Latest / Brian Thomas / Ask the Expert OHC -- 1/27/26

Transcript

Ask the Expert OHC -- 1/27/26 · Brian Thomas

• 0:01
  Speaker 1: Hey, forty six fifty ft care CD talk station. H
• 0:05
  Speaker 1: I love talking with the doctors from OAHC even as
• 0:07
  Speaker 1: one thing we can universally agree on that does not
• 0:10
  Speaker 1: bear a political stripe and is the ultimate unifier it
• 0:12
  Speaker 1: is that cancer sucks. I don't care what political stripe
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  Speaker 1: you are. It does and I'm living it. But you know,
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  Speaker 1: I'm in great hands with the doctors from OHC and
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  Speaker 1: in house right now one of the great doctors from OHC,
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  Speaker 1: doctor ton V. Joe she Is. She is here to
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  Speaker 1: talk about cervical cancer because it's Cervical Cancer Awareness Month.
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  Speaker 1: Welcome to the studio, doctor Joe she It's a real
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  Speaker 1: pleasure having you here.
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  Speaker 2: Well, thank you so much for having me. I'm passionate
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  Speaker 2: about this, so excited to be here.
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  Speaker 1: I know you are. And this is you know, I
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  Speaker 1: always look for, you know, bright lights and positive things
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  Speaker 1: to talk about when we're talking about cancer. This is
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  Speaker 1: one where we can show terrific progress.
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  Speaker 3: Yep, you're exactly right.
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  Speaker 2: I mean, cervical cancer is almost an entirely preventable disease.
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  Speaker 1: Yeah, it's gonna be like polio someday, I hope so. Well,
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  Speaker 1: you know, and early on when the when the vaccine
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  Speaker 1: came out, and we're going to talk about a little bit,
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  Speaker 1: but early on when it came out, you know, get
• 1:01
  Speaker 1: much younger man look at life a little bit differently.
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  Speaker 1: I've got a kind of a, i think, a more
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  Speaker 1: realistic perspective. The whole idea of giving a young girl
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  Speaker 1: a vaccine that is related to sexual activity first and
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  Speaker 1: foremost seen to me kind of like a red flag.
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  Speaker 1: But I'm completely on board. HPV, the human pabalona virus,
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  Speaker 1: which is the cause of cancer, right right, exactly right,
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  Speaker 1: It's everywhere.
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  Speaker 3: Yep, yep.
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  Speaker 2: Over eighty percent of you know, men and women in
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  Speaker 2: the United States have HPV or have had exposure to
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  Speaker 2: it in their lifetime at some point.
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  Speaker 1: Right, So you got it. I mean exactly these deniers
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  Speaker 1: out there, I've seen that the statistics, it's like overwhelming you.
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  Speaker 1: You just can't avoid it. So knowing that it's everywhere,
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  Speaker 1: getting the vaccine seems the most logical thing since it'll
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  Speaker 1: stopping women from getting cervical cancer.
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  Speaker 3: Yeah, exactly right.
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  Speaker 1: All right, Well, let us talk about what causes cervical cancer.
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  Speaker 2: Well, you know, as you mentioned, one of the biggest
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  Speaker 2: risk factors is HPV, which is a sexually transmitted virus.
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  Speaker 2: We already covered the fact that so many women and
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  Speaker 2: men in the United States have it and even across
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  Speaker 2: the world. The other risk factors kind of go hand
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  Speaker 2: in hand with that. So when I think about risk factors,
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  Speaker 2: you think about what could increase your risk of exposure
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  Speaker 2: to HPV, And then the other side of it is
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  Speaker 2: also what can decrease your immunity and your immune your
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  Speaker 2: immune system and your response to HPV as a virus.
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  Speaker 2: So when it comes to risk factors, you think about,
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  Speaker 2: you know, sexual activity that could increase your risk of exposure,
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  Speaker 2: having unprotected sex. When it comes to Burier, contraception can
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  Speaker 2: increase your risk. And then also anything that decreases your
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  Speaker 2: immune response, like a disease like HIV or any chronic
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  Speaker 2: medication use that causes immune suppression can increase your risk
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  Speaker 2: of HPV or maybe.
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  Speaker 1: Your lymphoma cancer treatments.
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  Speaker 3: That's certainly yeah.
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  Speaker 1: Okay, I had to throw in a joke about myself
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  Speaker 1: in their doctor. So the the HPU related cases ninety
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  Speaker 1: percent cervical cancer cases. We know, we got that. What
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  Speaker 1: are the signs and symptoms If you're an unlikely you
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  Speaker 1: get diagnosed with cerveral cancer. What are women supposed to
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  Speaker 1: be looking for so they can hurry up and get
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  Speaker 1: out and see either primary care physician or one of
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  Speaker 1: the specialists at OHC.
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  Speaker 2: Right, So, sometimes cervical cancer can be insidious. It can
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  Speaker 2: present without any symptoms. However, there are some common symptoms
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  Speaker 2: to look out for, and one of the most important
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  Speaker 2: ones can be abnormal bleeding. What I mean by that
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  Speaker 2: is it can be you know, irregular bleeding, so in
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  Speaker 2: between your periods or after intercourse. It could be just
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  Speaker 2: really heavy abnormal bleeding that occurs with a period or
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  Speaker 2: even after a woman is done having periods, such as
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  Speaker 2: postmuntal puzzle bleeding. Other signs and symptoms include pelvic pain,
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  Speaker 2: lower abdominal pain, some leg swelling or leg pain, or
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  Speaker 2: abnormal and persistent discharge.
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  Speaker 1: All right, So for the woman out there that here
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  Speaker 1: is that and going, well, yeah, I've been having some
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  Speaker 1: break breakthrough bleeding, I just write it off. I'm not
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  Speaker 1: going to go see anybody about it. I because I've
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  Speaker 1: heard about that my entire life from women anecdotally, and otherwise,
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  Speaker 1: what's the risk they are running by not seeing someone
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  Speaker 1: and having them check getting themselves checked out?
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  Speaker 3: Oh? My gosh. I mean that risk is very high.
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  Speaker 2: I don't know if there's a number that we can
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  Speaker 2: put on that, but I will tell you that the
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  Speaker 2: most most commonly the women that I see that are
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  Speaker 2: diagnosed with cervical cancer are the ones that have not
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  Speaker 2: seen a gynocologist in many years, five years, ten years,
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  Speaker 2: or even.
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  Speaker 3: More than that.
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  Speaker 1: Okay, coming is a no shock to me. Is it
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  Speaker 1: an aggressive cancer?
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  Speaker 2: It is an aggressive cancer, but it is a slow
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  Speaker 2: growing cancer. What that means is that we can diagnose
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  Speaker 2: it at early stages even if it develops, as long
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  Speaker 2: as you're seeing your gynocologist or a gyoncologist.
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  Speaker 1: Okay, is it metastasized?
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  Speaker 3: It can?
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  Speaker 1: Geez, that's what that's the big concern right there. I
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  Speaker 1: mean it's going to spread to your lungs, your kidneys,
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  Speaker 1: your blood system, your bone. I mean, getting in front
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  Speaker 1: of it can avoid so much, so much, and it's curable.
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  Speaker 2: Completely curable. First of all, preventable and then secondly curable.
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  Speaker 2: Just make sure that you see a gent oncologist.
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  Speaker 1: All right, Well, you walk into the next subject matter,
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  Speaker 1: what about preventing? How do women what can to help
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  Speaker 1: them prevent serveral cancer? And don't tell them they never
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  Speaker 1: have sex because you know, that's not going to happen.
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  Speaker 1: That's why eighty percent of the adult population has it.
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  Speaker 3: Exactly right, that's not going to happen.
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  Speaker 2: But actually, there is something that both men and women
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  Speaker 2: can do with regards to helping wipe out cervical cancer.
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  Speaker 2: And when I think about prevention, I think, okay, there's
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  Speaker 2: a primary prevention, which means, how can we potentially even
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  Speaker 2: reduce exposure to HPV period?
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  Speaker 3: Right?
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  Speaker 2: How can we prevent getting that virus in the first place,
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  Speaker 2: and that is through HPV vaccination. Second secondly, the other
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  Speaker 2: way to prevent is by getting routine screenings like PAP tests.
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  Speaker 3: Of course, Now, yes.
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  Speaker 1: I gotta ask you about the vaccine.
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  Speaker 3: I'm sure you will.
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  Speaker 1: Yes, let's assume for the saying discussion, haven't been happily
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  Speaker 1: married for the last thirty three years and I've been
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  Speaker 1: exclusively involved with the same woman for like thirty seven years. Sure,
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  Speaker 1: if I had it, is it too late to get
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  Speaker 1: the vaccine? Maybe not me, it's sixty years old. But
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  Speaker 1: if there's someone out there twenty year old, they may
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  Speaker 1: be sexually active. A lot of them are here. Is
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  Speaker 1: it ever too late to get the vaccine, and you
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  Speaker 1: have to get out in front of it, like having
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  Speaker 1: being vaccinated early before you engage in sexual activity for
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  Speaker 1: the first for the first time.
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  Speaker 3: That's a great question.
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  Speaker 2: I think that the most useful strategy to prevention of
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  Speaker 2: HPV is getting out ahead of it first and foremost,
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  Speaker 2: so get the vaccination. Usually pediatricians and family providers will
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  Speaker 2: be talking to patients or parents about this. So HPE
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  Speaker 2: vaccination is ideally given to patients at the age of
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  Speaker 2: eleven to twelve, but it can be given it from
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  Speaker 2: nine to.
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  Speaker 3: Forty five years of age.
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  Speaker 2: So even if after you know, exposure to HPV, if
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  Speaker 2: a patient has not gotten that vaccination, it's still worth
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  Speaker 2: it to get it.
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  Speaker 1: Really, okay, So these are for people beyond the forty
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  Speaker 1: year old.
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  Speaker 3: Virgin Yeah, exactly right.
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  Speaker 1: Does it ever go away?
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  Speaker 3: Does HPV go away at times?
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  Speaker 2: I mean, if you think about it, it's a virus,
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  Speaker 2: so the immune system has the chance and.
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  Speaker 3: Has the ability to clear it.
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  Speaker 2: However, a lot of the time, the way HPV behaves
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  Speaker 2: is that it remains what we call indolent or you know,
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  Speaker 2: undetectable levels because of your immune system hiding in the background. Exactly,
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  Speaker 2: and it can come back, which is what again, you know,
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  Speaker 2: highlights the importance of routine screening.
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  Speaker 1: All right, Now, there's different types of HPV, because my
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  Speaker 1: understanding is HPV causes or can cause, like, for example,
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  Speaker 1: genital warts. So if you got those days, you go,
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  Speaker 1: you got HPV. But do it? Does HPV always result
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  Speaker 1: in that? Or is there different types?
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  Speaker 2: So HPV has over fifty different strains, but there are
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  Speaker 2: certain strains that specifically cause cervical cancer and have been
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  Speaker 2: linked to what we call as a high risk HPV strain.
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  Speaker 2: And then there's others like you said, that can cause
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  Speaker 2: just genital warts. And actually the vaccine that we have
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  Speaker 2: here protects you from nine different strains that have been
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  Speaker 2: implicated in formation of words, as well as cervical cancer.
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  Speaker 1: There's another incentive for folks to do the right thing
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  Speaker 1: and get a vaccine. Let's get an HPV out of
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  Speaker 1: our system. Now, what are the options for treatments for
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  Speaker 1: folks who are who are diagnosed with cervical cancer?
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  Speaker 2: So really that treatment depends upon the type of cancer
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  Speaker 2: that they have, so in other words, what the cancer
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  Speaker 2: actually looks like under the microscope, and then also the
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  Speaker 2: stage of cancer, as in how far has it spread.
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  Speaker 1: All right, so traditional things like chemotherapy, radiation, immunotherapy that
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  Speaker 1: it's all in the arsenal, but you can deal with it. Yet,
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  Speaker 1: the earlier it's detective, the more likely it is it's
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  Speaker 1: not going to take your life. Any clinical trials. I
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  Speaker 1: always have to ask bect clinical trials because you haven't
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  Speaker 1: gone on all the time.
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  Speaker 3: Yeah, that is true.
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  Speaker 2: So OEC has a robust, you know, set of clinical
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  Speaker 2: trials available for gynecologic cancers. We currently have something in
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  Speaker 2: the pipeline for cervical cancer specifically, so in the world
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  Speaker 2: of you know, what's next for cervical cancer after it's
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  Speaker 2: already developed, we are starting to get more into targeted treatments,
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  Speaker 2: so something that's car P not quite carte but similar
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  Speaker 2: to it, though we don't have that specifically for HPV
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  Speaker 2: or is for cervical cancer yet.
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  Speaker 3: Yes, yeah, right.
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  Speaker 1: They work on that low spectrum Lymphoe McCarty all right,
• 9:23
  Speaker 1: because I don't want to get these damn bags of
• 9:25
  Speaker 1: chemo on who are doctor Tom vy Josie one of
• 9:27
  Speaker 1: the outstanding physicians you'll find at OHC. Do what I
• 9:30
  Speaker 1: did to learn more about OHC. Your concerned, You need
• 9:33
  Speaker 1: the doctor's appointment. You got these symptoms to talk about,
• 9:36
  Speaker 1: get a second opinion, you've already got cancer. Give them
• 9:39
  Speaker 1: a call at eight eight eight six hundred. That's eight
• 9:42
  Speaker 1: eight eight six four nine forty eight hundred, the website
• 9:46
  Speaker 1: ohcare dot com. You'll be in great hands like I am,
• 9:50
  Speaker 1: Doctor Joshi. It's been a real pleasure talking with you.
• 9:52
  Speaker 1: Thanks for bringing the awareness to my listening audience.
• 9:55
  Speaker 3: Awesome, Thank you so much for having.
• 9:56
  Speaker 1: Me more than my pleasure eight fifty six. Right now, folks,
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  Speaker 1: Daniel Davis Deep Dive plus this conversation with doctor Joseie
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• 10:27
  Speaker 1: a great day, folks, and stick around Glenbeck's coming right up.