TODAY | November 07, 2013
>> we will do it better. dr. david sumoti, the chairman here. full disclosure. you are my you arologist. we have been going through these exams for several years because i have a family history .
>> we will save a lot of men with prostate cancer . i have been seeing matt for five years now. your psa has been quite steady, the numbers. we started around .7. now it's around .9. it hasn't moved.
>> that's one side of the screening. we will go in and do the other side of the exam.
>> this is a digital rectal exam . you go off.
>> the camera will stay out here.
>> nancy, as matt goes in, it's also very important, many african-american male community, this is a big deal .
>> i don't foe if they know they are 60% more likely to get cancer. many times it's more aggressive. something happened in american medicine in the '70s, we took race out of medicine. it was a bad idea. race makes a difference with some cancers. the fact that you are being screened today and taking care of this is important.
>> that was fast.
>> doctor, are there any downsides to this, or any complications?
>> there are no complications to screening. what we want people to know is get your psa baselean at the age of 40. certainly, talk to your doctor.
>> that individualized medicine is extremely the key. we want to mention the trend of the psa .
>> it's the trajectory of the change of the psa . we want people to foe if you make an action based on one test, you can have problems with biopsies, et cetera .
>> is there a range you should be in?
>> there is no such thing. you look at the numbers.
>> you are fast, too.
>> certainly, family plays a big role. we know it is more common among african-americans.
>> does it hurt?
>> it doesn't hurt. it took 34 seconds, is it the best 34 seconds of your life? in 34 seconds a guy leak this can detect something that may save your life. what are we talking about?
>> you know, it's my turn, right.
>> the bottom lean is, your prostate.
>> you go, we'll wait for you.
>> it's healthy. a normal size. it's smooth. i didn't feel any nod you'lls, which is a big concern.
>> would you have thought it's an underlying infection?
>> if there is anything abnormal on the exam, i might repeat the psa , give antibiotics and go into biopsy.
>> but you are basically feeling a spongeiness and looking for nodules?
>> it is usually soft like this, if we feel nodules and hardness, we look into it. so you get a lot of information from this exam.
>> i think your patient is ready for you.
>> al, good luck. we'll see you in a few seconds. see if you can beat 34 seconds, doc.
>> okay. now. how'd that go?
>> is it was enlarged. it's not terrible. i don't feel abnormalities. which is good. i'm going to monitor him once every six months, every year, to see if the size will change or if they will find firmness in the future.
>> corallate his blood test the change, what you feel.
>> what's important is to know if there is a family history . so you put all of this information and then you decide whether we're going for a biopsy or not. you are 100% right.
>> it comes out. i will ask you the same thing.
>> it's not comfortable. it certainly, obviously, is doable. it's 34 seconds.
>> i think a lot of guys are also concerned about the embarrassment factor of it. so my advice would be find a doctor you are very comfortable with, that that factor is not an issue.
>> remember, physicians are not embarrassed. we don't want patients to be embarrassed. this is a partnership.
>> we can save lives.
>> that information and data is extremely important. don't be scared.
>> thank you very much.