Men’s Health Awareness Month with Mayo Clinic | River City Live

it’s men’s health awareness month and I know a lot of guys at home have a lot of questions I’m with dr. Dora to really walk us through so doctor Dora welcome to River City live and let’s start out by really breaking it down by age starting at 30s so what are things that we need to look out for well thank you thank you for having me mark and in general the decades of the teens and the 20s are a pretty healthy time for men so generally I would encourage them to avoid doctors if possible but in the 30s is I would say just focus on the very basics and by that I mean check your blood pressure yearly and also maintain a healthy body weight don’t get fat through your 30s and you know what I hate to say this and call out a lot of my friends but that happens I think around 25 and maybe a little later on in life you get caught up with family which is great and then also your career you stop working out and then it couldn’t leave other problems that’s right and that’s through public health research is one of the biggest determinants and future health problems is just body mass index so just focus on the absolute basics 330s all right so now let’s talk about the magic 40 so I’m 41 right now and I’m really conscious and aware of all the things that I should be doing so what do you recommend well in addition to checking your blood pressure periodically and keeping your body weight down through your 40s you should know what your cholesterol is and to get a baseline lipid panel at some point your four if you break down a lipid panel what exactly is that so a lipid panel it breaks the cholesterol down into components of what’s known as good and bad cholesterol or HDL and LDL as well as triglycerides which is the fatty particles in your blood and those things when they’re very elevated can predict heart events for people people also in their 40s need to familiarize themselves with their family histories so and that’s something I ask almost every man during an encounter in the office is that how old did your dad live to be what kind of issues did he deal with did he have prostate cancer how old was he when he when he passed do you have any brothers do they have any prostate issues and then another buzzword that comes up p.s a so can you walk us through that because as soon as guys hear that they just get a little bit scared and they don’t want to learn any more about it sure mark and and there’s a lot of conflicting recommendations out there for PSA but what’s been interesting is during my time in urology when when PSA first came out the American neurological Association and the US Preventive task force was diametrically opposed in their views of PSA that the urologist felt it was helping to save lives the preventative task force felt it was not helpful and may actually be harming people by screening them but over the years what we’ve seen is their recommendations have come closer and closer together and we seem to be finding the sweet spot where it’s helpful to screen man for prostate cancer on a population standpoint and it seems to be that it’s helpful to screen men between the ages of 55 and 70 with a yearly PSA it’s something I feel like has shifted correct because it used to be younger it used to be 40 and over and what the current recommendations are from the American neurological Association is there’s definitely no value in screening them before the age of 40 between the age of 40 and 55 you should be screened if you’re at increased risk of prostate cancer so if you have a first-degree family member like your father your brother of had prostate cancer it’s good to get a baseline PSA or if you’re african-american you may want to start screening at 45 anything significant 50s 60s well you know 50s from 55 to 70 you should have the PSA checked yearly colonoscopy also that is has saved many lives screening colonoscopies so men should have a screening colonoscopy at the age of 50 and and that should be repeated every 10 years provided they have a normal colonoscopy but as far as the number of screening tests you have to have done it’s fairly minimal so if you stick to the basics keep your body weight down keep an eye on your blood pressure know what your cholesterol is going into your 40s have your PSA 55 to 70 and have your colonoscopies you’ve pretty much covered all the screening stuff [Music] Oh doctor Dora thank you so much for your time we appreciate it my pleasure mark thank you [Music]

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