Home>Latest Shows>>Colorectal Cancer Awareness

Colorectal Cancer Awareness

Mar 11, 2011|

A discussion with Dr. Joe Frankhouse, from Legacy Medical Group, about colorectal cancer awareness, education and prevention.

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Automatically Generated Transcript (may not be 100% accurate)

-- in the interest of the series of interviews with people of interest in northwest Oregon and southwest Washington. I'm your host -- Douglas. Come march is known for a lot of things basketball tournaments Saint Patrick's Day party -- what have you but there's another element to march that you might not be aware of it is colorectal cancer awareness month a secretary. Colorectal colorectal cancer awareness month. And to help you become more aware of what goes on in in that world what you can do to help yourself out and help those around you that you. Love and care for I have with me today. Doctor Joe frank house from legacy medical group how are you doctor I'm doing fine thank you. Great -- kick things up again and our listeners little bit of background on yourself and what you do for legacy medical group. Well -- -- colorectal surgeon. And what that means an idea with a variety of colorectal complaint -- -- surgical interest in and -- and area of expertise is colorectal cancer. Tasks involves tumors. Malignancy used primarily which are cancers -- tumors. Which involved the colon direct import Venus to a variety of other conditions they also treatments that are not necessarily related to a currencies as well. And one of the reasons that this is so important let people no -- and then to make them aware that this exists is this is not. A small cancer this is one of the leading causes cancer. Yen packets. Equal both men and women are times women -- seem to think that they are protected from this sort of right usually here about men's checked out. That's right it. This important realize that this Texas are equally at risk for this sort of thing. And that we do recommend routine screening and evaluations. For both men and women. And at what age do you suggest strange irregular screens for us. At age 54 people of average risk when they average risk. What that means is that vast majority of Americans. Should start screening at age fifteen to -- we see that is based upon a wealth of data. It's it's obviously it's clear that our risk of colon cancer goes up as we age. Right. Now there are certain people they should begin their screening earlier than age 52 sorts of people would be people with a family history. Now family history of any cancer or specifically colon cancer. Will specifically colon cancer -- you bring up the good point but let's bring up. A colon cancer first thought to have family history of colon cancer when it would mean by that is a first degree relative -- first street relatives -- mother a father or sibling. Tests in any of those people have had colorectal cancer. You're -- increased Chris -- doubled risk. -- even more so than the average American we recommend you begin your screening at age 44. Ten years prior to diagnosis of that particular feeling never whichever is younger I said. Also additionally if you had second degree relatives I eat the grandfather and uncle a kid who knows he should also be -- -- forty. Okay -- to I had to have some some cancer in my family and my father had and throat cancer it was actually a lung cancer that it that the -- size in his throat. From exposure to agent orange in Vietnam. Now that is Serbs since that was caused by an outside source and would that mean that I am I'm a little more us susceptible to it. Known not necessarily shouldn't concern yourself about any links there. Are you begin your screening at the same -- as everyone else that's the only. Cancer in the family. Thank you alluded earlier to other cancers we do know there there's a small number of patients but a significant number that. That we do pay attention to where there is an obvious preponderance of of -- related to the uterus ovaries stomach and small intestine. There is certainly a very small number of patients but they do have a propensity for colorectal cancer. When we see that variety of malignancy within me -- within a certain degree of consistency across generations itself. That is called hereditary non -- post this colon cancer syndrome. And usually there's a pretty strong link within the Stanley although it's a special case something that bears mentioning but I will admit that. A menu vehicle more because -- that might exist in the family and that's what's important bring this up if your physician. If probably doesn't change. When you need to be in screening for colorectal cancer. -- Okay and in it's important that people get screened for this because this is a cancer that is if caught early enough is this fairly treat the schools are correct. You know what we say it's it's treatable -- and preventable. What I mean by that is that yes when caught in its early stages and it -- it is easily treatable. And the risk of recurrence is very low now usually don't require surgery to remove that segment of Colin that's involved but at. As important that it not more so it's preventable. -- -- you know what I mean by that is. Colonoscopy. Now obviously we use that for screening purposes. But the key thing to remember is that -- enough -- doesn't just help us identify if you have colon cancer and try to hopefully catch it early. It's also intended to identify whether or not to have polyps in your colon and remove those. Why it's important removed them is that we know that these with the precursors to colon cancer ties. Polyps are small -- little bumps maybe the size of your pinky finger to -- of your pinky finger is kind of your colon. If left unchecked. These will eventually grow into cancer might take several years that happened. But they're small they give you absolutely no symptoms. But they -- issue at risk. We can remove the vast majority of these polyps when we performed colonoscopy. We can help you prevent getting colon cancer. And those toward message -- -- okay and for those unaware what a colonoscopy is can you can explain that procedure. Well colonoscopy. Is. Basically. A very long slender and fiber optic camera. Throughout the diameter of my accountant. And it goes. Right down below and eggs and just seeing this and we in the guide that true. The recommending entirely figured Colin to use the internal lining of the colon and look for these gross these polyps or early cancer. And things that we need to be aware of that's going to be an attractive so -- well it's it's not a necessarily a pleasant thing to go through -- but neither his colon cancer. Certain hotel I think if you had to -- way that you I think lost is well worth it. Well I think a lot of people with hate what they really don't like it the prep. Sure it is true that we need to use a preppy new -- a solution that will cleanse out your insides. And that's not a whole lot of fun however. That being said. It is the Clinton experience. And when we do a colonoscopy we give you medicine to sedate you it's very relaxing. We do appreciate you with little sort of discomfort. And when you're done. You've got hopefully. Verification that everything's okay. And we can we can almost immediately tell you which -- risk is and help guide -- is to win these sorts procedures need to be repeated in the future. And typically. Who once -- view. Past fifty or or forty if you've got some history your family how often DC just having -- screens done. Willie if you have no particular family history and you don't have any outs for instance at H fifty. You can easily wait ten years and basically due -- sixty and seventy and so on. Every ten years is a reasonable and Travolta is to look can monitor for the growth of polyps. As we age. And certainly are in general would change if indeed we find out. See right there where were dispelling some myths because I've I was under the impression myself that Teddy was about H 41 start in -- and that it was a yearly thing. Nobody -- not match. A martyr here to reproduce it could be that -- -- -- enough. I you know I speak to so many medical groups and charities and I could begin an all -- up in my head today certainly a smooth and spoken to guess about mammograms -- -- -- and who Pinto. But speaking of myths -- I've also heard that African Americans might be at a higher risk for this. That is sure they do you have a little higher risk of colon cancer for their reason we do recommend screening that particular ethnic group. Starting at age 45 not a fifty. A key okay so good to know self. Throughout their -- Can -- a little bit earlier. If you're just joining us you're listening to match your scope a series of interviews with people of interest in northwest organ in southwest Washington. I'm your host Ted Douglas I'm speaking today with doctor Joe frank house from the legacy medical group. March is Colo rectal cancer awareness month so where were trying to get some information out there. To help you out indebted to him to make you aware of what was presented this disease and goes and get yourself checked out. So we talked about colonoscopy are there any other screening options. They are they're screening options but I will admit before I go into those that they don't compare. To colonoscopy colonoscopy is still. The best way trying week for polyps or early cancer. And could help prevent. And treat that -- our merger removing polyps. The deputies -- it may not be great for everyone here are other options that do exist. The most common I think people are aware of is called -- active testing or fecal occult blood testing. -- -- -- -- it's not a lot of fun on -- those. Creep people out to have to fiddle with their own species cheer but it doesn't ball coming home with. A series of three cards. In which a small amount of C ethical materials is squadron -- card users and ten. And then look at as to whether or not there's any evidence microscopic blood. Now that being said there are its statistical test to adhere to their variety of dietary restrictions that one must adhere to because. He's in the consumption of mistake and it within that time period can throw off the cast. Various medications need to have either avoided. And it's it's not easy or perfect to do. Right every time. Also even a little bleeding in her stomach. -- -- -- -- Or reflux disease things like that can cause to believe me not to make it positive and necessarily it is important if you do that kind of a -- that it is positive. You need ever worked -- colonoscopy. Now there's other forms of fecal occult blood testing called in you know testing which only identified human blood. And is. More accurate. Then if you will hold crashing quiet testing it a little more expensive and it and a little easier to comply with the restrictions. But again not everyone really wants to go through that it -- need to be done every year -- during those sorts of tests. There's even that has. Oh okay so so -- so the colonoscopy can be done every ten years but if you're doing -- other tests yearly. You do in these other test your legal and if they come up positive. Then the next step is -- have a colonoscopy performed so. If one is trying to avoid colonoscopy and is willing to adhere to these tests. They need to understand the rules and the address. And the need to understand that and there are a lot of lot of the test results they can come back positive when there's nothing going on were negative when in fact serious. These are not nearly as accurate as colonoscopy. That's -- might just be worst -- bite the bullet. -- have local -- to be done saves self lot of trouble. That is my opinion I think the courts that have. A lot of people have heard about virtual colonoscopy your what is called CP Colin barker -- And suffice to say about that is that well there's no sedation given for that he still needed -- prep. We need cute Japanese you have to be totally cleaned out. And if -- -- this scene and we should quite frankly identified something in roughly 22 points are percent of patients. They -- media prefer virtual colonoscopy so it didn't have a sell this in this pleasant as people would like to think it is. And it's still may require you to have occurred to procedures as opposed to one. -- now what kind of time stats are we looking at how I mean we've we've mentioned that it was you know the the second most leading cause of cancer I'm colon cancer. But what does that equal out in numbers. Will suffice to say that is it is that third leading cause of cancers -- men and women. It is the second leading cause of cancer death. -- license tests prostate cancer more common in -- that very few men actually die of prostate cancer. And women Breaston and long still lead the way there but it is certainly positive test for both men and women. What we're talking about this were talking about a risk of around one in twelve individuals. In the United States will have colon cancer during their lifetime so it is a significant number. We're looking at the numbers for the United States roughly 150000. Cases. But colorectal cancer -- United States every year so it's a significant number. Right right. File all right well let's talk a little bit about I mean we all know heart disease and -- I think he can do lifestyle wise would be diet or exercise. Things we can do to help prevent have been and those sorts of situations come up in your life. But how about for colon cancer or their prevention measures. There are some preventive measures a lot of can relate to hear this. But it it it is actually lifestyle. And exercise. Number one has been shown to actually reduce your risk of colon cancer. A regular exercise program can make actually a difference. We control. Obesity is clearly associated with increased risk for colon cancer and diet. It's hard did he have all the elements of one's diet but there is clearly evidences suggest that people who eat more fruits. More vegetables. And I high fiber diets have less risk of colon cancer than those. Whose diet is as we save more they western diet which is heavier with animal fats in meat and things like that. There's clearly evidences suggests that more fruits and vegetables. Exercise and weight control. -- reduce your risk of colon cancer. Now as this is say they you know view if you enjoy -- -- remember that maybe you should thousand out with with fruits and vegetables or. Try and cut back on the meets. Altogether. Well I think what it says his -- best to try to strike a balance -- is located at Amber's gonna collier colon cancer it's so of course not. But it is routine that we need to shift the way we eat at. A wave from a diet -- heavy with animal fats and more into the fruits -- the vegetables. It's okay -- universal kidnappers take. But when you have an option. Have a vegetarian option. Have. Tradition for Thai chicken. And that. Creating amber -- me when you have the option. -- -- And I see here in my notes aspirin as mentioned. And sprint has been shown to reduce. The risk of developing polyps. Can -- it seems to do to reduce her risk of developing colon cancer now the evidence is. Not 100% accepted. But I would say this the baby aspirin every day and reduce your risk of probably heart disease stroke. And income decreased slightly reduce your risk of developing colon polyps or cancer. I actually think is very little downside. And that being -- higher doses of aspirin. Probably are not necessary and may increase your risk of stomach irritation or stomach ulcers. Connected easily says well about the other non visceral anti inflammatory drugs like Motrin and Advil. Which people have tried -- used to -- reduce your risk of colon cancer -- Probably seemed also. That whatever benefits they provide this probably offset by the risk of -- in their stomach. But it baby aspirin as they can ask OK okay let's employ enough and just just won. Just one baby aspirin a day. And that to my right amends got it they you aspirin it's done. Lot of people casting about vitamins aren't there certain vitamins they can take a if -- read about Linus -- and vitamin C year -- -- about vitamin. Reducing your risk of cancer and so on and so forth. So what I generally tell them is that right now there is not over time. Easily reproduce ample evidence that there's any one particular kind of and they can take. That's gonna reduce their risk but if we look at the literature there are two vitamins. One is called the look at -- folate. -- one of calcium. Which it seemed to reduce the risk to some degree probably not a enough that I would say if you do these things your -- can actually get colon cancer. By no means. Can you do these things and just ignored the role of colonoscopy. But -- -- today at 400 micrograms daily seems to reduce the risk. There have been studies that show that higher doses of folic acid might in fact be harmful to us. When it comes to calcium. Calcium supplementation. Also seems to reduce the risk. It's not that somehow the calcium might impact find some of the pile last it to within the colon. There's bile acids that are thought to be in curious. Portion do induce some degree of information impossibly policy group. A lot of losers here Reese. But I think that calcium can be very helpful for treating osteoporosis. And so on. So it's certainly there's very little to no harm to the calcium supplement taken every day. LB other vitamins that that people take ranging from selenium. Vitamin. There's not clearly evidence -- taking those vitamins but you know for the most part within a multi vitamins are taken within the scope of a good. Healthy diet does draw perfectly kind of not harmful by any means. Very good. Or it will -- we're actually were coming up we that are not on the -- time but I wanted to kind of hit some of the big notes here for people may be joined us midway through. And seeking to doctor Joe frank house from legacy medical group about colorectal cancer awareness month so we're we're talking about some of the preventative measures and end some of this statistics went into you. Colo rectal cancer so even the thing you -- suggest is when you turn about fifty you wanna get a colonoscopy done. And then you can do that every ten years if you don't have a history in your immediate family of colorectal cancers are correct correct okay. And that -- in this kind of testing portion -- see what I got out of -- include and then if you do you have colorectal cancer in your immediate family. Maybe started forty record and then and in do you do -- absurd to remember do you if that is the case. Do you have the -- must be done more often wears. -- -- music if you are if you are family at risk. We recommend every five years as opposed every ten years screen. And then that African Americans we mentioned my -- has started 45. Or you're a little bit more risk. And and then his first preventative measures -- you're looking at you know your basics diet. Exercise -- has more fruits and vegetables in your in your diet may be. To the skills little bit more that direction resident red meat all the time and then some vitamins and a baby aspirin. Jerry -- then we get. By the third Pavia parting shot I would I would throw out there as well -- you know if -- if you've got something going on down there that's not right if your passing blood. Fisher avenue and changing your bowel habits. If things are random people know what I mean by that they know when things aren't normally functioning. Don't ignore it don't be embarrassed to go talk to someone about fiscal see your doctor. Unfortunately even if you're under the age of fifty you can -- colorectal cancer have unfortunately here in the current people in their thirties and forties. Where it's often times. Attributed to hemorrhoids. And people try to ignore it and they don't wanna talk about it it's important to have decent evaluated. And then secondly I'd say even if you are fifty or sixty -- secure imperfect -- You think -- couldn't possibly be anything wrong with Q your risk for colon cancer and if it gets higher as you get older. Even if you feel like your normal and it couldn't be anything wrong most colon cancers don't occur within those with immediate family members who have been affected. Many colon cancers give him no symptoms at all to lower it look. They get -- -- are you good note to go out on thank you so much for taking time to be with us here today. Thank you and if you wanna find out more information about legacy health systems and about the -- racing you can do to keep yourself checked out for colorectal cancer or any number of concerns you might have health twice. You can certainly check out more about legacy health systems at LHS. Dot org. I think you again doctor for all your time today. Thank you. All right that'll do it for this addition to -- -- scope and Entercom communications public affairs program I've been your host Ted Douglas if -- nonprofit or public affairs organization that you would like to let others know about please email media microscope @entercom.com. An air constructs of -- And please -- -- to scope in the subject line so doesn't -- snagged by my spam filter hoarding go directly to the station's website click on the community link in submit your information there. Also be like here this program again you can visit our podcast -- -- scope PX dot com where you'll find this in the last couple months worth of episodes. And feel free to post it to your FaceBook or MySpace your blog what have you it's it's Colo rectal cancer awareness month so -- frank its information out to as many people as possible. Thank you again doctor thank you all so much for listening this is thin mattresses --