WEBVTT 1 00:00:00.440 --> 00:00:02.080 It's nice eyes, Dan Ray. 2 00:00:02.680 --> 00:00:05.919 I'm telling you easy Boston's News Radio. 3 00:00:06.240 --> 00:00:09.359 Thank you very much, Madison. I wan to wish all 4 00:00:09.439 --> 00:00:13.439 of you a very happy moon Day. I like to 5 00:00:13.480 --> 00:00:16.679 put that vowel in between the oh with the N 6 00:00:16.760 --> 00:00:21.000 on Monday and basically it's Monday anyway. Welcome. We started 7 00:00:21.000 --> 00:00:24.399 another week. You know they had TGI Friday. Well this 8 00:00:24.440 --> 00:00:27.399 isn't Friday. This is Monday. Good evening, everybody. Welcome on, 9 00:00:27.519 --> 00:00:29.839 and my name's Dan Ray, im the host of the program. 10 00:00:30.440 --> 00:00:32.880 We are wrapping up, getting pretty close to wrapping up 11 00:00:32.960 --> 00:00:37.000 year eighteen here on Nightside. Thank you so much for 12 00:00:37.600 --> 00:00:41.399 being loyal listeners. If you happen to be finding us 13 00:00:41.399 --> 00:00:45.560 tonight for the first time, that's okay. Welcome aboard, better 14 00:00:45.640 --> 00:00:48.000 late than ever, simple as that. Rob Brooks is back 15 00:00:48.039 --> 00:00:50.560 in the control room. My name is Dan Ray of 16 00:00:50.640 --> 00:00:53.240 the aforementioned Nightside with Dan Ray, and we're going to 17 00:00:53.280 --> 00:00:57.799 give you four really interesting interviews this hour. We're going 18 00:00:57.840 --> 00:01:02.399 to talk about subjects that are both in the news 19 00:01:02.479 --> 00:01:04.640 and out of the news, and we will start off 20 00:01:04.640 --> 00:01:07.519 with a big subject for those of us here in 21 00:01:07.599 --> 00:01:12.640 eastern Massachusetts. It is the Newton Weston Bridge replacement project. 22 00:01:12.840 --> 00:01:18.719 Weekend closures for bridge work, and that certainly I hope 23 00:01:18.760 --> 00:01:21.680 gets your attention. With us is Jonathan Gulliver. He is 24 00:01:21.719 --> 00:01:25.560 the Massachusetts Department of Transportation Highway Administrator. Jonathan has been 25 00:01:25.560 --> 00:01:28.519 with us before. Jonathan, welcome back. I think, how are 26 00:01:28.519 --> 00:01:28.959 you tonight? 27 00:01:30.200 --> 00:01:32.799 Great, Dan, thank you for having me on our pleasure. 28 00:01:33.599 --> 00:01:37.799 I'm very familiar with that location and you guys have 29 00:01:37.840 --> 00:01:40.840 been doing a lot of work out there, but it's 30 00:01:40.879 --> 00:01:44.359 going to be really a lot of work the weekend 31 00:01:44.439 --> 00:01:48.439 of May thirtieth to June second, not Memorial Day weekend, 32 00:01:48.439 --> 00:01:51.879 but the weekend after. So let's talk about it. You 33 00:01:51.959 --> 00:01:53.719 and I know where it is, but it is the 34 00:01:54.000 --> 00:01:57.319 it's really where the mass pipe kind of crosses one 35 00:01:57.400 --> 00:01:59.879 twenty eight intersect with one twenty eight. For anyone who 36 00:02:00.159 --> 00:02:02.719 is unfamiliar with the area we're going to talk about. 37 00:02:02.719 --> 00:02:07.359 Correct, that's exactly right. So this is the Turnpike one 38 00:02:07.359 --> 00:02:10.599 to twenty eight interchange. It's you know, this is an 39 00:02:10.639 --> 00:02:13.199 area that if you've been a regular driver, you've seen 40 00:02:13.240 --> 00:02:15.520 a lot of construction going on. This is one of 41 00:02:15.520 --> 00:02:18.680 our biggest active construction jobs. It's just under four hundred million, 42 00:02:19.159 --> 00:02:21.280 and we are doing a full replacement of all the 43 00:02:21.319 --> 00:02:25.080 structures in that interchange, they're all original, they've all needed 44 00:02:25.080 --> 00:02:28.080 a lot of work. This project has been going on 45 00:02:28.120 --> 00:02:30.479 for a couple of years now, but it's really if 46 00:02:30.479 --> 00:02:32.879 you've been again a regular commuter, you're seeing over the 47 00:02:33.000 --> 00:02:36.360 last six months or so a lot going on. All 48 00:02:36.400 --> 00:02:39.039 that prep work that we've been doing is resulting in 49 00:02:39.080 --> 00:02:41.439 some of those new bridges being built and some really 50 00:02:41.479 --> 00:02:44.439 new infrastructure coming out of the ground, and we're quickly 51 00:02:44.479 --> 00:02:48.199 approaching this stage again. First first part of it is 52 00:02:48.240 --> 00:02:51.879 right after the weekend after Memorial Day weekend, where we're 53 00:02:51.919 --> 00:02:55.120 going to be demolishing what's the train tunnel, which is 54 00:02:55.159 --> 00:02:57.919 the kind of the first structure to the west of 55 00:02:57.960 --> 00:03:01.319 the project where the Commuter rail cross at Commuter Rail 56 00:03:01.319 --> 00:03:06.680 and the Amtrak train cross across the turnpike from the 57 00:03:06.719 --> 00:03:10.039 north side to the south side. So we need to 58 00:03:10.039 --> 00:03:12.680 replace that train tunnel as part of this project, and 59 00:03:12.759 --> 00:03:15.759 it's going to be a pretty impactful couple of weekends 60 00:03:15.800 --> 00:03:17.599 that we have scheduled for this YEW. 61 00:03:17.639 --> 00:03:20.639 So the first closure is May thirtieth to June second 62 00:03:20.840 --> 00:03:24.199 again the weekend after Memorial Day. Memorial Day is early 63 00:03:24.280 --> 00:03:26.719 this year. And then the second one, which we can 64 00:03:26.759 --> 00:03:30.120 talk about later on in June. Is going to run 65 00:03:30.159 --> 00:03:33.960 from June twentieth to June twenty third, So just a 66 00:03:34.000 --> 00:03:37.919 couple of help people better understand this. The structures that 67 00:03:38.000 --> 00:03:42.280 you are changing, how long had they been serving the public? 68 00:03:42.360 --> 00:03:45.479 Are we talking about seventy years or so? 69 00:03:45.560 --> 00:03:50.039 Yeah, they are original to the turnpike and so yeah, 70 00:03:50.039 --> 00:03:53.719 that's somewhere around sixty five seventy years now old. And 71 00:03:53.840 --> 00:03:56.919 the you know, basically what we're doing here, this is 72 00:03:56.919 --> 00:03:59.919 this for any you've heard us talk about this kind 73 00:03:59.919 --> 00:04:03.759 of construction before. This is accelerated bridge construction. And what 74 00:04:03.800 --> 00:04:06.960 we will be doing exactly is we're going to be 75 00:04:07.000 --> 00:04:10.080 directing all the traffic onto one barrel of the turnpike. 76 00:04:10.159 --> 00:04:12.280 In this case, we're going to be pushing all the 77 00:04:12.280 --> 00:04:14.919 traffic over the westbound side. We're reducing it down to 78 00:04:15.039 --> 00:04:18.079 two lanes, one in each direction, and then we're going 79 00:04:18.120 --> 00:04:21.959 to be going in and demolishing the eastbound side of 80 00:04:22.000 --> 00:04:25.439 the turnpike for that portion of it over the train tunnel, 81 00:04:25.839 --> 00:04:28.639 completely demolishing it, getting that old concrete out of there, 82 00:04:29.199 --> 00:04:34.519 bringing in brand new, pre prefabricated concrete pieces, dropping them 83 00:04:34.519 --> 00:04:37.319 into place, and then doing a closure poor with some 84 00:04:38.279 --> 00:04:41.319 special kind of high strength concrete, letting that set, and 85 00:04:41.360 --> 00:04:43.720 then reopening the whole thing by Monday morning. So it's 86 00:04:43.759 --> 00:04:47.920 a very rapid construction technique. We've used this in a 87 00:04:48.000 --> 00:04:51.319 lot of different places over the last decade now, very 88 00:04:51.399 --> 00:04:54.279 very effective. A lot of time and planning goes into 89 00:04:54.360 --> 00:04:57.160 doing a movement like this, like one of these short 90 00:04:57.240 --> 00:05:00.519 term very intense pain for people who need to use 91 00:05:00.560 --> 00:05:03.040 that that portion of the roadway over the weekend, But 92 00:05:03.079 --> 00:05:05.839 the long term is that we get open very very quickly. 93 00:05:05.879 --> 00:05:08.800 Again that you have these really high intense impacts, and 94 00:05:08.839 --> 00:05:11.360 then it's back back in a full service by Monday morning. 95 00:05:11.639 --> 00:05:14.120 Just to put it again in perspective for people, how 96 00:05:14.120 --> 00:05:18.560 many personnel are going to be on the ground throughout 97 00:05:18.600 --> 00:05:24.120 that weekend, Mass Highway or or subcontractors. How big a 98 00:05:24.199 --> 00:05:26.680 project We know how big it is financially four hundred 99 00:05:26.720 --> 00:05:29.720 million dollars, but we have a couple of hundred people 100 00:05:29.759 --> 00:05:30.720 working there that weekend. 101 00:05:31.600 --> 00:05:34.680 They wouldn't quite be a couple hundred, but it's it's 102 00:05:34.720 --> 00:05:37.560 in over one hundred people, and that's between mass DOT 103 00:05:37.600 --> 00:05:40.680 staff and the contractors staff, and it's all different trades. 104 00:05:40.720 --> 00:05:42.360 You know you're gonna have you're gonna have. 105 00:05:42.360 --> 00:05:45.160 The demolition contractor coming in and out, so that it's 106 00:05:45.160 --> 00:05:47.480 basically at any given time you're gonna have somewhere between 107 00:05:47.519 --> 00:05:50.399 seventy five and one hundred people is the expectation. But 108 00:05:50.439 --> 00:05:53.160 there's a lot of different people, a bunch of different 109 00:05:53.160 --> 00:05:55.399 trades over that course of the weekend that are there. 110 00:05:55.439 --> 00:05:58.279 So people will cycle in, do their thing, and get out, 111 00:05:58.319 --> 00:06:00.000 so you could eventually at the end of the way, 112 00:06:00.000 --> 00:06:02.360 we can have a couple of one hundred people who may 113 00:06:02.360 --> 00:06:04.800 have participated in some form of fashion. That's what I 114 00:06:04.839 --> 00:06:07.680 was asking. So here's here's my question. I know the 115 00:06:07.680 --> 00:06:12.680 best advice will be from nine pm on May thirtieth 116 00:06:12.720 --> 00:06:17.319 to five am on June second, avoid this area at 117 00:06:17.360 --> 00:06:21.399 all cost, at all costs, which of course won't happen 118 00:06:21.519 --> 00:06:24.079 because a lot of people aren't going to hear us tonight. 119 00:06:25.480 --> 00:06:30.160 If you have to use that area of our western 120 00:06:30.160 --> 00:06:33.759 suburbs one twenty eight Master and Pike in some form 121 00:06:33.800 --> 00:06:36.439 of fashion, there are ways to get around that, okay, 122 00:06:36.439 --> 00:06:38.920 which are going to probably be slow. I get that. 123 00:06:39.240 --> 00:06:42.519 I mean I can get from one twenty eight to 124 00:06:42.639 --> 00:06:47.279 the Pike to buy and head into Boston by getting 125 00:06:47.279 --> 00:06:50.680 off at Route sixteen going past Newton Wellesley Hospital drop 126 00:06:50.759 --> 00:06:54.160 down to the pike. You know, halfway between one twenty 127 00:06:54.199 --> 00:06:57.839 eight and Newton Corner there were workarounds. There are ways 128 00:06:57.879 --> 00:07:00.439 to work around, and obviously if you have ways, hopefully 129 00:07:00.439 --> 00:07:04.920 this is going to be up on ways's boards for everyone. 130 00:07:05.560 --> 00:07:08.920 But yeah, if you do have to go there, let's 131 00:07:08.959 --> 00:07:12.720 assume some way someone has to go there. How big 132 00:07:12.720 --> 00:07:14.680 a delay are they looking at realistically? 133 00:07:15.720 --> 00:07:20.680 So these are never easy to predict. The so even 134 00:07:20.759 --> 00:07:23.240 on weekends, the turnpike is one of our busiest roads. 135 00:07:23.319 --> 00:07:26.839 During weekdays, it's one hundred thousand vehicles a day. During 136 00:07:26.879 --> 00:07:29.920 weekends it drops off, but you're still talking about seventy 137 00:07:29.959 --> 00:07:33.399 seventy five thousand vehicles, So it gets very, very heavily traveled. 138 00:07:33.959 --> 00:07:35.480 And you're exactly right. 139 00:07:35.519 --> 00:07:38.399 What we're asking people is, if you don't need to 140 00:07:38.439 --> 00:07:40.879 be in that area, find another alternate route. 141 00:07:40.879 --> 00:07:41.839 Don't don't be around there. 142 00:07:41.839 --> 00:07:44.199 We don't If you have just a discretionary trip to 143 00:07:44.199 --> 00:07:46.319 be out and about, don't go check out the construction. 144 00:07:46.439 --> 00:07:48.680 Watch for it on the news. If you have to 145 00:07:48.720 --> 00:07:51.759 go through, there's a couple of different ways. If you're 146 00:07:51.800 --> 00:07:55.399 going to be in traffic, it's it could get. If 147 00:07:55.399 --> 00:07:57.959 that whole seventy five thousand people that usually travel that 148 00:07:58.040 --> 00:08:01.079 roadway on the weekend come, you could be in for 149 00:08:01.199 --> 00:08:03.680 two or three hour delay. If they don't, it gets 150 00:08:03.720 --> 00:08:06.759 a lot more manageable. It gets back to delayed, but 151 00:08:06.920 --> 00:08:09.519 not not as far as not as. 152 00:08:09.439 --> 00:08:13.000 Long a word to the why should be sufficient. Stay 153 00:08:13.040 --> 00:08:15.120 away from media, stay. 154 00:08:14.959 --> 00:08:16.360 Away if you can. There's going now. 155 00:08:16.360 --> 00:08:18.519 The train is also going to be impacted, but there 156 00:08:18.519 --> 00:08:22.560 are shuttle buses in places. They have alternative routes that 157 00:08:22.560 --> 00:08:25.439 they're using, so we'll be running full service, but it 158 00:08:25.480 --> 00:08:28.480 will be on buses, not on the train. That's a 159 00:08:28.759 --> 00:08:30.519 you know, so if you have to take public transportation, 160 00:08:30.519 --> 00:08:32.679 you'll be available to you. It'll be slower than usual. 161 00:08:33.320 --> 00:08:35.639 We're asking you to please leave an extra you know, 162 00:08:35.679 --> 00:08:37.679 give yourself a lot of extra time to get around. 163 00:08:37.399 --> 00:08:40.320 Though, Jonathan, I appreciate you taking the time. And if 164 00:08:40.600 --> 00:08:43.639 if if you want to come back next week, some 165 00:08:43.919 --> 00:08:47.799 night late next week, I don't know even if you 166 00:08:47.840 --> 00:08:53.360 want to come back the thirty first, or I should 167 00:08:53.399 --> 00:08:55.080 know it's not the thirty first, to be like the 168 00:08:55.159 --> 00:08:59.080 twenty ninth or whatever. It would be more than happy 169 00:08:59.080 --> 00:09:00.679 to have to come back because what will happen, is 170 00:09:01.159 --> 00:09:03.679 people will will they'll listen to us tonight and they'll 171 00:09:03.720 --> 00:09:05.840 say wrong with us. I'm going to avoid that at 172 00:09:05.879 --> 00:09:09.720 all costs. I think they said the fourth of July. Yeah, 173 00:09:10.720 --> 00:09:13.159 you know. So if you want to make a return 174 00:09:13.200 --> 00:09:15.600 appearance on this one, Jonathan, I think it's big enough. 175 00:09:15.600 --> 00:09:17.919 I think it's important enough. We'd love to have you back, Okay, 176 00:09:18.120 --> 00:09:19.000 just like i'd. 177 00:09:18.759 --> 00:09:20.679 Be happy to and and Dan. One of these days 178 00:09:20.679 --> 00:09:22.679 I'm going to come on with great traffic news. Today 179 00:09:22.720 --> 00:09:24.000 is not that day, avelot That's. 180 00:09:23.879 --> 00:09:26.840 Okay, that's okay. Most days it is great traffic news 181 00:09:26.879 --> 00:09:29.720 because people most days, if they're smart, they kind of 182 00:09:29.759 --> 00:09:33.559 work around some of the bottlenecks. But that's okay, Jonathan Gulliver, 183 00:09:34.399 --> 00:09:39.159 you are a great representative of mass Dot Highway administration. 184 00:09:39.559 --> 00:09:41.639 Let me tell you do a great job. You're great communicator. 185 00:09:41.639 --> 00:09:42.960 Thank you, my friend. I appreciate that. 186 00:09:43.080 --> 00:09:44.519 Thank you, Dan, appreciate it. 187 00:09:44.559 --> 00:09:46.600 Have a good night, you bet you. All right, we 188 00:09:46.639 --> 00:09:49.840 get back. We're going to talk about President Biden's diagnosis 189 00:09:50.039 --> 00:09:52.879 of prostate cancer. We're going to talk with a doctor 190 00:09:53.600 --> 00:09:56.440 chief of urology at the Tofts Medical Center. Coming back 191 00:09:56.480 --> 00:09:58.159 on night Side and we'll kind of lay it out 192 00:09:58.200 --> 00:10:01.480 there and it's it's something that everybody should be thinking 193 00:10:01.480 --> 00:10:02.600 about for sure. 194 00:10:05.000 --> 00:10:09.720 It's Night Side with Dan Ray, Boston's News Radio. 195 00:10:10.799 --> 00:10:13.320 Well, I think by now most of us have heard 196 00:10:13.360 --> 00:10:15.759 the very sad news that former President Joe Biden has 197 00:10:15.799 --> 00:10:20.039 been diagnosed with an aggressive form of prostate cancer. We 198 00:10:20.120 --> 00:10:22.240 of course have a lot of questions in our minds, 199 00:10:22.879 --> 00:10:25.360 and I'm sure that all of you have questions in 200 00:10:25.399 --> 00:10:28.399 your minds what this all means. And joining us now 201 00:10:28.559 --> 00:10:32.480 is doctor j Aswara. He is the chair of the 202 00:10:32.559 --> 00:10:35.799 urology department at Toughts Medical Center. Doctor y Suarre, thank 203 00:10:35.879 --> 00:10:37.240 you very much for joining. 204 00:10:36.960 --> 00:10:40.399 Us hey day, Thanks so much for having me so. 205 00:10:41.759 --> 00:10:44.480 Prostate cancer is not a real form of cancer. One 206 00:10:44.519 --> 00:10:47.039 in eight Americans if the American men, if they live 207 00:10:47.120 --> 00:10:52.720 long enough, will be diagnosed. Are you surprised at the 208 00:10:52.919 --> 00:10:56.240 level of this prostate cancer? I mean, you would assume 209 00:10:56.279 --> 00:10:59.519 that President Biden would have had the best medical care 210 00:10:59.559 --> 00:11:02.720 and treatment in the world at the White House or 211 00:11:02.840 --> 00:11:06.639 you know, at whatever medical facility he wanted to go to. 212 00:11:07.399 --> 00:11:09.679 My understanding is that on what they call the gleas 213 00:11:09.759 --> 00:11:13.360 and scale from zero to ten, he is a nine, 214 00:11:13.440 --> 00:11:17.720 which means it's a highly aggressive and also a form 215 00:11:17.720 --> 00:11:21.879 of prostate cancer that already has probably metastasized. 216 00:11:23.320 --> 00:11:25.840 Yeah, you're absolutely right, Dan. You know, it puts them 217 00:11:25.879 --> 00:11:29.200 in kind of the minority of patients who are diagnosed 218 00:11:29.200 --> 00:11:33.600 with prostaate cancer. So roughly five to seven or eight 219 00:11:33.679 --> 00:11:36.679 percent of men who are diagnosed with prostate cancer will 220 00:11:36.679 --> 00:11:41.440 have metastases at the time of presentation. So you know, 221 00:11:41.600 --> 00:11:47.159 like you said, it's uncommon, and you know, his prostay 222 00:11:47.240 --> 00:11:50.399 cancer was sort of diagnosed the most common way by 223 00:11:50.919 --> 00:11:55.000 a physical exam, which includes a rectal exam. So when 224 00:11:55.399 --> 00:11:59.000 men are screened for prostate cancer, it typically involves two things, 225 00:11:59.039 --> 00:12:02.600 getting a blood test, a PSA test, and doing a 226 00:12:02.639 --> 00:12:05.080 rectal exam to feel for any nodules. And it sounds 227 00:12:05.399 --> 00:12:07.200 from the news reports as though this or this was 228 00:12:07.200 --> 00:12:08.720 picked up by by rectal exam. 229 00:12:09.159 --> 00:12:12.159 Yeah, I picked that up. Here's my question. Wouldn't they 230 00:12:12.200 --> 00:12:14.120 done a PSA on him a year ago? He had 231 00:12:14.120 --> 00:12:18.320 apparently his last physical a year what's a little over 232 00:12:18.320 --> 00:12:23.039 a year ago in February of twenty twenty four. P 233 00:12:23.240 --> 00:12:27.679 SA are part of every physical that I've ever been 234 00:12:27.720 --> 00:12:28.360 subjected to. 235 00:12:29.799 --> 00:12:31.799 Yeah, you know, this is what's tricky about the p 236 00:12:32.000 --> 00:12:34.879 s A test is that there's no there's no hard 237 00:12:34.879 --> 00:12:38.200 and fast cut off, and so it's hard to know 238 00:12:38.240 --> 00:12:41.960 exactly what PSA levels he was dealing with frior to 239 00:12:42.080 --> 00:12:46.360 this diagnosis, but it can it can sort of lead 240 00:12:46.399 --> 00:12:49.919 people astray. Some people will have really aggressive forms of 241 00:12:49.960 --> 00:12:53.200 prosat cancer and have relatively low PSAs, And. 242 00:12:53.159 --> 00:12:57.159 So what is real important? Yeah, doctor, what's a relatively 243 00:12:57.200 --> 00:13:00.559 low PSA? My understanding from the medical from the my 244 00:13:00.679 --> 00:13:03.360 doctor is that they want to make sure it's under five. 245 00:13:04.399 --> 00:13:06.600 And you know, if all of a sudden it jumps 246 00:13:06.679 --> 00:13:10.279 up to ten or twelve, alarm bells go off. 247 00:13:11.120 --> 00:13:14.879 Oh, you're absolutely right, And I think, what's you know, 248 00:13:14.879 --> 00:13:17.399 what most people use is a PSA cut. 249 00:13:17.240 --> 00:13:17.879 Off of four. 250 00:13:18.639 --> 00:13:20.440 In my practice, I use an age a just to 251 00:13:20.440 --> 00:13:24.879 cut off, and so for men less than fifty, I 252 00:13:25.000 --> 00:13:27.240 use it. I like a PSA two and a half 253 00:13:27.320 --> 00:13:30.320 or less men fifty to sixty, I like to see 254 00:13:30.320 --> 00:13:34.480 it three and a half or less sixty one to seventy. 255 00:13:34.559 --> 00:13:36.080 I like to see it four and a half and 256 00:13:36.120 --> 00:13:37.720 over seventy, I like to see it less than six 257 00:13:37.799 --> 00:13:39.559 and a half. So I use sort of an age 258 00:13:39.559 --> 00:13:43.639 adjust to cut off, but they're kind of varying thresholds 259 00:13:43.639 --> 00:13:47.440 that people use. But you point to an important an 260 00:13:47.440 --> 00:13:50.159 important fact about the PSA test is that it doesn't 261 00:13:50.200 --> 00:13:52.159 really tell us whether you have prostate cancer or not. 262 00:13:52.200 --> 00:13:54.399 It just helps us to figure out whom we should 263 00:13:54.440 --> 00:13:55.480 screen more closely. 264 00:13:55.960 --> 00:14:01.600 Yeah, So coming back to this, I mean, we've seen 265 00:14:01.639 --> 00:14:08.159 the pictures that the president former president released tonight. Other 266 00:14:08.240 --> 00:14:12.679 than the PSA tests, which again a part of a 267 00:14:12.679 --> 00:14:14.960 blood test. If I'm am, I correct. 268 00:14:14.639 --> 00:14:17.000 On that, that's absolutely correct. 269 00:14:16.840 --> 00:14:25.480 Right, or a digital examination for someone his age. I've 270 00:14:25.519 --> 00:14:29.039 heard that a lot of times they stop testing people 271 00:14:29.720 --> 00:14:32.759 over the age of eighty because the theory is that 272 00:14:32.919 --> 00:14:35.360 if you get to eighty and you're in pretty good health, 273 00:14:35.399 --> 00:14:38.360 and it appeared he was physically in pretty good health, 274 00:14:39.799 --> 00:14:42.559 that many there's a point of view in the medical 275 00:14:42.559 --> 00:14:47.120 community that, well, there'll be another cause of death, that 276 00:14:47.200 --> 00:14:51.600 you won't die from prostate cancer. But now I'm thinking 277 00:14:51.639 --> 00:14:55.559 to myself, maybe that's just a bad philosophy. Is that 278 00:14:56.840 --> 00:15:00.000 something that now, in this particular case, eighty two year 279 00:15:00.159 --> 00:15:03.039 old guy who all of a sudden goes from apparently 280 00:15:04.360 --> 00:15:06.960 no one had noticed anything to a nine on the 281 00:15:06.960 --> 00:15:10.000 gleas and scale. Is that is this going to make 282 00:15:10.120 --> 00:15:13.840 us change, men change and doctors change how they how 283 00:15:13.840 --> 00:15:14.600 they screen. 284 00:15:15.799 --> 00:15:18.039 You know, it's a great question, and I think what 285 00:15:18.279 --> 00:15:20.519 many of us do is we sort of look at 286 00:15:20.559 --> 00:15:22.519 the patient in front of us, and it's kind of 287 00:15:22.519 --> 00:15:26.399 a shared decision between the patient and the doctor. And 288 00:15:26.440 --> 00:15:29.039 I'd say, you know, from my standpoint, if if I 289 00:15:29.080 --> 00:15:31.639 suspect that a patient's going to live longer than ten years, 290 00:15:32.480 --> 00:15:35.240 then I think it's very reasonable to continue to screen 291 00:15:35.360 --> 00:15:38.159 for prostate cancer regardless of how old he is. So 292 00:15:38.279 --> 00:15:41.320 a gentleman who's fit and you know, in his eighties, 293 00:15:41.919 --> 00:15:44.879 I would continue to screen. Similarly, you know, if you 294 00:15:44.919 --> 00:15:48.200 have patients who are unwell, you know, have a lot 295 00:15:48.200 --> 00:15:51.399 of other illnesses, but they're you know, seventy years, so 296 00:15:52.080 --> 00:15:55.720 I might counsel them that screening for prostate cancer may 297 00:15:55.759 --> 00:15:58.039 not make a lot of sense. They might succumb to 298 00:15:58.080 --> 00:15:59.240 other illnesses. 299 00:16:00.440 --> 00:16:03.200 Tell you, people don't realize the decision that doctors, that 300 00:16:03.320 --> 00:16:08.080 doctors are faced with. Do you think that this is 301 00:16:08.120 --> 00:16:12.600 going to change the protocol that most doctors use. Is 302 00:16:12.919 --> 00:16:17.600 this one of those you know, you know instances, those 303 00:16:17.639 --> 00:16:21.840 medical instances that is going to be almost an earthquake 304 00:16:22.039 --> 00:16:26.039 like impact across the country. I know that, you know, 305 00:16:26.279 --> 00:16:29.480 the digital exam is not something that most men look 306 00:16:29.519 --> 00:16:32.360 forward to. It's it's not a fun procedure. It's quick, 307 00:16:32.440 --> 00:16:37.120 but it's not a fun procedure. But now I think 308 00:16:37.159 --> 00:16:39.159 a lot of men are going to probably say, okay, doc, 309 00:16:39.279 --> 00:16:39.799 do your thing. 310 00:16:41.360 --> 00:16:44.000 Yeah, I kind of agree with you. So I think 311 00:16:45.480 --> 00:16:49.000 I think patients are going to be a lot more 312 00:16:49.399 --> 00:16:52.799 curious about prostate cancer, talking to their primary care of 313 00:16:52.879 --> 00:16:56.720 doctors about prostate cancer, seeing other specialists to talk about it. 314 00:16:56.759 --> 00:16:59.840 And I think that, you know, we we should be 315 00:17:00.120 --> 00:17:03.240 employing these techniques that we've known are effective for a 316 00:17:03.279 --> 00:17:07.039 long time, including doing a digital rectal exam, including checking 317 00:17:07.039 --> 00:17:08.799 the p s A, and some of that stuff has 318 00:17:08.839 --> 00:17:12.319 fallen by the wayside in some realms of the medical 319 00:17:12.319 --> 00:17:16.480 community for urologists and medical oncologists and radiational oncologists. We 320 00:17:16.519 --> 00:17:20.400 still believe firmly that these are really useful tools for us, 321 00:17:20.400 --> 00:17:23.400 and so I completely agree. I'm you know, we're already 322 00:17:23.400 --> 00:17:27.440 getting an increasing number of calls for for appointments for 323 00:17:27.480 --> 00:17:30.480 prostate cancer patient to be screened for prostate. 324 00:17:30.119 --> 00:17:31.119 Cancer because of this news. 325 00:17:31.160 --> 00:17:34.440 So I do think this could this could change things. 326 00:17:34.440 --> 00:17:37.079 And you know, it's unfortunate that it took this event 327 00:17:37.160 --> 00:17:39.960 to UH to trigger this response, but I'm glad that 328 00:17:40.079 --> 00:17:42.119 people are starting to pay attention to this because this 329 00:17:42.880 --> 00:17:45.759 is the number two cancer killer among men in the US. 330 00:17:46.319 --> 00:17:50.319 Doctor one last question, is there any other sign that 331 00:17:50.480 --> 00:17:55.200 men should be aware of? You know, you know UH, 332 00:17:56.400 --> 00:17:59.240 in terms of urination, you've got to go more often 333 00:17:59.279 --> 00:18:01.640 than you thought that and you have a change in that. 334 00:18:01.960 --> 00:18:04.880 Is there any other sign that could be indicative of 335 00:18:04.920 --> 00:18:08.680 a prostate problem, an early warning sign, if you will. 336 00:18:09.599 --> 00:18:12.039 Yeah, this is a really critical point, Dan. I'm glad 337 00:18:12.039 --> 00:18:14.559 you brought it up, because a lot of guys think that, 338 00:18:14.920 --> 00:18:17.559 you know what, my stream's flowing down. I don't feel 339 00:18:17.599 --> 00:18:19.960 like I'm emptying as well. You know, is it possible 340 00:18:20.000 --> 00:18:22.920 to have prostate cancer? And the truth is, prostate cancer 341 00:18:23.000 --> 00:18:26.880 is almost always asymptomatic. People don't typically have symptoms from 342 00:18:26.920 --> 00:18:30.119 proday cancer until it's widely spread, which is pretty uncommon. 343 00:18:30.119 --> 00:18:33.480 And so when people start to have urinary symptoms, that's 344 00:18:33.519 --> 00:18:38.480 almost always due to normal, non cancerous growth of their prostate. 345 00:18:38.960 --> 00:18:41.039 That doesn't mean that they shouldn't come in and get checked. 346 00:18:41.079 --> 00:18:44.440 We absolutely should be screening those folks. But just to 347 00:18:44.519 --> 00:18:48.039 allay some fears out there that if you're having difficulty 348 00:18:48.039 --> 00:18:51.359 with yourination that's almost always due to normal prosta prostate 349 00:18:51.440 --> 00:18:52.799 growth and not prostate cancer. 350 00:18:53.119 --> 00:18:56.759 Well that's health factor. I'm sure there's some people who 351 00:18:56.960 --> 00:19:00.400 you know, you know, went to the head Alfanirago listening 352 00:19:00.440 --> 00:19:05.640 to us and are saying thank you. Okay, look, I 353 00:19:05.680 --> 00:19:08.759 really appreciate uh, you're you're great. You must be a 354 00:19:08.759 --> 00:19:11.519 great doctor because you've explained it so well. I just 355 00:19:11.559 --> 00:19:14.160 want to say thank you very much, doctor Jay as 356 00:19:15.200 --> 00:19:17.920 the Cheap, the chair of urology at Toughts Medical Center. 357 00:19:18.319 --> 00:19:21.240 Obviously you're a great doctor, but you're a great communicator. 358 00:19:21.240 --> 00:19:23.759 I just on a very sensitive subject. You did a 359 00:19:23.759 --> 00:19:24.799 fabulous job tonight. 360 00:19:24.799 --> 00:19:27.759 Thanks doctors, Well, I really appreciate appreciate it. Dan, thanks 361 00:19:27.759 --> 00:19:30.039 so much for the opportunity and uh, and have a 362 00:19:30.079 --> 00:19:30.519 great night. 363 00:19:30.599 --> 00:19:32.759 Thank you and we'll get you back at some point too. 364 00:19:32.799 --> 00:19:35.119 This is when we should do periodically because. 365 00:19:34.839 --> 00:19:37.880 You know, happy to be with you any time. 366 00:19:38.000 --> 00:19:40.400 Yeah, when the story fades from the headlines, people won't 367 00:19:40.440 --> 00:19:42.720 be thinking about this, and that's when when we got 368 00:19:42.759 --> 00:19:44.599 to keep it in the forefront of some people's minds. 369 00:19:44.680 --> 00:19:47.359 We'll talk again. Have a great, great early summer and 370 00:19:47.559 --> 00:19:49.480 enjoy the weekend and the rest of the week is 371 00:19:49.519 --> 00:19:52.599 supposed to be a little chilly, but enjoy whatever. This 372 00:19:52.680 --> 00:19:55.000 is what we call spring in New England. Thank you, 373 00:19:55.039 --> 00:19:57.960 thanks so much. All right, thank you very much. As 374 00:19:58.440 --> 00:20:02.160 doctor Vesuara, thank you very very much. When we get back, 375 00:20:02.359 --> 00:20:07.079 we're going to talk about black bear hunting. Now, I 376 00:20:07.160 --> 00:20:10.000 gotta tell you I'm a big Second Amendment KaiA, and 377 00:20:10.039 --> 00:20:13.519 I believe in the right of bears to have arms. 378 00:20:14.039 --> 00:20:17.240 Let's make this even this sounds tough of the bears. 379 00:20:17.279 --> 00:20:21.000 We're gonna talk with Dave Wattles, the black bear and 380 00:20:21.200 --> 00:20:25.920 fur bearer biologist at the Massachusett Division of Fisheries and Wildlife. 381 00:20:26.079 --> 00:20:29.000 The good news for the bears is that their population 382 00:20:29.160 --> 00:20:33.079 is growing, is growing better than the population here in America. 383 00:20:33.720 --> 00:20:37.279 But the bad news is that they're gonna cull the 384 00:20:37.519 --> 00:20:39.720 call the cull the bears a little bit. We'll get 385 00:20:39.720 --> 00:20:42.079 to all of that with Dave Wattles right after the break. 386 00:20:43.759 --> 00:20:48.440 It's nice Boston's News Radio. 387 00:20:49.599 --> 00:20:55.720 Well, Massachusetts has a problem. We have a lot of 388 00:20:55.759 --> 00:20:58.680 black bears here in Massachusetts and they're coming east with 389 00:20:58.759 --> 00:21:01.319 us as Dave wattles Black Bear and for a Bear, 390 00:21:01.319 --> 00:21:06.400 A biologist at Massachusetts Division of Fisheries and Wildlife, Dave Wattles, 391 00:21:06.400 --> 00:21:08.799 I'm sure this is necessary, but I feel sympathy for 392 00:21:08.839 --> 00:21:12.640 the bears here. I mean, they're sitting ducks as it were. 393 00:21:12.720 --> 00:21:14.839 How are you tonight? Good? 394 00:21:14.880 --> 00:21:15.400 How are you doing? 395 00:21:15.759 --> 00:21:18.640 I'm doing great. As I said, I'm a big believer 396 00:21:18.680 --> 00:21:21.359 in the rights of bears to have arms, but only 397 00:21:21.480 --> 00:21:24.640 choking when I say that, how many of these beers 398 00:21:24.640 --> 00:21:28.279 are going to bite the dust. It doesn't begin this 399 00:21:28.400 --> 00:21:29.400 year or next year. 400 00:21:30.920 --> 00:21:34.240 So we currently have a bear hunting season in Massachusetts, 401 00:21:34.240 --> 00:21:37.279