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Aug. 29, 2023

Embracing Faith Amidst Prostate Cancer: A Journey with James Catron and Lessons on Healthcare Communication

Embracing Faith Amidst Prostate Cancer: A Journey with James Catron and Lessons on Healthcare Communication

Embrace the compelling journey of James Catron, a prostate cancer survivor, as he unpacks the profound impact his diagnosis had on his faith. This episode promises to elevate your understanding and perspective on life's trials as James shares how his...

Embrace the compelling journey of James Catron, a prostate cancer survivor, as he unpacks the profound impact his diagnosis had on his faith. This episode promises to elevate your understanding and perspective on life's trials as James shares how his ordeal led him to walk more by faith, not by sight. Come join us as we delve into his story of perseverance, wisdom, and the empowering revelation that you can only control so much in life, especially when it comes to parenting.

Our conversation with James Catron isn't just about faith and struggles; it’s also about navigating the complex world of healthcare. Hear straight from James how he dug deep into researching his diagnosis and why a second opinion is invaluable. His experience shines a light on the importance of open communication with your medical team, being knowledgeable about your diagnosis, and the power of asking questions when it comes to your health.

As we round off our conversation, we delve into the significance of sharing healthcare experiences. Dr. Choctaw joins James to stress the importance of men sharing their diagnosis and treatment experiences. Hear how James' openness about his journey has not only helped others but also strengthened his faith. Lastly, we discuss the complexities of building muscle mass post-60, and the patience and dietary considerations it requires. This inspiring episode promises an enlightening journey through faith, healthcare, and the power of sharing your story. Tune in and be inspired.

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Healthcare Quality Leadership Education Group

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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
1 00:00:00,461 --> 00:00:01,965 Speaker 1: Welcome to the Healthy Both of your Lies 2 00:00:02,004 --> 00:00:06,342 podcast with Dr William T Choctaw, md JD. Our mission is 3 00:00:06,363 --> 00:00:08,827 to empower you with the knowledge and equip you with the 4 00:00:08,827 --> 00:00:12,981 tools you'll need to thrive in all aspects of your life. Join 5 00:00:13,022 --> 00:00:16,931 us now as we discuss everything from nutrition and exercise to 6 00:00:16,972 --> 00:00:21,402 money management, personal growth and spiritual growth. Dr 7 00:00:21,422 --> 00:00:24,788 Choctaw will provide insightful advice on how to improve your 8 00:00:24,807 --> 00:00:27,952 physical, financial and spiritual health, as well as 9 00:00:27,972 --> 00:00:31,102 your emotional and mental well-being. So whether you're 10 00:00:31,121 --> 00:00:34,369 looking to get the latest in medical news, unlock financial 11 00:00:34,469 --> 00:00:38,579 opportunities or cultivate a more positive mindset, we've got 12 00:00:38,579 --> 00:00:41,746 you covered. Get ready to become the best version of 13 00:00:41,767 --> 00:00:46,845 yourself. So let's get started. Here's Dr William T Choctaw, md 14 00:00:47,186 --> 00:00:51,415 JD, with an interview already in progress with Mr James K Tron, 15 00:00:51,856 --> 00:00:53,000 a prostate cancer survivor. 16 00:00:53,621 --> 00:00:58,895 Speaker 2: He had 8.30am already and so in the nuclear testing I 17 00:00:58,895 --> 00:01:02,871 had to sit for four hours and not do anything. So I was 9 to 18 00:01:02,912 --> 00:01:06,462 12. When I came back at 12. They put me under a machine because 19 00:01:06,483 --> 00:01:11,250 the diet got into my blood and I was able to look at the future 20 00:01:11,310 --> 00:01:16,221 in terms of what my health would look like in the future. And 21 00:01:16,242 --> 00:01:20,829 the two things that stood out to me was first was, if I don't 22 00:01:20,870 --> 00:01:24,977 improve my posture, I have a little mild curve in my back, 23 00:01:25,957 --> 00:01:29,183 which is something I'm working on. And number two, I may have 24 00:01:29,284 --> 00:01:33,552 arthritis in both knees later on and that's probably doing some 25 00:01:33,593 --> 00:01:36,117 extensive running on the court. The thing like that is a 26 00:01:36,138 --> 00:01:39,046 part-time efficient, but other than that they weren't able to 27 00:01:39,087 --> 00:01:43,501 just shine anything else. So I was able to relate that and that 28 00:01:43,501 --> 00:01:48,331 happened actually a week before I had the actual removal of the 29 00:01:48,331 --> 00:01:54,109 prostate. So at first I kind of did beat myself up regarding 30 00:01:54,129 --> 00:01:58,358 the prostate side up, but then, after I went through the genetic 31 00:01:58,358 --> 00:02:00,605 testing and everything else, I'm like how can I beat myself 32 00:02:00,685 --> 00:02:03,742 up? I had no control over that Exactly. The only thing I can 33 00:02:03,762 --> 00:02:07,871 control is what I put in my mouth, what I drink, how much 34 00:02:07,932 --> 00:02:11,764 rest I get and what else I do other than that. Other than that 35 00:02:11,764 --> 00:02:14,562 , you're right, dr. I did not control the genetics that's in 36 00:02:14,602 --> 00:02:17,687 my family. That's something I have no control over. 37 00:02:18,861 --> 00:02:20,786 Speaker 3: One of the things that we try to also tell our 38 00:02:20,806 --> 00:02:25,724 patients is to control the control, votes, correct that 39 00:02:25,824 --> 00:02:28,292 things that you just mentioned. There are things that you do 40 00:02:28,331 --> 00:02:30,979 have to control over, but we don't worry about those things. 41 00:02:31,622 --> 00:02:33,949 We tend to worry about those things that we can't control. 42 00:02:34,681 --> 00:02:39,193 But there are things like other people you know, yeah, what they 43 00:02:39,193 --> 00:02:43,081 do and say we have no control over them, even our children. We 44 00:02:43,081 --> 00:02:46,669 may think as parents, we have control, but we really don't 45 00:02:46,871 --> 00:02:50,318 always like to say it's not important to be able to control 46 00:02:50,378 --> 00:02:53,960 your children, but you want to have influence over you. Exactly 47 00:02:53,960 --> 00:02:57,451 , as long as you have influence, then you can at least have a 48 00:02:57,512 --> 00:03:03,706 dialogue or communication. But I've learned I think I've worked 49 00:03:03,706 --> 00:03:08,437 as a total total that the control is an illusion that we 50 00:03:08,477 --> 00:03:14,122 parents tell ourselves. But I can't decide ourselves. All we 51 00:03:14,141 --> 00:03:17,068 need to do is just go back and ask ourselves how much control 52 00:03:17,108 --> 00:03:22,584 did mom and dad really have us? Do Not as much? It's as if we 53 00:03:22,604 --> 00:03:23,425 can figure it out. 54 00:03:23,847 --> 00:03:26,944 Speaker 2: Yes, sir, I agree with that. Yes, you asked me in 55 00:03:26,985 --> 00:03:30,822 terms of how I had me, and we told my sons that I had it and 56 00:03:30,842 --> 00:03:33,587 that now is genetically linked with me, which means they have 57 00:03:33,608 --> 00:03:37,764 to get themselves tested. Okay, so that's the first thing I told 58 00:03:37,764 --> 00:03:41,667 them and that you know get yourself tested. Obviously, I 59 00:03:41,706 --> 00:03:45,043 can help you when it comes to that. So they all knew right 60 00:03:45,082 --> 00:03:48,989 away, as soon as I was diagnosed with it, that they have to now 61 00:03:50,350 --> 00:03:53,543 go get tested and monitor themselves. I didn't have that 62 00:03:53,582 --> 00:03:58,024 luxury because my dad passed away when I was 21 years old oh, 63 00:03:58,024 --> 00:04:02,268 I just turned 21. And at the time he I don't even think his 64 00:04:02,307 --> 00:04:05,515 physician even checked to see if he had prostate, because he had 65 00:04:05,515 --> 00:04:09,960 other issues that was going on with him. So that's why I didn't 66 00:04:09,960 --> 00:04:14,828 . I wouldn't have known Unless he lived longer whether he had 67 00:04:14,848 --> 00:04:15,991 prostate problems or not. 68 00:04:17,889 --> 00:04:20,000 Speaker 3: So how has this affected you spiritually? 69 00:04:21,201 --> 00:04:24,028 Speaker 2: This, may, this journey believe it or not, dr 70 00:04:24,067 --> 00:04:29,547 Tachka has made me stronger. Good, my walk with Christ has 71 00:04:29,648 --> 00:04:32,916 always been strong, but for some reason I have grown stronger 72 00:04:32,997 --> 00:04:36,341 and stronger and stronger, I can tell you. When I first got 73 00:04:36,382 --> 00:04:40,803 diagnosed, I called my fraternity brothers and I told 74 00:04:40,824 --> 00:04:44,713 them you know, you can put this out right away that this is what 75 00:04:44,713 --> 00:04:48,209 I'm going through. I need their prayers. This is what I've been 76 00:04:48,209 --> 00:04:51,396 diagnosed with and I wouldn't share if anyone would contact me 77 00:04:51,396 --> 00:04:56,271 , which they did. And then I was able to tell my Sunday school 78 00:04:56,312 --> 00:04:59,338 class and pray for me right away about everything that was 79 00:04:59,358 --> 00:05:02,531 taking place, and I even told the pastor of my church and I 80 00:05:02,591 --> 00:05:05,086 shared with as many men as possible that this is what's 81 00:05:05,127 --> 00:05:09,827 going on with me. Will you please pray for me as I make 82 00:05:09,867 --> 00:05:13,677 this journey, that I decided to go, that God has put me in and 83 00:05:13,716 --> 00:05:16,572 he's put me in there for a reason, and I'm willing to share 84 00:05:16,572 --> 00:05:19,288 and I'm hoping to go with everybody. So this made me open 85 00:05:19,369 --> 00:05:24,062 up more to my faith and walk more by faith and not by sight, 86 00:05:24,324 --> 00:05:27,492 but also realize that God gave me what grace, because it's 87 00:05:27,552 --> 00:05:31,411 unbearative favor, and so he gave me favor. Through all of 88 00:05:31,473 --> 00:05:36,857 this I was able to pick the right urologist and everything. 89 00:05:37,204 --> 00:05:41,197 They just end up being what I felt a really good spiritual 90 00:05:41,238 --> 00:05:43,988 journey for me, both physically and mentally. 91 00:05:45,608 --> 00:05:49,499 Speaker 3: When your urologist was explaining to you what they 92 00:05:49,540 --> 00:05:53,088 had to do in the procedure and that sort of thing? Were they 93 00:05:53,168 --> 00:05:55,834 clear in the information they gave you or? 94 00:05:56,095 --> 00:06:02,170 Speaker 2: Yes, I'll tell you so . When I first got tested it was 95 00:06:02,170 --> 00:06:10,449 35 years old, 25 years ago, and at that time the urologist was 96 00:06:10,509 --> 00:06:15,992 at USC I'll never forget. She's since has gone on to Stanford, 97 00:06:16,031 --> 00:06:18,778 but she doesn't work and probably not excited anymore. 98 00:06:18,865 --> 00:06:25,180 She does other things I sent her a copy of. I had her look at it 99 00:06:25,180 --> 00:06:28,625 and she called me and I said could you take a look at this? I 100 00:06:28,625 --> 00:06:33,331 was first diagnosed with prostate cancer. I was, since I 101 00:06:33,350 --> 00:06:36,658 talked about the Gleason school I always talked about. She broke 102 00:06:36,658 --> 00:06:39,391 it all down to me, the five different areas that they found 103 00:06:39,451 --> 00:06:43,992 it and that meant and I asked her to recommend urologist for 104 00:06:44,033 --> 00:06:46,627 me. That's when she was able to recommend urologist. I ended up 105 00:06:46,687 --> 00:06:50,887 with it. So I did my homework back then. Dr Tachtow, look at 106 00:06:50,906 --> 00:06:53,315 the undergrad degree where you went to school, where you went 107 00:06:53,336 --> 00:06:56,978 to medical school and that type of thing. So I did my research. 108 00:06:57,665 --> 00:07:01,172 She connected me with him, but also what I like about him was 109 00:07:01,273 --> 00:07:06,002 he sent all my reports to her and temper him a loop Good. 110 00:07:06,949 --> 00:07:10,714 Speaker 3: Good, basically two different urologists who were in 111 00:07:10,714 --> 00:07:13,887 agreement. That's right. One of the things I used to always 112 00:07:13,908 --> 00:07:16,656 tell my patients when I was actually practicing general 113 00:07:16,696 --> 00:07:19,733 surgery they would be like I believe in second opinion. Yes, 114 00:07:20,504 --> 00:07:25,274 it's time to be in eye and recommend the procedure, be it a 115 00:07:25,274 --> 00:07:28,526 gallbladder surgery or whatever it was. That you know, 116 00:07:28,625 --> 00:07:32,452 obviously. You know I am so confident in my diagnosis that I 117 00:07:32,452 --> 00:07:35,598 want you to go out and validated, should you choose to 118 00:07:36,098 --> 00:07:39,685 Sure, you know there's certainly nothing wrong with that and I'm 119 00:07:39,685 --> 00:07:44,254 told that if you ever see a physician and he or she tries to 120 00:07:44,254 --> 00:07:47,827 discourage you from getting a second opinion, definitely get a 121 00:07:47,827 --> 00:07:48,692 second opinion. 122 00:07:50,067 --> 00:07:53,093 Speaker 2: That's why I reached out to her, dr Tachtow, because 123 00:07:53,153 --> 00:07:58,129 she had been studying this, in particular, for years. She 124 00:07:58,170 --> 00:08:01,526 worked in conjunction with a group in LA and that's all they 125 00:08:01,567 --> 00:08:06,127 did was do prostate screening on African American men, and so 126 00:08:06,267 --> 00:08:09,954 because by her basically being an expert in that field, I took 127 00:08:09,995 --> 00:08:14,406 her advice to heart and I knew she was in. She gave me a list 128 00:08:14,487 --> 00:08:17,093 of urologists, but, in particular, this guy was a 129 00:08:17,153 --> 00:08:19,807 director of the urology department and his background 130 00:08:19,826 --> 00:08:24,427 was extensive in different areas regarding urology, and that's 131 00:08:24,447 --> 00:08:26,766 what kind of stuck out with me and that's why I reached out to 132 00:08:26,807 --> 00:08:31,555 him and said you know what this is, a guy I want to diagnose and 133 00:08:31,555 --> 00:08:35,186 be with me and go through this journey with me. And so you 134 00:08:35,225 --> 00:08:38,029 mentioned when he first told me. Well, so, when we first went 135 00:08:38,049 --> 00:08:41,554 through the journey from December of 2021 to actually, I 136 00:08:41,575 --> 00:08:46,306 saw, in January of 2022 to having the actual removal, he 137 00:08:46,365 --> 00:08:50,134 sat down with me and a young urologist that had just finished 138 00:08:50,134 --> 00:08:54,028 med school and she's the one that read the report to me and 139 00:08:54,089 --> 00:08:58,816 explained to me why they felt it was time to move on doing 140 00:08:58,895 --> 00:09:03,388 something regarding prostate. They explained to me, because of 141 00:09:03,388 --> 00:09:07,315 like, oh, all the different areas, that they got the 142 00:09:07,355 --> 00:09:09,778 different things they can do. They can do at that time. 143 00:09:10,525 --> 00:09:15,405 Obviously, radiation they could put seeds in me. I mean, there's 144 00:09:15,405 --> 00:09:19,596 all the different areas that they could use in terms of doing 145 00:09:19,596 --> 00:09:23,500 that, but they never mentioned removal. And so I listened to 146 00:09:23,542 --> 00:09:26,524 all the other ones, dr Tachel, but I had the back of my mind I 147 00:09:26,565 --> 00:09:31,056 was already prepared that I was going to do removal if I got to 148 00:09:31,076 --> 00:09:34,211 that point. And I would tell you something funny prior to that, 149 00:09:36,990 --> 00:09:40,450 when they I had two biopsies. The first biopsies was December 150 00:09:40,470 --> 00:09:45,331 of 2020, then, I'm sorry, november of 2021, I took out 13 151 00:09:46,254 --> 00:09:52,809 strands of tissues. Yes, so they normally take 11 to 13. Because 152 00:09:52,809 --> 00:09:57,288 when she, when I went through the process, looking on the 153 00:09:57,369 --> 00:10:00,263 outside of it, my prostate was normal, but she said that 154 00:10:00,283 --> 00:10:03,125 doesn't mean anything, we need to go in and see. I was like, oh 155 00:10:03,125 --> 00:10:05,261 , they were, so they took the strands out. That's when they 156 00:10:05,282 --> 00:10:09,445 diagnosed with me in December. After that, all the way up until 157 00:10:09,445 --> 00:10:15,962 February, they took, I think, almost one, because he saw the 158 00:10:16,043 --> 00:10:19,211 elevation of my PSA, because they've been monitoring every 159 00:10:19,231 --> 00:10:22,642 month and they knew something was going on. And then I was 160 00:10:22,662 --> 00:10:25,179 like we used to score, which at time was five point five, that 161 00:10:25,221 --> 00:10:29,067 elevator. A little bit after they took out these strands of 162 00:10:29,970 --> 00:10:35,008 almost 20 strands of tissue and they saw 16 of them were in one 163 00:10:35,128 --> 00:10:38,184 area that was dark and he couldn't really see that. Once 164 00:10:38,225 --> 00:10:40,721 they were able to really go in and diagnose that, that's when 165 00:10:40,740 --> 00:10:43,880 he called and said I need to talk to you right away. And 166 00:10:43,921 --> 00:10:47,076 that's when, when he told me that something came over me 167 00:10:47,116 --> 00:10:50,006 saying well, james, it gets to the point where you may have to 168 00:10:50,048 --> 00:10:53,159 make a decision which way you're going to go operate on it. And 169 00:10:53,221 --> 00:10:56,168 I say well, we'll do the report while we listen to everything 170 00:10:56,288 --> 00:10:59,386 that he has to say Put in the back of my line I will pay for 171 00:10:59,407 --> 00:11:02,325 the business. And that's what I did. So I kind of had a games 172 00:11:02,365 --> 00:11:05,760 land already ready when he brought me in and said I need to 173 00:11:05,760 --> 00:11:07,388 talk to you because this is pretty urgent. 174 00:11:07,940 --> 00:11:11,164 Speaker 3: So I kind of knew Well, you know, one of the 175 00:11:11,205 --> 00:11:14,221 things that impresses me is I hear you talk about you know 176 00:11:14,302 --> 00:11:20,240 details specifically as far as I would use that to recommend to 177 00:11:20,341 --> 00:11:24,706 all, all patients of potential you know. It's much about what 178 00:11:24,745 --> 00:11:30,243 I'm going through, as you're paying for all with that and ask 179 00:11:30,243 --> 00:11:35,024 questions. Physicians have a duty to and or you are right to 180 00:11:35,085 --> 00:11:39,044 review. That's right. Have a novel. You have to be 181 00:11:39,125 --> 00:11:44,245 knowledgeable about things and if the position or change not 182 00:11:44,287 --> 00:11:48,707 explaining in words of new understand I've been certain to 183 00:11:48,727 --> 00:11:51,320 get opinions from a second channel is not involved with 184 00:11:51,341 --> 00:11:53,327 that, nothing disrespectful about that. 185 00:11:54,341 --> 00:11:58,357 Speaker 2: I have a book as thick as I have all things, if 186 00:11:58,398 --> 00:12:03,230 not a journal. I can have every single sheet of paper from the 187 00:12:03,269 --> 00:12:08,657 diagnosis, from day one, to not talk a day of everything that 188 00:12:08,716 --> 00:12:11,613 I've been through and I can go back as reference if I'm not 189 00:12:11,633 --> 00:12:14,169 sure about something and just go through it and just look at it 190 00:12:14,210 --> 00:12:16,875 so I get a better understanding. And that's the pharmaceutical 191 00:12:16,914 --> 00:12:19,746 training in me. So, having gone through that type of training, 192 00:12:20,187 --> 00:12:23,844 it kind of prepared me for something like this, not 193 00:12:23,884 --> 00:12:26,039 realizing I'll be going through this at this point in my life. 194 00:12:26,381 --> 00:12:29,998 But that's why I made sure I wanted to stay as detailed as 195 00:12:30,019 --> 00:12:33,115 possible, because nobody understands my body better than 196 00:12:33,195 --> 00:12:38,015 I do Absolutely, and I want to make sure that I understand 197 00:12:38,076 --> 00:12:42,119 everything before it happens. And I must say he took the time 198 00:12:42,139 --> 00:12:45,937 with me. He saw how serious I was about my body, about taking 199 00:12:45,957 --> 00:12:48,494 care of my body. But most importantly, I think we develop 200 00:12:48,514 --> 00:12:50,846 a pretty good relationship with kids. We kind of love of 201 00:12:50,866 --> 00:12:55,523 shooting and it just made all the difference in the world. I 202 00:12:55,562 --> 00:12:57,519 think that was one of the spacious. You enjoyed seeing it. 203 00:12:57,519 --> 00:13:02,841 So I think that makes all the. You know, and I knew it. I 204 00:13:02,861 --> 00:13:07,105 didn't know what would happen post removal. Obviously, I can't 205 00:13:07,105 --> 00:13:10,461 predict that, but I knew that let's prepare it as I was going 206 00:13:10,626 --> 00:13:14,855 in, that I will make sure that I follow all the instructions and 207 00:13:14,855 --> 00:13:16,785 do what I'm supposed to do and stay obedient. 208 00:13:18,163 --> 00:13:19,928 Speaker 3: Well, you touched on another point that we've 209 00:13:19,948 --> 00:13:23,923 pre-credited me, because that everything is a relationship and 210 00:13:23,923 --> 00:13:27,481 the doctor-patient relationship is important on both sides. You 211 00:13:27,481 --> 00:13:31,068 have four. Both sides you respect mutual trust, good 212 00:13:31,089 --> 00:13:34,663 communication and you get that communication and you get that 213 00:13:34,836 --> 00:13:39,285 trust and respect, and that's mutually beneficial. Well, what 214 00:13:39,306 --> 00:13:44,181 would you recommend, Say, say in conclusion, to you know, 215 00:13:44,321 --> 00:13:48,025 individuals listening to your podcast or listening to your 216 00:13:48,046 --> 00:13:51,604 experience? What would you recommend to the men and the 217 00:13:51,624 --> 00:13:51,989 families? 218 00:13:54,111 --> 00:13:56,121 Speaker 2: I would recommend that. And then, obviously, every 219 00:13:56,121 --> 00:14:01,394 email. You know it doesn't matter what ethnicity you are, 220 00:14:01,475 --> 00:14:05,928 but if you're African American male and you have 35 or over, I 221 00:14:05,948 --> 00:14:08,975 would recommend you get yourself checked just to see where you 222 00:14:09,035 --> 00:14:12,793 are at health wise. That's the first thing, okay, and that's 223 00:14:12,854 --> 00:14:16,946 every male, I don't care what ethnicity you are. Find your 224 00:14:16,986 --> 00:14:20,802 gene or your history, do as much research as possible and then 225 00:14:21,043 --> 00:14:26,568 share those results with your family. My wife knew everything 226 00:14:26,589 --> 00:14:30,817 that was going on with me from day one, and it's just important 227 00:14:30,817 --> 00:14:34,745 to do that because you just never know. You never know. I 228 00:14:34,764 --> 00:14:37,470 didn't know that I was going to be diagnosed at 68 and then have 229 00:14:37,470 --> 00:14:43,147 my prostate removed at 60. I had no idea. Right, it happened 230 00:14:43,427 --> 00:14:47,351 and I was prepared and, yes, I was a little shocked. But I'd 231 00:14:47,392 --> 00:14:54,570 recommend anyone do that at that age. Learn as much as possible 232 00:14:54,750 --> 00:14:59,135 and if you don't understand, then ask someone that can 233 00:15:00,097 --> 00:15:03,825 explain it to you and ask as many questions as possible. One 234 00:15:03,845 --> 00:15:08,255 of the things that my urologist can't say is that I asked every 235 00:15:08,296 --> 00:15:11,070 time I went in there. He knew I was going to ask at least a 236 00:15:11,110 --> 00:15:15,269 minimum of five questions. I had questions ready because I 237 00:15:15,328 --> 00:15:19,866 wanted to know if this happened. That didn't happen, it wasn't 238 00:15:19,886 --> 00:15:23,572 the alternative there. So he was always prepared anyway, because 239 00:15:23,572 --> 00:15:26,746 he was just open like that. But I wanted to make sure I was 240 00:15:26,787 --> 00:15:29,554 prepared too, because this is my body retraction problem. 241 00:15:30,284 --> 00:15:32,370 Speaker 3: And one of the things I recommend to patients a lot 242 00:15:32,410 --> 00:15:35,370 of times when they go in. Many times patients are very nervous. 243 00:15:35,370 --> 00:15:38,267 I don't say worries, but they get there, they're really 244 00:15:38,326 --> 00:15:41,894 nervous. So write down the questions before they go. Sure, 245 00:15:42,445 --> 00:15:45,412 A lot of times you can't think or you may not think and you're 246 00:15:45,471 --> 00:15:49,230 nervous and you just want to get out of there. But write down 247 00:15:49,432 --> 00:15:54,246 four or five questions, whatever they are, or take some line 248 00:15:54,288 --> 00:15:57,614 with you who has the list, so that your questions are 249 00:15:57,653 --> 00:15:58,195 addressed. 250 00:15:58,635 --> 00:16:00,946 Speaker 2: I agree. I agree with you. The only time I got 251 00:16:00,986 --> 00:16:03,777 nervous, dr Tuck told me when he told me I needed to talk to him 252 00:16:03,777 --> 00:16:09,765 after the last biopsy. But prior to that I was fine. But 253 00:16:09,785 --> 00:16:12,633 when he told me that my gut feeling told me I had to make a 254 00:16:12,653 --> 00:16:16,950 decision, honestly. So that was the only time that I think I was 255 00:16:16,950 --> 00:16:22,008 anxious, when I went to go see him and we almost sat down and 256 00:16:22,067 --> 00:16:27,844 talked, but God was able to put me at peace because he told me 257 00:16:27,884 --> 00:16:30,268 you're making the right decision , james, this is what you should 258 00:16:30,268 --> 00:16:34,610 do, and that's exactly what I did, and I have been smiling 259 00:16:34,669 --> 00:16:38,892 ever since. I'm smiling prior to the procedure, during the 260 00:16:38,912 --> 00:16:40,777 procedure and after the procedure and after the 261 00:16:40,797 --> 00:16:41,278 procedure. 262 00:16:41,566 --> 00:16:43,350 Speaker 3: Well, one of the things we learned that health 263 00:16:43,371 --> 00:16:48,154 care is not a strata marathon. Yeah, it is, it really is, and 264 00:16:48,174 --> 00:16:50,984 we get older. We certainly learned that. If anything else 265 00:16:51,134 --> 00:16:55,336 you want to share with us, we don't want to take a bit more of 266 00:16:55,336 --> 00:16:59,320 your very precious time, but any last thing, words you want 267 00:16:59,340 --> 00:17:03,711 to leave with us, the biggest thing, dr Chaktao, is. 268 00:17:04,894 --> 00:17:09,285 Speaker 2: As men, we have a tendency not to talk and not to 269 00:17:09,445 --> 00:17:14,088 share. The main thing I will say If you are diagnosed with 270 00:17:14,209 --> 00:17:18,126 anything, you should share it. Don't hold it, don't keep it to 271 00:17:18,146 --> 00:17:21,811 yourselves. If you only share it with your family and close 272 00:17:21,852 --> 00:17:25,391 friends, that's fine. But share information, because shared 273 00:17:25,431 --> 00:17:28,326 information could help someone and save some going. I'll just 274 00:17:28,346 --> 00:17:32,856 share something briefly. A co-worker of mine was and I 275 00:17:32,936 --> 00:17:35,025 didn't even notice that we would talk here at a sort of 276 00:17:35,105 --> 00:17:40,648 co-worker, but we worked together back in the 80s. We 277 00:17:40,670 --> 00:17:44,906 were running to each other in Walmart. They say hi, okay, well 278 00:17:44,906 --> 00:17:48,241 , I didn't know it at the time, but he was concerned about his 279 00:17:48,301 --> 00:17:51,886 prostate and he's four or five years older than me and I sent 280 00:17:51,926 --> 00:17:56,296 him over to where I went and also to the doctor I went to, 281 00:17:57,204 --> 00:18:00,355 and he's been happy ever since and he appreciates me doing that 282 00:18:00,355 --> 00:18:04,333 . But in turn I'll be helping him that way. Then one of our 283 00:18:04,373 --> 00:18:08,809 church members sent me to one of his former one of his 284 00:18:09,210 --> 00:18:11,996 co-workers who actually went to the procedure six months before 285 00:18:12,056 --> 00:18:16,633 I did. Yes, and he's been guiding me since the procedure 286 00:18:16,732 --> 00:18:20,911 and post procedure. So that's why, as men, we have to open up 287 00:18:21,030 --> 00:18:25,527 and really share information like that, because it doesn't do 288 00:18:25,527 --> 00:18:28,807 any good to keep that to yourself and that could you be 289 00:18:28,847 --> 00:18:31,707 surprised who you did help or who has been through it. I found 290 00:18:31,707 --> 00:18:34,761 out going through all of this and guys I didn't know went 291 00:18:34,781 --> 00:18:38,729 through it, went through the same thing I did and I never 292 00:18:38,749 --> 00:18:40,854 would have known it had I not shared it with them. But they 293 00:18:40,874 --> 00:18:43,327 felt comfortable enough. I told them what I went through to 294 00:18:43,367 --> 00:18:46,913 share, what they went through. That's what I would say. As men, 295 00:18:46,913 --> 00:18:50,847 we have to learn out to share and that whole disinformation is 296 00:18:50,847 --> 00:18:54,315 too valuable and too important because you know better than I 297 00:18:54,355 --> 00:18:57,632 do. This is a second cause of death and Armpit of the first is 298 00:18:57,632 --> 00:19:01,769 heart disease, seconds, prostate cancer, and we have to 299 00:19:01,829 --> 00:19:05,046 be able to share and feel comfortable sharing, and the 300 00:19:05,086 --> 00:19:07,594 more people I've shared it with, the more better off our shell. 301 00:19:07,855 --> 00:19:12,759 So that's what I would tell me any nail. Whether they're not 302 00:19:12,880 --> 00:19:15,771 any atlasty, it doesn't matter, I shared. 303 00:19:16,434 --> 00:19:18,284 Speaker 3: I completely agree with that and you're exactly 304 00:19:18,365 --> 00:19:21,539 right. But one of the things that and maybe it was the way we 305 00:19:21,539 --> 00:19:24,472 grew up or whatever we're where we just thought that being a 306 00:19:24,512 --> 00:19:27,665 man meant that we just sort of kept all that to ourselves. But 307 00:19:27,685 --> 00:19:33,386 the reality is you need else and partner and a friend. Yeah, 308 00:19:33,446 --> 00:19:38,077 just, you know and Bullish that. You know pre and during and 309 00:19:38,117 --> 00:19:42,473 post and certain age. They, the folks, can't read our minds and 310 00:19:42,513 --> 00:19:45,865 so you do have to share the song one and that's always helpful. 311 00:19:46,307 --> 00:19:49,748 Speaker 2: And as you go through this, well, prior to that, one 312 00:19:49,768 --> 00:19:52,696 of my classmates says you just don't look, you look stressed. 313 00:19:54,528 --> 00:19:57,816 And then one of you know my wife and I part of marriage ministry 314 00:19:57,816 --> 00:20:00,990 . One of them, one of the Marriage ministry couple, said 315 00:20:01,029 --> 00:20:04,863 James, you don't look the same. And when I sit down in church on 316 00:20:04,863 --> 00:20:08,835 Sunday, I just sat there and I listened to the choir and it was 317 00:20:08,835 --> 00:20:13,711 so dynamic listening to and it touched me and I said you know 318 00:20:13,751 --> 00:20:17,384 what they might be right? And I went home and I prayed on and 319 00:20:17,403 --> 00:20:18,689 said God, what should I do? 320 00:20:19,506 --> 00:20:21,710 Speaker 3: We all need to listen to our bodies because the body 321 00:20:21,750 --> 00:20:22,351 will tell you. 322 00:20:22,852 --> 00:20:25,959 Speaker 2: My body told me because I have, you know, I've 323 00:20:25,999 --> 00:20:31,643 lost 10 pounds Okay and I'm trying not trying everything to 324 00:20:31,663 --> 00:20:33,930 get it back. I want to build muscle back because I know I'm 325 00:20:33,970 --> 00:20:38,406 honest, I can't. I can't gain a pound, dr Topped. I mean I 326 00:20:38,448 --> 00:20:41,773 gained a couple pounds. I'm at 175. I've never I haven't been 327 00:20:41,794 --> 00:20:47,332 175 since my senior high school. I will. I've never. I mean it. 328 00:20:47,352 --> 00:20:49,356 Just I got to get back to at least one. 329 00:20:50,885 --> 00:20:53,335 Speaker 3: Well, you know, it's more difficult as we get older, 330 00:20:54,086 --> 00:20:58,201 and the reason is that as we get older, our weight is, is is 331 00:20:58,340 --> 00:21:02,816 muscle and fat. You know, you know earlier it's, it's, it's, 332 00:21:03,699 --> 00:21:06,448 I'm sorry, I mean it's muscle and fat. But you know, we were 333 00:21:06,468 --> 00:21:11,288 younger as we get older, we have less muscle, that's correct, 334 00:21:11,671 --> 00:21:14,723 you know, and so you know you can, you can gain some of the 335 00:21:14,763 --> 00:21:17,734 fat, but even some of that will be less, but a lot of it is 336 00:21:17,775 --> 00:21:20,545 because, and particularly with the surgery that you've had, 337 00:21:20,704 --> 00:21:24,582 that's taken away some of your muscle mass. Yes, it's long in a 338 00:21:24,582 --> 00:21:29,275 bill back up, and Post-60 is more difficult to build it up 339 00:21:29,336 --> 00:21:34,053 than pre-60. You know I've mixed a lot of sense. Yeah, so so, 340 00:21:34,093 --> 00:21:37,068 but, but just be patient with it . You know, just eat properly 341 00:21:37,589 --> 00:21:40,847 and just continue to do what you've been doing, but but it 342 00:21:40,887 --> 00:21:45,259 takes longer to build that muscle mass than say, 20 years 343 00:21:45,339 --> 00:21:50,153 ago or 10 years ago. I agree. But again, I want to thank you 344 00:21:50,333 --> 00:21:53,982 for taking your very valuable time and sharing your your, your 345 00:21:53,982 --> 00:21:58,314 experiences on a broad host of things, particularly your 346 00:21:58,334 --> 00:22:04,951 healthcare, and we will certainly have you back in the 347 00:22:05,031 --> 00:22:09,528 future to share some more information with us. Anytime by 348 00:22:09,547 --> 00:22:13,094 this time we're gonna let you go and you have a blessed day. 349 00:22:13,615 --> 00:22:16,326 Speaker 2: I do you do the same to Dr Tachtel. Thank you so much 350 00:22:16,326 --> 00:22:19,737 for taking the time out of your schedule to spend time with me 351 00:22:19,797 --> 00:22:23,409 just to find out how my journey has been in terms of this. I 352 00:22:23,469 --> 00:22:27,733 call it a journey and but I really appreciate you doing this 353 00:22:27,733 --> 00:22:30,105 so that it makes all the world in the difference. 354 00:22:30,546 --> 00:22:33,513 Speaker 3: So you're very welcome and, as we always like 355 00:22:33,534 --> 00:22:37,345 to say, be the change you want to see in the world. Yes, sir, 356 00:22:37,645 --> 00:22:38,067 thank you. 357 00:22:41,006 --> 00:22:42,990 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 this episode helpful, you can 360 00:22:51,826 --> 00:22:56,076 support and subscribe to the podcast on your favorite podcast 361 00:22:56,076 --> 00:23:00,593 platform with the keywords Dr William Chokta, and you'll find 362 00:23:00,633 --> 00:23:05,537 it very quickly. Also, subscribing helps ensure that 363 00:23:05,616 --> 00:23:09,930 you don't miss any future episodes and then takes the next 364 00:23:09,930 --> 00:23:13,637 step of action and share it with your family, friends and or 365 00:23:13,637 --> 00:23:17,873 your co-workers. They'll be glad you did so. Until the next 366 00:23:17,913 --> 00:23:22,431 time, live your best possible life the best possible way. 367 00:23:22,790 --> 00:23:25,115 You've been listening to the healthy, wealthy and wise 368 00:23:25,176 --> 00:23:29,007 podcast with dr William Chokta, md JD.