Participants: Don Mackintosh (Host), Christina Salter
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. 15:39 Are you confused about the endless 15:41 strain with new and often contradictory 15:43 health information? With companies trying 15:46 to sell new drugs and special interest groups 15:48 paying for studies that spin the fact, 15:51 where can you find a common sense 15:52 approach to health. One way is to ask 15:55 for your free copy of Dr. Arnott's 24 15:58 realistic ways to improve your health. 16:00 Dr. Timothy Arnott and the Lifestyle 16:02 Center of America produced this helpful 16:04 booklet of 24 short practical health 16:06 tips based on scientific research and 16:08 the Bible, that will help you live longer, 16:11 happier, and healthier. For example, 16:13 did you know that women who drink more 16:15 water lower the risk of heart attack or 16:18 the seven to eight hours of sleep a 16:19 night can minimize your risk of ever 16:21 developing diabetes. Find out how to 16:24 lower your blood pressure and much more. 16:26 If you're looking for help, not hike then 16:27 this booklet is for you. Just log on to 16:30 3abn.org and click on free offers or 16:33 call us during regular business hours, 16:35 you'll be glad you did. 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. |
Revised 2014-12-17