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And as always every Sunday there's not time for Sunday house call and joining us of course is doctor Marc Siegel.
He's associate professor of medicine at NYU's -- on medical center.
And author of the inner pulse unlocking the secret code of sickness and health.
Also Jackie Davidson not agree to see you the upcoming chair of urology at Lenox Hill Hospital professor of urology at the -- and North Shore allied today.
School of medicine doctors good morning really Somalia -- -- you didn't welcome back -- thanks great to be back with you and we wanna talk about the spurs' top because it's so important a sudden deaths.
Of two young men shining new light.
On two diseases.
Just this past week bestselling author Vince Flynn and well known actor James Gandolfini diet both will be so -- and both.
From diseases that are potentially treatable if caught early and not let's talk about Vince Flynn first prostate cancer diagnosis in 2010.
Years old doctor somebody what could have been done differently.
OK so this is a really good point because everyone thinks -- -- his old man disease.
I mean our practice we see a lot of guys like him better diagnosed very early forties and fifties.
One of the first is they want people to do is to get their PSA checked at -- get it based on ideas -- forty.
Especially if you have genetic issues if you have if your American.
African Americans if your high risk.
Check your PSA and then half -- age of 45 get that every year that should they UA's changing the guidelines.
I think a lot of guys like him would go absolutely without detection so that's the important thing -- he was 43 when he was diagnosed.
I would've probably without knowing too much of the the surgery surgery is the best option for young patients like this because you remove the prostate.
You know exactly what's in the prostate UPS after that should be zero so we would be comfortable.
I use radiation only has a backup plan has a plan B that can be given after surgery.
If you do radiation first it would be very difficult to do surgery after radiation and that's what a lot of people don't know.
So it's unfortunate that a great author icon like -- is gone but prostate cancer actually kills it's -- silent killer.
And a lot of people thing it's a slow growing disease you dying -- did not from it and that's a mistake and we see that even young men like this.
Can get very aggressive prostate fact that we'll tell you that prostate cancer young men is very aggressive and should be treated aggressively.
There's -- there's a conflict about whether or not you get your PSA checked at that age.
Let me go to doctor -- but let me ask you first what's the minimum age we've talked about this if you have a family history obviously you start -- of every man in this country getting -- PSA check.
You should get a baseline PSA at the age of forty it's good to know where you start if it's absolutely normal you don't have any risk factors.
-- you go to 45 and every year look at the trend.
That's that's basically what I do my practice the youngest person in my practice is 32 year old Jamie these guys will die or they would give -- -- -- to -- And it's a simple blood test what you do -- is that it skill of your doctor.
Fantastic and and a great warning and advice for men out there let's talk about -- -- -- one.
It's a couple quick things before when first first of all I was a huge fan of his writing the -- traps -- is a lot of people really like -- we -- misses his books.
I want -- -- episode a couple of David's point I checked PSA I don't understand why that's a controversy.
It's what you do with the PSA -- which we can follow a trend we can follow free PSA I can send the picture do -- -- August.
Like David if I have a concern we follow -- over time PSA doesn't mean biopsy doesn't mean surgery it means knowledge.
The second pointers and -- made this before.
When you operate on someone and remove the prostate you follow a PSA -- 00.
Your target you want zero.
When it goes beyond above zero you go in and do something about it it's easier to follow zero -- to have to give radiation and not know if you've got all the cancer you can give.
Radiation after surgery but once you give radiation is very hard about it.
Very important point though a lot of people don't know.
And again when you're young if you look at like his sister the last here though he was writing all -- books.
He was in a lot of pain so I think radiation is a desperate treatment in younger guys like this and you gotta be careful.
And talk to your urologists.
All right and then of course 47 is -- prostate cancer Vince Flynn James Gandolfini the shocking loss.
Of course known for being Tony Soprano.
Died in the hotel -- 51 years old -- vacationing in -- with his young son goes to the Vatican has a great day has a dinner at 10 PM.
Found slumped in the in the restroom doctor -- -- that's like the ultimate nightmare for every middle aged man I mean are you gonna get hit and you're going to be in the bathroom and deficit.
There's a couple of warnings on -- and he -- too large fried shrimp cocktails at night you know he paid a lot his diet was not under control.
He didn't exercise he had that apple -- that we talk about which has inflammatory.
Look -- inflammatory hormones in there that it's bad for the heart.
Of the people who die from heart attacks in this country -- 35%.
Are sedentary and only.
22% of Americans exercise we talk about it on the show every morning you've got to do your morning exercise even if it's just walking.
You got to see your doctor you've got to make sure you don't have high blood pressure we don't know if he had not smoking I also wanna say the people out there that cigar smoking is a risk if everybody says -- I don't inhale the cigar.
But the smoke gets in so smoking alcohol he was a drinker smoking alcohol you gotta know your blood pressure you -- know your cholesterol you gotta get your weight down.
You have to exercise you cannot be said -- and you've got to watch your diet or wake up -- now.
Autopsy shows that he didn't have.
Problem before that he died of a sudden heart attack I don't want to scare anyone out there that can happen to you get a plaque rupture you don't even know you have heart disease and this can happen.
We know they talk about the meal the reports that he just had had another white male but I mills not gonna do it and if you don't have.
At the evidence of that as the autopsy had shown how do you know you have a problem.
Well first of all -- -- who who really miss him I mean he's he's programs are fantastic.
Did did the big thing is how do you distinguish between heart attack and acute sudden death that's what you want to know.
When it comes to heart attack it's basically it's a vascular issue there's a plaque -- -- there's a book club.
It stops a blood flow and you get that same chest pain radiating to the arm.
-- you may be too tired to you may be having colts let that a lot of symptoms that's not specific.
The -- it caught cardiac arrest which is what he had it's a southern plumbing problem to heart stops.
That's some sort of electrical problem some sort of every -- a problem.
If you have a heart attack that's massive it's going to turn to -- to -- out of sync.
And then you can collapse loss of consciousness is a symptom it's already to evade the question is will he do.
If you have nitroglycerin you should give them immediately interview 911.
Time is up for -- I don't recommend people do this but if you're desperate and you see the heart is really in trouble you can hit the person in the chest really hard.
All right here and asset value -- -- -- to be there this week last week unfortunately there was a patient that happened it in -- party and then you just basically hit them hard you can jumpstart.
Until 911 gets there and buy time for your service -- you know that's.
I'd love next week to talk it took to our viewers about what you can do with you find somebody stricter -- good Anderson -- -- -- for the -- if you -- you have absolutely because you buy time so aspirin or nitroglycerin.
Obviously if you can get some users -- -- If you know secure and -- -- he will be missed and his journalism there's.
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