WEBVTT - I Choose...Men's Health with Dr. Cedrek McFadden 0:00:01.639 --> 0:00:09.959 You're listening to I Choose Me with Jenny Garth. Hey, everybody, 0:00:10.000 --> 0:00:13.840 welcome to I Choose Me. This is the podcast all 0:00:13.880 --> 0:00:16.520 about the choices we make and where they lead us. 0:00:17.000 --> 0:00:20.080 Remember when I promised you guys that we would talk 0:00:20.120 --> 0:00:24.920 about some man stuff. Well, June is men's health month, 0:00:25.120 --> 0:00:28.680 so I wanted to have a conversation dedicated to this 0:00:28.720 --> 0:00:32.800 important topic because I know we have male listeners out there. Hello, 0:00:32.880 --> 0:00:34.720 I love you, and we have a lot of women 0:00:34.760 --> 0:00:37.800 who have male partners or you know, you just have 0:00:37.840 --> 0:00:39.920 a guy in your life that you care about. I 0:00:40.080 --> 0:00:43.080 have a certain man in my life and he gets 0:00:43.080 --> 0:00:46.040 me so riled up on the subject, the taking care 0:00:46.040 --> 0:00:49.479 of oneself subject. So he is going to join us 0:00:49.520 --> 0:00:51.000 for this episode. 0:00:51.240 --> 0:00:53.680 Hello, babe, Hi honey. 0:00:53.720 --> 0:00:57.120 So yeah, we are kind of different when it comes 0:00:57.200 --> 0:01:01.320 to our health, you know, taking care of ourselves, and 0:01:01.360 --> 0:01:04.280 it has several times now I think, become just like 0:01:04.319 --> 0:01:07.560 a little rift between us. It usually goes a little 0:01:07.560 --> 0:01:11.200 something like this. I say, honey, hey, you know you 0:01:11.200 --> 0:01:14.840 should have that neck issue checked out maybe, or have 0:01:14.920 --> 0:01:19.760 you had a physical lately, or you know, prevention it's key, 0:01:20.480 --> 0:01:22.760 and you'll say, well. 0:01:22.600 --> 0:01:25.800 You know, my neck actually feels better. I'm feeling fine, 0:01:25.920 --> 0:01:29.400 and who has the time to go to the doctor. 0:01:29.880 --> 0:01:30.640 It's too much? 0:01:32.400 --> 0:01:36.560 Okay. Yeah, as you can see, this is why I 0:01:36.560 --> 0:01:39.759 get a little irritated because I care about you and 0:01:40.040 --> 0:01:43.280 selfishly I want you around in my life for a 0:01:43.319 --> 0:01:46.640 long time, and it would be incredible if you would 0:01:46.680 --> 0:01:49.200 put a little effort into staying healthy. 0:01:50.160 --> 0:01:52.360 Yeah, it's a very important subject I get. 0:01:52.760 --> 0:01:57.360 Okay, Hopefully our guest today can give me a little 0:01:57.400 --> 0:02:00.280 backup here. You know what, I'm actually used to this 0:02:00.440 --> 0:02:02.920 with the girls. If I say something sometimes they don't 0:02:02.920 --> 0:02:05.400 really hear it, but if someone else says the same thing, 0:02:05.520 --> 0:02:10.040 it's like a revelation. So, babe, get ready for your 0:02:10.240 --> 0:02:14.440 aha moment. Our guest today is a Board certified surgeon. 0:02:14.560 --> 0:02:17.400 A frequent guest on The Today Show. He is an 0:02:17.480 --> 0:02:21.960 associate professor at the University of South Carolina School of Medicine. 0:02:22.080 --> 0:02:26.519 He specializes in treatments of disorders affecting the large intestines 0:02:26.960 --> 0:02:31.600 and is highly skilled in a range of procedures, including colonoscopies. 0:02:32.040 --> 0:02:35.799 And you know, he's just a general wealth of health knowledge. 0:02:36.040 --> 0:02:40.320 Please welcome doctor Cedric McFadden to the I Choose Me Podcast. 0:02:40.800 --> 0:02:42.920 Hi, Doc, Hi, doctor, how are you. 0:02:43.440 --> 0:02:46.359 Oh, we are good. Believe me. We are so glad 0:02:46.360 --> 0:02:50.079 that you are here. Because this is like the age 0:02:50.120 --> 0:02:53.560 old question, why do men not go to the doctor 0:02:53.760 --> 0:02:54.640 as much as women? 0:02:55.080 --> 0:02:58.320 That's an age old question with an age old answer. 0:02:59.240 --> 0:03:02.560 The many for that. Let's face it, women are more 0:03:02.680 --> 0:03:04.880 used to going to the doctor. In fact, we kind 0:03:04.880 --> 0:03:07.840 of start women off as early as they're late teens, 0:03:08.440 --> 0:03:11.120 kind of get into that habit of going for a 0:03:11.200 --> 0:03:16.000 yearly and so it's embedded into the culture that women 0:03:16.120 --> 0:03:19.080 go to the doctor and men don't. When I was 0:03:19.120 --> 0:03:21.440 eighteen or when I was twenty, no one said you 0:03:21.480 --> 0:03:24.400 need to go for your yearly checkup. It's just not 0:03:24.520 --> 0:03:26.360 something that we're embedded to do. So I think that 0:03:26.520 --> 0:03:29.760 starts off the pattern. And I think because of the 0:03:29.800 --> 0:03:33.720 fact that women when they are child bearing age and 0:03:33.720 --> 0:03:36.440 when they have children, it's already you know, you're going 0:03:36.480 --> 0:03:38.680 to the doctor quite frequently during that time, and then 0:03:38.800 --> 0:03:42.040 afterwards it's built into coming back to the doctor for 0:03:42.080 --> 0:03:45.800 that So you know, we've we've created a space to 0:03:45.880 --> 0:03:49.360 where women are very welcomed and are expected to go 0:03:49.480 --> 0:03:51.080 to the doctor, and men we just don't put that 0:03:51.160 --> 0:03:54.480 expectation there there's no space. Do we do that? 0:03:54.560 --> 0:03:56.520 You're so right? Well, how do we change that? 0:03:57.680 --> 0:04:02.120 You Well, I think it starts by just making sure 0:04:02.160 --> 0:04:05.760 men to understand where they're vulnerable, right. It starts by 0:04:05.960 --> 0:04:09.720 understanding that we have to put these whether it's pre college, 0:04:09.720 --> 0:04:12.480 where it's your home from college, or whether it's just 0:04:12.520 --> 0:04:13.920 you know, you got a new job, you got to 0:04:13.960 --> 0:04:15.880 be checked out for you. We have to put some 0:04:15.960 --> 0:04:18.760 things in place that just allows men to know that 0:04:18.880 --> 0:04:21.839 this is the time to go. And by having conversations 0:04:21.880 --> 0:04:24.000 like we're having today and maybe changes that one person 0:04:24.000 --> 0:04:24.599 out of talk. 0:04:24.800 --> 0:04:28.080 Right, beib, Did anyone ever have a conversation with you 0:04:28.160 --> 0:04:30.560 as a young man, it's time to go to the doctor. 0:04:30.600 --> 0:04:32.240 You need to go get a check up. Did that 0:04:32.279 --> 0:04:33.000 ever happen for you? 0:04:33.839 --> 0:04:35.920 No? But it was you know, it was sort of like, 0:04:36.279 --> 0:04:41.200 you know, the stereotypical my mom. If something anything happened 0:04:41.240 --> 0:04:42.840 to me, my mom would take me to you know, 0:04:43.000 --> 0:04:46.120 got to go to the emergency right now or urgent care. 0:04:46.600 --> 0:04:48.920 Urgent care was big. I feel like I had a 0:04:49.000 --> 0:04:51.560 Z pack every month if I was sick or something 0:04:51.640 --> 0:04:54.039 like that. There's like, oh you got sick, I'll just 0:04:54.080 --> 0:04:55.560 take a Z pack and that's. 0:04:55.400 --> 0:04:58.279 How men get to the doctor when they have emergency. 0:04:58.800 --> 0:05:01.120 But my dad, my father never went to the doctor, 0:05:01.360 --> 0:05:04.599 yeah at all. He still doesn't, and he's seventy six. 0:05:05.200 --> 0:05:06.840 He's like, nothing's wrong with me. What do I need? 0:05:06.920 --> 0:05:09.720 Yeah, And that's how we find out the problems. And 0:05:10.120 --> 0:05:12.240 you know, you have that fall off of the ladder, 0:05:12.400 --> 0:05:14.880 or we have that car accident, and then you get 0:05:14.960 --> 0:05:17.240 to the doctor, it's like, oh, we're gonna do an 0:05:17.360 --> 0:05:19.360 X ray. Oh, this is what we see, And then 0:05:19.400 --> 0:05:24.520 that often starts conversations about what happens next. So I 0:05:24.640 --> 0:05:26.719 like to say, in whatever way you get to see me, 0:05:27.320 --> 0:05:30.040 we'll take it unless use as a springboard to make 0:05:30.040 --> 0:05:31.760 sure that you're okay in other areas as well. 0:05:32.120 --> 0:05:35.479 That makes sense. How would you suggest that women such 0:05:35.520 --> 0:05:39.960 as myself get their male counterpart to go to the 0:05:40.000 --> 0:05:43.200 doctor just for a general checkup, Like, I'm just curious. 0:05:43.240 --> 0:05:45.680 I want to make sure he's all good and that 0:05:45.760 --> 0:05:48.839 we're going to livel together in health and prospero. 0:05:48.880 --> 0:05:50.240 I don't want to get anyone in trouble. 0:05:50.400 --> 0:05:53.040 I don't want to go ahead, It's okay, get him 0:05:53.080 --> 0:05:54.120 in trouble, right, Yeah. 0:05:54.120 --> 0:05:57.919 Well, so let's let's just first of all, say that 0:05:59.600 --> 0:06:04.880 it never serves well to preach, But I think we 0:06:05.040 --> 0:06:09.880 learn more by following the example. So if you are 0:06:09.920 --> 0:06:15.640 scheduling your yearly visit with your doctor, perhaps say you know, 0:06:15.760 --> 0:06:18.279 I scheduled my visit today, what days good for me 0:06:18.360 --> 0:06:19.280 to schedule yours? 0:06:20.000 --> 0:06:20.839 That's a great idea. 0:06:21.200 --> 0:06:24.880 It's very unassuming. It takes onus off of him for 0:06:24.960 --> 0:06:27.880 having to make the call, but it also gets it done. 0:06:29.400 --> 0:06:31.080 So that's an easy way to do it to where 0:06:31.200 --> 0:06:33.760 it's just scheduled and it's not saying you need to 0:06:33.760 --> 0:06:35.719 do it, say hey, I didn't mine, when do you 0:06:35.720 --> 0:06:37.880 want me to do yours? It keeps it open and 0:06:37.960 --> 0:06:42.880 it also makes him pick a day, and if it's 0:06:42.920 --> 0:06:44.279 ignored revisited, that's. 0:06:44.160 --> 0:06:46.240 A great idea. I mean that's what happens with us. 0:06:46.480 --> 0:06:49.839 I go keep myself checked up. I'm very proactive about 0:06:49.839 --> 0:06:53.640 my health and about prevention, and I'm always saying to him, 0:06:54.120 --> 0:06:56.440 what are you doing? How can you make sure that 0:06:56.520 --> 0:06:58.039 you're healthy? 0:06:57.520 --> 0:06:57.840 M m? 0:06:58.279 --> 0:07:01.000 Yeah, And you know I go to the dentist regularly. 0:07:01.600 --> 0:07:02.960 Okay, that's a good start. 0:07:03.279 --> 0:07:07.200 That's a doctor that it's a doctor. But yeah, I 0:07:07.240 --> 0:07:12.080 think I'm just an example of many, you know, because 0:07:12.960 --> 0:07:16.600 I just turned forty three. You know, I don't think 0:07:16.600 --> 0:07:20.280 I've had a checkup since I was thirty eight, well, 0:07:20.400 --> 0:07:25.880 definitely before COVID, so thirty eight, thirty nine, somewhere around there. 0:07:26.000 --> 0:07:32.000 So you know, just especially you know, prostate conversations are 0:07:32.040 --> 0:07:34.720 out and about as you know, I mean, I have 0:07:34.760 --> 0:07:37.480 a lot of friends that you know. Now it's it's 0:07:37.560 --> 0:07:39.800 more of an open discussion. You can talk about your 0:07:39.840 --> 0:07:43.360 health with your your male friends. And by the way, 0:07:43.520 --> 0:07:45.840 I hang out a lot of sixty year olds and 0:07:45.960 --> 0:07:46.800 so so. 0:07:46.760 --> 0:07:49.840 There's a lot of how are you feeling? Yeah, how 0:07:49.920 --> 0:07:50.520 s your health? 0:07:51.280 --> 0:07:55.640 But yeah, definitely, I mean it's definitely more open now 0:07:56.200 --> 0:07:59.880 for discussion than it probably was when I was definitely 0:08:00.320 --> 0:08:03.120 in my twenties or thirties even, you know, it's kind 0:08:03.120 --> 0:08:04.160 of come to the forefront. 0:08:04.560 --> 0:08:07.880 That's great, that's such. That's that's that's great. 0:08:07.920 --> 0:08:11.280 Now now easier said than done, because I haven't done anything. 0:08:11.440 --> 0:08:12.480 You talk about it. 0:08:12.600 --> 0:08:17.040 Yeah, but this is great, go preach it. Yes, everybody 0:08:17.080 --> 0:08:17.480 should do this. 0:08:17.520 --> 0:08:20.200 Okay, so let's ask the doctor when should they start 0:08:20.200 --> 0:08:22.440 with their checkup? So tell us how they should go 0:08:22.480 --> 0:08:23.160 about doing this. 0:08:23.640 --> 0:08:27.320 So I think as early as early twenties, it's a 0:08:27.400 --> 0:08:33.080 good time to establish a relationship with the doctor. It's 0:08:33.160 --> 0:08:36.920 kind of like wanting to get to know someone before 0:08:36.960 --> 0:08:40.200 you get really involved in that relationship, before you perhaps 0:08:40.440 --> 0:08:44.359 get deeper into that relationship. It's helpful to establish relationship 0:08:44.520 --> 0:08:46.960 because you're going to need to visit a doctor for 0:08:47.360 --> 0:08:49.959 different things in life. If you need the antibiotic, it's 0:08:49.960 --> 0:08:52.200 helpful to have the relationship so you can pick up 0:08:52.240 --> 0:08:54.600 the phone and have a conversation about what do you 0:08:54.640 --> 0:08:57.839 need to be doing. So I think earlier then later, 0:08:58.080 --> 0:09:01.400 starting twenties, make sure you're up to date with any 0:09:01.480 --> 0:09:05.320 medications that you need, any immunizations. If you're traveling, you 0:09:05.320 --> 0:09:08.880 know yourself certain and it's also depending on your family history, 0:09:08.960 --> 0:09:11.440 you may be at risk for other problems, right, so 0:09:11.800 --> 0:09:13.959 you know establishing you know what was the health of 0:09:14.040 --> 0:09:17.200 my parents, You know that have heart problems over there 0:09:17.200 --> 0:09:20.040 are a history of cancers that may influence when you 0:09:20.120 --> 0:09:23.880 start testing and looking for problems, and so that's important 0:09:23.880 --> 0:09:26.400 to establish I think early on in your twenties. Now 0:09:26.440 --> 0:09:29.720 as you get older in your thirties and in your forties, 0:09:29.880 --> 0:09:32.400 those needs become a little bit more pronounced. Right you're 0:09:32.480 --> 0:09:35.160 likely gone at some point. If you have insurance, you 0:09:35.160 --> 0:09:36.920 have a job, they're going to probably say, hey, let's 0:09:36.920 --> 0:09:39.600 get some blood work, right, So you're gonna check for diabetes, 0:09:39.640 --> 0:09:41.959 You're gonna check your cholesterol levels, You're gonna be checking 0:09:41.960 --> 0:09:45.839 your blood pressure and perhaps even getting an EKG by 0:09:45.880 --> 0:09:49.360 your thirties and certainly by your forties. And so it's progression, 0:09:49.440 --> 0:09:52.760 but it starts, I think, by establishing that relationship so 0:09:52.800 --> 0:09:55.720 that that can help dictate which way the conversation goes 0:09:56.000 --> 0:09:59.199 when testing and screening's done. And so you don't wait 0:09:59.400 --> 0:10:03.439 until the car breaks down. You're repairing small things as 0:10:03.480 --> 0:10:05.559 it goes along. So it doesn't add up on. 0:10:06.000 --> 0:10:08.520 That makes that makes great sense, doesn't it. You got 0:10:08.520 --> 0:10:10.960 to repair your car, babe. It's rattling. 0:10:11.520 --> 0:10:14.560 Yeah, you got a rattle. Yeah, I gotta I got 0:10:14.559 --> 0:10:17.880 no rattles right now, but I need to need to 0:10:17.920 --> 0:10:18.840 prevent the rattle. 0:10:19.120 --> 0:10:23.000 We want to prevent. You want to change before there 0:10:23.080 --> 0:10:24.000 is a problem. 0:10:23.679 --> 0:10:26.079 Yeah, get the all change the transmission looked at. 0:10:26.880 --> 0:10:28.920 Let me ask you this question. You said, find a 0:10:28.960 --> 0:10:32.880 doctor in your twenties. For me, personally, it's always been 0:10:33.280 --> 0:10:35.959 overwhelming to find the right doctor. 0:10:36.679 --> 0:10:40.720 Yeah, that's tough. It can be tough because now there 0:10:40.720 --> 0:10:44.080 are so many options now people have not even just locally, 0:10:44.480 --> 0:10:47.120 there are people that now because since COVID, we do 0:10:47.160 --> 0:10:51.320 a lot of virtual visits, mental health therapist, even just 0:10:51.360 --> 0:10:54.360 your family doctor. Many people do this as a form 0:10:54.400 --> 0:11:00.360 of practicing medicine like telehealth. Telehealth. Absolutely so I recommend 0:11:00.400 --> 0:11:03.320 number one, if you have insurance, to start with that 0:11:03.400 --> 0:11:06.520 because obviously there's a network of doctors. Within that group, 0:11:06.640 --> 0:11:10.480 it shuts down and kind of creates a small pot 0:11:10.559 --> 0:11:15.080 to choose from. After checking within your network, asking your 0:11:15.160 --> 0:11:17.400 family and friends you know who you go to, who 0:11:17.400 --> 0:11:21.079 do you like? They may know your preferences that can 0:11:21.120 --> 0:11:24.760 help say where this big good fit for you. And 0:11:24.840 --> 0:11:27.080 in the age of Google or any of the other 0:11:27.440 --> 0:11:30.679 web searches, you know reviews are out there and spend 0:11:30.760 --> 0:11:32.959 some time. Just like you look for a painter or 0:11:33.080 --> 0:11:36.400 look for a mechanic, sometimes looking through Google reviews or 0:11:36.400 --> 0:11:39.079 things like that can help you narrow down the search. 0:11:39.240 --> 0:11:41.840 And let's face it, the first doctor you can go 0:11:41.920 --> 0:11:43.160 to may not be the one that you have for 0:11:43.200 --> 0:11:45.680 the rest of your life. But I think starting that 0:11:45.760 --> 0:11:50.359 relationship allows you to identify those initial problems. 0:11:50.960 --> 0:11:53.679 I mean do we have a doctor? 0:11:53.720 --> 0:11:56.080 We don't have a doctor. I have a cardiologist, I 0:11:56.080 --> 0:12:00.960 have a guynecologist, or head hormones specialist, I have a 0:12:01.000 --> 0:12:05.920 brain doctorin yes, dermatologists, all the things, but not just 0:12:06.040 --> 0:12:08.720 at a general practitioner. 0:12:09.440 --> 0:12:13.319 Yeah, and that general practitioners like I've referred to before. 0:12:13.400 --> 0:12:16.160 It's like the quarterback. They're going to help dictate all 0:12:16.200 --> 0:12:17.959 the other pieces. So if you need to have that 0:12:18.080 --> 0:12:21.280 heart doctor, if you need to have the orthopedis that 0:12:21.600 --> 0:12:24.559 family doctor, that intern is, or that primary care doc. 0:12:24.880 --> 0:12:27.360 They're going to help you navigate the space because you 0:12:27.360 --> 0:12:29.600 mentioned it can be very confusing. Do I need to 0:12:29.640 --> 0:12:32.040 see this kind Do I need to see that specialist? Well, 0:12:32.080 --> 0:12:35.280 that's the benefit of having that primary care team that's 0:12:35.320 --> 0:12:37.800 going to help you navigate that space that can be 0:12:37.920 --> 0:12:38.520 very complex. 0:12:38.720 --> 0:12:41.160 We need a quarterback, babe, we don't have a quarterback. No, 0:12:41.360 --> 0:12:43.800 this is this is not going well. How can we 0:12:43.880 --> 0:12:47.280 play if we don't have a quarterback? No, okay, we 0:12:47.320 --> 0:12:49.520 got to get a quarterback. That's number one. I want 0:12:49.559 --> 0:12:53.160 to ask you about what are the silent warning signs 0:12:53.280 --> 0:12:54.800 that men ignore. 0:12:55.840 --> 0:12:56.640 It's a good one. 0:12:57.360 --> 0:13:01.040 Yeah, so there's several of them. I'm going to start 0:13:01.160 --> 0:13:05.960 with the ones that really get to us, the signs 0:13:06.000 --> 0:13:09.600 and problems of your heart. One of the signs that 0:13:09.880 --> 0:13:13.560 men can sometimes ignore is just fatigue. You know, if 0:13:13.600 --> 0:13:15.959 you are finding that at the end of the day, 0:13:16.040 --> 0:13:17.960 or even before the end of the day, you're completely 0:13:17.960 --> 0:13:21.240 wiped out to where you don't have the energy to 0:13:21.320 --> 0:13:24.200 engage with your family the way you did before, that 0:13:24.240 --> 0:13:28.199 could be signed there's something going on, perhaps with your heart, 0:13:28.679 --> 0:13:32.120 perhaps with your thyroid, and so fatigue is one of 0:13:32.160 --> 0:13:35.000 those real signs that it's not just you're getting older 0:13:35.120 --> 0:13:38.120 or you've had a busy day. It's the consistency that 0:13:38.160 --> 0:13:40.880 you're noticing on more and more fatigued and tired, give 0:13:40.920 --> 0:13:43.040 a sign of a name you maybe you're losing play 0:13:43.120 --> 0:13:46.160 that you're not saying. So fatigue is definitely a sign 0:13:46.280 --> 0:13:50.600 that you cannot ignore. Another is an easy one of 0:13:50.760 --> 0:13:52.240 just you know, you used to be able to walk 0:13:52.320 --> 0:13:54.959 up and fight the steps, and now when you do that, 0:13:55.040 --> 0:13:58.800 you're completely with it. Your short of breath, you know, 0:13:59.280 --> 0:14:02.640 exhausting to where you can't catch your breath, and so 0:14:02.800 --> 0:14:06.520 that's the warning sign that something's not quite right. In 0:14:06.559 --> 0:14:09.720 my world, I'm a cold rectal surgeon, so one of 0:14:09.760 --> 0:14:14.640 the other side, or changes in your body right to 0:14:14.760 --> 0:14:18.240 narrow down on the cold regular space, changes in your stool, 0:14:18.679 --> 0:14:22.040 changes in your bathroom habits, whether it be stool or urination, 0:14:22.680 --> 0:14:26.000 Any change whether it be the frequency that you're going 0:14:26.600 --> 0:14:29.600 or the or the output that you're seeing, the consistency, 0:14:29.640 --> 0:14:32.120 the color, all those things, whether it be urine or 0:14:32.480 --> 0:14:36.600 your number two activities, that's a that's a flag and 0:14:36.640 --> 0:14:39.240 that's something that you shouldn't ignore. Well. 0:14:39.280 --> 0:14:42.280 Also a lot with gut help, right, that's kind of 0:14:42.320 --> 0:14:45.600 being talked about more when we watched the documentary on 0:14:45.680 --> 0:14:49.720 Netflix that was really interesting about just about your gut 0:14:49.800 --> 0:14:53.600 in general, that we really don't think about how it works, 0:14:53.640 --> 0:14:56.560 how much you know, your food goes through and then 0:14:56.600 --> 0:14:59.480 it you know, captures the good stuff and then filters 0:14:59.480 --> 0:15:02.080 out the bat. I mean, I think gut health is 0:15:02.200 --> 0:15:03.360 very important. 0:15:03.320 --> 0:15:04.160 Especially for men. 0:15:04.360 --> 0:15:08.640 Nothing more likely talked about now more likely talked about. 0:15:08.640 --> 0:15:10.720 I mean, we we we've seen a lot of talk 0:15:10.720 --> 0:15:13.760 about bloating, and we just always have just bloated. I 0:15:13.760 --> 0:15:16.440 think there's a whole TikTok craze about, you know, the 0:15:16.440 --> 0:15:22.320 bloated gut and people understanding now that it's okay to 0:15:22.440 --> 0:15:25.360 talk about it. It used to be an embarrassment. You know, 0:15:25.440 --> 0:15:29.240 I'm bloated of gas. It's so effected to who you 0:15:29.280 --> 0:15:29.960 are as people. 0:15:32.240 --> 0:15:34.200 Did you talked about it last night? As a matter 0:15:34.240 --> 0:15:39.800 of fact, I believe what did we end up with you? 0:15:40.280 --> 0:15:40.480 Yes? 0:15:40.880 --> 0:15:44.240 Because as you get older, sayings change, and especially for 0:15:44.360 --> 0:15:47.800 women as you go through menopause. I believe that you know, 0:15:48.040 --> 0:15:52.080 digestion is such a huge symptom of menopause. Like I've 0:15:52.120 --> 0:15:56.000 been having new challenges. Let's just say, as I've gotten 0:15:56.240 --> 0:15:58.560 a little bit older that I never had before. 0:15:58.760 --> 0:15:59.440 Always something. 0:15:59.600 --> 0:16:02.720 But you're not alone. You are absolutely not alone. That 0:16:02.840 --> 0:16:07.600 is very common. I hear so many of my patients 0:16:07.640 --> 0:16:10.400 come in even after we've talked about the problem they 0:16:10.480 --> 0:16:14.200 wanted to talk about. We'll parlay, if not even from 0:16:14.240 --> 0:16:16.600 the cell, the family members that are with them, about 0:16:16.640 --> 0:16:19.880 their gut about you know, I'm having more gas, or 0:16:19.920 --> 0:16:22.720 I can't eat food the same, or I can't process it, 0:16:22.880 --> 0:16:27.160 or my bathroom habits have changed. I mean, that's very common, 0:16:27.200 --> 0:16:29.320 and I think we all realized how common it is. 0:16:29.680 --> 0:16:31.760 It would be less taboo than it is right now. 0:16:32.480 --> 0:16:35.560 Yeah, I think when we first got married, got together, 0:16:35.920 --> 0:16:39.800 we keep things very private. When it comes to that department, 0:16:40.320 --> 0:16:42.640 the digestion. Let's just say I have. 0:16:42.560 --> 0:16:44.800 To go to a different restroom in the house. 0:16:46.000 --> 0:16:50.720 We have he has his routine. Everybody knows about it, 0:16:50.760 --> 0:16:52.560 even though you think you're hiding it from everyone. 0:16:53.680 --> 0:16:59.440 But very early, doctor, your routine is messed up. It's 0:16:59.440 --> 0:17:01.840 good to have a root. I like a routine. You know, 0:17:02.160 --> 0:17:04.080 most men, you don't want to break that routine. You 0:17:04.119 --> 0:17:07.920 break that routine gets broken somehow, then yeah, then we're 0:17:07.920 --> 0:17:08.720 talking to a doctor. 0:17:09.440 --> 0:17:11.920 And so everybody has a different routine. So as long 0:17:11.960 --> 0:17:15.240 as you don't compare your routine and expect the same 0:17:15.280 --> 0:17:18.000 as yours, then you may be okay. But when you 0:17:18.080 --> 0:17:20.800 notice it's changing that routine, then you got to pick 0:17:20.880 --> 0:17:23.200 up the phone and say there's a problem something. 0:17:24.760 --> 0:17:27.639 So we're looking at fatigue. We're looking for if your 0:17:27.680 --> 0:17:30.320 winded just doing normal activities that you would normally be 0:17:30.359 --> 0:17:33.560 able to do. We're looking at changes in your digestion, 0:17:33.840 --> 0:17:37.119 changes in your output absolutely and your routine. Changes in 0:17:37.160 --> 0:17:41.720 your digestive routine. Those are all pretty silent warnings. 0:17:42.600 --> 0:17:46.120 And pains also, whether that be chest pain or shoulder 0:17:46.160 --> 0:17:49.240 pain or back pain. Now, these are your bodies sitting 0:17:49.240 --> 0:17:51.600 in you kind of red flags that there's something that's 0:17:51.680 --> 0:17:55.760 not right. Pain should not be ignored, it should be explained, 0:17:56.200 --> 0:17:57.399 and it should be understood. 0:17:59.080 --> 0:18:01.640 I've been I've had a situation, you remember this where 0:18:01.680 --> 0:18:04.000 I was just doubled over in pain and I thought, oh, 0:18:04.000 --> 0:18:07.000 there's something terrible is happening to me. I'm having an 0:18:06.680 --> 0:18:11.160 appendix thing or something ruptured inside the way. Yes, and 0:18:11.280 --> 0:18:16.200 it was just gas, like trapped gas under inside my organs. 0:18:16.680 --> 0:18:20.280 Yeah, and so but again, just understanding that allows you 0:18:20.680 --> 0:18:23.240 to live a life. But if you have that pain 0:18:23.280 --> 0:18:26.679 and we don't know why you're having that, good, we 0:18:26.680 --> 0:18:28.760 don't know what's happening here, right, And that's when we 0:18:28.920 --> 0:18:29.840 took the danger zone. 0:18:30.000 --> 0:18:38.920 Yeah, okay, we want to talk a little bit about 0:18:38.920 --> 0:18:41.960 colon cancer because it is the number one cause of 0:18:42.080 --> 0:18:44.760 cancer death for men under fifty. What do you have 0:18:44.840 --> 0:18:48.000 to say about that? Should men start looking at their 0:18:48.000 --> 0:18:50.000 colon health at what age and how. 0:18:50.000 --> 0:18:53.359 So recently that that age changed? Everyone always remember a 0:18:53.440 --> 0:18:56.439 fifty as that magic age. But we were starting to 0:18:56.480 --> 0:19:01.919 see more younger patients, younger people with colon cancers, and 0:19:01.920 --> 0:19:05.920 not just colon cancers, but advanced colon cancers. So that 0:19:06.040 --> 0:19:09.159 recommendation is now, at the age of forty five, you 0:19:09.240 --> 0:19:15.280 should have your first screening for corectal cancer. Unless there's 0:19:15.280 --> 0:19:18.840 a family history of these problems, then you're probably going 0:19:18.920 --> 0:19:21.560 to start that testing, maybe even as early as ten 0:19:21.680 --> 0:19:26.399 years before that family member started having their problems. 0:19:26.440 --> 0:19:30.360 Interesting talking about these things as men. You know, I'm 0:19:30.400 --> 0:19:32.840 sitting here listening about the screening and stuff. I'm coming 0:19:32.920 --> 0:19:37.040 up on forty five. I've got it, like the screening process. 0:19:37.359 --> 0:19:41.800 So even just hearing that as a man, you go, no, no, no, 0:19:41.880 --> 0:19:43.720 you don't need to screen me. I don't even know 0:19:43.720 --> 0:19:45.640 what that is. I don't even know how I'm gonna 0:19:45.640 --> 0:19:46.119 get screened. 0:19:46.200 --> 0:19:46.960 What's a screen? 0:19:47.280 --> 0:19:47.879 How do you screen? 0:19:47.920 --> 0:19:50.160 Oh? My god, it's not as hard as you think 0:19:50.160 --> 0:19:52.760 it is. And there are many ways in which we screen. 0:19:53.200 --> 0:19:56.760 I mean, most people think about the colonoscopy. There's a 0:19:56.800 --> 0:19:59.560 lot of videos and TV shows they made fun of 0:19:59.560 --> 0:20:02.439 the colon It's kind a bad rap. It's one of 0:20:02.440 --> 0:20:05.119 the easiest tests you'll ever do, one of the best 0:20:05.200 --> 0:20:06.119 maps you'll ever have. 0:20:06.280 --> 0:20:09.119 Oh it's so good. Yeah, I've had a colonoscopy and 0:20:09.160 --> 0:20:10.040 I quite enjoyed it. 0:20:10.240 --> 0:20:13.800 I did okay, Yeah, see, I had I had something 0:20:13.880 --> 0:20:17.280 in my head that when I was little, I had 0:20:17.280 --> 0:20:19.240 to get you know, I had to drink the chalk, 0:20:19.920 --> 0:20:23.520 to put a camera down to look at my stomach, YadA, YadA, YadA, 0:20:23.800 --> 0:20:27.200 and like even like thinking about a screening for colon 0:20:27.720 --> 0:20:28.800 I mean, that. 0:20:28.840 --> 0:20:30.200 Doesn't sound like a good time to you. 0:20:30.680 --> 0:20:33.800 And then but here's the other thing. If if you 0:20:33.880 --> 0:20:37.000 are an average risk, meaning you don't have family history 0:20:37.040 --> 0:20:40.240 of colon problems, where you're not having symptoms, et cetera, 0:20:40.720 --> 0:20:43.360 there are other tests that may be allowed. I mean, 0:20:43.440 --> 0:20:45.359 you've seen the camercials. Now for the poop in the 0:20:45.400 --> 0:20:45.960 box test. 0:20:46.880 --> 0:20:48.400 Wait what go back? 0:20:48.520 --> 0:20:48.560 What? 0:20:48.800 --> 0:20:49.240 Wait? 0:20:49.240 --> 0:20:50.080 Poop in the box? 0:20:51.000 --> 0:20:54.879