17 Burst results for "John Hickson"

"john hickson" Discussed on KTOK

KTOK

12:31 min | 1 year ago

"john hickson" Discussed on KTOK

"Like a needle or I think it's like a like a snake's no snakes bang yeah and it it just goes right through the the urethra in into the meat of that prostate and it shoots steam out I think it's in four different directions as this high pressure teach steam burst and it's a nine second burst wages sheets team all the way around through the tissue and respects the prostate capsule and also the bladder neck doesn't spread any other tissues no harm done anywhere else and it goes out it just does this thorough steam burn it to centimeter a sphere so far as I understand mmhm and and then we retract that that thing go onto a different area the prostate and you know both sides and if there's another area that need to be treated entry there too and and then we're done well back to the camera out there Catherine holding takes two minutes or less well done yeah and it's a put the Catherine the reason for the catheter is really just for safety nine the reason for that is the what I like to describe as if you sprain your ankle its walls out yeah right what happens if you sprain a two plus we'll close yeah well I don't wanna know that the risk is that swelling cluster maybe it will maybe it won't but hello I'm not going to gamble with my patients you're either now there's a chance to get away with this got free into fine but why why bother with so you know nobody's complained about you know Gee whiz I wish I didn't have this thing there is that you know I'd rather less is better safe than sorry keep it in there yeah and I think that's just ends up being a lot better so that works out really really well and I keep the catheter over the weekend not any problems and and so I you come in the next ma'am you said on Friday guys come in on Monday and get the catheter pulled out that things are about the same as they were before the procedure because every you know everything no no no change at that point and then over the next few days to weeks that that tissue that was exposed that steam starts to weather because I had a second or third degree burn and that that steam injury starts to kind of restrict the blood supply and that tissue distrust of shrink drinks away in a pulls away from that P. channel and guess what that piece you know gets wider and wider water opens further and further knowledge on your street your stream improves you can open water you can P. more completely you got a stronger stream and they're really really opens up the new patient say this is really actually pretty nice and and it's it was really pretty minor going through it and I didn't burn any bridges you know yes hello yeah a lot of folks go there and say now is nothing so it's really been a nice a nice option for a lot of my patients we're talking about the resume water vapor therapy to treat B. P. H. and it's a procedure that Dr John Hickson though does in his office and here on men's health this is what we talk about here on the mint on the men's health program that you describe a lot of things that sound kind of painful you we did a good job explaining how they are anesthetized but when that Anastasia fall from wears off it is there some soreness and discomfort you know I I've not had a single patient tell me that they're they've had had troubles afterwards you know they're they might discuss some pressure and fullness but they don't really discuss much of of the of the prostate pain now you can tell that you've had some work done but but now now I doubt you can expect to have some some bleeding some blood in the urine and urine to different degrees how much did I did a couple of guys on Friday and they they one guy had a little wisp of blood on Friday night he just a little twenty injured that pink and then that was all and then my other guy said you know I could see some pink lemonade all weekend and then by Sunday night it was it was clear but then if I had abandoned I could feel a little list of red kool-aid are going through but not at the end of the deal I told you know what you can expect that especially this guy little more activities more the gem younger guy Lagos of guy you know he's he's more on the on testosterone what have yeah so he's he's more of and how can I say more lifting and and straining and things like that I said you're going to expect to see with your type of activities that you're doing you might expect to see a little bit more blood whenever you're doing some heavy straining and things like that just for a minute and another few days but that often online up as as you go along because the brought the body heals so quickly after this again it's just a little thing right needle injection of that steam probe yeah they're not technically cutting it now now yeah yeah it's really pretty slick this is the resume of water vapor therapy we're talking to a doctor John Hicks on men's health we talked about the recovery and earlier in the program we were talking about EDT does this bring upon EDS are another side effect we might want to make note of that's another question I get a lot because it's you know it's all around the the the male organs down there and actually no it doesn't and and it's really it's so minor that there's no effect there's been some studies with big prostates if you can do it T. U. R. P. or the suprapubic prostate we really bring the prostate and shrink it down really really far you can see some improvement erection because there's some logic of if your prostate gets really really big and it's pushing and stretching on the blood vessels in the nerves going to the **** for the erections and then if you can reduce that the the bulk pushing and stretching those nerves and kind of bring that and tighten that up and loosen the tension on there you'll see some improvement after a certain interventions but that's more with the more involved stuff these type of procedures that we're talking about here today are are so minor you'll see no change at all to to the benefit or detriment so I would expect to see any change whatsoever and the big question I know insurance doesn't cover wars absolutely and so that's why we cross our eyes and our teas and I make sure that we go through the appropriate work out make sure we dock and everything appropriately you know not just you know come in do you have a prostate let's go and do the procedure that's you know they didn't tell me in medical school to have my job would be fighting with insurance companies and have that and I've gone through all these politics and what have you but that's that's the way it is and that it is nowadays so yeah you just have to understand what's required to get certain things approved to make sure that it's appropriate treatment for the appropriate patients not a one size fits all and so I just kind of go through and talk about all the treatment options with all of my patients just like I do with my right how this function patients and and talk about what what options are available and what they've tried and what their clinical picture looks like and what they may benefit from and then document accordingly I'm not having problems getting getting these approved at all Dr John Hitchens with us this is men's health earlier you mentioned you'll roll left let's talk about what that is the euro lives another really slick procedure they no I defended described that as a as a grappling hook and eye true story I I did a year left on a patient when I when I look into the I'll bring them to do and he brought me of that man sure if you've got that right I I'd be surprised if so we'll see if the if I get the same point across so basically if you can think about the prostate it whenever it it pushes out on on the it doesn't push and exactly circumferential it's not a perfect circle when the prostate squeezes in it squeezes in laterally or on the side walls so when you go with the camera it looks like a a really really steep triangle scissors to all pushing in on the sides and then the floor is a really just a really short days that's kind of you know just really really relation a narrow and then with really super duper tall walls and those walls are pushing in on the sides so what the urolift does is again imagine with me on the radio here without me drawing my terrible drawings or DMI silly hands is not here with you the you basically kind of take this is grappling hook and you push that through the side wall of the prostate so you're inside the prostate and not P. channel in the urethra and through this special you know hooked Needler curved needle you can actually push this grappling hook apparatus through the urethra through the meat of the prostate and then through the capsule outside the prostate kind of into the pelvis if you will to the degree and it latches onto the capsule outside the prostate flips on and grapples grapples honor that that process out there holds tight then you can that rope instead of having a rope like you know like that memo to climb on imagine a rubber band and now it's not a rubber band proper it's actually I'm elastic suture but it's a permanent future without with some really elastic tensile abilities the Paul that that future hardware there's a lot of tension build up in there hi there's a lot of tension pulled on their tight now and I'm I'm one that I can where I can see almost the the end side of the of the prostate in the read through here and I'm pulling that rubber band so tight so tight so tight and then I go into just inside on that you re thrown I put a clothes pin on it I just flush with with the urethra there and then what I do I cut that rubber band just on the on the inside there not all that dealt up tension on that rubber band does what Synge's Anja instantly mmhm sure engine entirely Sanches then and it pulls the the close pin inside the urethra close to the grappling hook hook outside of the castle the prostate and center that opened there and of course I'll pull one on the other side and then I'll do a couple it's you know to buy two one on each side all the way up that prostate as many as any distance as long as the prostate is just one row is all you need is any one channel and again you're monitoring this laparoscopic plea yes it is discovered early at live with the camera and the urethra and I'm putting them in there one by one and and well yeah one by one that I put in there on either side and I'm able to do this right and see the channel opening right before my eyes the bill to see how everything goes and then by the time I'm done I've got these this nice wide open channel of these anger synching open that process on either side and now all of a sudden woman got this wide open channel going from base to apex all the way through and now there's no tissues on on the on there is also edged up out of the way and I imagine the Anastasia is similar for the for the urolift procedure as it is for the resume yes the the euro lived can be done and clinic and I have done the year lived in clinic but it's a little bit more involved a little bit more cumbersome so I tend to do the role that's more in the operating room just more because it's it's it takes about nine minutes thirty minutes so again depending on patient preference and what have you I can give them wherever but I tend to do more your list and the operating room and more resumes and clinic that just happens to be patient preference but the the euro lived the other benefits of your left it is it's under.

"john hickson" Discussed on KTOK

KTOK

02:32 min | 1 year ago

"john hickson" Discussed on KTOK

"On your presence or absence of these symptoms for your prostate cancer that's that's something that that I really want to make clear we're talking about B. PH here on men's health and doctor John Hickson is with us now we are we mentioned some of the treatments and some of the drugs that you use what are some of the side effects as there always seems to be some absolutely so we'll go back to those five alpha reductase after I first all this talk about the the alpha blocker we talk to first so what else do you see the alpha receptors well he's him in your blood vessels and for the alpha alpha blockers were initially used for blood pressure pills and as a matter of fact we kind of urologists are our fees and a lot of our medicines frankly a lot of our medicines were initially used to treat other drugs **** for example was a pulmonary hypertension drug and we noticed that a lot of these people you you'd be intraparty also market and greater actions and urologist said tag yeah who who are stealing that and so there we went but but yeah I was is used to treat high blood pressure and even to this day there's a lot of of high blood pressure medications that will still use for the treat your streaming and and in fact they still do work but you have to be wary in some instances that some of these five off at alpha blocker drugs can lower your blood pressure in certain instances and where that'll really shows what we call for the static hypotension and so you have to be wary of whenever you go from lying to standing really quickly so you know the the classic example is you know you're laying down and you're kind you're asleep and then all of a sudden at the door by door bell rings or even worse what's the best way to get woken up here the dog how can on the rack hi yeah you're going to stand upright in no time that's the fastest way to get me standing up here and you get lightheaded or even pass out you can thanks so that's something that you kind of want to be wary of on set certain ones of these medications usually not an issue that can be sorry say if you're always medications you know figure out how it's gonna affect you you may want to go from laying kinda sitting put your feet on the floor she down for a minute stand up get your bearings there for a second or two and then go and take your first step is to issue okay it's never you never want to kind of get up and fall down go for a race on take your time so that.

John Hickson alpha blocker
"john hickson" Discussed on KTOK

KTOK

02:16 min | 1 year ago

"john hickson" Discussed on KTOK

"Is an enzyme that train that converts your testosterone to DHT DHT you may have heard of this and more mark more potent form of testosterone it's also the one next to go bald so that's really impactful and your prostate and can kind of drum that up and make your prostate a bigger more on almost a swollen but but kind of more couldn't connect that done a whole smaller now it'll make your P. channel tiger and so if you can give a drug over a certain period of time than that those five alpha reductase inhibitors can shrink your prostate of course it didn't do any good to shrinks estimates process have a small prostate so really only works well if you've got a large prosecuting again with and it takes a long time for that to start working you take that for you know a week or two in addition the difference it takes up to six months to start working but if you if you like this five alpha reductase inhibitors and I was trying to shrink that prostate it'll kind of shrink that frosted away from your P. channel and get that opened up so you're from your flow and prove if you're starting to notice some of the symptoms of BPH doctor John Hickson is with us and he is with those with men's health and we're gonna give you some information and just a little bit about where you can learn more about this but doctor X. and is there any reason to believe if you're having some of the symptoms of that it is something more so S. like prostate cancer yeah that's that's a question I get asked all the time asked if you know a short answer I say this town chief of course I can't say this you know definitively or what have you and you should always talk to your doctor doctor primary care doctor urologist and get the appropriate screening and check out what have you usually prostate cancer all the scary stuff they don't present with these types so that's why we have certain guidelines for getting your your screening criteria right excellent return fifty five year rectal exam the PSA every six to twelve months until you're sixty nine tell you having a.

testosterone John Hickson
"john hickson" Discussed on KTOK

KTOK

06:44 min | 1 year ago

"john hickson" Discussed on KTOK

"More of an issue we're talking to doctor John Hickson on men's health and talking about things that affect men like B. P. H. now are we talking about something as simple as I got up in the middle of the night I just had a hard time is it intermittent or would it be something more permanent that you'd notice yeah so usually it is something that's very very gradual and and and can be more more permanent more and more constant so you have flare ups if you have more of a prostatitis type of pictures so inflammation of the prostate neck can be caused by infections certain information dietary issues things you know some guys anytime they now have a few beers the prostate gets to play or certain things that they'll year Tring to get prostatitis down prostatitis is will be different and be PH because prostatitis is an acute or an intermittent trouble where you get it more from time to time you get a flare up BPH is going to be more of that yes steady more constant issue that you have over time and so that's that's that's going to be more of the the consistent issue now it's it's a slow progression happens over time and you may not kinda notice it or initially and you're gonna think back know what the past few years my stream is been getting weaker and weaker and weaker and so yeah that that that happens a lot well now that we've talked about symptoms of BPH here on men's health how many of those symptoms need to be present before we need to worry hello that's there's no real threshold route I've got a flyer I should say a fire at a a form that I have every patient fill out and at the bottom of that form there's a question of quality of life you know how bad does it bother you and when I guess where it's affecting your quality of life that's whenever we need to take action and and and treated to some for a fashion in order to step back we'll talk more about the symptoms there's a myriad of symptoms that it could be there's intermittency like you talk about start and stop your stream difficulty starting where yeah especially got to a football game and man I I got I got to make it you know during this this quick break and you go out there and yeah I can't start give me one drop to the has it is a real big issue and so so those are the obstructive symptoms a weak stream difficulty starting intermittency the those can really be a problem then you also have your date of when symptoms urgency frequency yeah incomplete emptying where you know you you you can't can't make it to Tulsa without stopping two or three times to the bathroom you know for you can make it through a movie without without going to the bathroom during the best part so that's urgency in frequency that's more of an issue that can also be a symptom of BPH that needs to be addressed and then also recall nocturia that's getting up two or three times a night you know one or two times a night especially after age fifty five or so that's not all that uncommon if you're you're that three four five times a night do not get any good quality sleep yes that becomes more of a significant issue and yeah that needs to get checked out so I'd say just think about how much is is really balling yet is it affecting your sleep is affecting your your kind of daily work your activities your car trips your interactions with the families and what our whatever is it affecting your your decisions on what what you know you're gonna be doing for us that day does whenever you need to decide okay maybe I do need to take action and get this address yeah I also know that sometimes you know your blood pressure medicines can can bring on some of the symptoms and make you worry particularly if it's a separate medication for the blood pressure and a diuretic you know the diuretic it is this kind of it and in my own personal experience has been okay you're going along and you think everything's fine and then you know so is it a similar would be PH yeah absolutely and no no no there were the bad actors is the the ID congestion the Claritin yeah he that'll just kind of ran your bladder would just get to where you live just gives out the weak bladder and young you're in the are for a catheter so you just kind of just on the edge of being able to enter your bladder to begin with and then you take the wrong over the counter drugs and your host so that's another thing to kind of you area speaking of medications you know what are some of the medications that are assigned to treat BPH so the really there's there's two families of medications and there's the alpha blockers and then the five alpha reductase inhibitors so the alpha blockers really what I like to call our muscle relaxers for the process so the prostate is primarily made up of two cell types there's glands which actually secrete the the PSA then there's the the five year the fibro muscular stroma that are actually will squeeze out the PSA whatever Siver exactly sure what I have yeah and I can just hold a certain level of tension some guys managers hold a lot of tension in the prostate for some reason or another there also is a muscle in years thinker and your bladder neck I should say just the latter next on this this feature itself per se but the bladder neck has a lot of muscular muscle fibers in it as well so if you take this alpha blocker most guys are heard of flomax very mom and drug in that family are the generic is tamsulosin then that that actually works by relaxing the muscle fibers in the prostate and the and the bladder neck so so that's how that works in the logic there is you know you got this donut shape clan and you know doesn't matter how large the gland is matters how how tight it is on the inside of the donor you know them so how how big or small the hold is on the inside of the gun a whole space right you might say and so how tight is that grip on the gun a whole space right there and so if you take this flomax or any of those alpha blocker drugs the purpose of that is to relax those muscles there to kind of loosen the grip on the urethra and hopefully break open that grip and and kind of open the floodgates of that so that the urine flow can go through their little more smoothly and you can't do your bad bladder better improve that hesitancy approve that stream and get your your your emptying and and just kind of improve your symptoms all in general the other family that we talked about as the five alpha reductase inhibitor so five alpha reductase is is an.

John Hickson B. P. H.
"john hickson" Discussed on KTOK

KTOK

05:10 min | 1 year ago

"john hickson" Discussed on KTOK

"The the the the seemingly coming and going of the PSA T. verses the actual examination for prostate cancer there seems to still be some conversation about that the medical community yeah so you know it depends on which which medical body of literature you subscribe to us of the American Association of American urological association recommends prostate cancer screening and healthy men age fifty five to sixty nine and so we recommend at least an annual PSA and rectal exam and then in that age group as long as you have the fifteen year life expectancy or better and the reason for that is prostate cancer typically takes about fifteen years or so to Killian slow growing cancer but it is illegal cancer right is one of the third leading cause of of cancer death and and men in America I I could I could be wrong there so don't quote me on that but it is still a significant cancer in the United States but it's it's not as as lethal as we once thought sure so the reason for all the controversy is and again don't quote me on all my my number's gonna kinda of spit on here but several years ago we looked at all these men in their seventies and eighties that had prostate cancer and so we looked at at their survival rates so we were diagnosed in all this prostate cancer in these guys their seventies and eighties and we were treating them and we look to their survival well it turned out that that we were hearing a lot of their prostate cancer up but they're all dying at about the same rate they were dying of prostate cancer they were dying of strokes and heart attacks and COPD and all this other stuff but they're not never dying of the prostate cancer to begin with so now the urologist Riggan shoulder surgery because they're all Pat themselves on yeah because we all were proud of ourselves for curing cancer yeah but it wasn't significant cancer to begin with so once we figure that out without will maybe we don't need to be as aggressive in screening for prostate cancer as we once thought we don't need to be as aggressive in screening for prostate cancer later in life so if you have a life expectancy of less than fifteen years after age fifty nine then the American urological association says maybe it's not as important to screen for prostate cancer the so we kind of shied away from that now you know that if a guy walks into my practice and he's seventy five years old he walks in with his dad and they just got the run and a five K. or half marathon then yeah that guy needs his prostate check that you know that guy is is the first guy in line to get his prostate checked his PSA absolutely so do you encourage both yeah yeah yeah I'm so and actually that's an important point my understanding the lecture I I encourage both or not so there's there's several cancers several prostate cancers will still show positive with it with a normal PSA so don't be fooled there's even though that the PSA is normal doesn't necessarily mean that you don't have prostate cancer I personally diagnosed several prostate cancers with a normal PSA just on an abnormal rectal exam so you can't have one without the other it is how I treat my patients so yes I would say well I don't want us really enjoy the rock the rectal exam well neither do I yeah but I'd much prefer to now the not right yeah it is just part of it now yeah so we would go everyone our ladies have to go through yeah exams that pretty benign yeah we got the better end of the day after so you know you go and you just have to prostate get the PSA yeah I have both of them and and then you move on so but both of those are important because again you can have prostate cancer with a normal PSA so just the rectal exam alone is not very good at that diagnosing prostate cancer just the PSA alone is not good enough to diagnose prostate cancer both of them together is the best that we have to diagnose prostate cancer and doctor John Hicks and can be your source for all of these questions at urology OKC dot com seven four nine nine six five five four oh five seven four nine nine six five five whether it's a question about prosthetics or about stress urinary incontinence erectile dysfunction testosterone or the prostate that we've been talking about anything to add doctor John Hickson let's see here so one question I god of all of the brief is one because I get a lot of time to say Hey have you had your prostate checked and the guy was a yeah I just had my colonoscopy number go you know they do check your prostate but it's just a brief on the looking for rectal masses yeah so that doesn't cut it so if you I'm glad that you guys are getting your colonoscopy is need you need to you after age fifty so hard my understand the literature but you still need to get your prostate checked in your PSA within.

"john hickson" Discussed on KTOK

KTOK

06:43 min | 1 year ago

"john hickson" Discussed on KTOK

"Little button or ball that sits in the **** and that's for guys that will become a little bit more than just a little bit here and there so if you're going through seven pad today you know quite a bit then you'd you'd benefit more from the from the cuff or the stinker arms that's got a little sailing hello in there when a little button that sits in the **** and whenever you're ready to enter your bladder you push that button that's in your **** and the Cup opens up devoid for ninety seconds and drain your bladder like you normally would and then then it reinstates on its own and the reason we're getting into this is that we want people to know that are listening to men's health today on newsradio one thousand Katie okay that there are solutions to these problems and they're relatively simple solutions that absolutely that lot of options and again it's a lot of this is so individualized is not a cookie cutters nine seven deal us the sun any talk to the doctor go go see somebody and talk to one individual basis see what what your history is what you've been through what's the cause of of the incontinence and a lot of times really multi factor there's a lot of different things that's going on and sometimes a lot of those things need to be addressed individually and you can kind of addresses and from a lot of different angles and get to a point where you're in conoces isn't groups is not just a one size fits all or just one thing is going to fix it and and to to you know get everything where you need to be you need to kind of do your homework from the ground up and doctor John Hickson is with us he has on men's health you can reach him at urology OKC dot com urology OKC dot com we've already talked a little about erectile dysfunction and one of the questions I didn't get to ask when we were talking about prosthetics sensation with the prosthetic is it are you is there a loss of sensation that's a question I get all the time so my my standard answer is I don't cut through any plumbing I don't get there any wiring of so the urination and **** are unchanged and your sensations also engine so if your jugular beforehand you she's actually afterwards and then the father to look at ceded the urination is unchanged in the sensations also changed so basically whenever we put these then put into about a one inch inch and a quarter incision at the front of the the **** I should go straight and put it right into the erectile bodies of procedure takes about forty five minutes to an hour and then you heal up and and you're good to go so no there should not be any change to the and cessation of or any of the the the plumbing at all and win the I guess this is also kind of a subjective question to win is it when do you need when you need this device Amanda what are some of the symptoms of severe Edie verses just I'm just having a low quality price yeah so that's where we get back to the three tiers tier one all oral medications just five of them here to the injections the urethra suppository the vacuum pump here three the gold standard you know implant so in my patient population and my treatment algorithm I like to go through at least two of the tier one to the oral medications and then we'll try one of the tier two options injections the original suppository or the vacuum pump and then we'll talk more about that you're so if you're at a point where that you're too is not quite cut the mustard you're not able to complete intimacy of on the tier two options then absolutely at your three is worth talking about it's just something to take again on an individual the individual basis discuss the the pros and cons and and go through and see if that's something that would fit as far as the medications are concerned are do you get a lot of complaints about side effects Sherman there's neither side effects with every medication for for any disease process really in the the side effects of the PDE five inhibitors or the erectile dysfunction medications are are no different side effects for the oral medications for right those functions like facial flushing headaches stuffy nose things like that were not a blue discoloration you know those are are not and not uncommon and have really severe side effects and some guys don't have any troubles at all so that it's it's all all on this but the spectrum some guys have a lot of troubles with one or two of those medications and none with the others and some guys have a lot of issues with all the different medit medications in that family and some don't have any issues with any any up so again it's just and then we'll go through with yeah every god individual basis I'm not a one size fits all doctor you need to go to some it is gonna gonna offer you know really a customized plan is gonna talk to you about what are you having problems with today they come in and say this is the one treatment that we offer that's that should be a red flag right and that kind of leads into my next question I'm a nurse so many me a call here go here fill this out and we'll send it right to you without and without a medicate without any medication in it what is the what are the benefits of seeing a urologist for problems like this yeah I mean in this day and age there's so many there's such a demand for on demand no fast and easy you know give give me this treatment right now options for all kinds of stuff for maybe that's not what's best of maybe what's best is you need somebody to sit down one on one take time to see what's going on with you and what's your history what brought you to this point today and when they can go through your list of of what's what's kind of which you're history and then what your goals and then look at your options and kind of talk you through all the pros and cons of all the different options and then then you guys can decide together what you think would be a good option for yeah well then that's a good plan right and so if you walk in the door and somebody says now he here's here's the here's your option now here's the bill then now that should draw some red flags I think that would make me uncomfortable right so that's not the to Stalin medicine that I would be comfortable with so that's that's something the different I think you would get with a board certified neurologist somebody that's going to take you and actually look at your a clinical history and and talk about you know what brought you here and what's going on and what your options are and why and doctor John Hicks and his the said board certified urologist you can reach more it but learn more and reach him at urology OKC dot com urology OKC dot com.

"john hickson" Discussed on KTOK

KTOK

14:08 min | 1 year ago

"john hickson" Discussed on KTOK

"Men's health with Oklahoma city's own doctor John Hickson board certified urologist at urology associates I'm your host Leigh Matthews and in the next half hour we're gonna be looking specifically at issues related to men and giving you straight answers to real questions about men's health and it's great to have you here I am Lee Matthews and we are talking about men's health with doctor Johnnie Dixon who's joining us now it's good to have you here that'd be really thanks for having me well let's talk about first of all your background doctor Hickson you've been in the Oklahoma area your whole life yeah born and raised I was actually born a Baptist hospital uhhuh and came out through the public school system on the buttons city high school southern Nazarene your university and you med school I tell everybody I went through all my schooling within five minutes of each other so I'm not really I don't I don't get out much we went out to West Texas my dad is originally from Texas tech for residency and go back home as soon as I could for at practice the urology associates what made you first of all want to get into medicine you know I think I just you know always enjoyed that is tomorrow I went to the doctor I was always fascinated with how they could you know fix people make a better of thousands come in need the role and you know just just enjoy the idea of of the the idea the physician and and the procedure now and and thought that was nice my grandma had a surgery whenever I was really young her glass gall bladder I believe and and that really got me interested in the surgical feels and I felt like urology was an interesting concept as I learn more about medicine got into medical school and you know when my family members had a prostate cancer believe when I was in college and learn more about prostate cancer specifically and then had a mentor I was in urology and found out about the the brook Rolla G. and all that was entailed there and and just fell in love with the field and never looked back well that and and and I don't know that there was any Eureka moment in your in your primary education where you said this is one out what I want to do with the rest of my life for you were maybe better it biology and physiology than some of the other sciences yeah you know I so like I said I want to be a doctor since since I was I could walk basically so I really had a pretty goal oriented education from from day one even in high school I I kind of tailored all my classes towards medicines I I emphasize biology and chemistry and what have you I take my own undergrad might so the Nazarene university because of their strong pre medical degree that could a cadaver lab in an undergrad supply I was a teacher's assistant so I I did a lot of human anatomy an undergrad and so yeah that really emphasizes surgical aspect there and and then and medical school you know really kind of focused a lot more on the urology aspect and and just kind of blossom there and and continue to grow and and just kind of a cap on well I then again and that was a my next question was and you kind of answered it already though is there somebody in your family I mean a lot of people get into the medical industry well my mother had cancer that's when I knew I wanted to be an oncologist or or so on there with you the for are you the first in your family date to become a again in medicine yeah my grandma was and our nurse for okay gates in a kind of a funny story with that when I was in high school of course not you know I don't want to be a doctor and I was in the one of the xcelerated kind of programs there they let let you get out of class to go shadow people and and your desired field so I got to shadow a general surgeon at the time and he said be in the are at this time and you can go stand by the wall and watch this surgery so I should of the hospital and and people found out my last name is fixin and they found out who my grandma was and she had just retired about you know six months or a year before hand they said oh you're you're so and so's the grandson so they they grab me by the elbow and and walking around the are in and of course my grandma had trained half the nurses and the whole department and so they they got me scrubbed in and gown and gloves and this and that and so I got to actually belly up to the our table and see first hand what usually don't get this into your medical students and I got to see the intestines and and really got to see the whole inner workings of of of that you know the human body at as it was you know Paul sitting in and the intestines you know all the and and this and that was really just fascinating and and I was I was hooked I just knew I this is it I mean I was you know a lot of folks going to see something like that that they just turned the opposite direction man I was I was cemented I was locked on at that point on so that really just just I I need a new there's no turning back at that point sure we're talking to doctor Johnny Hickson who is with us and this is men's health Johnnie Dixon is a he's a Oklahoma City raised to use also a board certified neurologist who specializes in men's health and will also get into some of the minimally invasive processes that you offer in your office but urology let's describe first of all what it is so you're Rolla G. is a surgical subspecialties and we specialize in the the the anatomy that is involved and the the adrenal glands the kidneys the ureters bladder and and the kind of organs of the pelvis and then also the the male reproductive organs and as well as the you know some of the female reproductive reproductive organs as they relate to continents and then also in the bladder so you know we deal with that kidney stones again continents prostates for men as far as prostate cancer and also you know just near urination frosting gets biggest kind and you get a weaker strain makes are you urinate and then yeah men's health as far as intimacy troubles comments as well and yeah I just kind of a anything that did that that deals specifically that is men only but also now when an intricate part I know it is growing as far as the need for urologists is there a particular need that we have now that we didn't have say ten fifteen years ago for more urologist like yourself well you know the the need has always been there but people are living longer aha so there's more there's more people that are in the demographic okay stand and there the number of urologists are kind of reducing their their aging out there's less urologist available so the the demographic is growing and the number you're all just available is shrinking and some some market so it's a busy time for urologist for sure but yeah there's you know just brought is getting big prostate cancer a lot of times that's that's men of a certain age your kidney cancers bladder cancers things like that often happen later in life then there's a lot of urology that we treat and younger younger age the second means **** cancer those are younger people issues that we do a lot of kidney stones obviously is is people of all ages in a conference at men and women can happen and and all ages so you know it's not just just you know middle age folks that we that we deal with but yeah a lot of a lot of urology is middle and later age folks I know you specialize and minimally invasive surgeries so once we have talked about this this need that is growing because people are living longer is a minimally invasive better than what we have the surgeries I know I guess everybody's I guess all surgeries are getting to be more minimally invasive is there is there a it is a definite calls for that yes as as technology is improving and techniques are improving or trying to do is figure out ways to do what what I my the an over generalization that I like to say is the big surgeries too small and I do that my vasectomies I do that in my my kidney surgeries my prostate surgeries and my kidney stones surgeries and anything anything that I do I try and figure out how can I do this faster and with less trauma to the patient so now with the advent at the end of the the robot the microscopically and with the robot we can do that do a lot more technically challenging surgeries are that we previously couldn't do or would take much longer and and a lot shorter time so the robot if you think about it is really just a sewing machine so for example let's say twenty thirty years ago if you had a small kidney tumor on the bottom the the bottom edge of your kidney standard of care would be to make a big six six inch incision and somebody's flank on their side and take the whole kit now standard and as as understanding the kidney got better well we we still kind of open but we just cut the cut the tumor out and then and then save save the rest the kidney that's great within seventy figure out what we can start to do laparoscopic surgery right that's where you will go on the belly Philadelphia with carbon dioxide and use long long sticks or long tools with little instruments on the envious scissors are fires are grassroots or what have you needle drivers to the use sutures to to cut out that tumor and then to sell it back up and use little alligator clamps with that are spring loaded took that close off the blood flow to beginning all do that and that's great but it's very challenging to do that I was just those sticks and then little up fire grips on on the back of I imagine so and and I've done that you know yeah so it's it takes a lot longer to do and whatever you're doing that there's no blood flow to the kidney time is of the essence certainly time is kidney is again is starting an ox right so now with the robot the robot has seven way articulation it can actually move and summoned his is better than the human risk and has has better rotational movement in the human race so we can go in with that that device and you can move the needle to a degree and rotate that around much more easily than in the human wrist and and and much smaller space so we can go in and put those same alligator clamp spring loaded alligator clamps over the blood vessel and then use the smaller instruments to use a very small scissors to cut out that tumor and then set that aside and then use the small Neil drivers to close at that space with that with the specialized suture and close that up in the Tate those alligator clamps off very quickly and that way the kidney is without blood for in some instances only ten or thirteen minutes and that's not fast enough that's not a slow enough to starve the kidney of auction so there's no real damage to the tissues and the the the the the the loss of auction is not enough to really harm the tissues of the kidney never really knows that was without oxygen and the kid is no worse for wear but now now you remove the cancer and your your note no worse off right and I imagine recovery time is quicker absolutely spend one night in the hospital when you know twenty years ago or even even ten fifteen years ago you would have spent five days in the hospital you know so and a lot more narcotic use of course nowadays we know all about the car because he knows he'll issues all yeah so anything we can do to reduce the the need for narcotics reduce the likelihood of of you know addiction risk and it's not as all the better we're talking to jot Dr John Hickson here on men's health on newsradio one thousand Katie okay I am your host Leigh Matthews and doctor Hicks in this this process you just described and you are a urologist and one of the specialties that you deal with our office activities do you use this process for discectomy I do I so again not with the robe robot specifically but I still use the same principles as far as minimally invasive our special device called the made a jet of and it allows me to do what's called a no needle nose scalpel technique for back to me really interesting process was is the vendor invented I think in the fifties I don't quote me on that I could be wrong but you take a device that shoots a hyper jet of light a cane so fine and so fast that it shoots this the jets of wind came directly through the skin and immediately into the tissue around the vast difference for instant anesthetic and as soon as that goes into the tissue to Millie nuns all the tissue around the vast of which is which is the two that were trying to shut off close and so once that's none I've got a special set of human stats were you my column surgical fires you may yeah a little bitty too easily yeah to dilate disk and just enough I get this other specialized clamp that's kind of like a little reading on.

"john hickson" Discussed on KTOK

KTOK

04:47 min | 1 year ago

"john hickson" Discussed on KTOK

"With the prostate cancer and help with research and we're talking to doctor Johnny Hicks and he is with the the urology associates OKC are here on men's health among the patients that you see do you would you say that that the prostate cancer is well element let me back up just a minute then because we talk about treatment options in the on call logical research of prostate cancer are there any breakthroughs were looking for something that is looting the experts that they're that they're they're trying to find or or wrote another treatment option of some sort you know we've really grown quite a bit as far as keeping the prostate cancer at day okay so prostate cancer if you think about it is the male cancer right you need to mail and one of the factors and that is it's fed by testosterone so that is the main target that we found that we can really crippling so one of the early treatments the one of the first treatments we found this estrogen and that we no longer do that I was in the very early days but the second thing that would they would just remove the **** and we can actually still do that another option that we do today is the standard of care is chemical castration a Lupron I do this monthly so she's me so once so the the the the thing with Lupron or or this chemical castration is it takes away your testosterone well there's still some endogenous and regions and those are some internally produced building blocks of steroids and testosterone building blocks isa precursors to share the testosterone so over time that prostate cancer will learn how to feed off of those building blocks so even though you shut down the testosterone learn how to grow off of those well we've got a plan for that so with the next step and over time a level it'll learn how to build off the next day and over time the next at the next so we've really done an excellent job of knocking down the first five or six steps and then we've got chemotherapy that's just a good cancer commit yeah and they've even even figure out a way to turn your white blood cells into blood hounds is if you think about it your prostate cancer is self it will use an air close so your white blood cells can't see your your fat cells are your fingernail cells are your muscle cells because they're you right your white blood cells your immune system cells they only find bacteria and viruses well they can't find your cancer cells you that's why if you have skin cancer your your immune system can't fight that well they figured out a way to take the process to take cells and they send them to a lab and they just like when a prisoner escapes and the old movies they take the prisoners yell white tee shirt and they put on the blood hounds knows and the blood found on the blood on his face so they take the white blood cells out and they they say come on to this prostate cancer receptors and again I'm super amped up about that one specific prostate cancer receptor then I put it back in your bloodstream and suddenly and so now your white blood cells can see this receptor that they previously could not see and a set of back in so really over the past I don't know five to ten years there's been an explosion and prostate cancer options check to really just kinda keep the pasta cancer there's really been exciting time because of you know opportunities like this your walk and all this a cancer research opportunities and we're just we're just continuing to ramp up it's really been a pretty awesome well and so awesome to have you here from urology associates OKC Dr John Hickson on men's health if people want to learn more about urology associates and about the zero are coming up yeah thanks very much work in a call so my client numbers seven four nine nine six five five I've also got a Facebook page that I'm not doing a very good job of keeping up that promise I'll start posting because I just put it on radio so yeah all I'll do their job now and we.

"john hickson" Discussed on KTOK

KTOK

14:20 min | 1 year ago

"john hickson" Discussed on KTOK

"Now a program brought to you by Boston scientific welcome to men's health with Oklahoma city's own doctor John Hickson board certified urologist deck urology associates I'm your host Leigh Matthews and in the next half hour we're gonna be looking specifically at issues related to men and giving you straight answers to real questions about men's health. and it's great to have you here I am Lee Matthews and we are talking about men's health with doctor Johnnie Dixon who's joining us now it's good to have you here that'd be really thanks for having me well let's talk about first of all your background doctor Hickson you've been in the Oklahoma area your whole life yeah born and raised I was actually born at Baptist hospital uhhuh and came out through the public school system on the buttons city high school so the Nazarene your university and you med school I tell everybody I went through all my schooling within five minutes of each other so I'm not really I don't I don't get out much I actually went out to West Texas my dad is originally from Texas tech for residency and go back home as soon as I could for at practice the urology associates what made you first of all want to get into medicine you know I think I just you know always enjoyed that is tomorrow I went to the doctor I was always fascinated with how they could you know fix people make a better of thousands come in need the role and you know just just enjoy the idea of of the the idea the physician and and the procedure now and and thought that was nice my grandma had a surgery whenever I was really young her glass gall bladder I believe and and that really got me interested in the surgical feels and I felt like urology was an interesting concept as I learn more about medicine got into medical school and you know when my family members had a prostate cancer believe when I was in college and learn more about prostate cancer specifically and then had a mentor I was in urology and found out about the the brook broadly in all those entailed there and and just fell in love with the field and never looked back well that and and and I don't know that there was any Eureka moment in your in your primary education where you said this is one out what I want to do with the rest of my life for you were maybe better it biology and physiology than some of the other sciences yeah you know I so like I said I want to be a doctor. since since I was I could walk basically so I really had a pretty goal oriented education from from day one even in high school I I kind of tailored all my classes towards medicines I I emphasize biology and chemistry and what have you I take my own undergrad my so the Nazarene university because of their strong pre medical degree that could a cadaver lab in an undergrad supply I was a teacher's assistant so I I did a lot of human anatomy an undergrad and so yeah that really emphasizes surgical aspect there and and then and medical school you know really kind of focus a lot more on the urology aspect and and just kind of. blossom there and and continue to grow and and just kind of a cap on well I mean again and that was a my next question was and you kind of answered it already though is there somebody in your family I mean a lot of people get into the medical industry well my mother had cancer that's when I knew I wanted to be an oncologist or or so on there with them you're the for are you the first in your family date to become a again in medicine yeah my grandma was and our nurse for okay gates in a kind of a funny story with that when I was in high school of course not you know I don't want to be a doctor and I was in the one of the xcelerated kind of programs there they let let you get out of class to go shadow people and and your desired field. so I got to shadow a general surgeon at the time and he said be in the are at this time and you can go stand by the wall and watch this surgery so I should of the hospital and and people found out my last name is fixin and they found out who my grandma was and she had just retired about you know six months or a year before hand is that your your sons those grandson so they they grab me by the elbow and and walking around the are in and of course my grandma had trained half the nurses and the whole department. and so they they got me scrubbed in and gown and gloves and this and that and so I got to actually belly up to the our table and see first hand what usually don't get this into your medical students and I got to see the intestines and and really got to see the whole inner workings of of of that you know the human body at as it was you know pulsating and and the intestines you know all the and and this and that was really just fascinating and and I was hooked I just knew I this is it I mean I was you know a lot of folks going to see something like that that they just turned the opposite direction man I was I was cemented I was locked on at that point on so that really just just I I need a new there's no turning back at that point sure we're talking a doctor Johnny Hickson who is with us and this is men's health Johnnie Dixon is a he's a Oklahoma City raised to use also a board certified neurologist who specializes in men's health and will also get into some of the minimally invasive processes that you offer in your office but urology let's describe first of all what it is so you're Rolla G. is a surgical subspecialties and we specialize in the the the anatomy that is involved and the the adrenal glands the kidneys ureters bladder and and the organs of the pelvis and then also the the male reproductive organs and as well as the you know some of the female reproductive reproductive organs as they relate to continents and then also in the bladder. so you know we deal with that kidney stones again continents prostates for men as far as prostate cancer and also you know just near urination frosting gets biggest kind and you get a week restrain makes RV urinate and then you know men's health as far as intimacy troubles comments as well and yeah I just kind of a anything that did that that deals specifically that is men only but also women instructors art I know it is growing as far as the need for urologists is there a particular need that we have now that we didn't have say ten fifteen years ago for more urologist like yourself well. you know the. the need has always been there but. people are living longer aha so there's more there's more people that are in the demographic okay and and there the number of urologists are kind of reducing their their aging out there's less urologist available. so the the demographic is growing and the number you're all just available is shrinking and some some market so it's a busy time for urologist for sure but yeah there's you know just product is getting big prostate cancer a lot of times that's that's men of a certain age of your kidney cancers bladder cancers things like that often happen later in life then there's a lot of urology that we treat and younger younger age the second means **** cancer those are younger people issues that we do a lot of kidney stones obviously is is people of all ages. in a conference at men and women can happen and all ages so you know it's not just just no middle age folks that we that we deal with but yeah a lot of a lot of urology is middle and later age folks I know you specialize and minimally invasive surgeries so once we have talked about this this need that is growing because people are living longer is a minimally invasive better than what we have the the surgeries I know I guess everybody's I guess all surgery to getting to be more minimally invasive is there is there a it is a definite calls for that yes Sir as as technology is improving and techniques are improving or trying to do is figure out ways to do what what I my the an over generalization that I like to say is the big surgeries too small and I do that my mastectomies I do that in my my kidney surgeries my prostate surgeries and my kidney stones surgeries and anything anything that I do I try and figure out how can I do this faster and with less trauma to the patient. so now with the advent at the end of the the robot the microscopically and with the robot we can do that do a lot more technically challenging surgeries are that we previously couldn't do or would take much longer and and a lot shorter time so the robot if you think about it is really just a sewing machine so for example let's say twenty thirty years ago if you had a small kidney tumor on the bottom the the bottom edge of your kidney standard of care would be to make a big. six six inch incision and somebody's flank on their side and take a look at now standard. and. as as understanding the kidney got better well we we still cut him open but we just cut the cut the tumor out and then and then save save the rest the kidney that's great will then somebody figured out what we can start to do laparoscopic surgery right that's where you will go on the belly Philadelphia with carbon dioxide and use long long sticks are long tools with little instruments on the N. B. at scissors are fires are grassroots or what have you needle drivers to to use sutures to to cut out that tumor and then to sew a backup of the usual alligator clamps was that are spring loaded took that close off the blood flow to beginning all do that and that's great but it's very challenging to do that I would just those sticks and then little up fire grips on on the back of I imagine so and and I've done that you know yeah so it's it takes a lot longer to do and whatever you're doing that there's love blood flow to the kidney time is of the essence certainly time is kidney is again is starting an ox right. so now with the robot the robot has seven way articulation it can actually move in some instances better than the human risk has has better rotational movement in the human race so we can go in with that that device and you can move the needle to a degree and rotate that around much more easily than in the human wrist and and I'm much smaller space so we can go in and put those same alligator clamp spring loaded alligator clamps over the blood vessel and then use the smaller instruments to use is very small scissors to cut out that tumor and then set that aside and then use the small Neil drivers to close out that space. with that with the specialized suture and close that up in the Tate those alligator clamps off very quickly and that way the kidney is without blood for in some instances only ten or thirteen minutes. and that's not fast enough that's not a slow enough to starve the kidney of auction so there's no real damage to the tissues the the the the the the loss of auction is not enough to really harm the tissues of the kidney never really knows that it was without oxygen and the kid is no worse for wear. but now now you remove the cancer and you and your your note no worse off right and I imagine recovery time is quicker absolutely spend one night in the hospital when you know twenty years ago or even even ten fifteen years ago you would have spent five days in the hospital you know so and a lot more narcotic use of course nowadays we know all about the car because he knows he'll issues and all yeah so anything we can do to reduce the the need for narcotics reduce the likelihood of of you know addiction risk and it's not as all the better we're talking to John Dr John Hickson here on men's health on newsradio one thousand Katie okay I am your host Leigh Matthews and doctor Hicks in this this process you just described and you are a urologist and one of the specialties that you deal with our office activities do you use this process for discectomy I do I so again not with the robe robot specifically but I still use the same principles as far as minimally invasive our special device called the made it yet and it allows me to do what's called a no needle nose scalpel technique for back to me really interesting process is is the vendor invented I think in the fifties I don't quote me on that I could be wrong but you take a device that shoots a hyper jet of light a cane so fine and so fast that it shoots this the jets of light came directly through the skin and immediately into the tissue around the vast difference for instant anesthetic and as soon as that goes into the tissue to Millie nuns all the tissue around the vast of which is which is the two that were trying to. shut off clothes as the ones that's none I've got a special set of human stats were you my column. surgical fires you say yeah a little bitty too easily yeah. to dilate disk and just enough I get this other specialized clamp that's kind of like a little reading on the tip of it and I goes in and graphs grass the vast difference which is about the diameter of the cooked piece of spaghetti..

Oklahoma city Leigh Matthews Boston scientific John Hickson ten fifteen years twenty thirty years thirteen minutes five minutes six six inch twenty years six months five days
"john hickson" Discussed on KTOK

KTOK

04:45 min | 1 year ago

"john hickson" Discussed on KTOK

"And we're talking to doctor Johnny Hicks and he is with the the urology associates OKC are here on men's health among the patients that you see do you would you say that that the prostate cancer is well let me let me back up just a minute then because we talk about treatment options in the on call logical research of prostate cancer are there any breakthroughs were looking for something that is eluding the experts that they're that they're they're trying to find or or wrote another treatment option of some sort. you know we've really grown quite a bit as far as keeping the prostate cancer at bay okay so prostate cancer if you think about it is the male cancer right you need to mail and one of the factors and that is it's fed by testosterone so that is the main target that we found that we can really crippling. so one of the early treatments the one of the first treatments we found this estrogen. and that we no longer do that I was in the very early days but the second thing that what they would do is remove the **** and we can actually still do that another option that we do today is the standard of care is chemical castration a Lupron I do this monthly. so. he's me so. once so the the the the thing with Lupron or or this chemical castration is it takes away your testosterone well there's still some endogenous androgens and those are some internally produced building blocks of steroids and testosterone building blocks I serve precursors to share the testosterone so over time that prostate cancer will learn how to feed off of those building blocks. so even though you shut down the testosterone learn how to grow off of those well we've got a plan for that so with the next step and over time a level it'll learn how to build off the next day and over time the next at the next day so we've really done and excellent job of knocking down the first five or six steps and then we've got chemotherapy that's just a good cancer can yeah and they've even even figure out a way to turn your white blood cells into blood hounds is if you think about it your prostate cancer is self it will use an air close so your white blood cells can't see your your fat cells are your fingernail cells are your muscle cells because they're you right your white blood cells your immune system cells they only find bacteria and viruses. well they can't find your cancer cells you that's why if you have skin cancer your your immune system can't fight that. well they figured out a way to take the process to take cells and they send them to a lab and they just like when a prisoner escapes and the old movies they take the prisoners yell white tee shirt and they put on the blood hounds knows and the blood found on the blood on his face. so they take the white blood cells out and they they say come on to this prostate cancer receptors and again I'm super amped up about that one specific prostate cancer receptor. then I put it back in your bloodstream and suddenly and so now your white blood cells can see this receptor that they previously could not see and a set of back in so really over the past I don't know five to ten years there's been an explosion and prostate cancer options check to really just kinda keep the pasta cancer that feel of an exciting time because of you know opportunities like this you know walk and all this a cancer research opportunities and we're just we're just continuing to ramp up this road and that's pretty awesome well and so awesome to have you here from urology associates OKC Dr John Hickson on men's health if people want to learn more about urology associates and about the zero are coming up yeah thanks very much work in a call so my client numbers seven four nine nine six five five I've also got a Facebook page that I'm not doing a very good job of keeping up that promise I'll start posting because I just heard on radio so yeah all I'll do their job now. and we got.

Johnny Hicks ten years
"john hickson" Discussed on KTOK

KTOK

13:34 min | 1 year ago

"john hickson" Discussed on KTOK

"Brought to you by Boston scientific welcome to men's health with Oklahoma city's own doctor John Hickson board certified urologist at urology associates I'm your host Leigh Matthews and in the next half hour we're gonna be looking specifically at issues related to men and giving you straight answers to real questions about men's health and we once again welcome you on men's health as we talk about the issues that some men may be very comfortable talking about and some may need a little encouragement talking about them but the one guy who knows all about it is joining us he's with urology associates and he's doctor Johnny Hicks and how are you Sir I well I'm well the thanks for having me you know you're so comfortable to talk to about some of these very sensitive issues do you ever have patients that are so shy they can't tell you what's going on yeah more often than not well I shouldn't say that the the very very often I'm not guys and we always have the what you call the door on the handle by the way you know questions and so you know you can just kind of senses so that's where you just kind of you know you beat around the bush and ask about the weather and and then you just gonna have to make them feel comfortable and eventually the questions come out and and that's when the the real talk charge to come out well a doctor John Hickson is a urologist who specializes in men's health and minimally invasive surgeries we're talking no needle no scalpel of accent by sector means among other things we talked a lot in our last program doctor Hickson about Edie and some of the treatments for Edie and I just wanted to quickly reiterate how Edie and my experience was something that came along very slowly and when I. finally was diagnosed with at least a small form of it my first panic attack was does this mean I have some other cardiovascular problems yeah and not necessarily but it does it does raise the question and and frankly the fact that you had that thought needed you're really aware and and a lot of people just run along and never had that thought so kudos to you for even thinking that way and and it should prompt a conversation with your primary care doctor and maybe even the urologist and hopefully one of the two had at least a conversation and looked at your blood pressure and other medical issues and and maybe reviews and your medications with yeah and and and kind of one of the process and and rebel to find to find in some things with it but but a plus for even just kind of having that that thought process well and I am in in tune to men's Milton Timmons help I want to live and be active as long as I can so I take care of myself when I try to eat right exercise regularly and I don't have a history of any long term illnesses so when it happen to me that was a it was a big puzzlement fortunately for me the treatment was one of the oral medications that changed my life. but you deal with that and and other to your medications as well sure absolutely yep. well doctor along those lines and we'll get to this in just a minute one of the one of the things that plagues ma'am I don't know if it's more than it used to be but was prostate cancer I want to get into that in just a minute here on men's health but can you quickly go through your three tier treatment when it does come to Edie first let's repeat that yeah sure so like I said I mean direct all this function in a three tier approach here one is all the oral medications there's five of them Cialis stendra staxyn the beach and **** here too is the injections the reader suppository in the vacuum pump and tier three is the gold standard the penile implant which has the highest patient and partner satisfaction of all the treatment options. and one of those will solve the problem yeah yeah absolutely yeah and in one degree or another yeah we talked about some of the Senate side effects of the oral medications for me it's a little like sinus kinda headache but it doesn't last very long right and it hasn't really because the enough of a problem for me to see and I want to take that anymore but for some people it's worse yeah absolutely I I've yeah some guys like I said you know travel stuffy nose and eyes headache some guys flu like symptoms and all my god I just puts me out of that I don't want to do. so you know just kind of to each his own and and some guys will try different medication have the same problem some guys try to make met medication no issues whatsoever so as I would just work it up and and I I don't practice one size fits all medicine all I'll go through and and work out work out whatever I need to with each patient on an individual basis that's the other thing about the urology associates Casey and doctor John Hicks and is that he's here in Oklahoma you're from Oklahoma City born and raised I was born here and I'll die here where did you do your medical training. the my medical school here in Oklahoma City actually did the last two years and my clinical training and also and in my residency was in Texas tech out in West Texas red raiders that's right I can. but you're here you're in practice now and you have answers to a lot of the questions let's talk about something that's very scary especially for men and that is the dreaded prostate cancer now I realize that prostate cancer ten to fifteen years ago was certain certainly a much more serious diagnosis than it is today. yeah released it was it was feared to be so what we found now I think so what the issue was is we. for diagnosing a lot more prostate cancer because we found PSA. and when they found the PSA diagnosing his prostate cancers work hearing all these prostate cancers a lot of urologist how to get a lot of shoulder surgery because were patting ourselves on that. hearing this prostate cancer we figured out is the the survival rate the overall survival rate of these men was not changing all all that much because it takes a long time to dive. it has to metastasize to something else does it not right yeah yeah usually to the owner of that and so on so we've really kind of pulled back on our our screening guidelines and also our treatments guidelines and so on talk a little bit about that today and and just kind of kind of go from there and there's some civil new wants to to how we recommend approaching prostate cancer screening and I have personal experience with this because it used to be all when you turn fifty then they backed that up when you turn forty five you get the dreaded now the finger test we seem to be going by the wayside more and more yeah depending on on which organization use five nine so if you if you go by the urologist which you know of course I'm biased I mean urologist board certified your all your. the American urological association recommends a rectal exam and a PSA in in healthy men age fifty five to sixty nine hi of and then after age sixty nine if you're in excellent health you can continue and they recommend you know roughly an interval of every other year until the the patients as I'd rather not be treated regardless of the pager. and so they qualify excellent health as a life expectancy of fifteen years ago. so now there's a lot of of kind of new wants that and and subtleties I've got some patients that are you know sixty two that do not need prostate cancer and the reason for that is he's got heart failure and uncontrolled diabetes and let's say. thank you have a cancer. like I doesn't need prostate cancer. so. we're not going to worry about a rectal exam yes if. now how about the guy that's seventy six years old but just finished a marathon and comes in a clinic with his father. well yeah that that guy needs prostate cancer you know so there's there's there's exceptions to every rule right you can't just make a black and white category or or algorithms for the whole population so these be taken on an individualized basis for everybody now if you have a family history of prostate cancer you might shift that up by five years or so African Americans are at a higher incidence of prostate cancer so you know you may do that for by a little bit as well and yeah I just have a conversation with your doctor about your own comfort level in this and that now a lot of other sea ice in family practice doctors will have stopped doing rectal exams due to their guidelines and and they they run their own evaluation of the literature you know I've personally diagnosed I think five prostate cancers in the past two or three years abnormal PSA. and the truth is. when. so not to get too abstract here no but you're leading into the next question I was going to ask him is it possible to have a false P. S. A. P. yes I am now so the. what what is what is what is cancer well given normal prostate tissue cell or a prostate cell okay that's when it when it looks it's text it's got the great beautiful nucleus and cell wall on the has perfect just the way it should well when it turns to cancer means something genetically is all right it can be off by a little or can be off by a lot. well when it's off by a little still making PSA and sometimes it makes PSA and it leaks that out and it's just it's hemorrhaging PSA makes a whole lot of. well it's off by a lot really just it just looks nothing like prostate cell because it's just so high grade really off it doesn't make PSA it's it's so bad that it is it doesn't look anything like a normal process. so doesn't make PSA. the PSA is normal or low so now this has walked around the normal PSA was really super that high grade PSA yeah I. and if you just put a finger and check his prostate you feel it you know obviously right away. so yeah that's a that's a false sense of security so I strongly recommend a prostate exam once a year and just kind of from there. if you are in a situation where you're not getting one should you requested. yeah. in and in the American urological association is opinion you should. we're talking a doctor John Hicks and he's with urology associates Casey if you would like to know more or maybe ask him some questions in person seven four nine nine six five five we're gonna get to the fact that it's prostate cancer awareness month in that just a minute a doctor. prostate cancer is it getting are we getting more cases of it are getting fewer cases of it or is it we understand it better. all the above so if I understand correctly the the literature we found when when PSA first came out there's huge spike of prostate cancer diagnoses and then that by kinda came back down so I think really the incidence of prostate cancer is is roughly about the same so now it connections up with population as there are more men of of a certain age you're gonna have more prostate cancer so prostate cancer for now for men of a certain age your it should be the same but as there are more men you're gonna have more cost and we've been we've talked about this before men are living longer right yeah so there are more men who are going to outlive some of the younger problems and live in to some of the older problems and the statistics as well I imagine yes yeah right. doctor Johnnie Dixon is with us this is men's health on newsradio one thousand Katie okay you hear a lot about flow when you urinate and and having to urinate frequently is that a symptom or is that the number one symptom of prostate cancer I'm so glad you asked and so let's let's take it a step back what are the symptoms of prostate cancer death. yeah. so I get that asked that all the time you know you on well the check prostate was rejected PSA well now doc I don't I feel fine well yeah I'm sure you do because if you felt anything for your prostate cancer you can get. so or you have a a lumbar fracture yeah so prostate cancer doesn't cause symptoms and tell cat is so far out of the bag it's gone now so so you really don't have any symptoms of prostate cancer and tell it's it's far too late now the prostate causes symptoms you know the V..

Oklahoma city Leigh Matthews Boston scientific John Hickson fifteen years seventy six years three years five years one degree two years Milton
"john hickson" Discussed on Xtra Sports Radio 1300 AM

Xtra Sports Radio 1300 AM

02:40 min | 1 year ago

"john hickson" Discussed on Xtra Sports Radio 1300 AM

"Get to run to the top after the seven but they leave runners on second and third is the game still lead at six to four now bottom seven in Oakland Mike fires in line for the victory Chris Davis a two run shot Marcus immunity went last as well you will will Smith as a solo shot Walker Buehler struck out eight over seven scoreless dodges with the blue jays won nothing bother me in LA everything else done as Bryce Harper came up clutch one two pitch again swante adi hit an air deep left field looking up is better today and that is Gaul one of the top of the green monster Bryce Harper with an opposite field home run it's his twenty seventh of the year a two run shot and the Phillies take the lead it's now three to two the Phillies finished the red Sox followed to Scott France get a call from his radio network as for the measure may not out was the Indians for three intently to run from the tent Blatter walkoff RBI single from Judy Davis the market Stroman looked after for with tightness in hamstring because that's where the giants twelve eleven Chris bright you're going to run shot because they on the sports guy's race play too in the nine surprise America's seven six read down the Padres for two white socks on to twins for zip three had shut up for Lucas G. leader which well case rose with the cardinals five three rain shortened day Mike Moustakas three run shot a foreign first rocket up the back seven two orders of the Royals one Natchez called the pirates eleven one Patrick Corbin three hits over a scoreless frame sounds the Marlins five zip product junior went deep factors about the Justin Verlander the Astros two one Berlin to the distance to its both left the are though John Hickson running Rodriguez the Rangers walked off of the angels eight seven NFL Baker may feel trying to clear the air with giants quarterback Daniel Jones after is critical comments about the sixth overall pick in the GQ article it had nothing to do specifically about Daniel about the winning stuff but you know I reset the Daniel because all that letter you know way out of hand and I want him to know how I feel and I've heard nothing but great things to say one in sterling Shepard guys it you know Graham and that I you know respect their opinions and so I just want to clear there with him now Sir cardinals concerns a wide receiver Michael Crabtree they also cut bears first round pick former first round pick Kevin white I'm Marc ability Jim Rome here coming up later today in the jungle conversations with Matt brown AT skipper Bob Melvin see later today twelve noon eastern and nine Pacific Hey bro country this is the barber Brandon Tierney and I are talking NFL weekdays at one on extra sports thirteen hundred farmers insurance knows the difference between a car hitting your bumper and a clown car in a nearby because of farmers we've seen.

one two pitch
"john hickson" Discussed on WTVN

WTVN

01:53 min | 2 years ago

"john hickson" Discussed on WTVN

"Difference. They're gonna take John Hickson stricklin. Absolutely, no breaking out Halloween coming out there and saying we're just we're going to impose our will. But map, the caller was absolutely right. The you know this. This was a run for this is a pass first offense, not a run. First offense you pass to maybe set up the run in the past. It's always been you run to set up the pass to be able to make that happen or offensive lineman. If you look at them, they're all they're all bowed as they line up at the line of scrimmage with the tackles cheating back enough that they don't get a penalty for being in the backfield. So they're already on their he'll write their number one goal is to protect Wayne hassle question. It's not to open holes, Mike Weber, and I think we can argue that they've done a pretty good. They have they have are this season. In terms of protecting the quarterback number of sacks. Now, there have been some holding calls along the way, but you would expect that if you're going to throw the ball forty times a game or God forbid seventy three times in a game. I mean, that's just stupid. But to change your mentality. And your footwork and everything else to convert to run, and what you can't do matter. Here's the tendencies you watch real closely the Ohio State offensive line, and you'll you'll know what I mean about this Bo tackles are back a little bit behind the guards. Right. If it's a running play. They don't want to have that Keith step. They wanna be up a little bit. But here's the problem defenses can read that tendency, there's some guys that could tell if you're you know, you're in a three point stance. Is there pressure your knuckles turning red 'cause you're leaning on him? And you're coming at me or are they kinda white because I'm leaning back a little bit, and I'm gonna pass protect you can't give up the tendencies that are there. That's that's really hard. So, you know, while they're not up on the line of scrimmage. It's it's kind of hard to fake what you're gonna do. All right. When we come back. We're gonna go back out into the crowd gets some more questions..

John Hickson Mike Weber Ohio State Wayne Keith
"john hickson" Discussed on Conspiracy Theories

Conspiracy Theories

05:12 min | 3 years ago

"john hickson" Discussed on Conspiracy Theories

"The sugar industry work quote five times more likely to find no link between sugary drinks and weight gain than studies whose authors reported no financial conflicts and quote it's clear that sugar is bad for us and it's equally clear after looking at these examples that the sugar industry really has spent decades funding studies that minimize the health risks of sugar and popularize their products we should mention that in research we found even more examples of companies that produce candy soda and other sugary products funding scientific research that would take the blame off off of sugar we chose not to cover them because after point it starts to get repetitive they're all employing the same tactics on a scale of one to ten with ten being extremely likely we're giving this theory a rare ten out of ten the evidence of the sugar industries influence over the scientific debate on sugar is undeniable the paper trail between sugar executive john hickson and scientists stare mackenzie and hempstead is damning i agree the massive profits gained by the sugar industry provide an incredibly strong motivation to cover up the dangers of sugar and coca cola's more recent involvement in scientific studies is more than enough to raise eyebrows but it's possible the sugar industry isn't the only conspiritors at play here according to our next eerie the sugar industry covered up the dangers of sugar with the knowledge and maybe even the blessing of the united states government our second conspiracy theory focuses on the possibility that the government was aware that consuming large amounts of sugar made people fat and sick but instead of warning the public of this health concern the government encouraged high sugar diets this theory is a two parter to a government officials knowingly encouraged americans to eat an unhealthy high sugar diet because americans heavy consumption of sugar products especially high fructose corn syrup helps the economy and to be the government is keeping us obese to control us let's look at the motive for to a government officials want americans to eat more sugar because it protects the economy in last week's episode we learned that corn syrup is a crucial component of the american economy if americans stopped buying sugary foods than sales of corn syrup will go down this could be a major blow to the us economy so did the government intentionally ignore the dangers of consuming sugar to prop up the economy did they secretly support the sugar industry which resulted in an obesity epidemic which resulted in a booming healthcare industry the us did see an economic boom in the nineteen eighties and the government and the sugar industry did have surprising ties leading up to that point not to mention when americans began lowering their sugar intake in the early two thousands the largest financial crisis since the great depression followed could the sugar industry in the government be that strongly connected to examine this we have to go all the way back to nineteen sixty seven the year that three harvard researchers hag stead stare and mackenzie published their influential review linking heart disease to saturated fat instead of sugar as we discussed earlier none of the researchers ever disclosed that their research was paid for and guided by sugar industry executives they instead allowed the american public to assume that this was an independent unbiased review ten years later in nineteen seventy seven mark hegg stead became the head of us nutrition at the department of agriculture there he helped draft a report called dietary goals for the united states the predecessor to the nineteen eighty dietary guidelines here's where we diverge from fact into conspiracy theory according to theory number two hickstead was well aware that his prior research on saturated fat and sugar was skewed but he presented it to senate committees and used it to write up dietary goals anyway essentially even though he was a government employee hank it was more loyal to big sugar than to the american people as you worked on these guidelines stead continued to protect the sugar industries interests when the nineteen eighty dietary guidelines were released to the american public they warned that diets high in saturated fat and cholesterol could result in coronary heart disease but they said almost nothing about the dangers of sugar americans were simply advised to avoid too much sugar if they didn't want cavities or tooth decay of course sugar can rot your teeth but it's.

ten years
"john hickson" Discussed on Conspiracy Theories

Conspiracy Theories

03:11 min | 3 years ago

"john hickson" Discussed on Conspiracy Theories

"And science officer emailed university of colorado school of medicine professor james hill she wanted to let him know that she had successfully pitched their nonprofit to coke executives applebaum reminded hill in the email that the researchers would be collaborating with coke executives in the research this was already a shocking conflict of interest but the nonprofit researchers were apparently fine with this two years later on june fourth two thousand fourteen hill emailed applebaum in suggested they focus on a nonprofit he called quote energy balance he wrote quote we have given you ideas here we have also given you ideas for research projects that might be very specific to coke interests end quote we should know that coke later claimed that this email was not connected to hill's work for the nonprofit global energy balance network but we should also note that the name of hills nonprofit contain the word's energy balance and these weren't the only alarming emails that appelbaum and hill exchange as they launched their nonprofit in two thousand fourteen on july ninth two thousand fourteen applebaum emailed hill and explain that they're nonprofit would function like a political campaign in the scientific debate over the causes of obesity she wrote quote we will develop deploy in devolve a powerful and multifaceted strategy to counter radical organizations and their proponents and quote and on october fourteenth she encouraged the nonprofit to partner with other researchers and wrote quote there you go then the number of experts and reputable orbs is too large for any naysayers to cull the pack and attack and quote you may notice some similarities here to what sugar executive john hickson wrote in nineteen sixty four quote we can publish the data and our detractors end quote and on november ninth twenty fourteen hill emailed coke executives an outright proclaimed that his goal was to help them he wrote quote it is not fair that coca cola is singled out as the number one villain in the abusively world but that is the situation and makes this your issue whether you like it or not i want to help your company of boyd the image of being a problem in people's lives and back to being a company that brings important and fun things to them and quote ville had a pretty good reason to want to help coca cola they were giving him and the other researchers quite a bit of money according to the new york times coq gave one million dollars to the university of colorado where professor hill worked the university claimed that the money was used to fund the global energy balance non profit but it was in fact an unrestricted monetary gift which means.

officer applebaum hill coke partner john hickson ville university of colorado school professor james hill appelbaum executive new york times university of colorado one million dollars two years
"john hickson" Discussed on Conspiracy Theories

Conspiracy Theories

04:57 min | 3 years ago

"john hickson" Discussed on Conspiracy Theories

"To an unconfirmable motive but in november twenty six teen university of california san francisco researchers finally found what marion nestle calls the smoking gun irrefutable evidence that the sugar industry has been directly manipulating scientific studies for decades researchers scoured through archives at harvard and other prestigious universities and the documents they found were damning they detailed the sugar industry singleminded efforts to de rail the scientific debate about sugar in the nineteen fifties in the nineteen sixties remember in the nineteen fifties scientists were trying to find the culprit behind america's worsening heart disease epidemic some scientists like ansel keys believed that saturated fat was to blame but other scientists found strong links between heart disease and sugar by nineteen sixty four the sugar industry was beginning to worry that these new studies on the dangers of sugar would affect their bottom line so in nineteen sixty four a high ranking sugar industry executive named john hickson came up with a plan to protect the sugar industry he suggested that the sugar the industry should hire their own scientists to promote the studies blaming saturated fat for heart disease rather than sugar hickson wrote quote we can publish the data and refute our detractors and quote he explained other exacts that this research would effectively convince the american public that sugar was harmless in nineteen sixty four hickson and the other executives created a group called the sugar research foundation in order to recruit and fund scientists when you're later in nineteen sixty five this foundation secretly paid almost fifty thousand dollars to three harvard researchers named frederick stare robert magee andy and mark hegg stead the sugar industry instructed the three researchers to link heart disease to saturated fat rather than sugar according to the two thousand sixteen new york times article by on a hot oka connor how the sugar industry shifted blame to fat quote hickson selected the papers for them to review and made it clear he wanted the result to favor sugar in quote and the researchers were happy to comply one of the harvard researchers hegg stead wrote to sugar industry executives quote we are well aware of your particular interest and will cover this as well as we can and quote moving forward hickson and the other sugar industry executives were intimately involved in the harvard researchers work o'connor writes quote as they worked on their review the harvard researchers shared and discussed early drafts with mr hickson who responded that he was pleased with what they were writing the harvard scientists had dismissed the data on sugar is weak and given far more credence to the data implicating saturated fat and quote one single study isn't responsible for this idea that fat and cholesterol or dietary reasons for heart disease but they had a real interest in popping up that and identified this as a potential opportunity for sugar sales to go up in nineteen sixty seven hegg stood stare and mcgann d published their seminal review in the new england journal of medicine the review titled dietary fats carbohydrates and atherosclerotic vascular disease blamed senator it'd fans for heart disease and dismissed the harmful effects of sugar this review effectively silenced scientists trying to prove that sugar was the real culprit in heart disease dr glands one of the university of california researchers who uncovered this appalling collusion between the scientists and the sugar industry explains quote it was a very smart thing sugar industry did because review papers especially if you get them published in a very prominent journal tend to shape the overall scientific discussion and quote the harvard researchers did not disclose that their entire review is funded by the sugar industry they apparently weren't required to in response to the damning jama report linking the sugar industry to the nineteen sixty seven review the sugar association defended its actions by stating that the review was published quote at a time when medical journals did not typically require researchers.

fifty thousand dollars
"john hickson" Discussed on The Adam Carolla Show

The Adam Carolla Show

01:37 min | 3 years ago

"john hickson" Discussed on The Adam Carolla Show

"Way of injury in that up against ahead in the annals of show did you want to kill himself or he was he was trouble dude yeah he was trouble dude he was mixing around with drugs and ship more or less troubled if i remember he was on the set of a movie or something he was hot model big king show right do you have a tv show heck's boy yeah there's a tv movie about him or something on anyway he put a gun to his head on the set and pulled the trigger now he didn't he didn't have he didn't have there wasn't a bullet where am there there was a blank brandon lead the crew exactly but somebody there's a we'll get into that second i kind of tell you cover up castrol edge i'll tell you about that let's get some castrol edge going up in here tech advances made engines smaller and more powerful metal to metal contact you don't want that man you need castrol edge they've collaborated with electron ick arts to present titanium gamer it's a new video game and you can check it out go to castrol edge oh it gets them castrol edge put it that in near crank case over there not in your gas tank but you crank eighth and check out the video by the way at castro usa youtube page all right well let's take a quick break do some good sports come back with aj i'll tell you the whole john hickson junior.

brandon castro castrol john hickson