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Time now for -- Sunday house call and joining us this morning is doctor Marc Siegel associate professor of medicine at the in light is -- go medical center also author of the inner pulse.
Unlocking the secret code of sickness and health and doctor David somebody as the chair of urology at Lenox Hill Hospital New York a professor of neurology.
At the Hofstra North Shore LIJ school of medicine.
Thought there's good morning -- July for a starting July 1 at Lenox hill first of all happy Father's Day thank -- authentic and all the holing it exactly.
Speaking of Father's Day what better way to take care of all of us than to actually go to the doctor and ask questions about what we need to do as we.
Get older and age doctor -- let's say you started twenty years old.
What a petition we.
Have only go to the -- started I want to wish him happy birthday at today's his birthday is also -- a whole attitude but I don't know that it.
Happy birthday and -- every department she ages and I'm not in any one of those specific category -- 120 as a what do you do with it -- -- twenty what we do.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- What you need from a screening point of view and I checked blood pressure I ask you if you have a history of drinking depression smoking what's your family history like.
I check your heart your lungs I check your abdomen.
I checked you for hernia is I do special blood counts -- it's a little younger wanted to be worrying about cholesterol but I wanna know what your -- -- -- I wanna know your liver your kidney function.
-- -- your blood counts make sure you're not anemic I especially want to check here and analysis which a lot of doctors overlook.
You need to do a broad sweep.
And then I can follow that over the years when I get to thirty I probably will Antony KG and adjustments are now and I might do any Canadiens were showing twenty -- -- here.
Cholesterol you want your blood stuff.
The -- the years let's switch over authority after you get that.
Now at thirty I would probably the chestnut tree -- any KG.
I might have done that he -- you earlier if you're in sports if you're competitive athlete like any cages a baseline.
You don't have to overreact to it but you needed as a baseline same thing with a chest that -- with a smoker I might have started that earlier now when you're forty.
Let's switch over to for additional forty -- when your forty yeah we start thinking about.
Something that David does automatically which is a rectal exam a prostate exam.
I wanna make sure that you have you don't have any bleeding can -- I mean emea a check your peers say and fifty.
And fifty I had a colonoscopy.
A screening colonoscopy and everyone at the age of fifty -- just check testosterone in men and also vitamin B twelve and vitamin.
So long lesson did this is David you know yeah but that's what OS guys still write all this stuff down and -- and see you and say what do I do.
First of all its men's health and men are very different and women we don't go to doctors.
I deal -- this all the time and if you wasn't because of this spouses and the wives who make 70% of health care investment decisions in this country.
There will never come to our office when you talk about a twenty year old.
In Santa -- doing all panels that -- testicular cancer among that age is very popular.
So you want to do it testicular exam -- you know and that involves examining the testicles.
Making sure that the Arnold -- of -- to look for hernia is something called Barry pursues which is that -- around a testicle that has potential for infertility.
That's what they do when they come in -- he's actually a good time I leave them alone I want him to have a good time.
When they get to their forty's when we come back in again and that's when the PSA not.
The PSA screening of talk about this the guidelines almost changes every week and everyone is getting a headache from this.
Get a baseline PSA when you're in -- -- if you have high risk genetics that African Americans.
Otherwise after the age of 45 you can give your -- say every year.
Fifty year old Desmond -- -- -- kicks in and nobody would debate about did did his screaming get a benefit of colonoscopy if you have polyps.
That can convert to cancer and that's what you wanna have cause to be remove them and then finally in his sixties.
Which -- -- a lot of time to get there that's an osteoporosis and making sure that you take your vitamins vitamin B twelve calcium and a vitamin.
Is important so they're big message for Father's Day is that screening and prevention saves lives.
-- you have to be proactive and you have to take care of yourself we talked about taking your level of testosterone -- -- -- I of course I think what mark does which is extremely significant is because there -- -- big tickets.
-- which is a leading cause of death which I know we take terrible the cholesterol panels and cancer which is it -- What do we do you know -- David may get a great -- personal about Bambi and an Irish men are not coming in as much when they come -- they wanna get out they don't want you doing this stuff and that's that's bad.
For heart disease.
I have to focus on who's at risk.
If you're -- diabetic if you're a smoker I'm more interested in -- in preventing that.
Can someone that -- a virus or not only do we come in like David is examining for testicular cancer -- wants to know the family history same thing with prostate get to the terms of prostate cancer the family history music is acute.
Absolutely so this is -- very important point because you can't just screen everybody the same way.
-- in the care looking at the guy to find out what his -- strategy occasion is -- -- higher risk than the next guy that comes in.
Is very important and they -- all of surgeons and medical doctors working together as a team.
In this particular field is extremely important.
Everybody that watches the program they need to know what their cholesterol panelists your good cholesterol HDL that mark always but recommends.
Has to be at least over fifty or sixty -- -- about cholesterol should be less than a hundred.
You're fasting blood sugar which is importance for diabetes has to be less than hundred unique to know these numbers just like you know your social security and carry that with you know I'm not as a.
You know and I scares me is Amanda there's something that we overlook that we won't know you have a prostate cancer or to Sean came rolling he was a colleague.
Sportscaster New York 37 years old has a foundation for testicular cancer ego a young man whose life was cut short -- -- even know.
Our message today is good doctors don't overlook these things you said it was the beginning -- we're -- know when we need to know going into the doctor we've come to see doctors like David and myself.
Unity you know anything.
We'll ask you the questions all right so ask your doctor and make sure you get get the numbers he relies for advice to -- thank you of course we do though -- -- A quick correction would like to make about a segment that we had yesterday -- -- the possible health risks of BP A in plastic containers you've heard about that.
Well yesterday we mistakenly showed footage of people drinking bottled water from containers that are made of PET plastic and some of the bottles that was shown.
And recognizable as Poland spring.
Water bottles this type of soft plastic we're told does not contain.
EPA and Fox News apologizes for that error in -- some -- --
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