InDEPTH with Brad Byrd: No Shave November

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No Shave November. It’s not just men putting down their razors and growing out a beard, there’s an added significance to it.

No Shave November raises awareness about Prostate Cancer, which is the second most common cancer in men, after skin cancer.

1 in 7 men will develop Prostate Cancer during his lifetime.

Eyewitness News’ Brad Byrd is going in-depth with Dr. David Moore, a Urologist at Deaconess Clinic.


Brad Byrd: Welcome to in-depth. In these modern times, more men are growing facial hair. Whether it be a neatly manicured beard or goatee, scruff or perhaps a five o’clock shadow that stays at five o’clock all-day long.
Well, in November keeping the razor in the drawer takes on added significance.
No shave November raises awareness and money in the fight against cancer. Particularly, we’re talking about two cancers that can impact men – Prostate and Testicular.
Joining me now is Dr. David Moore, a urologist at Deaconess Clinic. And Dr. Moore, Prostate Cancer in particular kind of surprised men 1 in 7 men will develop prostate cancer – is that a number that’s going down or going up?

Dr. David Moore: That’s right Brad, it’s pretty steady actually. The number of men actually being diagnosed, but fortunately in advances in screening for prostate cancer, as well as treatment for prostate cancer, we’re improving survival.

Brad Byrd: Screening at times has been a controversial subject as far as blood tests are concerned and usually this takes place during a physical. So, this test can miss sometimes, tell me why.

Dr. David Moore: Well, the test you’re referring to is called PSA. It’s an incredibly powerful test and has been around for a number of decades now. When it first came out, it led to a dramatic drop in men who died from prostate cancer. So, it’s doing a fantastic job. But it led to some men, with lower-risk prostate cancer being overtreated for prostate cancer so, that’s where that controversy came from. Now-a-days we have a much better understanding of the PSA screening as well as the heterogenous nature of prostate cancer so, we know that not all of them need to be treated equal.

Brad Byrd: So, your best advice, see a doctor?

Dr. David Moore: Absolutely, PSA powerfully incredible test – it’s really good at picking up prostate cancer – it’ll also pick up other things. An elevated PSA is not a normal finding, but it can be a sign of prostate cancer. But it could also be a sign of a large prostate, which could cause bothersome urinary symptoms that interfere with your work or your sleep.

Brad Byrd: And that comes with age? A lot of men have an enlarged prostate.

Dr. David Moore: That’s correct. About 40 million men complain of an enlarged prostate. So, incredibly common.

Brad Byrd: What about these symptoms? Many men don’t even know they have prostate cancer at an early stage. When should you, I’m not going to wait for the physical, when should you see a doctor? What symptoms are raising red flags?

Dr. David Moore: In general, prostate cancer is not symptomatic so, that’s why it’s important to screen for it. Most men would never know that they had it. The typical urinary symptoms include weak stream, stopping and starting that tends to be, not always, an enlarged prostate – not from cancer. Those symptoms when it’s too late are symptoms once it’s spread outside the box to the lymph nodes or to the bones.

Brad Byrd: Incidents of prostate cancer are higher for black men, why is that?

Dr. David Moore: That’s correct. The number of risk factors for prostate cancer – race being the most common one or the biggest risk factor for cancer and the other is family history. So, African American race or a family history – your brother, your father would put you at a much higher probability for prostate cancer.

Brad Byrd: I know treatment depends upon the symptoms and the stage of the cancer, but how is this treated? What happens?

Dr. David Moore: Prostate cancer depends on the type, low-risk cancer, maybe a type you’re able to live with, and the high-risk that you must treat. It also depends on your age. We know the older men get, you’re more likely to have prostate cancer but it’s unlikely to impact how long they live, which is the most important thing.

Brad Byrd: Flying under the radar is Testicular Cancer – you say that affects younger men.

Dr. David Moore: That’s correct. Testicular cancer much less common. But in the men, it does affect, which tends to be a younger group of men (aged 15-35), it tends to be the most common cancers. That’s why pediatricians starting out and later on primary care doctors recommend that all men in that age group do a monthly self-exam. Painless lumps or bumps need to be checked out by a doctor.

Brad Byrd: Are any other cancers associated with prostate or testicular cancer? Obviously if you’re diagnosed with prostate cancer, you need treatment, but what are the dangers for men who may be in a later stage of prostate cancer?

Dr. David Moore: Typically, someone with a higher risk prostate cancer could have an underlying genetic abnormality and that’s being understood as a risk factor for prostate cancer. People with family history of prostate cancer or high risk cancer that spreads through the bones – those people might want to consider genetic testing because they might have a genetic disorder that they could pass onto their sons or daughters even.

Brad Byrd: Deaconess is asking everyone to send in their No Shave November pictures to USI VS Oakland City on Nov. 26th – awarding prizes for creativity with these beards.

Dr. David Moore: I’ll be there at half time to award them for most creative and best beards.

Dr. David Moore: I’ve seen some in the building that I’ve never seen before, one right over there, that person who is watching us now.

Brad Byrd: Thank you so much for joining us tonight, Dr. David Moore.

Dr. David Moore: You’re very welcome.

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(This story was originally published on November 12, 2019)

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