Health for a Lifetime

Colon Health

Three Angels Broadcasting Network

Program transcript

Participants: Don Mackintosh (Host), Christina Salter

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Series Code: HFAL

Program Code: HFAL000207


00:01 The following program presents principles
00:03 designed to promote good health and is
00:05 not intended to take the place
00:06 of personalized professional care.
00:09 The opinions and ideas expressed are
00:11 those of the speaker. Viewers are
00:13 encouraged to draw their own conclusions
00:15 about the information presented.
00:50 Hello and welcome to Health For A Lifetime.
00:52 I'm your host Don Mackintosh, and today
00:54 we're gonna be talking about something that's
00:55 very important. We're gonna be talking
00:58 about colon health. And in America today
01:01 and around the world this is a huge problem.
01:04 Here to talk with us about this is
01:05 Dr. Christine Salter, she is a specialist in
01:08 family medicine and practices in St. Louis,
01:12 and we're glad you with us today.
01:13 Thank you, I'm very happy to be here.
01:15 And you have been practicing about five
01:16 years up there since 2001, that's right,
01:19 that's right. And, this is a big concern of
01:21 yours, Colon Health and you have some
01:24 real personal reasons for that. Absolutely,
01:27 you know my father was diagnosed with
01:29 Colon Cancer. Few years ago, he did not
01:34 succumb to it, but he had a big tumor and
01:38 one of my dear friends that I grew up
01:40 with also he was diagnosed but actually
01:43 succumbed to colon cancer. So I have a
01:46 real burden that people have excellent
01:49 colon health and do whatever they can do
01:51 to screen and prevent this deadly cancer.
01:56 How prevalent is this in America?
01:58 You know it's the 3rd killer in America
02:03 behind heart disease, we have heart
02:05 disease and we have lung cancer and then
02:07 that's followed by colon cancer.
02:09 And you are telling me that this is largely
02:11 preventable though, people don't need to be
02:13 succumbing to this. People don't have to
02:15 die of colon cancer. Now there are some
02:18 familial or hereditary syndromes where it's
02:20 just so, it's just so prevalent, it's just so
02:23 comical that they have these polyps and
02:26 that they quickly turn the malignant and in
02:28 a short period of time. They have very
02:31 intense screening, but for the general
02:34 population, people will not to be dying
02:37 because it takes so long for the tumor
02:39 to grow. So there is enough time to figure
02:41 out about it, but the key is prevention
02:44 through screening you're saying.
02:46 Yes, it's prevention through lifestyle and
02:48 proper screening. So, what kind of
02:51 screening are you talking about here?
02:53 Well, there are different methods that are
02:56 recommended, there is, well some people
02:59 they go to doctor they get the little card,
03:01 it's called a Fecal Occult Blood test,
03:03 that they can test with that and also have
03:06 a sigmoidoscopy. Some doctors do that in
03:08 their office and there is a colonoscopy that
03:11 is done and the hospital setting,
03:14 okay and then there barium enemas.
03:17 Now there is even virtual colonoscopy,
03:21 a virtual colonoscopy, yeah, that's right.
03:23 So, but even if you do it that way, if
03:27 something is found you still have to get
03:30 the regular colonoscopy done. I don't know
03:32 exactly know how that works, but let
03:34 me just go through those again, so you can
03:35 have these little card, that they take a
03:38 little sample of your fecal material,
03:40 that's right, and put that on there and
03:42 they send it to see if there is some blood
03:44 on it, to see if there is any blood, okay,
03:46 okay. And then that's number one, the number
03:47 two, well that's along with a sigmoidoscopy,
03:51 and a sigmoid is looking in that part of the
03:53 colon called the sigmoid, the sigmoid is
03:55 only one side on the left side of the body,
03:57 okay. So you're just looking at part of the
03:59 colon then, exactly, and then the,
04:02 what's the third one? The third one is the
04:04 colonoscopy, which is looking at the whole
04:05 thing, looking at the entire thing.
04:07 But how big is the colon, I mean you know,
04:10 I mean it depends on the person I suppose
04:12 but, it's several feet long, not as long,
04:15 not as long as the small intestine, right,
04:17 okay. So, because it would go up and around
04:20 so, you know a few feet. Right, so you're
04:23 looking at that, okay, and then, so there
04:26 was, there was the sigmoidoscopy,
04:28 there was the tagging for occult blood,
04:31 right, there was the colonoscopy then what
04:33 else was it? And also there is a barium
04:35 enema, and that's where you take the stuff
04:37 that kind of clay colored stuff, right,
04:39 that's right, you can drink it, drink it.
04:41 Also another that do actually is a enema,
04:43 okay, for the lower part you drink it when
04:45 you do the upper part, alright, okay.
04:48 And so you, they put that I know that
04:49 sounds really fun. I know people are home
04:52 and go, let me call in and let me go do
04:53 that right now, but, it's really essential.
04:56 And it's absolutely essential, I plead with
05:00 my patients to go and get this done,
05:03 and emphasize and. One more thing on the
05:07 screening you said that there is a virtual
05:09 colonoscopy you know I've been out of this
05:11 for a while. You know, in terms of working
05:13 in the hospital, but what is that?
05:14 Do they, is it like an MRI, what is it?
05:17 It's a non-invasive imaging, okay,
05:20 so that you know, so that they can look
05:22 to see if there's a problem there, if they do
05:24 see there is a problem there, they have that
05:26 the real, you still have the real, have to
05:27 have the real one. Okay, you see, so and
05:30 you still have to do the prep, but a lot of
05:31 people say oh I don't do it because the prep,
05:33 can I do the other one but, the other one
05:35 you still have to be prepped, you have to
05:37 drink some laxative and, yeah, stay off the,
05:42 clean out the whole, clean everything out.
05:44 Which can be you know troubling to some
05:47 people. It can be troubling, it can be
05:49 troubling. But hey, I mean the only thing
05:51 that's more troubling is to actually have
05:53 colon cancer and have not done anything
05:55 about it, absolutely, yeah, absolutely.
05:57 So you said this takes some amount of
05:59 time to develop. What are we talking about
06:01 in terms of time? Seven years, sometimes
06:04 seven years, seven years, eight years,
06:06 and then when do you as a, you know
06:08 specialist in family medicine when is it that
06:09 you start asking people go ahead and get
06:11 that checked, is that when they're.
06:13 Well that's recommended by the American
06:15 Academy of Gastroenterologist is that
06:17 screening starts at 50, 50, age 50 for
06:21 the general population. Now, if you have a
06:23 first degree relative, I mean mother,
06:25 father, brother or sister then you would
06:28 get screened 10 years prior to their diagnosis,
06:32 and on the same premise that it takes
06:33 that long, okay, okay so if you had a brother
06:39 who had colon cancer at 46, then you'd get
06:43 screen at 36, okay. So, when did your dad
06:48 develop that? Actually my father was eighty
06:51 eight, when he developed it, okay so you
06:53 don't have to get a screen until 70.
06:56 Well, so much case I'll be get screened
06:58 with general recommendations, right,
06:59 50 and you know and above, yeah, okay.
07:02 And then only in the nuclear family it
07:05 sounds like father, mother, brother, sister
07:07 or someone, or sister yeah. Exactly, or
07:09 if there is a, if there is a hereditary syndrome,
07:12 so, if there's a family history of you know
07:14 this is called "familial polyposis" where they
07:16 have a lot of polyps that quickly turn malignant
07:19 and so then you get screened in earlier or if
07:22 you already have a colonic process,
07:26 inflammatory bowel disease, okay,
07:28 ulcerative colitis, Crohn's disease,
07:31 that gives you an increased risk of colon
07:34 cancer. So then in which case you be
07:36 getting screened much earlier maybe in
07:37 your twenties. Now you told me you know
07:39 you're originally from England which is getting
07:41 you this, yes, elegant accent which I so much
07:43 enjoy, but you said that in some of the
07:45 countries where you have socialized medicine
07:48 like England, they don't have as much screening.
07:52 You know because it's just a different setup
07:54 all together, you know you come in,
07:56 if you have a problem you come and see
07:57 to the doctor okay, but if you don't
07:59 you don't, but if you don't, you don't you see.
08:01 And this more aggressive but in terms of the
08:05 preventive mode and it's wise. It's wise,
08:09 because you now if you don't come in it's
08:10 asymptomatic, it's asymptomatic in the
08:13 early stages, then it becomes symptomatic,
08:16 but by the time it comes symptomatic
08:18 very often, it may have spread and make it
08:22 not a 100 percent curable, which what it is if you
08:25 catch it early. Now you've talked about the
08:27 things that are silent, I mean you know,
08:29 you know you don't have any problem or it
08:31 doesn't seem like you have any problem
08:33 whatsoever, how is this related to say
08:37 diverticulitis, those little tiny, okay,
08:40 that you know. The little pockets, pockets
08:42 that developed and, okay, well diverticular
08:45 disease, there are two components,
08:48 there is diverticulitis which are the actual
08:50 pockets and very often in colonoscopy you
08:52 see those pockets and then you have
08:54 diverticulitis, which is actually inflammation,
08:57 okay, and infection in one of those pockets
09:00 and that can be very dangerous we could
09:01 call that the left side of the appendicitis,
09:05 because you can perforate and get
09:06 peritonitis. Do you get those pockets
09:09 because of increase pressure in the colon
09:11 usually 'cause there is not enough fiber in
09:13 the diet, okay? So low fiber diet, a lot of
09:18 pressure and then you get these out
09:20 pouchings there is no way for the pressure
09:22 to go, okay. So you get these little pockets
09:24 that form. And does that cause pain?
09:28 Diverticulosis just doesn't cause pain,
09:30 diverticulitis causes a lot of pain,
09:33 and I've had patients who actually have
09:35 tried to do a colon resection because
09:37 they're getting recurred diverticulitis,
09:39 and they just can't think to fix that little
09:41 area, they can't and it actually, it really
09:43 can't be fixed because ones that area is
09:44 weaken, you got the pocket, it's there
09:47 and so the treatment is to make sure you
09:49 continue to have a high fiber diet,
09:53 I see, okay and to listen to those signals.
09:56 If there's some physiological signals that
09:58 people often because of the way of society
10:01 is immune and a rush that people fail to
10:03 listen to, and that's called a gastrocolic
10:06 reflex. What is that called? It's called a
10:08 gastrocolic reflex, and what is that exactly?
10:11 So in the morning when you get up and
10:13 you drink your two glass of water and then
10:16 you eat breakfast, within 20 to 30 minutes
10:20 you should have the sensation to have a
10:21 bowel movement, and if you don't,
10:24 you got a problem, okay, you got a problem
10:25 or what happened to people just on to
10:27 go they're getting up, they're rushing out,
10:29 they are grabbing something and they are
10:30 out the door and then may get that
10:32 gastrocolic reflex but then what's they
10:34 going to do they're in the car now,
10:35 they're not able to go the bathroom,
10:37 and so they just resist that, they suppress
10:39 it and then it's going to take more of,
10:43 the bowel is going to accommodate to that
10:45 and it's gonna take more stool to then
10:48 get that sensation so that they,
10:50 they're setting themselves up for chronic
10:52 constipation and increased pressure in
10:54 the bowel. So the same way you can get
10:55 use to having a stomach that's too full you
10:57 can get used to having a bowel that's
10:59 too full, absolutely. So you know we just
11:01 go back here, because there is one
11:03 part here that maybe people wouldn't
11:05 understand and that is, okay, you know
11:07 you say you have diverticulosis that's that
11:09 pouching, right, diverticulitis is always
11:13 inflammation, right, and really causes
11:14 pain and the problem with both of those
11:16 is they can purpurate and then the
11:20 contents of the bowel go out into what
11:22 you call the peritoneum, which is really
11:25 that space all around it and that causes
11:28 an infection and sometimes this you just
11:30 can't get rid off, absolutely. You see the
11:32 bowel, when you think about the bowel
11:34 from the mouth to the anus, okay it's
11:39 inside the body but it's kind of outside,
11:41 okay and so there are bacteria in the
11:44 bowel that are very useful, in the bowel,
11:47 in the bowel, but we don't want those
11:48 bacteria getting out or even getting into
11:51 the blood stream then they become
11:53 very nasty, then may be get bacteria
11:55 back in there little, that's right,
11:58 that's right. Okay so, so we've talked
11:59 about the importance of the colon I mean
12:03 look we're thankful for our colon right
12:04 there, that's where everything gets
12:06 absorbed in the body, anything else it
12:08 does, absolutely. Well, it's a wonderful
12:12 organ, you know when you think about
12:14 what would happens with digestion the
12:16 whole process, each area is so specialized.
12:19 The colon is the area where most of the
12:21 water is absorbed, which means you got
12:23 to be drinking enough water because it's
12:25 reabsorbed in that area. The colon has
12:29 a billion bacteria, more cells then even
12:33 the body has, billions of bacteria and they
12:36 are all keeping this nice ecology,
12:39 this is own little environment,
12:42 keeping pathogens at bay, helping breakdown
12:46 food products and in fact it's those bacteria
12:48 that help with the nutrition of the colon
12:50 cells, they're called colonocytes they're
12:52 one cell thick, and they need, it's the
12:55 bacteria that act on the non-digestible
12:59 starch or fiber, I see, and they break
13:01 it down and then the nutrition, the short
13:05 range fatty acids is what the colonocytes
13:07 use for that nutrition, I see. So if you're
13:09 not getting the fiber then those cells not
13:12 getting the nutrition that they need,
13:14 and cellular health is really a key,
13:16 if you don't have proper cellular health
13:18 then the cells for repair, they're always
13:22 getting exposed to carcinogens that are
13:24 coming through the bowel, right, so then,
13:26 then they are more vulnerable,
13:28 they are more vulnerable absolutely,
13:29 so that the colon is a marvelous organ.
13:31 Any differences when you look at ethnic
13:35 groups or racial groups in terms of colon
13:38 health? In general, African Americans,
13:42 if they developed colon cancer they tend
13:45 to develop on the right side of the colon,
13:48 the right side of the colon, the right side
13:49 of the colon. Now let me just tell you
13:50 what the problem with that is, the right
13:53 side of the colon or the Cecum is more
13:56 expansile. And so, a tumor can grow to
13:59 a large size before the patient would have
14:02 symptoms, if it's on the left side,
14:05 that's more muscular and a little narrower,
14:09 so you're more likely to get changes,
14:11 and when we say a changein bowel habit,
14:12 that's one of the questions the doctor
14:14 will ask you, have you got any change in
14:15 bowel habits? Well you know my stool
14:17 used to be you know in good size and now
14:19 it's pencil thin, well that's already a red
14:22 flag, right, first go and look and with the
14:25 sigmoid, now sigmoidoscopy that's what
14:28 used to be done more common,
14:29 you can figure that out, you can see that
14:30 right away the sigmoidoscopy and so
14:32 most people say well I just got a
14:33 sigmoidoscopy done, under the fecal
14:35 occult blood test and then not have the
14:37 colonoscopy done, you don't see all the
14:39 way around to that right side and pick that
14:42 up, I see, you see so. So, especially if
14:47 you're an African American watching,
14:49 you got this prevention thing is even
14:51 larger. It's larger and it's important that
14:53 you get a colonoscopy and not just a
14:55 sigmoidoscopy and say well I had that
14:57 done and fecal occult blood test.
14:59 I did have a case during residency where
15:02 a patient, just a few months previously
15:06 had had a fecal occult blood test,
15:08 no blood, no problem, and then presented
15:10 with abdominal pain near perforation of a
15:13 right sided colon cancer. Wow, we're
15:16 talking with Dr. Christine Salter,
15:19 she is a specialist in family medicine.
15:21 We're talking about colon cancer.
15:23 We've talked about some of the bad news
15:25 but also some good news we can
15:26 prevent largely prevent, if we know the
15:30 health of our colons. We've talked about that,
15:32 but there are some other things you can
15:33 do and you need to hear about those,
15:35 so join us when we come back.
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16:39 Welcome back we've been talking with
16:41 Dr. Christine Salter. We've been talking
16:42 about colon cancer, colon health and
16:45 before the break doctor we were talking
16:47 about all these different things that plague
16:50 Americans and people around the world,
16:52 you said colon cancer is the number three,
16:54 yes, cause of death and it's largely
16:57 avoidable. It's not that people are not
16:59 going to get colon cancer because they
17:00 will sadly because of many factors,
17:03 right, but they can discover it and it
17:04 has a, you know a quite a long time before
17:07 it can perforate or get to other areas
17:08 of the body, absolutely. So, if we have
17:10 those screenings you summarized the
17:13 different ones we can do, then we can
17:16 many times catch it, absolutely, that's
17:19 good news. You know and I, and I should
17:21 recommend and prefer a colonoscopy,
17:24 because then you get the entire colon
17:26 visualized all the way around to the small
17:29 intestine. So I prefer that and pretty
17:32 much I routinely that's what I sent my
17:34 patient to Barnes Hospital to get their
17:37 colonoscopy done. Okay, now this section,
17:41 we want to talk about other things we can
17:43 do to maybe number one avoid colon
17:45 cancer to begin with, or if we have a
17:48 problem with our colon do you know
17:49 how to take care of that but what are
17:51 some lifestyle factors as they relate to the
17:53 health of the colon. Okay, well, there are
17:56 some very common things that people
17:57 are doing, cigarette smoking. Cigarette
18:01 smoking has been shown to increase the
18:03 risk for colon cancer. And how does that
18:06 work? This carcinogen, you know it's they,
18:11 tobacco smoke contain carcinogens which
18:14 damage the cells. How do they get into
18:16 the colon, 'cause I don't smoke with my,
18:18 I don't smoke you know going down in my
18:20 stomach? Okay well, you're inhaling it but
18:23 it gets absorbed once it's inhaled it gets
18:25 absorbed all the way in right, okay.
18:28 I thought man you know, it's like a
18:30 funny saying, it just sounded like a
18:32 pretty odd saying, okay. So, but it' just
18:35 gets absorbed when you smoke it just
18:37 goes everywhere in your body.
18:38 It gets inhaled all the way. Cigarette
18:42 smoking is linked with many diseases.
18:45 Not just people think of lung cancer,
18:47 it's one of the number one risk factors
18:48 for heart disease. So it kind of seeps
18:52 in there, so just stop smoking if you
18:53 want a healthy colon, stop smoking and
18:56 not just active smoking but passive
18:58 smoking, don't hang around people that
19:00 smoke, don't hang around with people who
19:02 smoke, because it puts you at a significant
19:04 risk. And what are the numbers you know
19:07 like you know, if you're hanging around
19:09 people that smoke verses not,
19:10 what happens to that person in terms
19:11 of colon cancer? Don't know the numbers
19:15 for colon cancer, but it's significant,
19:17 but it's significant because smoke is
19:18 smoke, whether you're doing it or
19:20 whether you're sitting there, inhaling it
19:22 from someone else. Is it just cigarette
19:23 smoke or what if I'm barbequing my
19:26 roasted tofu on whatever? Okay, grilling
19:30 and burning food that specially that is
19:34 high in fat, so red meat or even tofu meat
19:39 they become carcinogens. So and
19:43 then that's the other one coming to is
19:44 red meat, okay so that's something you
19:47 does go down that element that can help,
19:49 that does going there red meat. We used to
19:51 think that it was fiber, fiber is important
19:54 for colon health. The studies are inconclusive,
19:59 when they do the randomized double-blind
20:00 controlled trials. We know that fiber is
20:02 important but even more than fiber
20:05 red meat has been definitely through
20:08 research studies to colon cancer.
20:11 So if you smoke and eat a steak everyday
20:15 or some other kind of red meat you are
20:18 significantly increasing your risk for colon
20:20 cancer and then if you add alcohol to that,
20:24 your risk goes up even more, and why is
20:27 that? Alcohol, just messes up any cell it
20:32 touches. Well, you know, when it comes to
20:34 cancer; we talk about an initiator and a
20:37 promoter, okay, okay. So, alcohol in some
20:42 conditions can be and a promoter,
20:47 so something can come in and initiate but
20:50 then alcohol will kind of fund the flames and
20:52 keep things moving along and keep that
20:54 damage and going on. So if we smoke that
20:57 might initiated it with giving the tars or
20:59 the toxins, right, and then or the red meat
21:01 might initiate it with all the cancerous
21:03 things in the blood, exactly, because and
21:07 then alcohol just kind of, it just funds the
21:10 flames and moves things along and continues
21:15 those cells abnormally dividing. So if you
21:18 see someone with, supposed, called a
21:20 beer belly that's having a cigarette at the
21:23 steak shop, they're in danger for sure,
21:26 they're in big danger. And then if you,
21:28 then if you add to that not eat enough
21:32 fruits and vegetables, a diet that's high in
21:35 fruit and vegetables they're found it lowers
21:38 the risk for colon cancer, and it does that
21:41 through, through the phytonutrients
21:44 and the vitamins, the fat and nutrients that
21:47 is so protective and the antioxidants that
21:49 are protected to the cells, because the
21:51 cells are constantly changing, they're
21:54 constantly being attacked and damaged,
21:57 that's given. But if they're not able to
21:59 regenerate having adequate antioxidants
22:02 around then we really do have a problem.
22:06 You know the bile, the bile salts that come
22:08 through, they especially if you're
22:10 constipated and they're sitting a long time
22:12 in the colon they damaged those little
22:14 colonocytes. And so then if you have a
22:17 low fiber diet and the colonocytes don't
22:19 have the nutrition to regenerate,
22:21 and you're getting the toxins from the
22:23 smoke and the toxins from the red meat
22:28 and then you don't have the antioxidants
22:30 from the fresh fruit and vegetables you've
22:32 got the perfect set up for cancer to occur.
22:35 Okay, let's talk about some of those
22:37 foods then you would highly recommend
22:38 you know we've talk about you said several
22:40 things you said if you want to have good
22:41 colon health you drink a lot of water,
22:44 absolutely. How much water do I drink?
22:47 You know it varies depending on what
22:48 your diet is like, if you have a water based
22:51 diet, which means you eat lots of fruits
22:52 and vegetables, water chestnuts,
22:55 that's too, yeah okay fruits and vegetables,
22:58 lot of water, okay fruits vegetables drink
22:59 then, you know then we say you know
23:00 eight glasses of water a day enough to
23:03 keep you're impale, okay, okay.
23:05 So, sufficient water, sufficient water,
23:08 and then you said also that we have to
23:10 have fruits and vegetables what are we
23:12 talking about six water melons,
23:14 14 tomatoes, what are we, you know
23:16 those numbers, those numbers keep
23:18 changing, now they're saying 8 to 11
23:21 servings of fruit and vegetables.
23:22 And the serving is what, how much is a
23:23 serving? You know serving a medium size
23:26 apple, is a serving, a cup of fresh
23:29 vegetables is a serving. So if you had a
23:31 large salad you may have two three
23:33 servings right there, okay, okay.
23:37 but the, because the quality of the food is
23:39 not the same the numbers of fruits and
23:41 vegetables you need to take in are increasing
23:44 and so people may need to have supplements
23:46 too, some good food based supplements.
23:48 And then high fiber foods, what are those?
23:51 I mean fruits and vegetables have got
23:52 fibers if they got the skins on them,
23:54 they got the pulp in them, absolutely,
23:56 legumes, legumes, okay, lentils, chickpeas,
24:01 beans, even mash potatoes, not mash
24:03 potatoes, unless you have the skin on
24:05 that, okay, but don't think about mashed
24:08 white potatoes is that they are high
24:11 glycemic and promote lot of insulin,
24:13 and insulin is a growth factor for cancer
24:16 and other processes, okay. So, so, I
24:19 mean you got to, sweet potato, right
24:22 sweet potato, yeah, so you could become
24:24 a fake meat and sweet potato man.
24:27 Sort of meat and potatoes man, alright.
24:30 So, we've talked about the foods and
24:32 the fruits and we've talked about the
24:33 fluid and then avoiding especially red meat,
24:39 especially red meats, it's the protein and
24:43 the fat in those meats. Fats are highly
24:47 unstable and then when they're cooked
24:51 they produce what are called nitrosamines
24:54 and they, those are directly toxic, okay,
24:57 and so if you're eating a lot of red meat
25:00 that could be very problematic.
25:03 And so I would encourage people to
25:06 significantly decrease the red meat and
25:08 on the new food permit red meat's right
25:10 at the very top and to my patients I say
25:13 monthly if at all, okay monthly if at all
25:17 and but many of them turn that permit
25:19 upside down and those things at the very
25:22 top become their foundational foods and
25:24 those are the very foods that are a problem.
25:28 You know you probably serve different
25:29 populations there in St. Louis, what about
25:31 the African American Community,
25:33 the Asian Community what are, are there
25:34 any differences in those different groups
25:36 you've talked to, typically the African
25:38 Americans you see what are the foods
25:39 you talked to them about avoiding? Well you
25:41 see they eat lot of fried foods, a lot of
25:44 organ meats and a lot of pork and they
25:49 do a lot of barbecuing and I will discourage
25:52 that. And then your Asian population,
25:55 don't have lot of Asians but they tend to
25:57 do also a lot of fried foods, okay, and so
26:01 foods that already unstable and they also
26:04 eat a lot of meat, lot of fried foods,
26:06 lot of cooked meats. And then the Caucasians,
26:09 what, what are their issues? It really is
26:12 the same, about the same, you know it's,
26:13 and in America that's the way it is,
26:15 fried foods and, it's fried foods you know
26:17 they did a large study, a large epidemiological
26:20 study of 70,000 people and the diet,
26:24 cookies, donuts, red meats, French fries,
26:28 sodas, they found that that was the very
26:30 diet that promoted colon cancer,
26:33 a diet that had whole grains fresh vegetables,
26:36 fruits, low fat dairy was more protective.
26:42 Any hope we've got about minute left any
26:45 hope for those people that already have
26:46 got the diagnosis of colon cancer,
26:49 what would you say to them? First of all
26:52 would be to put into place those things that
26:54 would have prevented it, make sure that
26:55 they change, that they radically change
26:57 their diet and lifestyle. Obesity is another
27:00 risk factor and so we want to make sure
27:02 they're exercising, making sure they are
27:04 taking lots of antioxidants and make
27:06 sure they're using superior food grade
27:09 supplements and that would make a big
27:12 difference. Well, we really have enjoyed
27:14 talking with you today doctor and you know
27:17 I'm sure your patients just love going to
27:20 see the doctor as much as you can do that,
27:22 as you're just a warm personality and we're
27:24 glad you could take time out of your busy
27:26 practice, you actually traveled today,
27:28 yes I did, I'm very happy, this is burden
27:30 I have so, I'm just very happy to come
27:33 and to show this and I want all people if
27:36 they're 50 or above to make sure they go
27:38 see their doctor, get screened and make
27:40 sure they implement this lifestyle.
27:42 Thank you for being with us and I'm sure
27:44 anyone watching would like to come and
27:45 see you in St. Louis but I'm sure
27:46 you're very busy. We're glad that you've
27:48 been with us as well. We hope that you
27:51 do get that screening and that you as a
27:53 result have Health that last for
27:55 a Lifetime. Thank you so much.


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Revised 2014-12-17