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<v Speaker 1>Eight thirty seven come up in a thirty eight here

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<v Speaker 1>fifty five KRCD talk station Brian Thomas with one of

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<v Speaker 1>the good doctors from OHC my cancer doctors. Yes, I'm

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<v Speaker 1>getting my CT scan today and keep my fingers crossed

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<v Speaker 1>because I've got low spectrum lymphoma. But today we're gonna

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<v Speaker 1>be talking about head and net cancer. Why because it's

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<v Speaker 1>Head and net Cancer Month in studio to talk about that,

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<v Speaker 1>doctor Joseph Shaughnessy. And just so you know, because you're

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<v Speaker 1>gonna want to get the number down, it's ohcare dot

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<v Speaker 1>com online, ohcare dot com eight eight eight six four

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<v Speaker 1>nine hundred for initial consultation for second opinion. To be

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<v Speaker 1>glad you're talking to them. They're outstanding doctors. Welcome to

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<v Speaker 1>the morning show, doctor Joseph, Joseph Shaughnessy. It's a pleasure

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<v Speaker 1>to have you here.

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<v Speaker 2>Thank you so much for having me.

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<v Speaker 3>Uh.

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<v Speaker 1>And you've got a well let's see here proof positive

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<v Speaker 1>in my hands. Uh radiation on colleges with interest including

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<v Speaker 1>breast cancer, head and net cancer, lung cancer, prostate cancer,

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<v Speaker 1>gastro intestinal cancer, and skin cancer. Broad field of of

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<v Speaker 1>work you do there, doctor.

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<v Speaker 2>Yeah, that's kind of the nature of what I do

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<v Speaker 2>out in the community. You know, see a broad spectrum

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<v Speaker 2>of cases, and yeah, that's just kind of the nature

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<v Speaker 2>of our day to day operation.

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<v Speaker 3>All right.

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<v Speaker 1>Let us initially establish what exactly is head and neck cancer.

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<v Speaker 1>What comprises head and neck cancer.

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<v Speaker 2>It's basically any cancer that starts above the clavicles. So

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<v Speaker 2>any cancer that arises in the head and neck region

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<v Speaker 2>outside of the brain, in the eye, those are normally

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<v Speaker 2>not included in this group of cancers. So that could

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<v Speaker 2>be a tonsil cancer, the back of the throat they

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<v Speaker 2>call it, the base of tongue, anywhere in the mouth

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<v Speaker 2>region or the gums, the voice box otherwise known as

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<v Speaker 2>the larynx. It can include the thyroid, and then even

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<v Speaker 2>skin cancers in the head and neck region. And then

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<v Speaker 2>there's some other rare cancers like the nasal passages or

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<v Speaker 2>the nasopharynx.

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<v Speaker 1>I just had to dwell us briefly, skin cancer in

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<v Speaker 1>the head and neck region that will be exterior on

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<v Speaker 1>your neck. That would still fall into your area of

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<v Speaker 1>practice or head and neck cancer.

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<v Speaker 2>Yeah, exactly, Okay, And then you know it can start

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<v Speaker 2>in the head and neck area on the external scan,

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<v Speaker 2>and then it could involve the lymph nodes underneath.

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<v Speaker 1>Or fair enough, fair enough because be pasty Northern European

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<v Speaker 1>descentate white guy that's had multiple severe burns when he

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<v Speaker 1>was a child. I have a regular standing visit with

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<v Speaker 1>a dermatologist annually because dad had a lot of removals.

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<v Speaker 3>Over the years. He spent a lot of time outside.

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<v Speaker 3>So just a little fun advice.

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<v Speaker 1>If you want to get at an appointment with a dermatologist,

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<v Speaker 1>then you might fuck you find yourself fall into that category.

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<v Speaker 1>Not to speak out of turn, doctor scheduled appointment now,

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<v Speaker 1>because it's going to be a long time before you

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<v Speaker 1>can get in with the dermatologist.

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<v Speaker 2>Yeah.

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<v Speaker 3>Often, I know, I know, it's crazy, it's just crazy. Anyway.

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<v Speaker 1>Is any one of those various cancers you talked about

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<v Speaker 1>within the head and neck cancer room more predominant than others,

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<v Speaker 1>like a softie deal cancer or the larynx.

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<v Speaker 2>Or I would say, so there's this category called the oropharynx,

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<v Speaker 2>that's the tonsils and the back of the tongue. That

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<v Speaker 2>is probably the most common side of origin, and then

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<v Speaker 2>second behind that is probably the voice box. Dirog cancer

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<v Speaker 2>is also a very common cancer, but that's kind of

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<v Speaker 2>in its own group. And not kind of really often

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<v Speaker 2>the focus when they're talking about having net cancer, but

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<v Speaker 2>it is grouped into that otory as well.

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<v Speaker 1>Do these cancers that you went down thyroid do they

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<v Speaker 1>carry with themselves different like risk factors like I've read

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<v Speaker 1>and I'm state in the obvious, I think most people

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<v Speaker 1>are paying attention. Smoking, of course, and alcohol consumption can

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<v Speaker 1>also lead to throat cancers.

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<v Speaker 3>Yeah.

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<v Speaker 2>Absolutely, you hit the nail on the head there. Alcohol

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<v Speaker 2>and various forms of tobacco exposure probably in some way,

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<v Speaker 2>shape or form, account for seventy to seventy five percent

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<v Speaker 2>of these cancers. So yeah, those are a both very

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<v Speaker 2>well known risk factors and both modifiable risk factors. And

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<v Speaker 2>it's also in a note you know, if you partaken

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<v Speaker 2>those things, cutting back or abstinence altogether can still markedly

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<v Speaker 2>reduce your risk of cancer in the long term. So

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<v Speaker 2>it's not like the damage is already done. Some people think, Okay,

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<v Speaker 2>I smoked my whole life, or I've been drinking excessively

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<v Speaker 2>for a long time. You know, I've already assigned myself

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<v Speaker 2>that permanent risk factor. If you can, if you can

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<v Speaker 2>scale back, you can reduce.

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<v Speaker 1>You It's never too late to quit exactly right. It's

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<v Speaker 1>never too late to convert salvation. Maybe around the corner

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<v Speaker 1>you maybe it'll avoid this type of thing. Well, how

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<v Speaker 1>about infections.

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<v Speaker 2>Yeah, so that's the other big kind of driver of

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<v Speaker 2>these cancers. HPV infection. That's short for human papaloma virus.

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<v Speaker 2>It's a family of viruses. They're very common. They cause

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<v Speaker 2>all sorts of things from like run of the mill warts,

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<v Speaker 2>but there are a few more serious types such as

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<v Speaker 2>HPV sixteen.

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<v Speaker 4>Oh and you know these these they like COVID nineteen

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<v Speaker 4>except HPV form no.

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<v Speaker 2>But yeah, you know, when they discover these viruses, they

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<v Speaker 2>just assign a number to them, kind of in order

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<v Speaker 2>of when they discover them. But it most people, it's

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<v Speaker 2>still a very common virus.

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<v Speaker 3>Most everybody's got it.

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<v Speaker 2>Yeah, most people have been exposed in some way, shape

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<v Speaker 2>or form, and then your body just gets rid of

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<v Speaker 2>it and it's not an issue and then it's just gone.

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<v Speaker 2>But a very small percentage of people don't clear it,

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<v Speaker 2>and it kind of festers and it can cause kind

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<v Speaker 2>of chronic inflammation and eventually cause a regular cell division

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<v Speaker 2>and then it causes the cancer.

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<v Speaker 1>So it acts in the same way HPV acts on

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<v Speaker 1>cervical cancer if you have HPV or servial cancer is

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<v Speaker 1>quite often, if not predominantly, caused by an HPV infection exactly.

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<v Speaker 2>That's it's the exact same mechanism. It's the same family,

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<v Speaker 2>it's the same virus as even the same high risk

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<v Speaker 2>HPV forms that cause cervical cancer can cause head in

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<v Speaker 2>neck cancers.

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<v Speaker 1>Okay, And not to get too graphic or specific, but

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<v Speaker 1>the mechanism by which one might contract HV and end

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<v Speaker 1>up with throat cancer sort of acts in the same

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<v Speaker 1>way as you get it when you end up contracting

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<v Speaker 1>cervical cancer.

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<v Speaker 4>Yeah, I mean, okay, direct contact and mouth and yeah right, okay,

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<v Speaker 4>So it's a sexually transmitted virus.

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<v Speaker 1>It's a sexually transmitted virus, Okay, regardless where it lands up.

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<v Speaker 1>That's the that's the point of it, all right, Oh,

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<v Speaker 1>of established that clear it up, that little bit of math. Now,

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<v Speaker 1>this other one, this HPV sixteen, I've never heard of that.

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<v Speaker 1>Now I've heard of you know, home h people. There's

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<v Speaker 1>there's a whole multitude of these HPV viruses out there,

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<v Speaker 1>and some of them can, like you said, can cause

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<v Speaker 1>warts like genital warts or I guess same thing that

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<v Speaker 1>happens in your throat.

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<v Speaker 2>Yeah, or even just the HPV viruses can cause skin

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<v Speaker 2>worts too. I mean there's so it's a whole spectrum

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<v Speaker 2>of these viruses.

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<v Speaker 1>Okay, and since most people have it, I mean, if

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<v Speaker 1>you're sexually active at all, I guess the statistics are

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<v Speaker 1>that you probably have at least or at least had

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<v Speaker 1>HPV infection.

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<v Speaker 2>Yeah, I mean I think I've seen that if you're

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<v Speaker 2>sexually active at all, there's over fifty percent chance that

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<v Speaker 2>you've had some sort of exposure to one of these types.

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<v Speaker 1>All right, how about oral, fair and genial cancers that's

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<v Speaker 1>caused by HPV as well, because because you say, the

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<v Speaker 1>notes suggest that they're on the rise.

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<v Speaker 2>Yeah, so that is that group of cancers that like

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<v Speaker 2>the tonsil in the back of the tongue, those are

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<v Speaker 2>grouped under the that's a part of your body called

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<v Speaker 2>the oropharynx. And yeah, smoking and alcohol related cancers have

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<v Speaker 2>been diminishing over time. People are engaging in more generally

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<v Speaker 2>responsible behavior and moderation. But these HPV related cancers have

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<v Speaker 2>been increasing over time because these viruses are just so

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<v Speaker 2>widespread now and exposure is so common. And yeah, the oropharynx.

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<v Speaker 2>Is that subset of head and neck cancers that tends

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<v Speaker 2>to manifest these cancers?

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<v Speaker 3>All right, well it's pauses eight forty five.

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<v Speaker 1>We'll continue with doctor Joseph Shaughnessy from OHC again online

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<v Speaker 1>in oh hair dot com eight at eight sixty eight hundred.

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<v Speaker 1>We're gonna get some other risk factors, typical symptoms. Uh,

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<v Speaker 1>we're gonna talk about screening a little bit and hopefully

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<v Speaker 1>can they be cured? He'll answer that question as well.

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<v Speaker 1>Don't go way.

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<v Speaker 3>A forty eight Pigbouck CARECB talk station.

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<v Speaker 1>OHHC my cancer doctors, ohcare dot coms where you find

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<v Speaker 1>them on line eighty eight six ft eight hundred in

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<v Speaker 1>studio doctor Joseph Shaughnessy, who's a head of net cancer

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<v Speaker 1>specialists among others. He's a whole litany of cancer specialist.

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<v Speaker 1>But we're talking about head and net cancer and when

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<v Speaker 1>we're talking about HPV, I asked about the vaccine and

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<v Speaker 1>it was a definite Yes, men and women can get

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<v Speaker 1>the HPV vaccine in order to try and stave off this.

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<v Speaker 3>Right.

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<v Speaker 2>Yes, I mean the HPV vaccine is essentially a cancer

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<v Speaker 2>prevention vaccine. It is targeted against the high risk forms

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<v Speaker 2>of HPV, not just sixteen. They include a bunch of

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<v Speaker 2>different variations of it sixteen, eighteen, thirty one, thirty three,

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<v Speaker 2>and all these different forms that have been shown to

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<v Speaker 2>be high risk. It can prevent infection and in turn

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<v Speaker 2>can lower your risk of these HPV related cancers significantly.

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<v Speaker 1>All right, now, I'm going on the side of I

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<v Speaker 1>don't care where you are with RFK Junior, I would

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<v Speaker 1>recommend getting that one. All right, What are the other

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<v Speaker 1>risk factors which which might cause head and neck cancers?

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<v Speaker 2>Generally we've touched on on really the main ones. Yeah,

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<v Speaker 2>I mean, you know, there are other certain environmental exposures,

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<v Speaker 2>certain kind of chemicals and substances, certain industrial exposures out there.

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<v Speaker 2>I mean, that's a very small percentage of cancers related

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<v Speaker 2>to that, but there can be you know, just oral hygiene.

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<v Speaker 2>If your mouth is in bad shape and you don't

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<v Speaker 2>take good care of it and you just have chronic

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<v Speaker 2>inflammation in there from bad teeth, et cetera. You know,

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<v Speaker 2>that can be a risk factor.

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<v Speaker 1>That should not happen to anybody in my listening audience.

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<v Speaker 1>You got doctors Peck and Frew. They're great doctors. They're

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<v Speaker 1>dennis to take care of you. Any genetic risk very little.

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<v Speaker 2>Okay, there's not any short answer, is now?

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<v Speaker 3>Okay?

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<v Speaker 1>Cutting to the chase. What do people need to be

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<v Speaker 1>looking for in terms of the typical symptoms, because you know,

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<v Speaker 1>you get people freaked out of it, like, oh my god,

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<v Speaker 1>it is what happening now? Is this related to throat

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<v Speaker 1>cancer or something? What are the symptoms?

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<v Speaker 2>Yeah, and that's tricky. There's a whole wide spectrum of

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<v Speaker 2>possible symptoms. I mean, what you're really looking out for

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<v Speaker 2>is something that is new and different for you and

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<v Speaker 2>it's not going away. I mean this can include like

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<v Speaker 2>a sore throat that's hanging around. Most sore throats are

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<v Speaker 2>not cancer related, but if you have a sore throat

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<v Speaker 2>that's persisting despite you giving it some time and some treatment,

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<v Speaker 2>that's something to get checked out. There can be wider

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<v Speaker 2>red patches in the mouth or throat that won't go away,

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<v Speaker 2>or you know, other gross or ulcers in that area.

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<v Speaker 2>If you have a change in your voice, like hoarseness

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<v Speaker 2>or a muffled voice, that could be a sign of

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<v Speaker 2>something going on. A new neck lump that won't go away,

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<v Speaker 2>difficulty swallowing, difficulty chewing, numbness or weakness in your face,

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<v Speaker 2>or you know, bleeding from your nose or mouth, that

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<v Speaker 2>it's more than just a once or twice off deal.

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<v Speaker 2>I mean, it's important to note that not all these

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<v Speaker 2>things mean you have cancer.

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<v Speaker 1>Well, that's why next you can go to your primary

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<v Speaker 1>care physician sort of add an outset and talk to that.

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<v Speaker 1>I don't need to call oh if I have a

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<v Speaker 1>sinus infection that doesn't clear up with antibiotics immediately.

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<v Speaker 2>Absolutely, your primary care team is your first line that

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<v Speaker 2>you know. They're well versed in managing these issues, and

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<v Speaker 2>they're very well versed and knowing when to escalate beyond

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<v Speaker 2>just conventional stuff like antibiotics or given it a little

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<v Speaker 2>extra time.

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<v Speaker 1>All right, So we've talked at we were talked at

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<v Speaker 1>length about the lifestyles and screening. So what about the treatability.

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<v Speaker 1>How treatable are these is it?

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<v Speaker 3>Can they metastasize?

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<v Speaker 1>I mean, I guess early detection is always usually really

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<v Speaker 1>the key to getting in front of it and being

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<v Speaker 1>we have to have a greater likelihood of success. But

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<v Speaker 1>what's going on in the area of treatments and do

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<v Speaker 1>people still have hope if they get diagnosed.

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<v Speaker 2>Yeah, So these cancers are very often absolutely curable, and

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<v Speaker 2>as you touched on, early detection and early intervention can

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<v Speaker 2>really tilt the scales in your favor. You know, if

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<v Speaker 2>it has spread outside the head and neck region, at

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<v Speaker 2>that point in time, it's more about controlling the disease

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<v Speaker 2>rather than cure. But the first thing we're thinking when

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<v Speaker 2>we look at any of these cancer cases is hey,

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<v Speaker 2>how can.

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<v Speaker 3>We get to cure here?

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<v Speaker 2>And there's a variety of tools that we have to

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<v Speaker 2>get to that.

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<v Speaker 3>Clinical trials going on for any of these types of cancers.

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<v Speaker 2>Absolutely, you know, we're always trying to get better, find

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<v Speaker 2>new things, refine our treatment algorithms. I mean, one of

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<v Speaker 2>the big pushes in some of these clinical trials is

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<v Speaker 2>actually sometimes de intensification of treatment. Sometimes these treatments when

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<v Speaker 2>you're doing surgery or chemote therapy can be quite intense,

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<v Speaker 2>and we want to find that sweet spot where we're

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<v Speaker 2>we're maintaining high cure rates but giving people as little

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<v Speaker 2>side effects as possible.

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<v Speaker 1>Well, piling on the incentives for lifestyle changes. While you

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<v Speaker 1>may not be able to avoid getting an HPV infection

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<v Speaker 1>in these worlds, in this world that we currently live,

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<v Speaker 1>in I see that patients with HPV induced or oral

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<v Speaker 1>faaryngeal cancer have a very high survival rate over five years.

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<v Speaker 2>Yeah, so you know, we do a great job with

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<v Speaker 2>these HPV related cancers. I mean a lot of scary

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<v Speaker 2>talk about how you know these viruses are out there.

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<v Speaker 2>People are getting these cancers. Often it can be you know,

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<v Speaker 2>younger patients getting these cancers. But the good news is

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<v Speaker 2>is that the cure rates, Yeah, can be around eighty

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<v Speaker 2>five ninety percent, even if it's already spread to the

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<v Speaker 2>lymph nodes in the neck regions, still very high cur rate.

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<v Speaker 1>Well, that is very positive information. But again piling on

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<v Speaker 1>the lifestyle changes, tell my listeners about the population that

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<v Speaker 1>have some smoking slash drinking related.

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<v Speaker 2>Yeah, I mean unfortunate only they just don't do as well.

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<v Speaker 2>Those are more stubborn, tricky cancers that can be treatment resistant.

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<v Speaker 2>And also you know the effects of smoking and drinking

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<v Speaker 2>for decades can make your body less able to tolerate

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<v Speaker 2>treatment well. And so the combination of all those factors

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<v Speaker 2>can I mean those cancers have a cure rate. I

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<v Speaker 2>mean often it can be under fifty percent.

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<v Speaker 3>Stuff.

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<v Speaker 1>You need to know, folks, And if you need a

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<v Speaker 1>second opinion, you've already been diagnosed. Get in touch with

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<v Speaker 1>OHC at eight eight eight six hundred. Of course, if

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<v Speaker 1>your doctor's suggests you need to be referred to a

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<v Speaker 1>cancer physician. I'm glad that I had a dear friend

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<v Speaker 1>of mine refer me to OHC. I've been at their

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<v Speaker 1>great care for years now and I strongly recommend them

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<v Speaker 1>as well as just from an independent person who's been

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<v Speaker 1>through that experience. Ohcare dot com is where you can

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<v Speaker 1>learn more. Doctor Shaughnessy, it's been a real pressure talking

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<v Speaker 1>to you this morning. Thanks for all the great work

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<v Speaker 1>you do and keep it up and I will again

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<v Speaker 1>encourage my listeners to get in touch with you and

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<v Speaker 1>related to cancer things.

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<v Speaker 2>Thanks so much for having me.

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<v Speaker 1>My pleasure is all mine. Twenty five folks. Peter Brownson

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<v Speaker 1>was in studio full hour Man. It's the twenty fourth

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<v Speaker 1>anniversary of the Cincinnati Riots, and we did a deep

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<v Speaker 1>dive into that The reality is certainly different than what

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<v Speaker 1>was presented in the newspaper. That's be sure you can

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<v Speaker 1>get a copy of his book Behind the Lines, The

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<v Speaker 1>un Told Stories of the Cincinnati Riots. Did the inside

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<v Speaker 1>scoop with the bright Bart news log in tonight Empower

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<v Speaker 1>Youamerica dot org and hear from Oliver Lane to London

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<v Speaker 1>Bureau Chief on what's happening in Europe, this sort of

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<v Speaker 1>populism rise that also seems to be taking place here.

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<v Speaker 1>He'll be doing a deep dive into that. Didn't get

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<v Speaker 1>the deep dive with Daniel Davis, but you also have

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<v Speaker 1>the information from OAHC fifty five KC dot Comy's ryheartmedia software.

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<v Speaker 1>While you're there the app tune in tomorrow Judge Inn

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<v Speaker 1>and of Politano Congressman Thomas Messy. Just scratching the surface.

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<v Speaker 1>Great guests lined up for tomorrow. Sean McMahon, thank you

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<v Speaker 1>for producing the program this morning. You always do a

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<v Speaker 1>great job. Folks, stick around. Glenbeck's coming right up.
