Transcript
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Speaker 1: Welcome to the
Healthy Both of your Lies
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podcast with Dr William T
Choctaw, md JD. Our mission is
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to empower you with the
knowledge and equip you with the
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tools you'll need to thrive in
all aspects of your life. Join
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us now as we discuss everything
from nutrition and exercise to
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money management, personal
growth and spiritual growth. Dr
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Choctaw will provide insightful
advice on how to improve your
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physical, financial and
spiritual health, as well as
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your emotional and mental
well-being. So whether you're
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looking to get the latest in
medical news, unlock financial
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opportunities or cultivate a
more positive mindset, we've got
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you covered. Get ready to
become the best version of
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yourself. So let's get started.
Here's Dr William T Choctaw, md
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JD, with an interview already in
progress with Mr James K Tron,
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a prostate cancer survivor.
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Speaker 2: He had 8.30am already
and so in the nuclear testing I
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had to sit for four hours and
not do anything. So I was 9 to
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12. When I came back at 12. They
put me under a machine because
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the diet got into my blood and I
was able to look at the future
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in terms of what my health would
look like in the future. And
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the two things that stood out to
me was first was, if I don't
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improve my posture, I have a
little mild curve in my back,
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which is something I'm working
on. And number two, I may have
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arthritis in both knees later on
and that's probably doing some
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extensive running on the court.
The thing like that is a
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part-time efficient, but other
than that they weren't able to
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just shine anything else. So I
was able to relate that and that
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happened actually a week before
I had the actual removal of the
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prostate. So at first I kind of
did beat myself up regarding
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the prostate side up, but then,
after I went through the genetic
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testing and everything else,
I'm like how can I beat myself
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up? I had no control over that
Exactly. The only thing I can
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control is what I put in my
mouth, what I drink, how much
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rest I get and what else I do
other than that. Other than that
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, you're right, dr. I did not
control the genetics that's in
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my family. That's something I
have no control over.
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Speaker 3: One of the things
that we try to also tell our
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patients is to control the
control, votes, correct that
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things that you just mentioned.
There are things that you do
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have to control over, but we
don't worry about those things.
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We tend to worry about those
things that we can't control.
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But there are things like other
people you know, yeah, what they
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do and say we have no control
over them, even our children. We
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may think as parents, we have
control, but we really don't
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always like to say it's not
important to be able to control
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your children, but you want to
have influence over you. Exactly
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, as long as you have influence,
then you can at least have a
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dialogue or communication. But
I've learned I think I've worked
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as a total total that the
control is an illusion that we
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parents tell ourselves. But I
can't decide ourselves. All we
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need to do is just go back and
ask ourselves how much control
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did mom and dad really have us?
Do Not as much? It's as if we
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can figure it out.
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Speaker 2: Yes, sir, I agree
with that. Yes, you asked me in
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terms of how I had me, and we
told my sons that I had it and
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that now is genetically linked
with me, which means they have
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to get themselves tested. Okay,
so that's the first thing I told
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them and that you know get
yourself tested. Obviously, I
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can help you when it comes to
that. So they all knew right
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away, as soon as I was diagnosed
with it, that they have to now
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go get tested and monitor
themselves. I didn't have that
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luxury because my dad passed
away when I was 21 years old oh,
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I just turned 21. And at the
time he I don't even think his
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physician even checked to see if
he had prostate, because he had
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other issues that was going on
with him. So that's why I didn't
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. I wouldn't have known Unless
he lived longer whether he had
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prostate problems or not.
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Speaker 3: So how has this
affected you spiritually?
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Speaker 2: This, may, this
journey believe it or not, dr
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Tachka has made me stronger.
Good, my walk with Christ has
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always been strong, but for some
reason I have grown stronger
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and stronger and stronger, I can
tell you. When I first got
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diagnosed, I called my
fraternity brothers and I told
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them you know, you can put this
out right away that this is what
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I'm going through. I need their
prayers. This is what I've been
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diagnosed with and I wouldn't
share if anyone would contact me
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, which they did. And then I was
able to tell my Sunday school
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class and pray for me right away
about everything that was
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taking place, and I even told
the pastor of my church and I
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shared with as many men as
possible that this is what's
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going on with me. Will you
please pray for me as I make
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this journey, that I decided to
go, that God has put me in and
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he's put me in there for a
reason, and I'm willing to share
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and I'm hoping to go with
everybody. So this made me open
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up more to my faith and walk
more by faith and not by sight,
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but also realize that God gave
me what grace, because it's
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unbearative favor, and so he
gave me favor. Through all of
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this I was able to pick the
right urologist and everything.
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They just end up being what I
felt a really good spiritual
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journey for me, both physically
and mentally.
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Speaker 3: When your urologist
was explaining to you what they
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had to do in the procedure and
that sort of thing? Were they
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clear in the information they
gave you or?
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Speaker 2: Yes, I'll tell you so
. When I first got tested it was
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35 years old, 25 years ago, and
at that time the urologist was
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at USC I'll never forget. She's
since has gone on to Stanford,
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but she doesn't work and
probably not excited anymore.
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She does other things I sent her
a copy of. I had her look at it
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and she called me and I said
could you take a look at this? I
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was first diagnosed with
prostate cancer. I was, since I
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talked about the Gleason school
I always talked about. She broke
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it all down to me, the five
different areas that they found
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it and that meant and I asked
her to recommend urologist for
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me. That's when she was able to
recommend urologist. I ended up
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with it. So I did my homework
back then. Dr Tachtow, look at
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the undergrad degree where you
went to school, where you went
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to medical school and that type
of thing. So I did my research.
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She connected me with him, but
also what I like about him was
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he sent all my reports to her
and temper him a loop Good.
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Speaker 3: Good, basically two
different urologists who were in
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agreement. That's right. One of
the things I used to always
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tell my patients when I was
actually practicing general
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surgery they would be like I
believe in second opinion. Yes,
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it's time to be in eye and
recommend the procedure, be it a
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gallbladder surgery or whatever
it was. That you know,
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obviously. You know I am so
confident in my diagnosis that I
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want you to go out and
validated, should you choose to
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Sure, you know there's certainly
nothing wrong with that and I'm
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told that if you ever see a
physician and he or she tries to
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discourage you from getting a
second opinion, definitely get a
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second opinion.
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Speaker 2: That's why I reached
out to her, dr Tachtow, because
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she had been studying this, in
particular, for years. She
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worked in conjunction with a
group in LA and that's all they
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did was do prostate screening on
African American men, and so
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because by her basically being
an expert in that field, I took
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her advice to heart and I knew
she was in. She gave me a list
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of urologists, but, in
particular, this guy was a
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director of the urology
department and his background
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was extensive in different areas
regarding urology, and that's
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what kind of stuck out with me
and that's why I reached out to
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him and said you know what this
is, a guy I want to diagnose and
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be with me and go through this
journey with me. And so you
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mentioned when he first told me.
Well, so, when we first went
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through the journey from
December of 2021 to actually, I
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saw, in January of 2022 to
having the actual removal, he
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sat down with me and a young
urologist that had just finished
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med school and she's the one
that read the report to me and
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explained to me why they felt it
was time to move on doing
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something regarding prostate.
They explained to me, because of
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like, oh, all the different
areas, that they got the
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different things they can do.
They can do at that time.
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Obviously, radiation they could
put seeds in me. I mean, there's
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all the different areas that
they could use in terms of doing
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that, but they never mentioned
removal. And so I listened to
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all the other ones, dr Tachel,
but I had the back of my mind I
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was already prepared that I was
going to do removal if I got to
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that point. And I would tell you
something funny prior to that,
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when they I had two biopsies.
The first biopsies was December
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of 2020, then, I'm sorry,
november of 2021, I took out 13
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strands of tissues. Yes, so they
normally take 11 to 13. Because
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when she, when I went through
the process, looking on the
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outside of it, my prostate was
normal, but she said that
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doesn't mean anything, we need
to go in and see. I was like, oh
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, they were, so they took the
strands out. That's when they
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diagnosed with me in December.
After that, all the way up until
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February, they took, I think,
almost one, because he saw the
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elevation of my PSA, because
they've been monitoring every
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month and they knew something
was going on. And then I was
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like we used to score, which at
time was five point five, that
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elevator. A little bit after
they took out these strands of
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almost 20 strands of tissue and
they saw 16 of them were in one
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area that was dark and he
couldn't really see that. Once
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they were able to really go in
and diagnose that, that's when
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he called and said I need to
talk to you right away. And
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that's when, when he told me
that something came over me
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saying well, james, it gets to
the point where you may have to
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make a decision which way you're
going to go operate on it. And
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I say well, we'll do the report
while we listen to everything
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that he has to say Put in the
back of my line I will pay for
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the business. And that's what I
did. So I kind of had a games
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land already ready when he
brought me in and said I need to
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talk to you because this is
pretty urgent.
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Speaker 3: So I kind of knew
Well, you know, one of the
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things that impresses me is I
hear you talk about you know
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details specifically as far as I
would use that to recommend to
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all, all patients of potential
you know. It's much about what
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I'm going through, as you're
paying for all with that and ask
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questions. Physicians have a
duty to and or you are right to
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review. That's right. Have a
novel. You have to be
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knowledgeable about things and
if the position or change not
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explaining in words of new
understand I've been certain to
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get opinions from a second
channel is not involved with
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that, nothing disrespectful
about that.
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Speaker 2: I have a book as
thick as I have all things, if
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not a journal. I can have every
single sheet of paper from the
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diagnosis, from day one, to not
talk a day of everything that
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I've been through and I can go
back as reference if I'm not
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sure about something and just go
through it and just look at it
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so I get a better understanding.
And that's the pharmaceutical
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training in me. So, having gone
through that type of training,
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it kind of prepared me for
something like this, not
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realizing I'll be going through
this at this point in my life.
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But that's why I made sure I
wanted to stay as detailed as
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possible, because nobody
understands my body better than
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I do Absolutely, and I want to
make sure that I understand
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everything before it happens.
And I must say he took the time
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with me. He saw how serious I
was about my body, about taking
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care of my body. But most
importantly, I think we develop
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a pretty good relationship with
kids. We kind of love of
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shooting and it just made all
the difference in the world. I
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think that was one of the
spacious. You enjoyed seeing it.
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So I think that makes all the.
You know, and I knew it. I
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didn't know what would happen
post removal. Obviously, I can't
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predict that, but I knew that
let's prepare it as I was going
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in, that I will make sure that I
follow all the instructions and
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do what I'm supposed to do and
stay obedient.
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Speaker 3: Well, you touched on
another point that we've
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pre-credited me, because that
everything is a relationship and
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the doctor-patient relationship
is important on both sides. You
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have four. Both sides you
respect mutual trust, good
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communication and you get that
communication and you get that
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trust and respect, and that's
mutually beneficial. Well, what
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would you recommend, Say, say in
conclusion, to you know,
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individuals listening to your
podcast or listening to your
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experience? What would you
recommend to the men and the
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families?
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Speaker 2: I would recommend
that. And then, obviously, every
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email. You know it doesn't
matter what ethnicity you are,
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but if you're African American
male and you have 35 or over, I
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would recommend you get yourself
checked just to see where you
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are at health wise. That's the
first thing, okay, and that's
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every male, I don't care what
ethnicity you are. Find your
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gene or your history, do as much
research as possible and then
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share those results with your
family. My wife knew everything
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that was going on with me from
day one, and it's just important
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to do that because you just
never know. You never know. I
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didn't know that I was going to
be diagnosed at 68 and then have
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my prostate removed at 60. I
had no idea. Right, it happened
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and I was prepared and, yes, I
was a little shocked. But I'd
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recommend anyone do that at that
age. Learn as much as possible
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and if you don't understand,
then ask someone that can
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explain it to you and ask as
many questions as possible. One
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of the things that my urologist
can't say is that I asked every
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time I went in there. He knew I
was going to ask at least a
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minimum of five questions. I had
questions ready because I
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wanted to know if this happened.
That didn't happen, it wasn't
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the alternative there. So he was
always prepared anyway, because
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he was just open like that. But
I wanted to make sure I was
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prepared too, because this is my
body retraction problem.
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Speaker 3: And one of the things
I recommend to patients a lot
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of times when they go in. Many
times patients are very nervous.
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I don't say worries, but they
get there, they're really
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nervous. So write down the
questions before they go. Sure,
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A lot of times you can't think
or you may not think and you're
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nervous and you just want to get
out of there. But write down
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four or five questions, whatever
they are, or take some line
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with you who has the list, so
that your questions are
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addressed.
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Speaker 2: I agree. I agree with
you. The only time I got
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nervous, dr Tuck told me when he
told me I needed to talk to him
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after the last biopsy. But
prior to that I was fine. But
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when he told me that my gut
feeling told me I had to make a
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decision, honestly. So that was
the only time that I think I was
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anxious, when I went to go see
him and we almost sat down and
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talked, but God was able to put
me at peace because he told me
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you're making the right decision
, james, this is what you should
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do, and that's exactly what I
did, and I have been smiling
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ever since. I'm smiling prior to
the procedure, during the
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procedure and after the
procedure and after the
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procedure.
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Speaker 3: Well, one of the
things we learned that health
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care is not a strata marathon.
Yeah, it is, it really is, and
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we get older. We certainly
learned that. If anything else
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you want to share with us, we
don't want to take a bit more of
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your very precious time, but
any last thing, words you want
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to leave with us, the biggest
thing, dr Chaktao, is.
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Speaker 2: As men, we have a
tendency not to talk and not to
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share. The main thing I will say
If you are diagnosed with
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anything, you should share it.
Don't hold it, don't keep it to
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yourselves. If you only share it
with your family and close
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friends, that's fine. But share
information, because shared
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information could help someone
and save some going. I'll just
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share something briefly. A
co-worker of mine was and I
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didn't even notice that we would
talk here at a sort of
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co-worker, but we worked
together back in the 80s. We
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were running to each other in
Walmart. They say hi, okay, well
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, I didn't know it at the time,
but he was concerned about his
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prostate and he's four or five
years older than me and I sent
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him over to where I went and
also to the doctor I went to,
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and he's been happy ever since
and he appreciates me doing that
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. But in turn I'll be helping
him that way. Then one of our
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church members sent me to one of
his former one of his
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co-workers who actually went to
the procedure six months before
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I did. Yes, and he's been
guiding me since the procedure
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and post procedure. So that's
why, as men, we have to open up
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and really share information
like that, because it doesn't do
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any good to keep that to
yourself and that could you be
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surprised who you did help or
who has been through it. I found
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out going through all of this
and guys I didn't know went
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through it, went through the
same thing I did and I never
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would have known it had I not
shared it with them. But they
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felt comfortable enough. I told
them what I went through to
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share, what they went through.
That's what I would say. As men,
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we have to learn out to share
and that whole disinformation is
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too valuable and too important
because you know better than I
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do. This is a second cause of
death and Armpit of the first is
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heart disease, seconds,
prostate cancer, and we have to
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be able to share and feel
comfortable sharing, and the
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more people I've shared it with,
the more better off our shell.
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So that's what I would tell me
any nail. Whether they're not
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any atlasty, it doesn't matter,
I shared.
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Speaker 3: I completely agree
with that and you're exactly
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right. But one of the things
that and maybe it was the way we
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grew up or whatever we're where
we just thought that being a
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man meant that we just sort of
kept all that to ourselves. But
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the reality is you need else and
partner and a friend. Yeah,
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just, you know and Bullish that.
You know pre and during and
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post and certain age. They, the
folks, can't read our minds and
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so you do have to share the song
one and that's always helpful.
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Speaker 2: And as you go through
this, well, prior to that, one
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of my classmates says you just
don't look, you look stressed.
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And then one of you know my wife
and I part of marriage ministry
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. One of them, one of the
Marriage ministry couple, said
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James, you don't look the same.
And when I sit down in church on
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Sunday, I just sat there and I
listened to the choir and it was
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so dynamic listening to and it
touched me and I said you know
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what they might be right? And I
went home and I prayed on and
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said God, what should I do?
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Speaker 3: We all need to listen
to our bodies because the body
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will tell you.
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Speaker 2: My body told me
because I have, you know, I've
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lost 10 pounds Okay and I'm
trying not trying everything to
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get it back. I want to build
muscle back because I know I'm
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00:20:33,970 --> 00:20:38,406
honest, I can't. I can't gain a
pound, dr Topped. I mean I
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00:20:38,448 --> 00:20:41,773
gained a couple pounds. I'm at
175. I've never I haven't been
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175 since my senior high school.
I will. I've never. I mean it.
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00:20:47,352 --> 00:20:49,356
Just I got to get back to at
least one.
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Speaker 3: Well, you know, it's
more difficult as we get older,
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and the reason is that as we get
older, our weight is, is is
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muscle and fat. You know, you
know earlier it's, it's, it's,
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00:21:03,699 --> 00:21:06,448
I'm sorry, I mean it's muscle
and fat. But you know, we were
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younger as we get older, we have
less muscle, that's correct,
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you know, and so you know you
can, you can gain some of the
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00:21:14,763 --> 00:21:17,734
fat, but even some of that will
be less, but a lot of it is
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00:21:17,775 --> 00:21:20,545
because, and particularly with
the surgery that you've had,
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00:21:20,704 --> 00:21:24,582
that's taken away some of your
muscle mass. Yes, it's long in a
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00:21:24,582 --> 00:21:29,275
bill back up, and Post-60 is
more difficult to build it up
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than pre-60. You know I've mixed
a lot of sense. Yeah, so so,
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00:21:34,093 --> 00:21:37,068
but, but just be patient with it
. You know, just eat properly
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00:21:37,589 --> 00:21:40,847
and just continue to do what
you've been doing, but but it
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00:21:40,887 --> 00:21:45,259
takes longer to build that
muscle mass than say, 20 years
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00:21:45,339 --> 00:21:50,153
ago or 10 years ago. I agree.
But again, I want to thank you
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for taking your very valuable
time and sharing your your, your
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00:21:53,982 --> 00:21:58,314
experiences on a broad host of
things, particularly your
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healthcare, and we will
certainly have you back in the
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00:22:05,031 --> 00:22:09,528
future to share some more
information with us. Anytime by
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00:22:09,547 --> 00:22:13,094
this time we're gonna let you go
and you have a blessed day.
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Speaker 2: I do you do the same
to Dr Tachtel. Thank you so much
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for taking the time out of your
schedule to spend time with me
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just to find out how my journey
has been in terms of this. I
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00:22:23,469 --> 00:22:27,733
call it a journey and but I
really appreciate you doing this
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so that it makes all the world
in the difference.
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Speaker 3: So you're very
welcome and, as we always like
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00:22:33,534 --> 00:22:37,345
to say, be the change you want
to see in the world. Yes, sir,
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00:22:37,645 --> 00:22:38,067
thank you.
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Speaker 1: Thanks for listening
to the healthy, wealthy and wise
358
00:22:42,990 --> 00:22:47,811
podcast with Dr William Chokta,
md JD. We hope you enjoyed this
359
00:22:47,811 --> 00:22:51,787
episode. In fact, if you found
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step of action and share it
with your family, friends and or
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your co-workers. They'll be
glad you did so. Until the next
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00:23:17,913 --> 00:23:22,431
time, live your best possible
life the best possible way.
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00:23:22,790 --> 00:23:25,115
You've been listening to the
healthy, wealthy and wise
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00:23:25,176 --> 00:23:29,007
podcast with dr William Chokta,
md JD.