Welcome back to the Armor Men's Health Hour with Dr. Mistry and Donna Lee.
Donna Lee:Welcome to the Armor Men's Health Hour with Dr. Mistry and yours truly, Donna Lee. I am alone for this segment, but not really. I have one of our amazing partners. Dr. Jacomides here with us.
Dr. Jacomides:You know, I'm right here.
Donna Lee:I didn't see you.
Dr. Jacomides:I am invisible hiding behind this mask.
Donna Lee:I was saying I'm alone because people are like,"Where's Dr. Mistry?" Instead, we have Dr. Jacomides, who's one of our amazing partners. I love how people try to pronounce your name.
Dr. Jacomides:How did they say it?
Donna Lee:Sometimes it's"Jacomides," sometimes it's just"Jacko." I mean, it's just all sorts of fun names.
Dr. Jacomides:It's like Halloween, they want to make it a jack-o-lantern? Also, I want to make it like an Irish name, like Jack O'Mides.
Donna Lee:You could be Italian, Jacomides!
Dr. Jacomides:Grazie.[inaudible].
Donna Lee:You know, Dr. Jacomides speaks five languages.
Dr. Jacomides:That's right. And the Spanish, they call me Jacomides, and then sign language...well I can't show you, because it's sign language.
Donna Lee:Because it's radio.
Dr. Jacomides:Yeah, that's right. It doesn't work. Five languages, most of them are all kind of the same.
Donna Lee:They're similar.
Dr. Jacomides:The Greek, and in Greek it's Jacomides, so that's the more correct way to say it.
Donna Lee:Oh, because you are Greek You're a Greek descendant.
Dr. Jacomides:I'm a Greek freak.
Donna Lee:Greek freak. Let me tell people how to get ahold of you and us, but you can reach out to us during the week at(512) 238-0762. We're in Round Rock, North Austin, South Austin, and Dripping Springs. Our website's armormenshealth.com. Our email address is armormenshealth@gmail.com, where you can send your questions. Dr. Jacomides will answer them, Dr. Mistry will answer them. We will get them answered for you anonymously. This month, Dr. Jacomides is November. And you know what rhymes with November?
Dr. Jacomides:October.
Donna Lee:Mo-vember.
Dr. Jacomides:Okay. That was not quite right, but yeah.
Donna Lee:Mo-vember: which is men's wellness month.
Dr. Jacomides:That's right. Funny you should mention that because as no one out there can see right now I am sporting a very rocking beard, which I normally don't have.
Donna Lee:It's very manly.
Dr. Jacomides:And by next week, I think it'll be a full grown mustache like Tom Selleck or possibly the late Alex Trebeck. I haven't decided yet.
Donna Lee:Aww, Alex Trebeck.
Dr. Jacomides:Yes. But,"What is Movember?" As Jeopardy would ask.
Donna Lee:Go to the website guys. This month is about you and men's wellness. The men, the movember.com...I mean, this is a really incredible website. It's very comprehensive about men's wellness, their mental health, their prostate cancer, testicular cancer issues, check it out, but we want to talk about it.
Dr. Jacomides:Yeah, you know, I was, I remember sitting in, I forget I was in some ski resort town and I saw some woman across this bar. It sounds very seductive, but...
Donna Lee:Is Jenny listening?
Dr. Jacomides:Yeah, she, and it was Jenny. No. But nothing...Hi, Jenny, everything's good. But she had little mustaches on her as earrings and I just couldn't help but ask her. And this was like, right, probably when all this started out right when I was finishing up my residency and I asked her, and she said,"Oh, this is Movember." And as the website would tell you, this all started out in, with a couple of blokes down in Australia, you know, they were...I hope that's correct for you Australians, that horrible accent.
Donna Lee:Mate? Bloke, or mate?
Dr. Jacomides:Yeah. I don't know, whatever Aussies called themselves. You know, Aussie, Aussie, Aussie! Oy, oy, oy! And, you know, they just wanted to raise a charity event and talk about men's health. And next thing you know, it becomes a worldwide movement. So, this is some little thing I started doing, and a few others as well, you know, that we just started growing up facial hair because let's face it, it's not thing you see, since the 1970s or in select crowds of men.
Donna Lee:Gotcha. Well, and if you check out the website with us, it's movember.com and you'll see the little famous mustache. I think a lot of men know about this, but I'm sure most of the people listening are men, so check it out. But what does, growing the mustache in November, that's like the thing to do for Movember's for the awareness part?
Dr. Jacomides:Well, yes, that's the way you should do it. It's sometimes called no-shave November or something to that effect, because let's face it, mustaches sometimes are very hard to watch in this day and age. They think we're, you know, we're not Tom Selleck, we're not, you know, Alex Trebeck. We're not pulling it off, but sometimes we grow the beard as I do, and then scale down. I, my poor little daughter Bailey, she said,"Daddy, please shave that horrible mustache." I know when I remember when she's a little kid and I go,"Honey, I know it's your birthday and that's all you want for your birthday, but I just have to do it." But yeah, it is a different look for most people they're not used to, but it does provide conversation."If you're not a hipster, why in the world are you doing this?" And at least to raise awareness because I don't think we talk, we certainly talk about men's health, but most people don't.
Donna Lee:I don't think in the community they do. But yeah, the website's pretty interesting, because it's just a bunch of mainly looking men, sitting around, being men, talking about their issues. And then one of the first topics is"Grown a mustache! Raise funds for men's health with a'mo of your own." So a"mo-stach." But yeah, let's talk about that.
Dr. Jacomides:And a lot it, certainly the things that pertain to us, you know, prostate cancer awareness, which I've said previously, no one's ever aware of prostate cancer during prostate cancer awareness month, which is September. I think they need to move it. I don't know. It seems like, or if you will mo-ve it. But I think that they need to make it part of this movement to say,"Hey, you know, we just had breast cancer awareness month in October. Let's talk about this now." And I think it would have a lot more cache. You know, the testicular cancer is also there and it's a lot more rare. We don't talk about it much in this show, but I think it's a good to just make a slight aside for that, because it is something that certainly is unlike most cancers, hits the young fellows. You know, the 20 year olds.
Donna Lee:So when a guy calls in with pain, testicular pain, we take that pretty seriously. We're not making, we're not messing around and saying,"Oh, let's see. Tell us how it goes in a week or so." We're instructed to get those people in very quickly.
Dr. Jacomides:Yeah. And, frankly, that was until I joined the y'all, I didn't think of it that, but then again, some people do need to see, there's certain things that should catch one's attention. And if it's a torsion, a twisted testicle, that could be a six hour or you lose their testicle kind of emergency. So, you know, again, that may be what you have to do in case you can't get through or something or no one's answering, or you're waiting for insurance...At that point, if it's hurting that bad, it's like a heart attack. It's a ball attack. Go get an ultrasound, make sure it's okay. For testicular cancer though, Donna, as you probably know, because I think we've talked about it before, you've got a few weeks, not years to figure it out. You know, these things can double in size in weeks.
Donna Lee:Wow.
Dr. Jacomides:And so that, that was the adage when I was a resident in training, that the sun should never set on a testicular cancer. And you know, I certainly found one recently that you know, is, you know, fairly advanced. I think he's going to be fine.
Donna Lee:How old is the patient?
Dr. Jacomides:In his thirties. You know, and that's the point. It's not the old guys that get it. It's the young guys. But the beautiful thing is that we can feel our gonadal organs.
Donna Lee:Right. Self check.
Dr. Jacomides:Yeah. Unfortunately, that's the ovarian cancers are the ones that grow to be the size of a grapefruit or watermelon sometimes because they sort of hide in a certain part of the belly that doesn't get felt or cause problems. But there's no excuse when you have two of them that one of them doesn't feel like the other one that maybe you ought to go get it checked out, and that's no one better than Lance Armstrong who somehow thought that was okay, because he's just used to riding his bike for hundreds of miles a day. That's not normal. If you look at his ultrasound and chest CT, how long he waited, you know. So get in if you have that asymmetric...
Donna Lee:Well, he was super human, apparently...according to himself. We don't, we talk a lot about prostate cancer on the show, but why don't we talk about reminding patients when they're supposed to start getting things checked? Like, what are the points in life? Is it 40? Is it 50?
Dr. Jacomides:It's all over the place.
Donna Lee:Is it family history?
Dr. Jacomides:Do you care? Does anyone do PSA out there? You know, so again, my PSA for PSA is,"Get it checked if you got 10 years to live." That's my, at least 10 years to live, you know? So it doesn't help you again, if you're, you know, saying I'm 95,"I'd never had my PSA checked. Let's see what it is." Because the treatments can sometimes outweigh the benefits of training. The risks are higher than the benefits. But generally speaking, you want to see it at least at 50, that's still my, my go-to. The conversations just start happening in your forties, especially versus a first degree relative, meaning a brother or a father, you know, have some reason to suspect that you have a higher risk for cancer incidents. It's kind of like colonoscopy right now. They just they're changing that to 45, and again, these are men's health awareness topics too. Right? These aren't just urology. It's like, when do we start worrying about colon cancer screening? But yeah, start thinking about it 40, 45. 45 at least. And then no later than 50 to get your first one. Just a blood test.
Donna Lee:Yeah, just an easy blood test. We do have a t-shirt that we're looking at and considering that says,"Don't fear the finger." And there's a little cartoon man with a little tiny finger. So...
Dr. Jacomides:You know, what if anyone really is bored and listening and not driving check out the Brazilian mascot,"Senhor Testiculo." You know, talk about something horrible for testicular cancer awareness, you will lose sleep at night if you see this thing.
Donna Lee:Oh, no. Don't Google that.
Dr. Jacomides:Yes, no, but at least it's so, so funny.
Donna Lee:What is it?
Dr. Jacomides:S-E-N-H-O-R Testiculo. Oh yeah. Do it on the, on the break. You know
Donna Lee:This is why you shouldn't speak five languages. You know too many things.
Dr. Jacomides:Yes. The Portuguese, you know, Oh my God, you're going to love Senhor Testiculo. And Senhor Testiculo's going to love you.
Donna Lee:Scared now of all of this. Well, it is November. So, I mean, it's already later November, so everybody check it out. Especially you guys. It's movember.com. It's men's wellness. We also contribute, by the way, Dr. Jacomides. We collect funds for t-shirts that we have in the office that say"Nuts for urology." We use those proceeds to go to movember.
Dr. Jacomides:Oh good.
Donna Lee:So if you have a couple of bucks here and there, maybe you should donate, but definitely check out the website. But thanks for joining us today. And we can reach out to us at(512) 238-0762. That's our number during the week, you can ask to be seen by Dr. Jacomides.
Dr. Jacomides:Yes. By next week it'll be a full grown, bushy mustache, you know, almost like Yosemite Sam or something like that. And then by December before my wife divorces me, it'll be shaved
Donna Lee:Hang in there, Jenny we'll make him shave it. But you can also make an appointment to see his facial hair if you'd like.
Dr. Jacomides:Yeah. It has higher reviews by the way.
Donna Lee:But yeah. Give us a call during the week. Send us your questions to armormenshealth@gmail.com and we will get those answered for you. They're always anonymous. I'll send you a t-shirt if you request one and our website's armormenshealth.com and thank you so much, Dr. Jacomides!
Speaker 3:The Armor Men's Health Hour is brought to you by Urology Specialists. For questions, or to schedule an appointment, please call(512) 238-0762 or online at armormenshealth.com.