal exam and all of that and are people still tripping about the exam less so I I I I think the more we talk about it openly the less uh challenge some men have men who really understand what goes on with the digital rectal exam tend not to
Have a problem I’ve had one urologist who has done an excellent job of explaining what she was feeling for she was feeling for nules in the prostate gland if you had no nodules that was a good sign if you had nodules then we probably need to look at and do
Something earlier and when you walk through that with the men those who are open-minded did generally do better so that’s why the education piece is so important so Dr Anie by the time someone comes to you has are they already at the disease point or do you get a chance to
To help with with prevention first well the unfortunately there’s really no real prevention for prostate cancer per se um there are certain things that we’ve looked at that’s been studied that are thought to prevent presser cancer but unfortunately there’s nothing that is actually out there um there are things
That can help for prostate health but there’s really not unfortunately nothing for prevention there is a medicine that reduces so in other words if you’re going to get it you’re going to get it unfortunately you know we are you know there is constant study looking at how
To prevent it but unfortunately there is no primary prevention right now um however by the time there are two factors to that patients do come to me either they’ve already have prostate cancer diagnosed by someone else and requires uh surgical intervention or the primary care doctor has sent them over
Because they have an elevated PS say that they’ve been monitoring and then need further evaluation and subsequently prostate biopsy to then determine if they have prostate cancer so if I’m not mistaken a year or so ago didn’t a study come out or the recommendation that the
Um that men get tested older or less or something there was some some disparity about when less testing 2012 2013 the US preventive Services Task Force made a recommendation and I call that the beginning of tusky light because when that when that was recommendations came out uh it suggested that uh there was
Not enough value or benefit for some men uh to be tested on a regular basis so the men who were not really interested in being tested and examine backed away my fear my fear is 10 15 years from now we’re going to have a large bubble of
Men who did not get examined and tested who are going to show up with medicine atic prostate cancer when they go to see Dr Anie we already know that when the PSA was fully introduced in mid90s that that since that time there was about a 40% drop in prostate cancer mortality we
Know that that’s been established so if you not if you’re not doing that you can only imagine that you’re going to have an increase in in in deaths in the future that’s why I call it tusky light we need to we need to make sure that people understand that those
Recommendations did not not apply to Men of African descent those were for men of average risk white men black men still need to be tested uh and examined uh on a regular basis starting no later than age 40 annual testing annual exams in in this order Education First testing
Second and then the exams that ought to be a part of what happens the American Cancer Society has now begun to suggest that even though they s talked about age 40 age 50 uh for average risk men the beginning now to move in the direction
Of age 45 for men of high risk but then age 40 for men of higher risk well translation men of higher risk are men with a first-degree family relative father or a brother or men of African descent so we need to cut through all of that and simply say if you’re a black
Man then be should be tested on an annual basis at age 40 uh and continue on on 44 2665 or 1 800 94224 are the numbers to call to join our conversation call our experts ask them your questions about prostate cancer um not only from the male perspective but also from the caretakers
Perspective which we’re about to talk about 44 2665 or 1 80094 22 4 let me throw a comment in real quick one of the things that I found as a physician is um the issue becomes getting our young Brothers to the doctor period I mean well then the reason why I made that
Comment earlier about the uh fear that I think a lot of them still have with the recor exam is once they get educated it’s a different story but you got to get them to the doc to get them educated to get them a little better you know
Situated in terms of that what I found is personally as a as a cardiologist I get a whole lot of referrals from the mergency room for patients who have come in there for chest pain have no Primary Care dock hadn’t seen the dock in years and they come see me because the are
Refer them to me for chest pain evaluation so as I’m saying well who’s your primary care do I don’t have one and there are a lot of times 45 50 55 and older who just duck and Dodge the doctor in a major ways almost it’s if if
I don’t go then I don’t hear therefore I don’t have to deal with we have a big problem with that uh that that unfortunate correct term is ignorance factor and I don’t mean that in a negative way just you don’t know and if you don’t know and people don’t ask
Questions it’s just like when that study came out and I cringed when I heard that study come out they say you didn’t have to get tested I said oh guys’s going to be running for the heels they oh great that’s all I need to hear I don’t have
To worry about it anymore and I knew that issue would happen so that was a big factor but it’s just getting them to the dock getting them to understand they need to have these evaluations unfortunately so especially with our people if you feel fine in in a lot of
Our individual especially males mind that’s why the women are so important because they will push us to go where a lot of times we won’t go but in our minds we say if we are fine we feel fine therefore we are fine and that is not
Always the case and half time is not never the case so golden go ahead couple with that though if they feel fine they’re un sure that’s another factor and of course you know I run a community free clinic and I see men coming in with blood pressures through the roof so
Keith is on point there they’ve not gone to the doctor and that’s the LA last thing on their minds but I would add that I think since we’ve started to talk about this and as they hear from the wives men are very concerned about their sexual function so when they hear about
Prostate cancer they think I’m going to be messing up on myself I can’t have sex and one of the things we’ve tried to do is to point out all the things they can have and at many of our programs we’ll have experts come doctors like Dr Arie
And some of the others who can address those issues with the doctors with the patients once they know that it makes a big difference and we have visited with families that uh the husband couldn’t even look at his wife because he felt he could not be a man again well I was
Going to ask you about that because the the woman has to play I would imagine a very key role in in reassurance number one that that the relationship is not going to change um in terms of of being together um but even if some things have
To change that that you go through it together that’s very important Barbara and I think one of the things as women that we have to think about pay attention to your mate pay attention to what he’s saying because that whole issue of his sexual functioning or his being being able to
Be a good husband that rates so high with men as women we tend to blow it off and say oh that’s not a problem honey I love you anyway that’s not enough you’ve got to listen to them and understand what they’re saying so I always tell
Women make sure you don’t blow them off don’t compare it to breast caner even though that’s very serious Charlie has a saying that when a woman is diagnosed with breast cancer compared to how the men are feeling the lights go um the lights are dim but with a guy when you
Say prostate cancer they feel the lights go out now you know both of them are serious I don’t mean to minimize in it anyway the two but that’s the perspective that the men are thinking let’s go to the phones because they are lit up hi David you’re on the air David
Joins us from norick yes I I had a question involving uh supplemental treatments like Sal petow is that any importance to prostate health okay David we’ll get an answer for you thanks so much for your call Dr an thanks for the question David um yes Sal pometto and that question actually
Is pretty common and often comes up um Sal pometto um has been advertised as being a natural herbal treatment for prostate health um when it comes to prostate cancer cancer um it doesn’t have any association um it’s really more so U for enlarged prostate but even then
Um as urologist and also the body of Urology the American Urology Association we don’t actually Advocate using Sala metal and the reason for that is when studied and compared to Placebo which Placebo is basically if you get get given a sugar pills um which has no effect there is no difference between
The two of them um and the reason that you see that difference I mean see no difference is when you get the herbal medicine from the stores there is no quantitizing a you can’t tell there’s some medications you’ll take um of Sal pometto and they have a higher concentration of the ingredients than
Other ones so there is no regulation um to be able to say that each person is taking one particular medication so we don’t usually recommend it and we don’t think it’s that helpful but the experience does vary okay Charlie David I had I took salt Peto for 3 years
Because I had a reaction to the medication prescribed for an enlarged prostate uh after I stopped taking it I still had prostate cancer okay there you go George joins us from Hampton hi George you’re on the air yes hi thanks for your show it’s interesting um I’m confused about uh
Proton therapy it’s it seems to be something new and there’s not a lot of the facilities in the country of course Hampton University has uh their own program is this uh something new different or is this A variation on radiation treatment in terms of effect of how uh treatment is done for prostate
Cancer yes how effective is it compared to the other treatments surgery surgery versus um you can go it radiation okay thanks George for the call Dr Anna you want to start uh sure um so proton therapy is really um it’s radiation therapy it’s not anything different I
Think a lot of times when you see the advertisement uh because it’s such a a technological equipment and you know I actually had a patient ask me about that as early as yesterday um where they see the laser light and they think that you’re using a laser light and you’re
Treating the cancer but it’s that’s just the um localization um but it is radiation just like the intensity modified radiation therapy or external beam radiation therapy which is used previously used to treat prostate cancer is just different way of delivering the med the radiation therapy um the idea behind proton
Therapy is to be able to localize and minimize potential side effects um of radiation treatment um and as far as the centers there if I’m not mistaken there’s probably I think about 8 to 10 centers um within the nation um it was initially started at Lolinda um in uh L
Lolinda um Institute and they pioneered the start of it so the treatment does vary and it is is comparative um but the goal is essentially to try to minimize side effects um with radiation therapy okay George Dr an’s right on point there I had external beam radiation and I
Experienced some collateral damage uh had I had uh more targeted uh proton type uh radiation I may not have had that that damage uh the time I had the radiation the proton therapy was not as as developed to certainly to my satisfaction I do think it’s one of the
Therapies that that every man should consider we don’t Pro promote any one of the any of the specific therapist we just like to make sure you know about them so it is a viable therapy but it may not be the best therapy just like surgery would not be the best therapy
For each man okay I think one of the questions that I’m sure some of the listeners are probably want to know is when you’re take making the choice between surgery and proton therapy or external beam is there any um I guess criteria that says yes this is a better
Choice than another because I think one of the things you know that I even hear of course I’m not a urologist so I just kind of hear the um takes on from different people I know some people Advocate proton therapy some people Advocate surgery some people Advocate
External beam uh either way I think what needs to be heard is what are what makes the decision to say this is a better treatment because then you hear comments about surgery some people talk about sexual dysfunction I’ve heard people say once you have that it’s gone and and you hear all these
Different things I think that’s going to be one of the questions people may not want to ask in open form I said let me just ask and throw it out there no that’s no that’s good that’s actually a very good question um it’s an it’s on an
Individual basis um there no one can actually tell you there’s any one treatment that’s actually better um nothing has ever proven that um so it’s an individual basis for example if you have a 70-year-old walk into your office office with prostate cancer when you look at the 70-year-old
Depending on their uh physiological age so when we talk about age we have chronological age you’re born you age you get to 70 years old however all 70 year olds aren’t created equal there are 70 year olds that run marathon or run H you know run half a marathon they bike
30 mil a day like there are they are very active they can put 20 year olds to shame then there are 70 year olds that basically sit around um and they sedentary so the way you treat a 7-year-old that’s basically a super aete is not the same way you treat a 70y old
That sits at home all day long so in that case um when you look at it then you talk to the person you weigh the side effects of each um treatment so when you talk about radiation just like uh Mr Hill mentioned in terms of the side effects you received with radiation
You explain that specifically to them um when we go to go on the you know for those that group of patient you may may offer them radiation versus surgery for the one that’s very active if let’s say for example they have voidance symptoms let’s say they have an enlarged prostate
Significantly large prostate well when if you do radiation to that person their symptoms may get worse and you explain that to them if you took their prostate out they’re going to pee much better and they’ll never have to worry about their their um um enlarged prostate anymore so
You look at the different aspect then the other spectrum of that is if you have a 50-year-old male that has prostate cancer and this is all assuming it’s localized um in that case same thing you talk about radiation and then from the surgical standpoint you do go
Into detail and you have to be you have to be specific and true to your description as far as the side effects you can’t sugar Cod it because expectation is very important and when you don’t set the expectation correctly they’re going to either feel this went great or when horribly even when it’s
Going according to plan so when you talk about sexual or function it’s very important so when you if if you want to discuss surgery with them you do have to tell them Point Blank you’re not going to get an erection probably for 3 months 6 months and even at times a year with
Radiation same thing happens as far as erectile dysfunction but it’s more a gradual process before it falls off um with surgery you have the ability to do a nerve sparing um prostectomy where you leave some of the nerves behind and then they can recover um down the road so you
Tailor that specifically um as you discuss the there are so many different options but hold on just one second if you’re just joining us another view on health Dr um Keith newbie and I are talking about screening diagnosis and treatment of prostate cancer with Charle and Golden Hill of the Hampton Roads
Prostate cancer forum and neurologist and onc oncological disease surgeon Dr eani Anie so all these things are coming at you at one time and and I I want to talk to to the couple I have in the room right now because number one how critical is it to have both of you at
The table when the doctor is explaining all of these options absolutely absolutely it’s critical I mean Dr an mentioned localized means it has not spread that there are terms that will float out in those conversations that are extremely important however it is something that you can navigate and
Should always a man should always have someone with with him who’s taking notes who is testing and who can re review what was discussed once they leave the doctor’s office but again the case is made for having continuous awareness and education so that these things will actually be absorbed over time so I’m
I’m glad you asked that question I simply said call me if you don’t have anybody to go with you to the doctor I will go because I know how important that is well and people tell go ahead Char I mean golden I would do the same
Thing and I would say I have the advantage of being a nurse so I I understand a lot of this but I tell the women also call either one of us make sure you write the notes down and to our health care providers it’s critical they speak in layman’s terms we have a
Tendency to talk Health talk and we think we’re being clear and we’re not so you raised the point very well B tell the doctor explain to me in terms I can understand and that’s a part of the literacy we teach patients and and to the to doctor is in the
Room no but I I just wanted to say because what I hear from patients sometimes is you know I really want to ask my doctor to re-explain it or whatever but I feel like you know they’re in a hurry and they they just think I need to I I should know this so
How do I mean are are is there training for you guys or is there something a patient can say does it offend you if they say I don’t understand you know explain it again I’ll start with you first well me for me personally and I think uh Charlie can attest this I I
Keep things very lame in term when I when I discuss it but I I pay attention to the patients I can look in their eyes if I get that deer in the headlight look which sometimes I get I know I’ve gone way over top but I pick that up and I
Think that’s that’s not something I think you can be taught one thing I’ve learned in medicine just like any other field you have Bankers you have lawyers you have doctors you know any professional person is all about perception and and that person as you’re talking to somebody else as as a uh host
I mean you know when you’re talking to somebody you can look in their eyes and tell they know what you’re what you’re asking them and you’ll adjust your tone and your your rhetoric according to what you pick up when you see them every doctor doesn’t have that same ability
You know to be honest with you but I think if you take that into account you know and I listen to Dr an I could tell you know he’s pretty on point with his patience I could just listen to his descriptions they’re they’re they’re they’re on point they’re uh very defined
And detailed but yet you know he’s not using all the terms that would make somebody else give that deer in the headlights look Donna you want to respond and I’m coming to you Charlie no I think I’m Keith is I’m perfectly correct um for me what I you one your
Physician should not be offended if you say I didn’t understand this can you explain it um if they’re offended then you may want to consider you know either you know let them know know you know directly okay I don’t know why you’re upset I just need to understand what or
You may have to consider something different but I think it’s like for us because the area of especially for prate caner the area of pret is something that is uh very um um unfamiliar to a lot of men even though they should be and this is why it’s important with the education
You know for us we have a lot of uh pictures in our office that show the anatomy and we use that to explain um I tend to draw a lot to be able to explain what I’m describing so that they can follow and usually at the end of the
Conversation I look them in the eye and say do you have any other questions um do you understand what I’ve explained to you and then you know are you sure they said yes and this is also where it’s important where the wives do come because the guys tend to just look at
You and fold a hand and just nod while the wives make notes so that’s why it’s important better yeah better yeah what I get is the uh you know usually the wives will come in because the docs go back to tell the wies and the wives are ask what
Did the doctor say oh he said I was okay Charlie go ahead I I think I think you modeling how it should be done now I I would I’m proud to say that Dr newbie is my cardiologist so what you hear with Dr newbie is what I hear when I’m in the
Exam room with him that same tone that that focus in addressing my concerns and questions I also have seen Dr Annie work with patients so if people want to hear how it’s to be how it should be done yeah you have two great examples of of Physicians who know how to relate and
Communicate with patients if you don’t have that I strongly suggest you get another doctor got that’s extremely important let me ask you a question Charlie because I know and other when women um talk about breast cancer and the first time the doctor says you have breast cancer my a very dear friend of
Mine just went through this she said all I heard after the words breast cancer was w w w w I mean it just is that a similar response from men I mean did you have that type of response I didn’t believe the when the when the doctor
Told me I had I had prostate cancer I just did not believe it so I I took the approach well there must be a mistake so I ended up getting three D three uh opinions before I accepted it because I I was not feeling or experiencing anything that would suggest a problem
Which allows me to say early stage prostate cancer that has not spread has no symptoms and that is where so many men get caught I didn’t have any symptoms and I was going to walk away from that that diagnosis uh because I just didn’t believe it wow but Charlie I
Think it’s important you say that your PSA levels were going up and you consistently followed that that’s how he was diagnosed and and that is a critical point I was diagnosed with a PSA of 2.1 with a normal digital rectal exam so the facts the clinical facts didn’t suggest
That I had so what what is the PSA number and and where where does the the concern come in well I I’m going let the doctor speak to it and as a patient I will I will tell you that if you’re an African-American man if your PSA starts
Getting be higher than 2.5 now this has not been supported necessarily by the doctors but the cases that I have seen when a black man’s PSA goes past 2.5 he needs to go looking for Dr Anie or somebody who does what he does but the point is they should know their numbers
Don’t miss that know your numbers please no that’s true no you should definitely know your numbers so a PSA basically is a protein that’s you know the price that makes and there is no normal number in the in the past um Physicians um were kind of we always thought okay if your
PSA was less than four it was technically normal um but PSA is not a perfect test so the recommendation that the United States preventive service task force made um they made it based on the fact that we don’t have a PSA is not perfect um however they I would just
Like we’ve already said it’s a little bit too much of an overall to say not check PSA however it’s the best that we have as far as the initial testing um so because it’s not a perfect number there different things that you have to check one you do need to start early detection
Um especially in the African-American Community um since because of the high significant high risk but early detection is important for everyone um two um as you start early detection then you monitor the PSA if the PSA velocity is changing which is essentially discussing how high is it increasing how
Fast is it increasing then that poses a um a concern um the fact that PSA is not sensitive enough when you check a PSA by itself the sensitivity is less than 50% when you add digital rectal examination on it increases to about 60% so when you look at General screening tests they’re
Usually higher than that you want to when you’re screening a person you want the test to be as close to 90% as possible to be a good screening test however that’s the best we have so when you do that then you um combine it with other adjunct test so if someone
Presents with a PSA and it’s the velocity has been increasing in the past we generally biopsy to almost everyone and we did pick up some sign you know lowrisk prostate cancer that potentially you could have followed um in the right patient obviously but there are other
Adjunct tests that you can do there are some um genomic test now genetic testing that you can test um on PSA biopsies there are tests now that you can also do that have more markers of um prostate um different forms of PSA that you can check to help give you the
Statistical likelihood that you will pick up a significant prostate cancer and then there’s also MRI um functional MRIs we call uh MRI um gu Fusion biopsy where with the MRI you can pick up um prostate cancer um and you can Target that area and biopsy to be more specific
You you really need those two oh we just lost our two callers I was just getting ready to go to them that’s okay um but so you really need to do the screening and be able to track it so that you know how much further you need to go in terms
Of testing is that right well yeah you should be doing the PSAs um the the whole terminology ology as far as screening is concerned is screening essentially is something that you do as a routine um versus early detection so right now we talk more sort of early
Detection um to be able to then determine if someone should be pursued for further evaluation okay um go ahead Keith and then we’ll take a call I was going to say one of the other questions I want to pose out that I know people going to have this question is is how
Far and when to push and I’m going to tell a quick little scenario so you understand where I’m going with this I had a friend of mine dear friend of mine who was diagnosed with prostate cancer his PSA was about 2 and a half three African-American guy and uh the digital
Regal exam was normal now the docor was going to say don’t worry about it he pushed it and said I want to go to urologist the urologist I mean but to get there he had to fight the do finally he said listen I’mma go around you one
Way or the other if you don’t refer me MH so he got refer and in fact had prostate cancer andif fact had prostectomy because it was actually almost Advanced so the question becomes is is a how often is is it a issue that the digital recor exam is actually
Normal or is it that the doctor’s doing it doesn’t recognize the abnormality in the field of the prostate and when should the patient push the issue like this guy did good question I mean it’s it’s a good question it’s a combination um the the the process is or the the
Idea is that whoever is doing when a primary care doctor is doing a digital rectal examination the what we’re hanging on is that they know what they’re doing um so there’s no way to to get around that so if they do a digital rectal examination and they don’t do it
Appropriately then they’re going to tell you it’s normal however the only other surrogate that you have to measure for that is the PSA okay if you don’t have advanced disease that has symptoms associated with it so if the PSA is off um then you want to be you want to
Question question okay well you said my digital recal examination is normal but my PS is off I want to talk to someone else I’d like a referral to a urologist um as far as when to push for it if you’re uncomfortable at any point and that’s again where the education is very
Important if you are uncomfortable and you think your number is off at some point but your doctor is telling you I think it’s completely fine there’s nothing wrong with saying well can I see a urologist so that they can evaluate me and then make sure that everything is
Fine it’s not any different than everything else that we do if your car is having a problem you go to the mechanic and the mechanic says um well I think your car is fine and you know you’re hearing a a weird sound you’re going to say no something’s wrong you
Know look over here it’s no you know same thing Charlie Dr Anie nail that I mean I my case is almost like Dr newbie described golden sat in the office with me after we were looking at some post uh surgery results Etc and different urologists says to me you know you would
Have been dead had you not pushed wow so so the patient it really is incumbent it’s incumbent the patient to be able to do some things too golden and Barbara that’s one thing I tell patients all the time follow your instincts you know your body better than anybody else that’s
True with your children that’s true with your spouse everything follow your instincts if your gut is telling you to make it happen Barry joins us from Elizabeth City hi Barry you’re on the air oh hi you know I listen to you quite regularly on Friday you have some great
Topics thank you uh I’ve had two experiences with prostate cancer over my life in 2000 I started uh the PSA and I had the Ral exam in 2001 they found two sites recommended a biopsy they’re active and I opted for external radiation because they were small and uh they figured that would be
But I my wife was with me the doctor explained every single type of options I had for treatment and like my wife being a retired nurse she knew the medical stuff she left the decision up to me I did an external beam radiation I was
Done it was good it was clear and I was mon I’ve been monitored every year since then 2015 my PSA went up I did another biopsy and apparently one cell had been free and I ended up with six sites and the only option left for me was
Break your radiation and that was a year ago I’m in remission and I get hormone treatments every three months but I’m looking good right now great fantastic Barry thank you so much for sharing your story with us so again Barry had his wife he had support around it golden
Let’s talk about the um the depression okay um in terms of of how you help your spouse or your significant other or your dad or whomever the man is in your life kind of work through through those issues I would imagine that that there’s got to be some kind of
Down days at times yeah they will have down days and you will have down days as a caregiver too um for me um it’s always good to talk with friends and get through that but I’m very positive and we’ve chosen with all of the health challenges Char’s gone through to make a
Lot of lemonade uh instead of really being down about it and I think you could look at him and tell he is not sick um but it’s important to talk with people about about that and if you’re a friend of someone who’s going through it have an honest conversation that they
Might need to seek help beyond that and sometimes we do need to talk with professionals to help us depression is really bad amongst us sometimes anyway and all you need is something like this to trigger it and if you find yourself really feeling low and just get help
People are out there that will help you and and it will make a difference Charlie we should not forget that you children yes uh I’ve talked with a number of couples whose children know that there’s something going on that has has cancer first thing they want to know
Is is he going to die yes and and while we often talk about and focus on the man and we focus on the the adult women in his life I would say that the children are also impacted because they know something is happening and it’s different so we want to be sure that
Time is spent educating them as to what’s going to happen when I was diagnosed the first thing my daughters asked me since they heard cancer they forgot about the prostate part cancer are you going to die and and the answer was you know no I’m not going anywhere but are you going
To die and these these were 20-some and 30s something year old young ladies and they were concerned about that issue as well so we miss bar I just wanted to add when you said your dad anyone my dad is soon to be 99 in September has had
Prostate cancer near almost 40 years and he’s doing very well uh and he’s still looking at ladies and having a good time can I just add to what Mr Hill said as far as children the other thing also you want to keep in mind is if you if a man
Develops prostate cancer and they have a male um child or son it very important that you communicate as well a lot of times within our communities um we don’t talk and I have a lot of patience that you know I would say do you know it you
Know do you know if you’re any family history of prostate cancer and they’ll say I don’t know my dad never spoke to me about his health and we have other patients who said no I don’t want to talk to my kids about it I’d rather just
Deal with it by myself so it’s important to communicate because that’s where we start talking about the high risk of you know patient population you know you know does if your kids don’t know then they don’t know they are at high risk because the genetics does play a role
Charlie there’s something major that’s going to happen in our area that’s going to help more men to be get to get tested and so forth you want to tell us about it we got about 3 minutes left yes next next Friday July 1st we’re going to have
The first home run for Life event in Hampton Roads this will be an event at Harbor Park uh it will be an early prostate cancer early detection event which means that there will be education performed and delivered by urologist there will be a PSA blood draw uh and
There will be digital rectal exams all performed by urologist the sponsors are of course uh the noruk tides uh urology of Virginia centa and the Hampton rad prostate health Forum what we hope to do is establish this as an on an annual event at the ballark and we want to get
The message out to all men who need to be uh receive more education who need to be tested and need to be examed come out Friday night July uh 1st if you choose to come and participate fully you will receive a ticket uh to a future home
Game so so we want you to come out the focus again is the education piece I also want to mention that knowledge faith and early detection matter most we we we haven’t talked much about the faith piece you don’t go through cancer and particularly prostate cancer with
All of the issues if you don’t have faith so so we want we want to we’re not going to ask you who to have faith in what to have faith in but but we want to say faith should be in that mix absolutely and with that we are out of
Time you guys this has been a fabulous conversation thank you so very much and we will be right Back I’m with marceles and you all are checking out another view on whrv 89.5 don’t go anywhere check us out And welcome back necessity has always proven to be the mother of invention just ask Bert Edward Bert Oliver Jr the creator of beard butter yep I said beard as in facial hair butter Oliver was having trouble growing and maintaining his own beard so the NSU graduate created a grooming product that works so
Well he can hardly keep up with the orders he receives our Lisa Godley spoke with the 25-year-old entrepreneur about making his Mark and taking his slice of the multi-billion dollar male grooming Market I was Bor my beard but it wasn’t at the level that it is now and it got
To a stagnant stage where it wasn’t growing and it was rough to maintain I was to Appo I was going to cut it but I was so accustomed to the look of having a bed I liked it and I I don’t really want to cut it let me see if it’s
Another option that gave some other products a try but they wer cated to my type of ha that’s when Edward Bert Oliver Jr went to his best resource his mom she was already making several organic products so he knew she’d know what to do is it a way I can come up
With something to make my bed look nice feel soft smell good but still keep it organic where I don’t break out or anything like that we worked on that I was going out and I had it on my beard was looking better it was shiny was
Softer it was smelling good it was easy for me to maintain and people started to notice I was out when I first made it and a lot of girls kept ask me what does that smell it smells so good and I was telling it’s my bed and I didn’t even
Know what I was going to name it before I made it the next day it snapped in my head I said the ladies love this smil that’s the name I’m going with ladies love it he says his friends started asking him to make it for them as well
Soon people were asking them where they got it one person got it then he told the next person then they bought some and then this person came back and then other people were saying it to and start getting to the hands of celebrities people all over North State campus have
It people in different campuses across the country all kind it’s been a major experience to a point where just yesterday I got my first order from France Edward majored in business management at norfk State University but College was something the southeast DC native never really considered then a
Series of things happened that changed his mind February 2009 I was walking home with my buddy and out of nowhere some guys ran up on me Rob me at the time it was just a lot going on losing a lot of friends and it was just a hectic
Time so I was like man maybe I just need to go away even though he had good grades College still wasn’t in his plans until I had a teacher I would always go in his class and wait for my other friends because I had like one class a
Day because I had more credit than I need but at the time they were doing onsite ad mission to colleges so he wouldn’t let me in that day unless I want to do some applications at colleges so I did a couple applications and I got admitted on site to about five schools
And it was like a shock to me because you know I never really planned to go to college but that day when I saw that I could get into colleges and I had the grades and I had the SAT schools to do it I said man why not give it a try
Because I would be the first person in my family to go to college and finish Edward Bert Oliver did just that graduating from NSU in December of 2013 he launched ebo beard butter in November of the following year and has been cranking out his product ever since all
By himself I make the beard butter I put the labels in the jars I pack it up to be shipped all over the country I do everything so one man operation Edward now has 12 different scents and one unscented version selling each jar for less than the cost of a ticket to the
Movies I asked Edward his favorite scent from his popular line it’s so hard to pick it’s like choosing between your favorite kid it’s hard certain days certain activities if I know I’m about to go out to the club or something like that I like to use the mango Madness or
The perfect peach but if I’m going intoe a office building or something like that I want to use the ruber coconut cuz it has a soft smell but it still has a nice scent if somebody gets close to you to date Edward has filled more than 2600 orders each customer requesting two or
Three jars and as you might have guessed the 25-year-old has big plans for the future I want to be able to create jobs because I couldn’t get a job it was hard to get a job competing with so many people but the ultimate is when I do
Have kids in the future is to leave something for them to build on for another view I’m Lisa Godley and you can find out more about beard butter by visiting our website at another viiew radio.org I’d like to take a moment to invite you to join me this coming Sunday
We’re going to be out in suffk at the art of supper dining Among the Stars it is Sunday June 26 from 5: to 8:00 p.m. at the suffk cultural suffk center for Cultural Arts this is a benefit for the um Center and also for the suffk partnership for a healthy Community it’s
Featuring Michael Curry and the Jay Senate Trio so my buddy Jay will be out there it’s going to be fabulous food a lot of fun and come on out and have a good time I will serve as MC and I am really looking forward to it if you want more information dial 923
2900 and you know we shared a lot of important information today and if you’d like to hear it again or share it with a friend visit our website another viiew radio.org and download the podcast and don’t forget you can take another view with you on your smartphone or tablet
All you have to do is download the whro media app it’s available for both the iPhone and Android platforms and guess what it’s absolutely free so take us along with you I’m going on a much needed vacation for the next two weeks so tune in for a behindthescenes
Experience of the Broadway hit Hamilton next Friday at this time and Lisa Godley and the Roundtable will be with you on July 8th as we kick off the sixth season of another view wish us luck tonight another view is up for four Virginia Association of broadcasters Awards
Overall wh sh has been nominated for nine Awards so good luck to all of my colleagues our theme music is composed and performed by J Senate thanks to Morgan Chase of hearsay with Kathy Lewis for sitting in for Lisa Godly today Victor Bowen is our audio engineer and
Naja Whitaker answered our phones I’m Barbara Ham Lee thanks for listening and let’s get together again real soon everyone for another View n