Leaders as Servants: Embracing Service, Knowledge, and Action to Change the World with Dr. William T. Choctaw, MD, JD

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Coming up on this episode of the
Healthy, Wealthy, and Wise podcast.

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Within your body, numerous
things are occurring.

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Number one, cells are rushing to
that cut on your, let's say on your

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hand, and cells are immediately
cleaning up the debris in that area.

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If there's bacteria there, cells
are getting rid of the bacteria,

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cells of platelets are going in
and stopping the bleeding and

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clogging up the area that's been.

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Injured, uh, other, other cells,
macrophages and others are rushing in

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to start healing that area immediately.

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Um, and then a process

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occurs.

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Welcome to the healthy, wealthy,
and wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information

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you can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50
years of medical experience

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of this Yale University.

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University Medical school trained
surgeon, who is also a Western state

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law school trained attorney with
executive experience being a former

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mayor of Walnut, California, as well as
the current chairman of the nonprofit

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Servants Arms, and as president of
Choctaw Medical Group Incorporated.

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This is the leadership masterclass
edition already in progress.

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Good morning, everyone.

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What I want to do is give you a scripture
and then a prayer, and then we will go

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right into our session this morning.

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So, I'm going to be reading
to you, uh, from 2 Corinthians

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chapter 4, verses 15 through 18.

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And it reads thus, For all things
are for your sakes, that the abundant

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grace might through the thanksgiving
of many be downed to the glory of God.

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For which cause will you fall not?

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But though our outward man perished, yet
the inward man is renewed day by day.

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For our light afflictions, which is but
for a moment, worketh for us a far more

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exceeding and eternal weight of glory.

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While we look not at the things
which are seen, but at the things

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which are not seen, for the things
which are seen are temporal.

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But the things which are
not seen are eternal.

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May God have a blessing on hearing,
reading, and doing His holy words.

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Let us go to the Lord in prayer.

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Father God, Almighty, as we approach
your throne this morning, first of

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all, I just want to thank you, my
Father, because you've given us the

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opportunity to be in the land of the
living once more and again, my Father.

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And Father God, Almighty, we know that
you didn't have to do so, but Father,

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we know it's because of your love,
grace, and mercy you saw fit to touch

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us with the thing I love this morning
and wake us up to see another day.

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A day not for us, but a day for you.

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Go out and let us know that you are
the way, the truth, and the light.

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We pray, my father, that each and
every one of us would extract from

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this particular message today, my
father, the things that you have for

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us to extract from so we can use them,
my father, and all to help us in our

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life as we travel down life's highway.

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Pray to bless each and every one
as we listen to this, my father.

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Now I present to you now, Dr.

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Chalk Toff.

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Good morning again.

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Um, happy Saturday.

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Uh, this is our 22nd consecutive,
uh, Leadership Masterclass.

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And yes, and we're absolutely delighted
to have you with us this morning.

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Um, and, um, uh, these Masterclass
Series are designed for leaders.

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Those of you who are here presently
and those of you who are online.

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Um, and I define, I define
a leader as a servant.

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Those who serve others in the
different ways that God has

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allowed you to be able to do that.

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Today we're going to talk about
another very important topic.

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Um, we're going to talk
about breast cancer.

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And there are a couple
of reasons for that.

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One is that this is breast cancer month,
acknowledging those who have experienced

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it and those who participate in the care
of individuals who've had breast cancer.

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Um, and also, um, A large part of
my practice, my surgical practice

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when I was in practice, I had to
do with breast cancer patients.

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And so toward the latter part
of this presentation, I'll share

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some of my personal thoughts
in terms of lessons learned.

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And what I mean by lessons learned is
I mean lessons my patients taught me.

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We tend to think of doctors and
nurses as individuals who teach

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patients and help patients.

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Uh, but I can tell you, uh, as
someone who's, who's done this

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for a while, uh, patients really
help us a lot as physicians.

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And I will share some of those
things with you, uh, toward the

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latter part of our presentation.

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So we're going to talk about, um, an
overview of breast cancer, um, and give

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you some of the latest updates too about
things that are happening in the field.

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As always, I believe life is
about being of service to others.

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I believe knowledge is power.

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I believe leaders can change the world.

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And one of the things that I make
in one of my missions, particularly

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in talking to leaders, is get the
leaders motivated to do something.

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Not just sit, not just wait,
but to actually be proactive.

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Because in my mind,
that's what leadership is.

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Somebody once said, leaders are
individuals who Purposely interfere

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with your life to make things better.

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Um, they, they, sometimes they make
you uncomfortable because she said, you

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know, I just don't want to do X in there.

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I just want to do nothing.

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But, uh, time is of the essence.

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Um, and God has blessed
us with the ability.

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What is masterclass medicine?

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This is a term that I put together, quite
honestly, uh, masterclass, as you know, is

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the top of the top, the best of the best,
uh, medicine, you know, uh, and basically

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masterclass, uh, is based on three things.

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Uh, we want to inform you.

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We want to give you information.

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Uh, we want that information
to be a source of education.

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My operational definition
of education is receiving

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information that changes behavior.

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Receiving information
that changes behavior.

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That's what I call education.

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Uh, and thirdly, uh, we
want to motivate you.

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But once you get that information and
once your behavior has been significantly

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influenced, we then want you to go out
and do something with that information.

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And again, this is educational, it's not
intended to be personal medical advice.

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Your personal medical advice should
come from your individual physician.

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And as we mentioned, this is Breast Cancer
Awareness Month, which I think is good.

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And we'll talk about the importance
of breast cancer awareness.

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In terms of having you to go out and
basically get a screening mammogram.

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In my opinion, that is the
single most important aspect of

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Breast Cancer Awareness Month.

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As we said before, everybody is a
little different healthcare wise.

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And one of the more frustrating things,
certainly for patients and doctors

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also, is that we want to have knowledge
that we can apply to everything all the

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time, but it just doesn't work that way.

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Uh, if you have gallbladder disease,
uh, and your brother gets gallbladder

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disease, they are going to be the
same because you and your brother are

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two different people or your sister
or uncle or aunt or mother or father.

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Um, and that's just the way it's set up.

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And so we have to learn then the detail.

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We have to learn the detail.

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And so some of what we're going to go
over today has to do with the detail.

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I'm always a believer of thriving.

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I think one of the organizations, I
think it's Kaiser, has that as one of

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their mottos, live long and thrive.

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I like that.

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And I think it's a good thing to keep
in mind, that life is a blessing.

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And indeed, if you are listening to my
voice, or you are, as they say, above

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ground, Um, that, that is a blessing
and you should, um, embellish that.

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Well what is breast cancer?

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What is breast cancer?

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So one of the ways to think about it
is that breast cancer is a process

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in the body that where the cells
of the body won't stop growing.

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Let me say that again.

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Breast cancer is sort of a process
in the body where the cells in

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the body won't stop growing.

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If you imagine, uh, Uh, a cellular
structure with very large cells, uh,

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and in the middle of that cellular
structure may be a lot of cells,

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maybe 10 or 20 40 or 50, um, uh,
that's sort of what cancer is.

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Let, let, let me, uh,
use a different example.

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If you were to cut yourself and,
um, say doing housework or whatever,

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and you start to bleed, you would
immediately put your hand over it.

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Um, uh, and that would
sort of stop the bleeding.

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You may put a dressing on it, um,
um, and then decide whether that,

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uh, uh, cut in these stitches or
not in these stitches or whatever.

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Within your body, numerous
things are occurring.

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Number one, cells are rushing to that
cut on your, let's say on your hand

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and cells are immediately cleaning
up the debris, uh, in that area.

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If there's bacteria there, cells
are getting rid of the bacteria.

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Cells of platelets are going in and
stopping the bleeding and clogging

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up the area that's been injured.

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Uh, others, other cells, macrophages
and others are rushing in to start

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healing that area immediately.

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Um, and then a process occurs where
all those cells rusted into that area

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stop, they just stop, because the
healing has taken place, the area has

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been taken care of, the area has been
cleaned up, and you no longer need

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any additional cells in that area.

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What would happen if
the process didn't stop?

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What would happen if you cut
yourself, uh, and cells rushed into

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the area, but they just kept coming?

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They just kept coming.

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That was no cut off valve.

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Uh, theoretically, you can consider
that a type of cancer without the

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cut, because you don't need the cut.

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So cancer is the unrestricted growth
of cells in a certain area of the body.

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Unrestricted growth.

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Unrestricted growth.

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of cells in a certain area of the body.

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Okay?

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So, it's, it's, it's, it's a little more,
it's even more complicated than that,

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but we'll, we'll sort of get into it.

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Uh, but, but just think about it.

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The body is so complex, it tells
every single cell what to do.

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But all you need is one glitch
where that doesn't work and you

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can end up getting what, what we
may euphemistically call cancer.

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It's when cell growth does not stop.

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Uh, another example, if I use the
same, uh, laceration, a cut on your

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hand, um, and let's say the cells
stop, but not after a certain period

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of time, and you have a scar that
ends up being a very, very thick scar.

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We call that a hypertrophic scar.

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That's not a cancer, but it's an
example of what happens if more

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cells end up in the coming into
that area than should, okay?

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So my point is that the body
has a cut off time where it

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tells everything to shut down.

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It stops the cells from rushing
into an area because the

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problem has been taken care of.

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If the body does not shut those
cells down, they keep coming.

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And as they keep coming, the area
begins to grow, we call it growth,

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uh, and that then becomes cancer.

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So, how, how is cancer diagnosed?

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And we're talking about breast
cancer now, let me be specific.

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How is breast cancer diagnosed?

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The two early ways of potentially
diagnosing breast cancer is

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one, breast self examination.

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What does that mean?

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It means when you examine your breast
yourself, uh, either in the shower

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or just standing in front of the
mirror, uh, where as a patient, you

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just run your hand over your breast.

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Uh, both breasts, um, uh, and become
familiar with the, uh, uh, topography of

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your breasts so that if you, if you, when
you do that, if you feel something that

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was not there the last time, then you
know that that may be something abnormal.

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So that's called breast
self examination, BSE, okay?

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Um, the other way breast cancer is
diagnosed is usually by mammogram

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and why is mammogram so important?

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Mavigram is important
because it can pick up lumps.

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that are too small for us to feel.

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Okay?

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Mammogram is important.

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It's an x ray type
procedure of the breast.

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It's a picture of the breast.

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It is too, it can pick up lumps
that are very, very small, uh,

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or too small for you to feel.

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So, as you run your hand over
your breast, uh, in a breast self

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examination, you may not be able
to pick up a one sonometer mass.

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or lumped or a 0.

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5 centimeter mass or lump.

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The mammogram can pick
up that mass or lump.

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Okay.

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So breast cancer is the
unrestrained growth of cells

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in the body in a certain area.

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Um, it can be diagnosed by initially
by you feeling it in your breast.

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Uh, and by examining your breast
regularly, you feel a lump

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that you did not feel before.

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You notice I use the term lump.

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I don't say tumor.

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I don't really say mass, um, we
doctors stop saying tumor and mass

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a lot of times because it tends to
scare people, you know, if you say

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tumor, oh my God, I've got a tumor.

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And if you say tumor, people think cancer.

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All tumors are not cancers, but if
you say tumor, people think cancer.

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So usually I use the term lump, and
that's, that's like the most benign

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term that I can think of, because
anything can be a lump, right?

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Okay, so just, just keep that in mind.

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So one of the ways to diagnose a lump.

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Uh, or a cancer is to diagnose the
lump first, or the presence or the

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existence of a lump, and you can do
that by one, breast self examination,

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or you can do it by getting a mammogram.

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Most lumps in the breast that may be
cancerous are too small for you to feel.

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Hi, welcome.

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Uh, most lumps in the breast that may be
cancerous are too small for you to feel.

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And that's a good thing, that's a good
thing, because if they're too small

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to feel, then that means that that,
and it's cancer, that means it's very,

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very early, in terms of diagnosis.

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How do you reduce the
risk of breast cancer?

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Um, some have suggested
decreasing smoking.

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controlling your weight, limiting
alcohol, being physically active,

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avoiding radiation exposure.

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I'm sure that those probably
are beneficial things to do.

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But probably one of the main
things that have been shown to

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directly be related to decrease
in breast cancer is breastfeeding.

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If you have children, Or you become
pregnant, um, and have a child,

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breastfeeding has been found, uh, to
decrease your risk of breast cancer.

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It's not a guarantee that you won't get
breast cancer, but it is felt by studies

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that have been done that it does decrease
the risk of you getting breast cancer.

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Thank you for listening to the Healthy,
Wealthy, and Wise podcast with Dr.

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00:16:24,410 --> 00:16:24,970
William T.

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Choctaw, MDJD.

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You can listen again to this and
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00:16:31,920 --> 00:16:39,420
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00:16:39,750 --> 00:16:45,120
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00:16:45,689 --> 00:16:48,900
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00:16:49,599 --> 00:16:53,469
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Then tune in for the next episode of the
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00:16:58,270 --> 00:17:03,790
William t Choctaw, M-D-J-D-A production
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Ella.