June 25, 2023

Empowering Men to Conquer Prostate Cancer and Prioritize Health

Empowering Men to Conquer Prostate Cancer and Prioritize Health

When James discovered his elevated PSA score, he knew he had to take his health into his own hands. Little did he know that this journey would lead to a prostate cancer diagnosis and a life-altering surgery. Join me as he shares his personal experien...

When James discovered his elevated PSA score, he knew he had to take his health into his own hands. Little did he know that this journey would lead to a prostate cancer diagnosis and a life-altering surgery. Join me as he shares his personal experience and the invaluable lessons he learned along the way, in hopes of inspiring other men to prioritize their health and well-being.

My guest, brings his own perspective, discussing his prostate cancer journey and how his background in politics, sales, and family life influenced his health decisions. Together, we emphasize the importance of regular checkups, PSA tests, and staying proactive about our health. We also explore the role of artificial intelligence in healthcare and how it can aid in early detection and prevention of cancer.

Don't wait until it's too late; take control of your health and live a healthier, wealthier, and wiser life. Tune in to this eye-opening episode and learn from our experiences, as we encourage men of all ethnicities to get screened for prostate cancer and take action, especially if they feel something is off. Invest in your health, and discover the power of staying informed, eating healthily, and exercising regularly.

Choctaw Medical Group, Inc.
Healthcare Quality Leadership Education Group

Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.

Support the show

The Host, Dr. William Choctaw; MD, JD, is a healthcare leadership expert, possessing a Medical Doctorate from the Yale University School of Medicine, and a Jurist Doctorate from Western University. Over a span of 50 years practicing medicine, he has served as Chief of Staff, Chief of Surgery, and as a member of the medical executive committee at Citrus Valley Medical Center over a 10 year period. Also, while practicing at Citrus Valley Medical Center, he served as Chief Transformation Officer, (developed a Robust Process Improvement/Lean Six Sigma program). Dr. Choctaw lectures nationally and internationally on medical leadership issues for hospital staffs, executives, and managers. He served as a Physician Surveyor on the Joint Commission. He's the author of 2 books, "Medical Malpractice: A Physician's Guide to the Law" and "Transforming the Patient Experience: A New Paradigm for Hospital and Physician Leadership, published by the Springer Publishing Co. He’s the President of Choctaw Medical Group, Inc., a clinical practice and medical legal consulting firm for medical staff executives, physician leaders, and hospitals.

Transcript
100:00:00,480 --> 00:00:02,404Speaker 1: Welcome to the Healthy, Wealthy and Wise 200:00:02,524 --> 00:00:08,064podcast with Dr William Chokta, MDJD. Our mission is to empower 300:00:08,125 --> 00:00:11,897you with the knowledge and the tools you need to thrive in all 400:00:12,099 --> 00:00:16,184aspects of your lives. Join us now as we discuss everything 500:00:16,285 --> 00:00:19,842from nutrition and exercise to money management and personal 600:00:19,862 --> 00:00:24,733growth. Dr Chokta will provide insightful advice on how to 700:00:24,774 --> 00:00:28,064improve your physical and financial health, as well as 800:00:28,103 --> 00:00:31,460your emotional and mental well-being. Whether you're 900:00:31,481 --> 00:00:35,930looking to boost your energy levels, unlock financial freedom1000:00:35,930 --> 00:00:40,207or cultivate a more positive mindset, we've got you covered. 1100:00:41,880 --> 00:00:45,901Get ready to become the best version of yourself? So let's 1200:00:45,941 --> 00:00:49,375get started. Here's Dr William Chokta, MDJD. 1300:00:50,969 --> 00:00:53,084Speaker 2: Well, thank you, dr Chokta, And also thank you, 1400:00:53,124 --> 00:00:58,219jesse. I really appreciate it. Basically, my story is this I 1500:00:58,240 --> 00:01:05,730would say in 2021, just a regular checkup visit with my 1600:01:05,772 --> 00:01:11,942doctor, and he said you know, your PSA is elevated, and so 1700:01:11,962 --> 00:01:16,150because the normal score is 4.0,and mine had elevated to 4.6. 1800:01:17,659 --> 00:01:21,028And so he suggested that we takeanother look at it, say in 1900:01:21,067 --> 00:01:24,801about three or four months, and then go from there. So I didn't 2000:01:24,820 --> 00:01:27,503think anything of it, because I eat healthy, i exercise on a 2100:01:27,524 --> 00:01:32,843regular basis, i take care of myself, and so I ended up going 2200:01:32,884 --> 00:01:38,972back taking another blood test and it still was at the same 2300:01:39,033 --> 00:01:42,405number, and so he was kind of getting a little concerned 2400:01:42,444 --> 00:01:47,063because for me at that time, only being 58 years old, he 2500:01:47,102 --> 00:01:51,712thought when I was kind of young, to have, you know, a PSA with 2600:01:51,751 --> 00:01:57,911that score. So he suggested I goto the city of Hope and just 2700:01:57,971 --> 00:02:03,099have them take a look at it, andso I decided to do that, and 2800:02:03,120 --> 00:02:07,484I'll never forget December of 2021. I had an opportunity to go2900:02:07,484 --> 00:02:13,109there, And when they first did the initial blood test, 3000:02:13,530 --> 00:02:18,145obviously they solved the score,but then after that, when they 3100:02:18,185 --> 00:02:21,912did, when they checked the area around the prostate. Everything 3200:02:21,953 --> 00:02:26,164felt normal. It wasn't enlarged,i wasn't having any symptoms or3300:02:26,164 --> 00:02:30,520anything like that. So they decided to do a biopsy And in a 3400:02:30,561 --> 00:02:34,758biopsy they found five differentlittle specs that showed that I3500:02:34,758 --> 00:02:37,288had to be getting a prostate cancer in five different areas, 3600:02:37,367 --> 00:02:41,302in particular on the right side of my prostate. And so from 3700:02:41,383 --> 00:02:46,325there I became a patient And they began to monitor me from 3800:02:46,385 --> 00:02:51,080December of 2021 to when I actually had the removal on 3900:02:51,161 --> 00:02:54,664April 5th 2023. But the interesting thing, guys, i 4000:02:54,705 --> 00:02:57,881didn't do anything different. I kept my same diet, i kept 4100:02:57,961 --> 00:03:00,669exercising, taking care of myself, getting plenty of rest. 4200:03:01,280 --> 00:03:06,685But my prostate started to elevate And it went from 4.6 to 4300:03:08,527 --> 00:03:15,8006.6 in a year's period of time, and then from 6.6 in 2022 to 4400:03:15,881 --> 00:03:25,0282023, it went all the way up to 10.367. That was the final 4500:03:25,068 --> 00:03:30,228diagnosed for me on February 28,2023. I couldn't believe that 4600:03:30,268 --> 00:03:33,474it elevated that high and it wasn't just the right time. I 4700:03:33,495 --> 00:03:37,429prostrated at the time. It had shifted over to the left side 4800:03:38,189 --> 00:03:43,516and that's where the real concern was. Because they just 4900:03:43,576 --> 00:03:49,349felt that at that point There's time to do something about it, 5000:03:49,409 --> 00:03:56,240because they just didn't want itto metastasize my body at all. 5100:03:59,050 --> 00:04:02,896I went with my urologist. I got a chance to talk to him and 5200:04:03,198 --> 00:04:06,531spend time with him. He said youknow you have options. You're 5300:04:06,550 --> 00:04:09,706still relatively young. I wasn'teven 60 yet. He said you're 5400:04:09,747 --> 00:04:14,048relatively young, we can do radiation. I said no, i don't 5500:04:14,068 --> 00:04:17,745want that in my body, or we can just do the removal. I'll let 5600:04:17,766 --> 00:04:21,834you know when we can do that. That's when they decided to go 5700:04:21,875 --> 00:04:25,475ahead and do the removal process. What I wasn't thinking about I5800:04:25,475 --> 00:04:27,766did a lot of reading and research on it. I wasn't 5900:04:27,846 --> 00:04:30,944thinking what the after effects of that removal would be. I said6000:04:30,944 --> 00:04:34,773, oh, it's no big deal, it's just a small walnut inside of me6100:04:34,773 --> 00:04:37,745that they take out and I'll be back to normal again. That 6200:04:37,865 --> 00:04:43,795wasn't the case. Actually, the actual removal on April 5th I 6300:04:43,875 --> 00:04:47,906had to have a catheter in me forseven days And then after that 6400:04:48,206 --> 00:04:54,456I also have been going to a physical therapy for twice a 6500:04:54,497 --> 00:04:59,312week, still at the City of Hope.So I'm back exercising, but it 6600:04:59,372 --> 00:05:02,490hasn't been the same. I'm still getting in contact, obviously in6700:05:02,490 --> 00:05:06,571continents. I'm working on thatand just being able to get back6800:05:06,571 --> 00:05:11,086to my normal life. But things have taken a change. But the 6900:05:11,125 --> 00:05:14,632interesting part I couldn't findany one of my family who 7000:05:14,711 --> 00:05:17,978actually had it, to tell you a little short story about my 7100:05:18,038 --> 00:05:21,048family. You and I have somethingin common, dr Chakta. My family7200:05:21,048 --> 00:05:24,968my dad's a rooting from Tennessee And I have a ton of 7300:05:25,009 --> 00:05:27,911relatives down there I've never met before in the City of 7400:05:27,951 --> 00:05:32,810Memphis, tennessee, and so Tim Robinson got me in contact with 7500:05:32,831 --> 00:05:35,836one of my cousins, and he's the only one these 10 years older 7600:05:35,857 --> 00:05:38,968than me, the only one that I know of, that had prostate 7700:05:39,209 --> 00:05:42,875issues, and we're more of a distant cousin than we are a 7800:05:43,817 --> 00:05:48,273close related cousin So. But my other relatives, none of them 7900:05:48,613 --> 00:05:53,153have any prostate issues. None of them had any. Everything is 8000:05:53,213 --> 00:05:55,786fine with them and they're mostly in their 70s. I'm the 8100:05:55,906 --> 00:06:00,516only one and I'm 60 now that actually has had prostate 8200:06:00,557 --> 00:06:04,994removal. So that's basically my story in a nutshell. 8300:06:07,687 --> 00:06:10,713Speaker 3: Oh, what message would you want to give to other 8400:06:12,677 --> 00:06:17,848individuals, particularly men, about your stories? What lessons8500:06:17,848 --> 00:06:18,490did you learn? 8600:06:19,444 --> 00:06:22,069Speaker 2: Even though I was healthy, i mean I had. When I 8700:06:22,089 --> 00:06:25,596say healthy, don't have high blood pressure, diabetes, heart 8800:06:25,615 --> 00:06:30,189problems, any things. Each relatively healthy meal, watch 8900:06:30,230 --> 00:06:35,004everything I eat, make sure I get an up, rest, exercise. I 9000:06:35,024 --> 00:06:39,326would just tell men, it doesn't really matter If you're not sure9100:06:39,326 --> 00:06:45,697or don't know what your historyof in terms of prostate, you 9200:06:45,757 --> 00:06:48,706should have yourself check as early as 35. Because, believe it9300:06:48,706 --> 00:06:51,170or not, that's actually when I started to get my prostate 9400:06:51,189 --> 00:06:54,877checked, because I lost my dad at 49, but it wasn't from 9500:06:54,918 --> 00:06:58,473prostate. He had heart problems,heart disease at the end, large9600:06:58,473 --> 00:07:03,454heart, and so I wasn't quite sure and I started reading about9700:07:03,454 --> 00:07:06,668prostate cancer And I just saidyou know, this is something 9800:07:06,709 --> 00:07:10,716that African American males experience a lot earlier than 9900:07:10,776 --> 00:07:15,149most other ethnicities. I need to look at this because you 10000:07:15,189 --> 00:07:19,437never know. So from the age of 35 until now I've been having my10100:07:19,437 --> 00:07:22,269prostate check on a regular basis. But I would tell men and 10200:07:22,309 --> 00:07:25,166it doesn't matter what ethnicityyou are, i'll tell them, get 10300:07:25,206 --> 00:07:28,677your prostate checked early, getit checked early, 35 years old,10400:07:28,677 --> 00:07:32,005i mean, don't mess around. I was very fortunate Just a 10500:07:32,185 --> 00:07:38,858routine physical exam that my doctor spotted the elevation of 10600:07:38,918 --> 00:07:43,009my PSA And from there, i was able to go and have the city of 10700:07:43,029 --> 00:07:48,379home be able to take care of me all the way up until the removal10800:07:48,379 --> 00:07:52,812. So I will tell them you got toget yourself checked, whether 10900:07:52,853 --> 00:07:55,877it's with your position or just in general. There's so many 11000:07:55,898 --> 00:07:59,293different areas Now you can go in terms of getting a PSA check.11100:07:59,293 --> 00:08:04,785You got to do it. It's just important. So I really do. I 11200:08:04,805 --> 00:08:08,434think it's in fact, i know it's important because not all did 11300:08:08,454 --> 00:08:11,369they catch it early, but they caught it while I'm still 11400:08:11,470 --> 00:08:15,208relatively young and healthy, right. So that's why I decided 11500:08:15,228 --> 00:08:18,754to do the removal part, as opposed to some men who wait 11600:08:18,834 --> 00:08:23,548till later on And then they don't have that option. So, but 11700:08:23,610 --> 00:08:26,206I had options. So that's why youwant to get a check. You want 11800:08:26,225 --> 00:08:30,269to get a check early and stay ontop of it. So that would be my 11900:08:30,329 --> 00:08:30,670message. 12000:08:32,846 --> 00:08:35,886Speaker 3: And also tell us a little about yourself, You know 12100:08:35,927 --> 00:08:39,265what do you do for a living? Where'd you go to school? Just a12200:08:39,265 --> 00:08:42,005little brief bio, brief bio, well. 12300:08:42,246 --> 00:08:45,006Speaker 2: I grew up in SouthernCalifornia. I was very 12400:08:45,067 --> 00:08:49,405fortunate. I grew up what they call Southwest LA. So I grew up 12500:08:49,506 --> 00:08:55,510near the Western Imperial side, near Southwest College, not too 12600:08:55,572 --> 00:08:59,562far, believe it or not, from those two blocks South of 12700:08:59,682 --> 00:09:06,208Englewood and two blocks, i guess you could say, northwest 12800:09:06,269 --> 00:09:10,388of Parthon. My parents, like I said, my dad, was from Memphis, 12900:09:10,408 --> 00:09:14,023tennessee. He was in the Air Force. He came out and met my 13000:09:14,063 --> 00:09:19,847mom back in the late 50s. She was from Louisiana and I was 13100:09:19,888 --> 00:09:24,105very fortunate to be born here in Southern Cal. I went to all 13200:09:24,145 --> 00:09:27,422private schools. I went to a private grammar school, i went 13300:09:27,442 --> 00:09:29,970to a private high school, a loyal high school downtown LA. 13400:09:30,780 --> 00:09:35,000It's the oldest private all boyshigh school in California. It 13500:09:35,039 --> 00:09:40,724was created in, i believe, 1859.You guys have heard of Loyola 13600:09:40,764 --> 00:09:44,326Maramot University. That was birthed out of there and Loyola 13700:09:44,365 --> 00:09:49,446Law School was birthed out of there too. And then from there I13800:09:49,446 --> 00:09:51,842decided to go to a private college. I went to a black 13900:09:51,863 --> 00:09:53,659college called the David University of New Orleans. I 14000:09:53,720 --> 00:09:57,301thought at one time I wanted to be a pharmacist. We had a 14100:09:57,341 --> 00:09:59,884pharmacist in our family that kept saying you got to go to 14200:09:59,904 --> 00:10:02,129Xavier, you got to go to Xavier.It's a great school. 14300:10:02,229 --> 00:10:04,894Speaker 3: I remember Xavier, i know. For the rest, Yeah. 14400:10:05,220 --> 00:10:08,528Speaker 2: So I went down there take a look at that pharmacy 14500:10:08,589 --> 00:10:14,163program, dr Sattonsi, i don't know if this is for me. And so 14600:10:14,768 --> 00:10:17,020what I did was I became a pre-law major. So I was a 14700:10:17,061 --> 00:10:21,121pre-law international relations major And from there I got a 14800:10:21,182 --> 00:10:24,261chance to learn a little bit about politics. I got involved 14900:10:24,302 --> 00:10:27,222in a little bit of politics there. I decided to come back to15000:10:27,222 --> 00:10:29,708Southern California and, believe it or not, my first job 15100:10:30,028 --> 00:10:34,306I volunteered for Tom Bradley. He was running for governor the 15200:10:34,346 --> 00:10:37,393mayor but he was running for governor the second time. Okay, 15300:10:37,759 --> 00:10:40,951had an opportunity to work on his campaign, got a paid staff 15400:10:40,971 --> 00:10:45,485position and then decided that Ihad an opportunity to believe 15500:10:45,524 --> 00:10:48,049it or not to work for a council person in West Chester, 15600:10:48,110 --> 00:10:50,844california. I didn't want to interview for the position, but 15700:10:50,903 --> 00:10:54,982I thought at the time I just didn't have a heart to get into 15800:10:55,023 --> 00:10:57,369politics because I just didn't like the direction it was 15900:10:57,409 --> 00:11:01,063heading in and I want to be a part of it. And so I decided to 16000:11:01,104 --> 00:11:04,668get in sales. And so from then on I've had a career in sales 16100:11:04,707 --> 00:11:08,269over 30 years. I've worked in different, various forms of 16200:11:08,308 --> 00:11:11,903sales. I worked at one time withPepsi Cola. I also had the 16300:11:11,962 --> 00:11:15,297opportunity where I saw UC frequently Dr Chattow, working 16400:11:15,376 --> 00:11:17,384in the local industry for seven years. 16500:11:17,787 --> 00:11:20,245Speaker 3: Right, and then we just come to my office. Yeah, i 16600:11:20,265 --> 00:11:20,527did. 16700:11:21,682 --> 00:11:25,981Speaker 2: So that was a lot of fun It was. It was getting a 16800:11:26,022 --> 00:11:30,721chance to meet the doctors and detail them, and then from there16900:11:30,721 --> 00:11:35,304I worked for a company called Office Depot, and then that's 17000:11:35,345 --> 00:11:38,184where I've been. I've been in sales now for over 30 years and 17100:11:38,205 --> 00:11:42,643I'm still working, but I'm on a tail end of my career. I hope to17200:11:42,643 --> 00:11:45,571one day be able to be like you,dr Chattow, if you retire. 17300:11:47,806 --> 00:11:49,671Speaker 3: You know we might have you do a podcast. 17400:11:50,182 --> 00:11:54,245Speaker 2: Yeah, you never know.You never know. But during that17500:11:54,245 --> 00:11:59,488time period I was married My first time. My first wife had a 17600:11:59,567 --> 00:12:04,307son. He's now 31. And then I metmy second wife at St Stephens. 17700:12:05,259 --> 00:12:10,969We've been together now, as of June 2nd this year, 22 years. So17800:12:10,969 --> 00:12:15,664so I have a blended family. I have three grown sons and eight 17900:12:15,684 --> 00:12:21,604grandkids. Wow, wow, Congrats. How that happened I don't know, 18000:12:21,644 --> 00:12:28,034man, but unfortunately. You knowthe funny part coming to St 18100:12:28,076 --> 00:12:30,864Stephens I met Tim and Tim has been able to connect me with a 18200:12:30,884 --> 00:12:33,923lot of my relatives in Memphis Because, like I said, my 18300:12:33,962 --> 00:12:37,711grandfather had three sets of. Well, the first set was my 18400:12:37,770 --> 00:12:41,486father, my aunt and uncle, and Inever met my uncle, but I knew 18500:12:41,506 --> 00:12:45,162my aunt And then he didn't marrymy grandmother, he went and 18600:12:45,221 --> 00:12:49,082started another family and they get married, and so I have a ton18700:12:49,082 --> 00:12:54,164of relatives down in Memphis, tennessee area And I'm a very, 18800:12:54,225 --> 00:12:57,322very successful from my understanding. So I have a very 18900:12:57,442 --> 00:13:03,770large family, so to speak. So that's kind of my story from a 19000:13:03,811 --> 00:13:07,445nutshell. Why don't I? Yeah, i'mblessed. I've been truly 19100:13:07,485 --> 00:13:10,288blessed Been teaching Sunday school at St Stephens over 25 19200:13:10,347 --> 00:13:12,952years, so now I'm in the senior department. 19300:13:12,993 --> 00:13:18,647Speaker 1: So that's it. You hadspoken of how you discovered 19400:13:20,188 --> 00:13:25,703the situation with the proskate.Yes, yeah, doing a routine 19500:13:25,764 --> 00:13:31,287physical Mm-hmm. Before then. Was there any other? I mean, 19600:13:31,727 --> 00:13:39,330were you, were you feverish, didyou have body aches or anything19700:13:39,330 --> 00:13:39,812like that? 19800:13:40,580 --> 00:13:45,601Speaker 2: Did not have any symptoms whatsoever. And when 19900:13:46,124 --> 00:13:50,119the urologist said city of hope,like I said, it wasn't until 20000:13:50,158 --> 00:13:53,946they did the biopsy. when they found the traces of the five 20100:13:53,985 --> 00:13:59,014different areas of cancer and the prostate. You couldn't see 20200:13:59,073 --> 00:14:03,481anything. I didn't have any problems with my urine, my 20300:14:04,445 --> 00:14:08,086prostate was normal. So on the outside, on the surface, 20400:14:08,145 --> 00:14:11,380everything looked fine. It was just on the inside. It's when 20500:14:11,421 --> 00:14:14,201things were growing and startingto spread a little bit. That's 20600:14:14,221 --> 00:14:16,905when they were able to discover it. But no, I had no issues 20700:14:17,005 --> 00:14:19,804whatsoever. That's why they werekind of surprised at the age of20800:14:19,804 --> 00:14:24,32758. Because they told me I was relatively young to have that. 20900:14:24,639 --> 00:14:28,575So, and without me knowing my family history or background, 21000:14:29,177 --> 00:14:31,787you know, i was really kind of stoned that they found that. 21100:14:32,761 --> 00:14:35,388Speaker 1: So is that? is that typical that people don't have 21200:14:35,467 --> 00:14:36,048symptoms? 21300:14:36,890 --> 00:14:42,788Speaker 2: Yeah, So yes, and no.Dr Chattalka speak this better 21400:14:42,807 --> 00:14:46,506and I could. There are some instances where you don't really21500:14:46,506 --> 00:14:51,640have to have any symptoms to have the cancer in you. You 21600:14:51,681 --> 00:14:55,355don't. Now, with things being the way they are I mean, they're21700:14:55,355 --> 00:14:58,485starting to look, according to what my urologist told me more 21800:14:58,544 --> 00:15:02,201patients are trying to come in who don't have any symptoms that21900:15:02,201 --> 00:15:05,854they've been able to find in the prostate. I was like, wow, 22000:15:06,134 --> 00:15:09,082this is the new world that has kind of opened up in that area. 22100:15:09,123 --> 00:15:15,553So. But I could tell you guys this a former coworker of mine, 22200:15:16,160 --> 00:15:19,894that's about four years older than me, was concerned. He has 22300:15:19,955 --> 00:15:22,764prostate started to elevate and I sent him over to the city of 22400:15:22,825 --> 00:15:29,028Hope and now he's a patient overthere. So, and so I. That's why22500:15:29,028 --> 00:15:32,238, when I was first diagnosed andjust went through this, the 22600:15:32,278 --> 00:15:35,450first thing I did was I said letme open my mouth and just tell 22700:15:35,510 --> 00:15:38,282people about it. This is something you should keep to 22800:15:38,322 --> 00:15:42,274yourself, especially for men. You know we have. We've always 22900:15:42,315 --> 00:15:44,923had a hard time expressing ourselves when it comes to 23000:15:44,964 --> 00:15:48,775talking about and Dr Chattalka and related to that, about 23100:15:49,798 --> 00:15:52,966symptoms and problems we may have. But this is something that23200:15:52,966 --> 00:15:56,342I always say is a silent killer, because, outside of heart 23300:15:56,383 --> 00:16:00,115disease, prostate cancer is the next thing that takes us out. 23400:16:00,756 --> 00:16:05,589And when I told Reverend Dockry about it and I even told some of23500:16:05,589 --> 00:16:08,562my fraternity brothers about itI said this is something you 23600:16:08,582 --> 00:16:11,331guys got to really stay on top of. I don't care how old you are23700:16:11,331 --> 00:16:14,952, don't sleep on this, go to your doctor on a regular basis 23800:16:15,013 --> 00:16:18,245and get your PSH, because you just never know. They watched 23900:16:18,365 --> 00:16:23,038out that I got it because of my diet and how strict I am and the24000:16:23,038 --> 00:16:26,630way I take care of myself. But I said that can happen to me and24100:16:26,630 --> 00:16:30,263happen to anybody. So it doesn't matter how healthy you 24200:16:30,403 --> 00:16:33,490are, it's acceptable to it. 24300:16:33,711 --> 00:16:37,059Speaker 3: So you know and that's an important point. You 24400:16:37,080 --> 00:16:42,169bring up, James, that a lot of times we think pardon what we 24500:16:42,190 --> 00:16:45,605see on television or friends or whatever that we have control 24600:16:45,706 --> 00:16:48,677over a lot of this, but we really don't. And, as you 24700:16:48,717 --> 00:16:51,889mentioned, you know if it's in your genes or, however, and 24800:16:51,928 --> 00:16:55,923sometimes we don't know how it occurs. It just occurs, That's 24900:16:55,982 --> 00:16:59,193right, And so you just sort of have to have the regular 25000:16:59,234 --> 00:17:01,942checkups. You also mentioned some of those extremely 25100:17:01,982 --> 00:17:07,176important men. We men don't liveas long as women, And one some 25200:17:07,297 --> 00:17:11,406suggests is because we don't do what you intelligently did, 25300:17:11,887 --> 00:17:15,281which was go to your doctor, have regular checkups and follow25400:17:15,281 --> 00:17:17,990through. A lot of times we havethe checkup but we don't follow25500:17:17,990 --> 00:17:21,911through. That's correct, And I think you're a classic example 25600:17:22,471 --> 00:17:26,001of what doing it the right way of doing it the right way And 25700:17:26,042 --> 00:17:30,432hopefully more people more men particularly, but men and women 25800:17:30,472 --> 00:17:34,204will pay attention and follow up. 25900:17:34,767 --> 00:17:37,752Speaker 2: They should Dr Jack tell. This is you just have to, 26000:17:38,539 --> 00:17:41,734and I credit my wife to this. Wemake sure that we go to the 26100:17:41,810 --> 00:17:46,204dentist. We get our checkups on a regular basis. I don't miss 26200:17:47,268 --> 00:17:52,384and just been, particularly now that I've been through this, not26300:17:52,384 --> 00:17:58,528only did I miss that, but I'm very sturgent when it comes to 26400:17:58,548 --> 00:18:02,661the city of hope, because after the procedure I was the one that26500:18:02,661 --> 00:18:07,290requested and thank God I have the insurance to do it Can I get26600:18:07,290 --> 00:18:11,846physical therapy? Because I think it's important to be able 26700:18:11,905 --> 00:18:17,702to get back to my normal routineand my normal lifestyle. And 26800:18:17,742 --> 00:18:20,269I'm glad I did, because I've been through two physical 26900:18:20,328 --> 00:18:24,123therapy sessions and I've had some great exercise routines 27000:18:24,143 --> 00:18:28,432that I've been taught that I'm utilizing. And I do go to the 27100:18:28,512 --> 00:18:32,847gym, but at the gym I'm not obviously doing my routine there27200:18:32,847 --> 00:18:37,406because I'm building myself back up again, but it's very 27300:18:37,467 --> 00:18:40,838important. I mean this is nothing to sleep on. You really 27400:18:40,878 --> 00:18:45,390got to do your due diligence anddo your checkup. And then also,27500:18:45,390 --> 00:18:49,686i mean I went as far before my urologist. When I first met my 27600:18:49,767 --> 00:18:54,565urologist, i did a background onit, i had a check with other 27700:18:54,684 --> 00:18:59,720urologists And I even went as far as to check his background 27800:18:59,880 --> 00:19:03,209terms of academically, where do you go to medical school? That 27900:19:03,229 --> 00:19:06,686was important to me. So I just think it's important to do your 28000:19:06,707 --> 00:19:10,020due diligence because I chose the right person, because this 28100:19:10,101 --> 00:19:17,337guy was very aggressive when it came to that. So I'm quite 28200:19:17,377 --> 00:19:20,305pleased. I'm quite happy guys. Ican tell you today I feel great28300:19:20,305 --> 00:19:24,433, i have a great outlook on lifeand I'm just willing to share 28400:19:25,000 --> 00:19:28,567with anybody that's willing to listen. I just think it's 28500:19:28,627 --> 00:19:32,643important to do it. I've told mykids because I have three adult28600:19:32,643 --> 00:19:35,730male kids you got to get your prostate checked. It's in the 28700:19:35,750 --> 00:19:40,376genes. So if I got it, it means you will get it. So I can't 28800:19:40,396 --> 00:19:42,723worry about what happened in thegeneration before. I can just 28900:19:42,743 --> 00:19:46,772tell you what's going on now. Soyou guys got to do it. 29000:19:47,960 --> 00:19:51,686Speaker 1: So there's no real lifestyle change or anything 29100:19:51,727 --> 00:19:57,001like that that a person can apply to their life to help 29200:19:57,083 --> 00:19:58,787reduce the risk or is there? 29300:19:59,548 --> 00:20:03,277Speaker 2: I stopped eating red meat over 25 years ago, 30 years29400:20:03,277 --> 00:20:09,244ago And, like I said, i watchedmy diet He extremely. What I 29500:20:09,305 --> 00:20:14,502felt was healthy, exercise and take care of myself, so had 29600:20:14,523 --> 00:20:16,068nothing to do with it, yeah. 29700:20:17,383 --> 00:20:19,682Speaker 3: And I think that's the key, james, it has nothing 29800:20:19,702 --> 00:20:22,729to do with it. And a lot of times we think, well, you know, 29900:20:22,819 --> 00:20:26,723if I go to the gym, if I do this, if I do that, then things 30000:20:26,784 --> 00:20:29,903won't happen to me. Yes, they will, because, to your point, 30100:20:29,942 --> 00:20:34,084james, it has nothing to do withit. Whether you get cancer or 30200:20:34,144 --> 00:20:37,943you do not get cancer many timesis not related to your 30300:20:38,045 --> 00:20:41,760lifestyle, correct, is not related to your lifestyle. Now, 30400:20:41,780 --> 00:20:43,801certainly, you want to have a good lifestyle and a healthy 30500:20:43,821 --> 00:20:47,468lifestyle, because that's beneficial both mentally as well30600:20:47,468 --> 00:20:52,771as physically, but it is not anisolate one or make one immune 30700:20:52,940 --> 00:20:56,224from getting things like cancer,and that's why the checkups and30800:20:56,224 --> 00:20:57,942those types of things are so important. 30900:20:58,265 --> 00:21:01,282Speaker 2: They really are, and that's something. Yeah, i just 31000:21:01,303 --> 00:21:04,663tell men all the time, and youngmen too. You got to do it, 31100:21:05,220 --> 00:21:09,025absolutely You got to do it, andI think I brought it up to you,31200:21:09,025 --> 00:21:12,689dr Chaktao, about possibly maybe something at the church 31300:21:14,403 --> 00:21:17,000where we can present it to some of the men there and just let 31400:21:17,020 --> 00:21:22,363them know. This is what you needto do. Maybe once or twice a 31500:21:22,443 --> 00:21:25,842year, just have a regular PSA check there. You never know, 31600:21:25,882 --> 00:21:29,925during hell of a week, what haveyou? because you just have to. 31700:21:29,945 --> 00:21:33,606Just, you don't want. This is the kind of thing that I found 31800:21:33,707 --> 00:21:38,269out too. This is not only sneak up on you, it could take you out31900:21:38,269 --> 00:21:43,330And you won't even know it. Because had I just brushed it 32000:21:43,451 --> 00:21:46,849off and said well, you know whatall my other levels are, well, 32100:21:46,920 --> 00:21:50,063why do I have to worry about this PSA? Then it's not telling 32200:21:50,103 --> 00:21:52,342what would happen, you know, because it could have 32300:21:52,362 --> 00:21:55,163metastasized inside of my body and they'd not have had another 32400:21:55,243 --> 00:22:03,650issue. So I'm more deadly. So I'm just glad that I listened 32500:22:03,690 --> 00:22:06,807and paid attention and did my follow-up and did my due 32600:22:06,826 --> 00:22:09,102diligence. You got to do your due diligence. You got to read 32700:22:09,423 --> 00:22:13,842and ask questions, be informed. I ask a ton of questions, good 32800:22:13,862 --> 00:22:20,121good, and I have the opportunityto send emails to my doctor and32900:22:20,121 --> 00:22:23,541ask questions. Anything I have or didn't understand, they 33000:22:23,602 --> 00:22:26,766responded right away. Now, obviously after the procedure. 33100:22:28,242 --> 00:22:31,282Then his physician assistant took over because he did the 33200:22:31,364 --> 00:22:36,443major part, and so she's the oneI've been in contact with And I33300:22:36,443 --> 00:22:39,744see her now every three months.So I was seeing them on a 33400:22:39,785 --> 00:22:44,183regular every month or four, twoyears. Now it's just seeing her33500:22:44,183 --> 00:22:47,201every third month and they check my PSA. Last time they 33600:22:47,241 --> 00:22:53,082checked it was unrecognizable, so that was good. So now I'll 33700:22:53,102 --> 00:22:54,826come back in three more months and we'll see. 33800:22:57,680 --> 00:23:01,890Speaker 1: So the likelihood of it recurring is low. 33900:23:04,763 --> 00:23:06,990Speaker 2: Well, they say it andtell me if I'm wrong, dr 34000:23:07,009 --> 00:23:14,161Chaitao, he said it's about 85% to 90%. It all depends. They 34100:23:14,181 --> 00:23:18,065couldn't give me a finite number, but because they caught it in 34200:23:18,105 --> 00:23:21,306me as early as they did and because I'm relatively healthy, 34300:23:22,281 --> 00:23:25,449they said I stand a chance possibly not getting it again. 34400:23:27,362 --> 00:23:29,683Speaker 3: I would sort of agreewith that. I mean, you never 34500:23:29,703 --> 00:23:33,101say never And that's why you do checkups and that's it. But I 34600:23:33,121 --> 00:23:34,506would think it would be very small. 34700:23:35,079 --> 00:23:38,342Speaker 2: Right, that's what they related to me, but hey, i'm34800:23:38,342 --> 00:23:42,183still going to go and have themget to take that blood test, 34900:23:42,203 --> 00:23:47,423because you just never know. Yeah, and I want to know anyway,35000:23:47,423 --> 00:23:53,645exactly, and I can tell you guys this too The month before 35100:23:54,067 --> 00:23:56,463excuse me, not the month the week before I actually had the 35200:23:56,503 --> 00:23:59,106procedure they did a I don't know if you're familiar with 35300:23:59,126 --> 00:24:03,280this, dr Chaitao they did a nuclear on me. So, in other 35400:24:03,300 --> 00:24:07,642words, they shot me with a nuclear medicine And they did a 35500:24:07,682 --> 00:24:10,644complete scan from the top of myhead to the bottom of my foot. 35600:24:11,180 --> 00:24:15,041That could tell me everything that was going on in my body And35700:24:15,041 --> 00:24:17,741the two things that they found.In other words, they're able to35800:24:17,741 --> 00:24:22,827tell me what my future may looklike. So in the future I got to35900:24:22,827 --> 00:24:25,103continue to walk straight, because if I don't, i may 36000:24:25,143 --> 00:24:29,528develop a curve in my back And Imay develop some arthritis in 36100:24:29,548 --> 00:24:33,144my knees. that may happen, but other than that, everything else36200:24:33,144 --> 00:24:37,583is relatively OK. And then one more thing too. They actually 36300:24:37,682 --> 00:24:43,413did do this as well. They did a family check, a historical check36400:24:43,413 --> 00:24:46,884, when they check my blood, justto see if it's something that 36500:24:46,904 --> 00:24:51,017is hereditary. And they didn't found it as being hereditary for36600:24:51,017 --> 00:24:54,968my family, at least back then. So I mean that was two years ago36700:24:54,968 --> 00:24:56,492, i don't know. 36800:24:57,234 --> 00:24:58,839Speaker 3: Well, it's interesting you bring that up, 36900:24:58,880 --> 00:25:01,609because one of the things that'shappening in healthcare and 37000:25:01,650 --> 00:25:05,186we've even talked about it on some of our podcasts is how 37100:25:05,769 --> 00:25:10,240artificial intelligence is becoming more and more and more 37200:25:10,701 --> 00:25:14,348involved with healthcare, where the machines are smarter because37300:25:14,348 --> 00:25:23,366algorithms based on data that'sa larger pool. So as time goes 37400:25:23,547 --> 00:25:28,498on, we will get more predictive analytics type of information 37500:25:28,538 --> 00:25:29,220about our health. 37600:25:31,068 --> 00:25:31,790Speaker 2: That's correct. 37700:25:32,291 --> 00:25:36,061Speaker 3: Well, listen, James, we cannot thank you enough for 37800:25:36,122 --> 00:25:39,332taking time out of your businessschedule to come and share this37900:25:39,332 --> 00:25:43,986with us. We will certainly do the things that need to be done 38000:25:44,046 --> 00:25:49,576so that we can get this out. Andyou're young, I've known you 38100:25:49,615 --> 00:25:53,791for years and I remember when you used to come to my medical 38200:25:53,912 --> 00:25:58,925office and whatever and do your research of pharmaceuticals, and38300:25:58,925 --> 00:26:02,777I'm happy to see that you're still healthy, wealthy and wise.38400:26:02,777 --> 00:26:02,77738500:26:03,097 --> 00:26:06,486Speaker 2: Yes, very, very much so. Well, I'm still working on 38600:26:06,506 --> 00:26:07,268the wise part. 38700:26:09,371 --> 00:26:12,757Speaker 3: That's okay, we all are. But, yes, i'm very, very 38800:26:12,797 --> 00:26:16,814happy to have a great day You too. You take care, guys. 38900:26:16,934 --> 00:26:19,202Speaker 1: All right, you too, thanks for listening to the 39000:26:19,324 --> 00:26:22,232Healthy, wealthy and Wise podcast with Dr William Choctaw,39100:26:22,232 --> 00:26:26,506mdjd. We hope you enjoyed this episode and, if you found it 39200:26:26,566 --> 00:26:29,953helpful, you can support and subscribe to the podcast on your39300:26:29,953 --> 00:26:34,532favorite podcast platform with the keywords Dr William Choctaw.39400:26:34,532 --> 00:26:38,565Click on the support the show and you've got it. This will 39500:26:38,565 --> 00:26:42,766also help ensure that you don't miss any future episodes, and 39600:26:42,865 --> 00:26:46,490then share this podcast with your family, friends and or your39700:26:46,490 --> 00:26:50,661coworkers. They'll be glad you did So. until the next time, 39800:26:50,681 --> 00:26:54,169live your best possible life thebest possible way.