Participants: James Marcum & Charles Mills
Series Code: UP
Program Code: UP00040B
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00:01 Today, we're talking about screening,
00:02 and Dr. Marcum, you've made it clear that there are 00:05 some things we should be screened for, 00:06 and some things that are really not necessary. 00:09 Review that for us again... 00:10 And I want to make this very, very practical for people 00:14 so when you leave here you'll have at least 1 or 2 things 00:17 that you can actually know and apply to your life today. 00:20 We want to give you something with value. 00:23 Not only that, something you can take to your friends, 00:25 and talk to other people very intelligently about it. 00:28 The first thing is - in screenings, 00:30 realize that one size does not fit all. 00:34 It's according to your risks. 00:36 And the basic things that should be screened for, 00:39 the safety things, ABSOLUTELY! 00:41 We talked about skin cancer, ABSOLUTELY! 00:44 If you're in a high risk group, YES, you might even be screened 00:47 for something that's not recommended 00:49 if you've had a family history of it. 00:52 We talked about prostate testing, 00:55 probably NOT, unless you're in a high risk group... 00:58 But you know, that's very individual. 01:00 We talked about colon cancer, YES, but it's not necessarily 01:03 always with a colonoscopy. 01:06 We talked about lung cancer, 01:07 that's probably a NO. 01:09 But if you're a smoker... Yes, absolutely! 01:11 That's why all size does not fit all. 01:14 Now we talked about skin cancer. 01:16 But we've also talked about all the fear 01:19 that comes from all these tests! Yes, yes, yes 01:21 Have you ever seen those tests that go by... 01:24 And they'll go by a church or somewhere, 01:26 and they'll look at all your blood vessels. Yes 01:28 Well sometimes that scares people so to death, 01:30 I get them running in and say, "Oh, I got an aneurysm, 01:32 I got this, I got that" 01:34 You know, it just scares them, and so that's why 01:37 we wanted to talk to people 01:38 about the different screening test for that. 01:41 Now, a couple of ones we haven't talked about... 01:43 for female - very important. 01:45 That's Pap smears - that's screening for cervical cancer. 01:52 And they're recommending those to lower the risk of cervical 01:55 that we screen every 3 years in women after age 21 02:00 Now if the results of that smear are negative, 02:03 they check it every year until age 65. 02:08 And here's an interesting statistic 02:11 that I want to share with everyone... 02:12 Half the women who die of cervical cancer, 02:16 one-half never had a Pap smear ever, 02:19 and 90% of those had not had one in 10 years. 02:23 So this is another thing that is preventable if caught early. 02:27 Notice in cancers - we're not saying that the treatment 02:30 is the thing that fixes it, but catching it early, 02:33 getting rid of it, dealing with it before it becomes 02:35 spread out of place. 02:37 Now another one is mammograms. 02:39 You know, getting the breasts checked on women. 02:42 Now, if you are a high risk group, 02:44 if someone in your family has had breast cancer, 02:47 you'll want to get it screened even more vigilantly. 02:50 They screen it with breast self-exams; 02:53 they screen it with mammograms, and the debate continues... 02:57 But the party line right now is the current 03:00 screening recommendations is annual screenings... 03:03 That means every year for women over 40 years old. 03:08 Now that's without a breast cancer history, family history, 03:12 no obesity or cigarette use, 03:13 it's even more reason to wait until a baseline at 40, 03:17 but if you have those red flags, 03:19 you might get screened earlier, I think we've talked about that. 03:22 Now after the age of 70, no screening is suggested. 03:28 You know, now if you ever see a mass or anything at any time, 03:32 you need to get that evaluated immediately. 03:35 Now are there risks for mammograms? 03:37 Yes, there is some small risk of that, 03:38 and everything is about the risks versus the benefits. 03:41 Mammograms do emit a little bit of radiation. 03:45 And another hot topic is breast cancer genetic screening. 03:50 You know, and people that are high risk, 03:51 should they have the genetic, saying, "Listen you're going 03:54 to get it later in life - should we do something early on 03:57 to lower your risk even greater. 03:59 And I think that's going to be the future in some of these 04:01 cancers - is look at our genetics and see who is 04:04 more susceptible than others. 04:06 But in talking about all this, the bottom line is 04:10 when it comes to screenings are screenings are just guidelines. 04:14 One size does not fit all and you have to 04:17 learn about it itself - what works for you 04:20 based on your whole health history. 04:23 But for sure, I want everyone to be proactive about the 04:26 simple things to do. 04:28 How about screening for happiness? 04:30 For mental health? For exercise? 04:31 For eating well? 04:33 And all of those things affect the other parts too. YES, YES! 04:36 All right! And it's sort of a skewed 04:38 thing that we get into, Charles... 04:39 In other words, if you are a real angry vegetarian, 04:41 there's going to be a problem there. Exactly! 04:44 But think about the world that we've created... 04:46 We screen for all these scary things and things that are 04:49 important to talk about and deal with, 04:52 at early ages, we don't talk about. 04:55 Like, Charles, did you talk to somebody today? Yes I did. 04:58 You know, Charles, screen for mental health, for happiness, 05:02 for exercise... Did you get out and move the parts? 05:05 Did you screen for certain nutrients, like vitamin D? 05:08 All of those things are just if not MORE important, 05:12 than all these scary cancer screenings that we get into... 05:15 Not that they're not important, 05:17 but we have to screen for all sorts of health things, 05:19 and that's why I'm glad people are watching this program today 05:22 because I want them to look at their health, 05:24 and screen for these things; 05:26 things that we put in our body; 05:28 things that we think in our brain, 05:30 and also screen for your relationships. 05:32 Is your relationships healthy with each other? 05:34 Are they healthy with God? 05:36 And what are the little things that I can do 05:39 to get better at all of this? 05:40 This is all part of screening health! 05:42 This makes us part of the process, 05:44 and that's what is so exciting about that, 05:46 that there are things that we can do in our lives, 05:49 in our day to day existence. 05:50 It's almost like prescreening. 05:52 We are screening the screening! 05:53 We are getting ready to know what we need to screen for 05:56 by our lifestyle choices. 05:58 Yeah, and your doctor really should be a coach. 06:00 You know, he's coaching the team and we're all on team to 06:04 get to heaven to be with God, to help other people get there, 06:07 to be loving and happy. 06:08 We're all on the same team. 06:10 We all have the same goal and the coach should be there 06:12 helping you at every different aspect of your life, 06:15 including the ones we talked about, 06:17 but not being so fearful that we forget some of the other 06:20 even more important screening. 06:21 How about - you know some doctors won't even mention 06:24 if someone carries a little extra weight, 06:26 you know, they won't even mention it anymore, 06:27 but you gotta mention that if you love somebody 06:30 ...I call it "tough love," Charles! 06:32 Do you ever give any tough love to anybody? 06:34 Sometimes I have to do that, yes, 06:36 and I've been the recipient of tough love, 06:38 and it's really - when you stop and think about it, 06:41 and you look back at it, it was a good idea 06:43 that that tough love came along. 06:44 You know and I tell people sometimes... 06:46 you know, "I love you enough to tell you this" 06:49 "I know you don't want to hear it" 06:50 You love me enough to tell me this - I don't want to hear it! 06:53 It works both ways, but in a good relationship 06:56 that's the way it should do. 06:57 Hey! Do we have some questions that have come in? We DO from 06:59 heartwiseministries. org is the website 07:01 I want to invite our viewers, if you want to be part of 07:04 this program, you go to heartwiseministries. org 07:07 and leave a question and we will address them here 07:09 like we're doing right here. 07:10 All right, here is the first question! 07:12 This is on the topic of screenings. 07:13 "My dad died from colon cancer at age 47, 07:17 when should I be screened?" 07:19 His dad died at 47... 07:21 I think this brings up a couple of points that we had before. 07:24 Unfortunately, genetic things run in families, 07:27 and that's why doctors do a 07:28 careful genetic history of people. 07:31 If your dad had it at 47, I would at least 07:35 start your first, and this one I would do the big screen, 07:38 the colonoscopy. 07:39 I would start that at age 37, 10 years before, I would get it. 07:44 And if you've missed that date, 07:45 I would run in as soon as I could get that. 07:48 You know, I love answering people's questions, Charles, 07:51 because that's where we sort of develop relationships 07:54 This program helps meet their needs when we do that. 07:58 A lot of programs don't meet people's needs, 08:01 but it always lets us be in touch with people. 08:03 People are scared of these things and they're CONCERNED, 08:06 but that's what I would do for this gentleman... 08:08 I would check it at age 37 and this one, 08:11 I would do the big colonoscopy. 08:13 Now if he was 55 years old and never had any colon cancer 08:18 that eat a healthy fiber-filled diet, 08:20 I might just go with the 3 guaiac cards. 08:23 If it was that situation, but it's not that situation. 08:26 I mean, genetics is not a guarantee that you're 08:28 going to get this problem... No, it's not, 08:29 but you know what, if they find a precancerous 08:32 polyp in your colon at an early age, they can remove it, 08:36 and the cancer is gone! All right, okay 08:38 They'll screen for it again in another 5 years. 08:40 Here's another question from heartwiseministries. org 08:44 "My mammogram was abnormal and a biopsy was recommended, 08:47 is this standard procedure?" 08:49 If a mammogram is abnormal, biopsy automatically? 08:54 Yeah, again we're talking about the risk of breast cancer. 08:58 And some of the greatest improvements 09:01 in breast cancer is early detection. 09:04 Absolutely! If you feel a funny mass, 09:07 if you have a mammogram that doesn't pick up something, 09:09 I would have a biopsy - get a definitive diagnosis. 09:12 It might be negative, but this is one 09:15 you do not want to miss because if cancer spreads, 09:18 it's much harder to deal with it as if it's just in one site. 09:22 So cancer is something that's very serious, 09:26 yet we're so afraid of it, when we shouldn't be afraid of it. 09:29 How do we know when we should be afraid of it? 09:31 I like the word "concerned" 09:34 We want to detect it early if we can, 09:36 but then it - also in our lives, we want to do things 09:39 that lower our risk of getting cancer too. 09:42 We want to lower our risk of all of these health problems. 09:45 You know, whether it be eating a fiber-filled diet, 09:47 not staying out in the sun for skin cancer, 09:50 not carrying extra weight. 09:51 That's that prescreening you were talking about. Yes 09:52 That's not carrying extra weight for breast cancer. 09:56 All those things that will lower our risk... 09:58 Not smoking cigarettes for certain types of cancer. 10:00 We want to do that, as well as to screen 10:02 and to see if we've got some bad genetics as well. 10:05 So a good screening program does both. 10:07 It prevents - as well as it detects early. 10:10 Okay, another question from heartwiseministries. org 10:13 "Skin cancer is a concern for me; 10:16 Oh boy... are tanning beds dangerous to your skin?" 10:20 I've heard people talk about this... tanning beds. 10:23 You've heard people talk about TALK about this? Yes, I have. 10:25 Can I ask you who you've heard talk about this? 10:28 Friends and neighbors - people that look very, NOT me 10:31 Do they have nice tans? No... YEAH they do! 10:33 They look good... it was not me! 10:35 It was not me, I've never been in one, so I wouldn't know. 10:38 Tanning beds is a NO, is a no... Really? 10:40 Yeah, it' just a no - it damages your skin. You LOOK good! 10:45 You look good, but it damages your skin; 10:47 it raises the chance of you having cancers. 10:50 We can't recommend tanning beds, they are dangerous. 10:53 In fact, even being out in the sun, where you burn too much, 10:56 that's going to raise your chance, over a lifetime, 10:59 of skin cancer. 11:01 And notice, most of these exposures, 11:03 for long periods of time, exposures to extra weight, 11:07 exposure to cigarettes, exposure to bad diets... 11:10 It doesn't happen usually right away, 11:11 over years and years and years, and then eventually 11:15 the malignant cells start to show up and start to divide. 11:17 In other words, if somebody wanted to look good 11:19 on their wedding day, and they went into a 11:21 tanning bed so they'd look really good marching 11:23 down the aisle and they looked all tanned and everything. 11:25 They did that one time - 11:26 that's not going to be a concern? 11:27 Is that what you did, Charles? NO! This is not ME 11:31 we're talking about... Okay, not you 11:32 No, it probably in the great scheme of things, 11:36 it probably wouldn't make THAT big of a deal, 11:38 but it's still better if you didn't do it. 11:40 It would be better if you just get a little sun everyday, 11:43 get outside, be the healthy, that kind of things, 11:46 but I think in talking about screenings today, 11:49 we want to let people know 2 things, Charles... 11:51 #1... is that screening doesn't fit all. 11:54 #2... Try not to be scared of screenings; 11:57 detect things early on, and then make sure 12:01 in the addition to the screenings, 12:02 you're doing things so you prevent the things that the 12:05 screenings might be used for, does that make sense? 12:07 It does, it certainly does... Now that was not very well 12:09 articulated... That was fine 12:10 I'm still wondering whether you're hiding a 12:12 tanning bed from me. I am NOT hiding anything... 12:15 A tanning bed at your house! Oh no, now I got so embarrassed. 12:19 Now I'm all red, as said... You're tanned! 12:23 There you go! If you want to look good, 12:25 just talk to him for a while. Well, we're almost out of time. 12:28 Just talk to him for a while and you'll have a 12:30 nice, rosy, glow. 12:31 When we come back, Dr. Marcum has some 12:33 final words for us and we'll also go to the Master Physician, 12:36 the Ultimate Physician and we'll talk to Him about 12:39 your needs, our needs and the needs of this world, 12:41 so stay right where you are. 12:56 There are 2 things that I would want to leave with you today 12:59 regarding screenings. 13:01 #1... Think about it, think about what in my life 13:05 should I have screened. 13:06 Of course, we talked about cancer, 13:08 but think about all of those other things 13:11 that you need to have screening. 13:12 And #2, if you have a loved one or a friend, 13:15 talk to them about how they can have better health as well. 13:19 Let me pray with you... 13:20 Father God, I just want to thank each person here 13:23 and invite them to have the best health, Father, 13:26 and please go with them and be a part of their 13:28 treatment plan... is our prayer, Amen 13:31 I'm glad each one of you join us each week 13:34 on the Ultimate Prescription, where we try to reach 13:37 your needs, give one or two things that you can take 13:39 and remember - this is a program that you can take 13:42 to your friends and neighbors 13:43 and help THEM come into a relationship with the 13:46 Ultimate Prescription |
Revised 2014-12-17