Speaker 1: When your old career gives you lemons throwing some ice
mix in some vodka.
Speaker 2: Call it a podcast from the Mac of All Trade
Studio in Fairport and driven by Victor Chrysler Dots jeep Ram.
Speaker 1: It's Billified, the Bill Moran Podcast.
Speaker 3: Well, hello and welcome.
Speaker 2: Thanks for getting your pot on, Thanks for keeping the
tush push. Oh, thanks for telling a friend. That's how
we spread the word about the pirate ship. Danny is
here Tonight's well, I have special guests joining us. We're
going there talking about the prostate. Well, it comes up
once in a while. I think over masturbation, whether or
not is there a healthy limit that's the way to
keep your prostate healthy, or.
Speaker 3: We shouldn't say that.
Speaker 1: We should say ejaculation.
Speaker 2: Would be a way to keep your prostrate healthy. So
many times a week you seem very uncomfortable about this.
Speaker 1: Clinically, I don't know. That's why we're bringing somebody in.
The guy's an expert pro he knows.
Speaker 3: Yeah, he knows, assholes. Uh right, that's.
Speaker 1: It's a urologist assistant. Yes, for eurologist specializes in neurology.
Speaker 2: Okay, when the way to get there is yeah, the
prostate to the prostate is oh speaking of that, Along
the same lines, the Toush push play, the game Notoriety
Danny thanks to the Philadelphia Eagles, I believe.
Speaker 1: Not the country line Dance, No, I don't think so.
Come out about the time of Icky Breaky Heart. Do
you remember that? Yeah?
Speaker 3: What did the push the did?
Speaker 1: Yeah? It was a line dance. I don't There used
to be the show on the National Network TNN when
it was a country station called my grandmother called the
White Horse Saloon, and they had line dancing with couples
every every day from three to five how like? So, yes,
so my grandmother would watch it. Yeah, she loved it
was fantastic. I don't know why. I just watch a
couple's dance, and then she would take note of which
guy was with which girl, and if he was dancing
with a different girl, Oh, he must be cheating, or
oh he must have left that one. They must have
had a fallen out. Like she had these scenarios in
her head. She didn't realize they were just professional dancers.
Speaker 4: Yeah.
Speaker 5: Right.
Speaker 1: She was in the seventies and this is after this
is before Ojeah, right, So she didn't stop to watch
that oj happened. We forgot all about the White Horse Cafe.
Speaker 3: A second, what is the tush push dance?
Speaker 1: It was one of the line dances they did, was
the tush push. It came out with the Achy Breaky.
Speaker 3: I did not know.
Speaker 1: Yeah, this is post to the electric slide.
Speaker 3: Though, Okay, I did not know.
Speaker 1: This is when line dance became a thing because the.
Speaker 2: Toush push I thought was with The Eagles used it
to help their short yarded success, and I think they
used it in the Super Bowl war they won forty
to twenty two over the Chiefs.
Speaker 1: There was a lot they put. They pushed the they
pushed the Chiefs pushes around.
Speaker 2: Yeah, but so they voted. They had a debate at
the owners meeting. Yeah, and sixteen out of thirty two
NFL teams supported a proposed ban, led by the Green
Bay Packers and supported.
Speaker 3: By one Sean mcnermot.
Speaker 1: Yeah, he was pretty out of it.
Speaker 3: Yeah.
Speaker 2: Safety concerns is what they say in their argument, despite
limited data available about it.
Speaker 1: There's limited deat because it's only been around like three years.
For years, you couldn't push anybody or pull anybody across,
and then somehow the rule got changed and the Eagles
and the Bills are taking advantage of it because they
have two quarterbacks.
Speaker 3: Well why would you? Okay, so why is Sean against it?
Speaker 2: Like, here's the thing I thought, is there a chance
they're going to outlaw because it's not as.
Speaker 1: Exciting of a play.
Speaker 3: It's not exciting and it's almost.
Speaker 2: A foregone conclusion that you get the first down, So
I go there, it's gonna go away.
Speaker 3: So then the Bills. Then the Bills fucked it up.
Speaker 1: I think more they got it the first time. Yeah,
you go back and watch the game. They got it
the first time, but they can't city caught on.
Speaker 2: So I feel like like once they screwed it up,
and then I'm like, oh, it's here to stay now
because it's not one hundred percent all the time and
it's not an exciting play.
Speaker 1: It's just not if I want to watch rugby, i'd
watch rugby.
Speaker 3: But you know what I mean.
Speaker 2: So, and I feel like the NFL is ever shifting
rule book. But I guess that's how you keep the
game fresh and you keep people interested and they're you know,
we're talking about it, right, So that's that's the thing.
But I mean, is it strategy based versus health concerns.
I'm not really sure.
Speaker 1: Well, there isn't enough people like have you seen the data?
Because the media, like you know, they're all about film
until they have data, and then the data like they're
supposed to dictate, you're not gonna have dada on it.
Here's the thing, Sean McDermott I had the question about this.
I asked some guys from hashtag sports their opinions. I
actually asked Greg Connors about his two we're talking to
him a second. But the thought is, the Bills ran
a very conservative offense considering this year, considering the fact
that they have shosh Allen now. People thought maybe it's
because he didn't have any weapons to work with. Uh,
they'd bring an extra offensive lineman every once in a while.
Why are they just you know, running the ball for
Why are they so conservative? And the guys from hashtag said, well,
here's the thing you gotta remember, Sean McDermott had a
front row seat to watch in Cam Newton's career, like
you know, climax and then immediately take a nose dive
because they would do the same they the Cam new
right did to right and who does as far as
his body type. Who does Josh Allen get compared to
Cam Newton. They don't want to see what happens with
Josh all who now handed what like a third of
a billion dollars to right that to happen to him.
And so when you watch Alan go through this, he
does like when Sean McDermott talks about his posture and
there's a radio station west of but Tavia, that was
like vicdermam made a silly argument, And I'm like, no,
he didn't. You make the arguments, dumb ass.
Speaker 6: Look at Alan.
Speaker 1: Watch the tape. The tape.
Speaker 3: Why do you get all work up about these guys?
I know because I know what I'm talking about.
Speaker 1: Okay, so watch the tape. Watch Josh Allen. Do you
want your quarterback being treated like a pinata six times
a freaking game?
Speaker 3: No, I don't adds up.
Speaker 1: It's not gonna hurt him right now. It might, but
it could hurt it could shorten his career.
Speaker 2: I put something on Facebook and someone wrote, you know,
should it be out louder? And someone wrote, the NFL
allows hard hits, turf injuries, and hip drop tackles. Yet
suddenly a rugby style scrum is where they draw the line.
Why is this the hill? Some coaches are willing to
die because it's the quarterback and the most important guy
in the organization.
Speaker 3: You really could?
Speaker 2: I mean, I keep thinking, like, just hit your neck
the wrong way. It's a head twist. I mean to me,
that's it.
Speaker 1: I think McDermott like question is though, is that okay?
Why run this play? Then that's where I think people
have an issue with McDermott, and I do too. I
agree with McDermott, this play needs to go. I don't
like the play. I hate the play for Allan's sake,
only I hate the play.
Speaker 3: Maybe he is like, maybe you won't see it at
all this.
Speaker 1: Year, Greg, Yeah, our friend Greg Connors, I said, why
would McDermott then go back on this. Is it because
he's being told to? Is it because his own his
fellow coaches are saying, Sean, we got to get rid
of this because it's worked out for the Bills like
ninety five percent of the time. He goes because he
will do whatever it takes to win regardless of the rule.
But if he can eliminate the rule now he doesn't
have to do it anymore, which makes a lot of sense.
Speaker 2: bTB would fire Pizza and Grill and the mall at
Grease Ridge. Matt Reese was in here earlier this week
from bTB and never mentioned that it's their fourth anniversary.
Always humble, always humble, But I mean, what a cool accomplishment.
Speaker 3: And get out there.
Speaker 1: God, the portions of things are so big.
Speaker 3: And all the food is delicious.
Speaker 2: I'm telling you you have some of this food, You're
gonna be bringing it home and heating it up for.
Speaker 3: A day or two and it's so good.
Speaker 2: I have been just so impressed with what bTB does.
And here's the thing. They got a new menu out there.
It's packed with mouth watering entrees that'll tantalize your taste buds.
They got everything from sizzling wood fired pizzas to hearty
Italian dishes. There is really something for everyone on the
menu and final four catch every slam dunk.
Speaker 3: And buzzer beater.
Speaker 2: They got over fifty TVs strategically placed throughout the restaurant.
Speaker 3: There is not a bad seat in the house. And
I want to remind you they have the longest happy
hour Monday through Saturday, eleven am to six pm. Unbeatable deals.
You got like three.
Speaker 2: Dollars tall domestic drafts, five dollar Tito's House wines. Make
bTB your go to spot this week and every week
for delicious food, great basketball and a festive fun atmosphere,
and make their anniversary it's just say happy anniverse. And
it probably can't keep it low key, I think maybe not.
I don't know. He never mentioned it four years. I
think that's an accomplishment. bTB would fire pizza and grill
in the mall at Greece.
Speaker 3: Rich.
Speaker 1: Yes, I woke up this morning. It was about a
quarter of the three.
Speaker 7: I woke up because I had to.
Speaker 1: Be happy to be a smart too.
Speaker 7: Sure that's right, buddy, prostate blues stay right, just saying right.
So I believe it came up and talk about masturbation
and keeping your prostate healthy how many times and clinically speaking,
you need to ejaculate to keep your prostate healthy. So
that's where I think the original impetus of getting somebody
who has some scientific knowledge.
Speaker 2: About this would come in. And Dan had I forgot
he was in your band? You said the original Diggler's Bridge.
Was he there at East End when you were the
Big Rock star and we took that picture. Oh he's
not okay, but the original, the original, the four to
eight version, okay. Yeah, And we didn't come around as
a break room until eight. That was when we started.
Maybe it might have been on nine. No, yeah, that's right.
And Dan Barney, So, Dan, you are a physician's assistant
in a urology.
Speaker 6: Office correct, Yeah, with the University of Rochester.
Speaker 8: Okay, primarily outpatient urology, so seeing patients and clinic pretty
much five days a week.
Speaker 3: Yeah.
Speaker 8: And I've been in neurology actually since two thousand and six. Okay,
so that was my kind of second Yeah, it's more
than I can even fat.
Speaker 3: The only event.
Speaker 2: Well, see that, Danny, Dan, I see Danny just turned
a nice shade of red. Just I had to throw
it in there. Well here, So what is the function
of the proceeds. I don't know that most people really
understand it. It's a gland, right, that's it's sort.
Speaker 8: Of land, and essentially it makes semen, Yeah, to mix
with sperm and appro create.
Speaker 6: That's it's about it.
Speaker 2: That's about it. And I would when men have had
this room. But does it also play into any part
of a rectile dysfunction.
Speaker 8: It can sometimes it can't get in the way of
you know, blood flow, nerve function, but it's it's not
the most common reason why men end up with that issue.
Speaker 2: Right, So what when men have had and there's a
few guys that I know who have had their prostate removed,
and there's a whole procedure. I think doctor Drew at
one point was talking he had his taken out and
what a process it was healing from that and coming
I guess getting all kinds of function. I would assume
is it because of you're cutting the muscles or is
there some kind of connection.
Speaker 3: Does it affect your sex life?
Speaker 6: Yeah, for sure.
Speaker 1: Question.
Speaker 8: Yeah, there's there's a neurovascular bundle that goes, you know,
right around the prostate, very close to it, and they
have to move those things out of the way in
order to take the prostate.
Speaker 6: You know, there's there's been the.
Speaker 8: More of a focus on you know, certain surgeons trying
to do what it's called nerves sparing, you know, uh,
procedures where you try to you know, have the least
amount of effect on the nerves as possible. You know,
if you if you cut the nerves, that just basically
you know, blocks the signal from you know, your brain
down to the penal arteries to say, hey, let's let's
get an erection. But those nerves are very sensitive too,
Like even if if you have a surgeon who tries
to spare those nerves, they get injured by even just traction,
you know, moving them out of the way, thermal injury,
you know, from the cautery they.
Speaker 6: Have to use to do. Yeah, well they got a procedure, Yeah,
so keep them bleeding.
Speaker 3: Down because there's a lot of probably tiny blood vessels.
Speaker 1: Yea, they just it.
Speaker 8: Yeah, people used to bleed a lot in the open
procedures they used to do for that was a relatively
high blood loss surgery until the Da Vinci robot you know,
came about and they started perfecting those techniques, taking out
the prostate you know, from more of a laparoscopic technique.
Speaker 1: Ye see, the robots are taking our jobs.
Speaker 3: Billy good. It sounds like it was good. It's a
steadier hand, and.
Speaker 8: It's it's gotten a lot better when I was when
I first got into urology in six that was kind
of really when you know, the DIVINCHI started taking hold
and you know, people who I used to see the
post operatively then compared to now, patients are doing much
better now, they're they're regaining continents much quicker. A rectile function,
it's lagging behind a little bit. But again, at the
end of the day, if if you have a prospect
that needs to be removed, the surgeon's number one priority
is you know, make sure that that cancer's out of
there and it's not going.
Speaker 6: Back, right, Yeah, that's important. Thing.
Speaker 2: Is it similar to a woman's hysterectomy type thing or
am I only in that.
Speaker 3: It's sexual function, right? Cancer in that area?
Speaker 8: Right, Yeah, there's you know, from from a physical standpoint,
there's a there's quite a bit more collateral damage when
you when you take out the prostate, you know, you're ye,
your urine goes right through the middle of the prostate,
you know, I tell patients all the time, I mean, think.
Speaker 1: About you, that's like the red sea.
Speaker 3: I didn't know that.
Speaker 8: Yeah, you think about your prostate a being like an
apple that has been cored. You can see right right
through the middle of right, and that's that's right underneath
your bladder. When you pee, the urine goes right through
the prostate. It's part of the prostate.
Speaker 1: It's like those aquariums where you walk underneath you see
all the fish.
Speaker 2: Yeah, so if your prostate is swollen and the you
can that's where the song somewhat jokingly saying it's three
point fifteen or it's a quarter to three in the morning,
I have to get up and pee, right. Frequent urination
is usually a sign of an enlarged prostate.
Speaker 6: And large procect most of the time.
Speaker 3: Yet why is that Because it's pushing on the bladder.
Speaker 8: It it well, it cand of imprint on the bladder.
It can also you know, talking about the apple, pretend
like that apple all of a sudden starts growing in
on itself, that core starts growing.
Speaker 6: In on itself.
Speaker 8: So where you had this nice you know, paytent space
for the yurine to go through, Now it's not so
it it takes longer to empty. And your bladder sometimes
can only squeeze so much for so long, and you
think you're empty, but there can be several ounces left
in the bladder. So you're starting with you know, the
third or half of the tank, and it, you know,
can keep waking you up. So those are the guys
that are in the you know, you go into the
men's room, you know, the urinal. You go in there
and you do your thing. You see and you're next
to the guy and how you doing? And you leave
and he's still peeing. You wash your hands, you're leaving
and he's still in there, you know, huff and puffing.
Speaker 6: You know.
Speaker 8: Those those are the guys who have have you know,
a lot of prostate issues.
Speaker 3: Have you ever turned to a guy and going, you
know what, here's my card.
Speaker 8: I've thought of it before, like, hey, you know, I
think I can help you out with this.
Speaker 3: It seems like there's a lot of discovery.
Speaker 2: But back to the masturbation, is there truth to that
that not mad but sex or masturbation ejaculation is healthy
for the prostate? And is there sort of a balance
like I think they were we read somewhere three times
a week.
Speaker 3: I don't know if that's true enough.
Speaker 8: And yeah, and this this is something they've been looking
into since like you know, I think the mid eighties
and then every you know, five ten years, another study
comes out. And what it seems to be is they've
they've been able to stratify that there's an amount of
about twenty one times per month seems to be the
you know, the threshold where if you're at that or
over there seems to be a reduced risk of incidents
of prostate cancer. And there's certainly more of an increased
incidence for those who are at the four to seven
times per month starting window, like like young ages or
like throughout. Yeah, they start looking at you know, people
in their twenties and beyond. You know, they're trying to
track these people through a long period of time, and
they go back and you know, there'll be people in surveys,
you know, and they get questions and then every couple
of years they send out the questions again, you know,
just to track them.
Speaker 1: Because there is a movement right now you've heard if
you've heard of doctor Jordan Peterson, a doctor Andrew Huberman
and others, they are they have like joined this what
they call it no FAP movement, right which is an
anti exacerbation movement, where like because it has nothing to
do with the prostate it's the idea of your dopamine
levels and your psychology that you're getting used to the
same climax that nothing could top, that's you're gonna go
and get crazier and crazier to try to overcome that
dopamine hit that you get an orgasm if you're watching
pornography and doing that all the time, right, And their
whole thing is, don't do it, just have regular sex.
But a lot of people you need someone to do
that with and if they don't have that, their recommendation
will don't do anything, but it'll raise your testosterone. There's
other So there's like a trade off to it. Does
that make sense?
Speaker 8: There is a little bit, you know, and there's you know,
certainly you know there's there's a double edged sword for that. Yeah,
it's it's more or less like what is what is
your personality?
Speaker 6: You know, there's you know, you.
Speaker 8: Can give certain people alcohol and you know they can
deal with it. But then there's some people who have
a higher tendency to become addicts, you know, and that
can be a problem to you talk about too much
like how much is too much? You know, there's right,
they don't say that in the literature, but you know
when it when it becomes a social detriment to you,
or it's you know, you're late for work again, or
you know you're you're just you're doing that. Sorry us Yeah,
you're you're you're cutting out time with your with your
spouse and you know things.
Speaker 1: Wall Street, Yeah, between like lunch and breakfast.
Speaker 3: What we a rectile dysfunction?
Speaker 2: And I maybe this isn't your area, but it's sort
of in that adjacent area. I would think, Uh, it's
a lot of times blamed on aging, But are there
other contributing factors that were not necessarily aware of, Like
most people don't something that most people don't realize is
actually affecting their rectile dysfunction that they if they eliminated,
maybe it would. I don't know if it's gonna cur
it necessarily, but with certainly maybe lessen it.
Speaker 6: Yep, for sure.
Speaker 8: And then and that is a very large part of
my practice as well. You know how I can't go
you know, thirty minutes during the day without talking about
erect heal dysfunction.
Speaker 6: It seems like in sleep.
Speaker 8: Yeah, and even but you're right, there's you know, it's
kind of you know, blamed on aging all that that
happens when you get older, right, you know, But the
most common cause in what happens as you're getting older
is your arteries are getting harder. Atherosclerosis the same thing
that causes heart disease. So fun fact, men who are
diagnosed or have erect out dysfunction earlier in age in
their forties, you're actually at a much higher rate risk
of having a cardiac event, higher risk of using fire strokes. Correct, Yeah,
you know, so it's you know, they say that a
man's you know, erection is a overall barometer of their
vascular health.
Speaker 2: Have you been to Leo's Baker and Deli in Eae
Rochester recently? Oh, you got to get there, throw open
every day, so it's very convenient. It'll satisfy your sweet tooth,
your sandwich cravings.
Speaker 3: Get the Cubano.
Speaker 9: Tell them Bilified said to have the Cubano sandwich, fresh
baked bread, hand crafted pastries, deli favorites, and desserts like
canols that'll make you rethink your self control.
Speaker 3: It's all waiting for you.
Speaker 2: So what's the best thing about Leo's Everything? Check them
out a Deskbats drive in East Rochester. Because every day
is a good day for Leo's. Because the best thing
about Leo's, oh everything.
Speaker 10: State it's a good day and it's head inside has
a soul. Life's hard to bread day.
Speaker 1: Because we keep it.
Speaker 10: Out of side.
Speaker 1: I do wanll not kind of tea shape blood and
directum the fancy gloves of.
Speaker 6: Where's the doctor? If you check it.
Speaker 3: I will say that I once had my prostate check.
This is I shouldn't. I just remember being really embarrassed,
and I didn't. I think I had to go home.
Speaker 2: I wore like in the mid nineties, gap had these
almost they were almost white, but they were very light
tan khaki khaki pan and I went to the doctor,
had a prostate issue. He loubed up, and then at
that time he wasn't saying white, you know, you may
want to wipe yourself. He's like, all right, we're good,
and I pulled I had I think I was blowing bubbles,
I asked, because there was so much that there went
so much loub and I think it squished through and
I had like a dime or maybe a quarter size
of the ointment or whatever right the lube through because
I was wearing boxer shorts at the time.
Speaker 3: And then I saw somebody.
Speaker 1: When we were like the poor girl who like had
to take her yeah sweats around. Yes, yes, that he
did a commercial for uh Men's depends.
Speaker 2: No, well, I mean it's just it's one of these things.
But I think that there's I think guys are more
open to talking about these things.
Speaker 3: Today.
Speaker 2: We did bring up testosterone. There's a lot of supplements.
You'll see it all over health foods and not health
food source, but like genc's and things like that.
Speaker 3: A lot of ads that are pushed at guys.
Speaker 2: I think there's even one guy who is I think
doctor Drew was part of his thing, but they had
some kind of testosterone supplement. And one of the side
effects as well, it may make you a little more
aggressive or angry. And I'm like, yeah, of course it does.
What what are the dangers with that are there? Or
is it better to try to raise it naturally and
let nature play it take its course.
Speaker 6: Yeah.
Speaker 8: I mean it's first off, you know, if I see
someone it's you know, you look at the whole picture,
and you know, I may have hundreds of patients on
some form of testosterone, you know, but the first thing
is to try to establish a reason why not to
give it, you know, and if I can and that
person's feeling better, you know, through you know, diet, behavior change, exercise.
And we can see some data that's showing you know, hey,
we're getting the numbers to move correlating with yes, I'm
feeling better, then you keep you know, going on that path,
you know, in a big cause of that sometimes as
men who have sleep apnea, snoring at night, not getting
into a deep sleep, you know. So for a guy,
testostereal levels they're never the same. You can check a
testogeal level five times a day, it's going to be
different every single time. It tends to peak in the morning.
So in general, stereotypically, men tend to be more frisky
in the morning, and.
Speaker 6: That's the morning Wood saw when the levels are generally higher.
Speaker 8: But if someone's not getting good sleep, they're snoring, they're
sleeping four hours a night, you're not getting into those
sleep cycles that trigger your body to say, hey, let's
make more testosterone, so that.
Speaker 6: Can be priority number one.
Speaker 1: So radio sleep.
Speaker 6: Yeah, there you go.
Speaker 8: Some patients I see, you know, they don't even get
on testosterone. They go back to their primary care doctor
and say, hey, we saw Dan and you know I
snore all the time at night. Should I get a
you know, sleep study? And they do and they get
that fixed, and over the course of several months that
the tea level starts, starts going back up.
Speaker 3: Okay, yeah, so.
Speaker 8: Yeah, there's there's a lot of Is it important for
men to check their tea level? It's not a recommended,
you know, routine screening, you know, because it's everybody's levels
all over the place. Someone may be running around at
three four hundred and they feel completely fine. You know,
another guy might need five six hundred. There's really not
a test to tell, like what is someone's threshold? You know,
it certainly declines as we age, you know, but there
are things you can do to you know, increase that.
Speaker 6: You know, like I said, sleep, good diet.
Speaker 8: You know, you don't have to be a health nut
per se, but you know, in general, moderation, lean protein,
healthy fats, fats that are in salmon, avocados, seeds, you know,
fruits and vegetables, zinc, you know, vitamin and.
Speaker 6: Yell that, all that good stuff, all that stuff.
Speaker 8: I eat the almonds I asked for on my writer
that I wasn't delivered today.
Speaker 3: By the way, cinnamon. Didn't you say cinnamon.
Speaker 6: Almonds just a nice little flame.
Speaker 3: Dusted Well, I was gonna say, I think cinnamon is pretty.
Speaker 1: Good for cinnamon is really good it is.
Speaker 2: Yeah, Yeah, that's because I have been told and I
think Dan set off Mike. I'm not sure if we
were on at that moment, but we've been told of
increased risks of cancer. I think you were told heart attack.
Speaker 1: Heart attack, and hair loss if you go through TRT therapy. Okay,
this is what I was told several years ago by
a doctor.
Speaker 6: Yeah.
Speaker 8: And in the mid twenty or mid twenty tens, there
was some studies that came out that made people pause
about that. There was a black Box Mornings that came out,
and recently there was a very large study that was
done and essentially, you know, more or less targeted men
who were a little more unhealthy that had cardiac risk factors,
you know, and they followed them for five years. It's
called the Traverse Study, and it just came out within
the last couple of years, and essentially, there was no
increased risk in all cause mortality. There was no increased
risk in heart attacks, strokes. There's a very slight increase
in aphib rates, atrofibrillation, blood clots, but nothing that led
to death. You know, blood pressure might go up a
little bit. Yeah, but again it's all in the proper
management of that, you know, or you know, some patients
ask me that what should my testosterial level be? You know,
and if it's someone who were starting on treatment, it's
basically the lowest level that you can get by with
during whatever treatment option you're using, you know, whether it's
a gell you're rubbing on every day, a shot you're
given to yourself once a week, hormone pellets that get
implanted you know, every three to four months, long acting shots,
they have testosal specific.
Speaker 6: Pills now, you know.
Speaker 8: So it's essentially that lowest level that keep you feeling
well and back like yourself, you know, while you're on that.
And it's it's a dose dependent thing, you know. I
can see, you know, a dozen different people on testosterone
and they may all be on different dosings of different medicine,
and it's it's kind of what what works for them,
you know, but it's it's very it's a very safe
treatment when it's managed properly.
Speaker 3: You know, you know, you have you go to a
doctor and not necessarily.
Speaker 8: And I and I see people who've been in the
you know, the bodybuilding industry for years and they they
come to see me and say they say, all right, listen,
I just I just want to get clean. I want
to do this right. I want to have somebody monitoring it. Yeah,
you know, and we don't have studies that say, oh,
what happens if you're te levels A thousand all the time?
You know, and then you just kind of have to extrapolate,
and you look at the car exactly. You look at
you know, the bodybuilding industry. There there is a higher
risk of people just sudden you know that you've been
on you know, the high level injections.
Speaker 3: Everything for a long time.
Speaker 2: Yeah, well I think there was just recently a bodybuilder
just died, like within the past two days. I came across, yeah,
forty four year old bodybuilder or guy at the gym.
Speaker 1: Yeah, yeah, yeah, it's about our age. I mean, well,
it's funny because like Ken Kamminitty, remember the steroid thing
happened to baseball. He ended up dying. Uh, he had
like drugs like later on stuff, But he didn't realize
that when he took steroids that steroid users typically cycle
on and off. He just kept going and going and going.
It didn't stop. And then when he stopped, all of
a sudden, he fell lethargic, so he kept going, and
guys like Koseka were like, no, bro, you gotta do
it like this. That's how Kiseko became like the godfather
of steroid usage because he actually, like this is gonna
sound ridiculous. He introduced really steroids into baseball and made
them more I don't want to use the word mainstream,
but educated a lot of baseball players how to use him.
He was kind of like a die. I mean, if
you've seen Koseko today, he looks fantastic still, he's like
sixty something years old, but like he did it like
in a proper way. Kim and I, he was just yeah,
doing it all the time.
Speaker 3: There's I almost.
Speaker 2: Feel like there's a rise in I don't know what
the right term is longevity doctors, but there are doctors
who are doing different hormone replacements and for men, right,
you know, and these things.
Speaker 3: And I always worry.
Speaker 2: I always go, are you making yourself more susceptible to
something catastrophic versus actually helping your your body? And I
don't know the answer. And it sounds like if you
do things properly, yeah, it can work out.
Speaker 3: Yeah.
Speaker 8: And I've just I've you know, been fortunate to take
care of some people for you know, over a decade now,
and you know, people that just they do well. I
have so many people that say, you know that they
they get their life back, you know.
Speaker 6: In one of the primary.
Speaker 8: Simms of low testosterones just feeling like low energy, like
I can't get up and do that, you know, motivation
like I used to go to the gym all the time.
I just I can't get myself to go, or they
go and it takes them five days to recover, you know,
you know, and just like mental clarity, mental fog. You know,
people are you know, say I'm not as productive at
work when my testosterone is low, you know. So it's
it's it's one of those things where you're looking at
numbers and there's guidelines that we use to you know,
kind of use as a benchmark of okay, should we
start pursuing this or not, you know, but if you
have symptoms going along with that, you know, it's worth
exploring that and ruling out some other potential causes of it,
you know first. And if if you can't rule out
any other cause, and your only other option is to
start testosterone, and that's a great patient to start that
and then they usually do very well, you know, over
over a long period of time. You know, we we
screened for prostay cancer. There's you know, there's there's some
data out there where the waters get a little bit
muddy with with prostate cancer and testosterone. One nice thing
with that Traverse study that was done, it showed that
there was not an increased risk in all prosta cancer creases. Right,
So you know, as as prostate cancer starts to uh
you know develop like uh change more and it gets
becomes more aggressive, then it does become a lot more
responsive to testosterone. So people who have higher grades of
prostate cancer, you know, you know, you got to pull
that back and stop. We actually have patients who have
prostate cancer, they've been diagnosed with a low grade prostaate cancer.
They choose to follow an active surveillance protocol where they're
not having their prostas taken out, they're not getting radiation,
they're not getting any other you know, focal you know, therapies,
and you know, but they say to us.
Speaker 6: Like I can't come off a testosterone.
Speaker 8: Like I'd rather I'd rather die than be off of this,
you know, like it's it's such a big change in
their life to be on it. And there's people now
who we follow who have prostay cancer or who we're
giving testosterone to. Can you keep you check their PSAs
every time they come in, and you know, you you
just watch for pattern changes and you know, you intervene
if you know something goes off, let your patient know,
get to.
Speaker 1: A doctor, Fellas, Yeah, well I got to. So I
got two buddies who are on TRT and every six
weeks they're getting their blood drawn, they're getting checked out.
Speaker 8: Yeah, it depends on what kind of treatment we're on.
You know, if I have somebody who's on you know,
let's say a gel or they're doing self injections, it's
a little more you know, visits in the beginning, but
once someone's on, kind of like an autopilot, it's generally
a six month follow up unless something Unless something changes.
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Speaker 5: Anny County Woman found out she won the lottery, okay,
and then realized she lost the ticket. She left it
in an old jacket that she donated to charity.
Speaker 1: Bullshit, that was an episode of The Golden Girls.
Speaker 2: Oh shit, well you got I don't know this lady
is claiming that she lost the winning ticket.
Speaker 3: How would you know that you had the winning ticket
if you don't have Kanny County the ticket in your possession.
The only way, no sense.
Speaker 1: The only way I could see that is if you
play the same five or six numbers every week and
have for years. Yeah that makes sense, okay, But like
there are these two guys in England back in the
nineties who like played the lot.
Speaker 3: Put it in a jacket and then I donated it.
Speaker 1: Yeah it's ridiculous. Yes, Bob'm just trying to give you,
like the one percent chance.
Speaker 3: Let me hear the rest of this.
Speaker 5: Because Vanny County Woman found out she won the lottery
and then realized she lost the ticket, she left it
in an old jacket that she donated to charity.
Speaker 4: Talk about a mayor the winning lottery ticket. It's not
a small one. It's worth two point five million dollars.
Her name is Mildred Simona Rouludo, and she says she
bought the ticket at a grocery store last May.
Speaker 1: It sounds like somebody would do that.
Speaker 4: Hey, I won, but where's the ticket. That's when she
remembered she had put it inside a jacket that she
donated to Vietnam Veterans of America.
Speaker 9: I was stupid.
Speaker 3: Fuck I was.
Speaker 1: There's no words for it.
Speaker 3: It was like Beyon, It's fortunate.
Speaker 1: How can I get it back?
Speaker 5: The organization donates clothing around the world, so that jacket
could be anywhere. PA lottery officials told Simoni Riluto she
must have.
Speaker 2: The tic covering some kid in a It inspires on
May eight, some kid in the chiefs winning Super Bowl.
Speaker 1: A Bill's winning Super Bowl. Yeah, you know, I mean
it's funny, like Mildred Chicluso or whatever.
Speaker 11: Okay, Like my aunt Millie like won a lottery ticket,
but she put in the jacket she gave away to charity.
Speaker 1: That was an episode of The Golden Girls. Sophia did
the same thing.
Speaker 11: She had a winning lottery ticket she's put in a
jacket they donated, they have sleeping had a homeless shelter
that night, and at the end of the episode, the
priest who's running the homeless shelter father, These people need
this lottery ticket more than I do.
Speaker 3: Why Why do you remember? I remember all the details
of The Golden Girls.
Speaker 1: My wife and I actually like watch it when she
wants to go to like, so she has to have
the TV when she goes to bed.
Speaker 3: When is this still on?
Speaker 1: Oh, it's like it's on Lifetime. I think it's on
the Hallmark channel or one of those channels, because all
these channels basically just promote each other. Now they're all
on about like four companies. So but yeah, the Golden
Girls are on like uh Binge.
Speaker 6: It was after he finished three Company.
Speaker 3: Yeah, I'm such a I love that you do that.
Speaker 2: But now there were some internet rumors that they were
gonna bring back the Golden Girls.
Speaker 1: Yeah, I heard about it.
Speaker 2: Well, I don't know if it was ever real or
somebody fantasized this and they put it on social media.
Speaker 3: But Maya Rudolph was gonna be part of it. Lisa
Kudrow from.
Speaker 2: Friends going to be on it, and she was gonna play. Uh,
I think who was of Rose's granddaughter? Yeah, Roses granddaughter
and then but they're also in their fifties now selves.
Speaker 3: The whole old school, with the with the health Dan.
It was a pleasure.
Speaker 2: We learned a lot of stuff reconnecting with Barrillo from
the old uh Diggler's Bridge days.
Speaker 3: Yeah, and Danny always good questions. I didn't I didn't
mean to make any I love though laughing. I love
how serious you get. It's my favorite.
Speaker 1: I appreciate that.
Speaker 3: Intelligence.
Speaker 6: Yeah.
Speaker 1: We had one guy calling the break going, hey, don't
you shut up?
Speaker 3: Or it's Vinny gonna love to get under your skin.
That's all right.
Speaker 1: Yeah, I've lived a life.
Speaker 3: I'm Bill Moran.
Speaker 2: Tomorrow someone's birthday or maybe today as you're listening to this,
we'll be celebrating tomorrow.
Speaker 3: I can't imagine who it is. Well see them.
Speaker 1: The land up opportunity for me is just a cursey
tell That child didn't make us feel But I don't
have to wait. You can't need a looking power cattle
like Tennessee