WBLQ AM 1230 Interview with Dr. Joseph Renzulli

Transcript

• 00:00Flying across Nets.
• 00:09And good morning and welcome
• 00:10back to the morning show.
• 00:11It is 7:45 in the morning and Zach.
• 00:13The temperature on your device.
• 00:1660 Here say Frank in the
• 00:18morning and 60 degrees,
• 00:19and we are at 61 degrees here.
• 00:22Thank you Zach, and joining us this
• 00:25morning is Doctor Joe Renzulli.
• 00:27He is a longtime Rhode Island
• 00:29urologist assistant professor,
• 00:30associate professor of urology at Yale,
• 00:33School of Medicine,
• 00:34and he takes on a new role recently
• 00:36appointed as medical Director and
• 00:38Chief of Urology at Wesley Hospital,
• 00:41Ann Lawrence and Memorial Hospital
• 00:43in New London and welcome.
• 00:47Good morning. Joe
• 00:50is still with us.
• 00:52There he is having me
• 00:54this morning good to have you.
• 00:56Joni, yes I can hear you.
• 00:59That's much better, yeah?
• 01:00So I guess just real quickly for those
• 01:04people who who don't understand it.
• 01:06What is the scope of urology?
• 01:09One of the things that you
• 01:11are primarily involved with.
• 01:15Urologist are the surgeons who take
• 01:18care of both females and males for
• 01:22problems that could be associated with
• 01:26the urinary tract or the genital tract,
• 01:30and that can include benign
• 01:32things such as kidney stones,
• 01:35urinary track infections, or it can
• 01:39include meant answers of the kidneys,
• 01:42bladder, prostate and that.
• 01:44Then it even extends beyond that
• 01:46into infertility problems for men and
• 01:49****** dysfunction for men and women.
• 01:51So the the breadth of the field
• 01:54is quite large.
• 01:57And has it been a practice
• 01:58in Wesley up to this point?
• 02:02Yes, there's been a practice
• 02:04there for a long time with
• 02:06Doctor Leddy and Doctor Enquist.
• 02:09The big change coming in just two
• 02:11weeks will be the addition of the
• 02:14ability to provide robotic surgery,
• 02:17which is the Davinci, Robot,
• 02:19and majority of the cancer procedures
• 02:22done these days in urologic surgery are
• 02:25done with robotic technology and and
• 02:27to have that advancement in westerly
• 02:30is a great addition to the community.
• 02:33They'll also be.
• 02:35MRI guided prostate biopsy's which
• 02:37are really cutting edge for how to
• 02:41diagnose cancers such as prostate
• 02:43cancer and that technology is all
• 02:45been purchased and is going to begin
• 02:48you being used in May of this year,
• 02:51so this is exciting for westerly
• 02:54and we're really excited to bring
• 02:57Yale Urology to Rhode Islanders as
• 03:00opposed to Rhode Islanders having
• 03:02to leave the state to get care.
• 03:05At a world class,
• 03:07institutions such as Yale,
• 03:08what are
• 03:09the most common types of cancers you treat?
• 03:13The most common in men in his
• 03:17prostate cancer and then bladder
• 03:19and kidney cancer follow and those
• 03:23are about 2/3 men. One third women.
• 03:29With prostate cancer,
• 03:30and we often hear hear that.
• 03:32How prevalent is it and?
• 03:35And how, how, how treatable is it?
• 03:41Is so prostate cancer is very prevalent.
• 03:43It ranges anywhere from one in seven to
• 03:46one and eight men in their lifetime.
• 03:49The good news is it ranks among
• 03:52the highest curable cancers,
• 03:55especially if it is detected early.
• 03:58So we're very passionate
• 04:00about screening for men,
• 04:02and that includes a blood test called
• 04:05PSA angusta physical examination
• 04:07digital rectal examinations.
• 04:09So it's very easy to be screened and in
• 04:13studies that have been done worldwide if
• 04:16you just follow the screening protocol.
• 04:20Even if you are diagnosed
• 04:22with prostate cancer,
• 04:23your chances of dying of prostate
• 04:25cancer is single digit percentage,
• 04:28so screening is paramount.
• 04:31Talk to me a little bit
• 04:33about the PSA blood test.
• 04:35When should people get that
• 04:36and and is that is that given
• 04:39indefinitely or is there a time when
• 04:41in fact the PSA is not required?
• 04:45Sure is, so PSA is a blood
• 04:48test looking at an enzyme.
• 04:49We all all men have PSA in their bloodstream.
• 04:53The test is very sensitive for prostate
• 04:56cancer, but it's not very specific,
• 04:58so it's a guide, but it is not an
• 05:01absolute you know determination,
• 05:03so we have to use that in conjunction
• 05:06with other diagnostic tools.
• 05:08But at age 50 the average
• 05:10American male should start to
• 05:12be screened for prostate cancer.
• 05:14If you're African American or you have
• 05:16a family history such as a father,
• 05:19grand Father or brother who
• 05:21have prostate cancer,
• 05:22then you should start it.
• 05:24Age 40 too,
• 05:25because there could be some genetic
• 05:28component to it which allows
• 05:31prostate cancer to develop earlier.
• 05:33And basically,
• 05:34if you have an elevated PSA
• 05:36or an abnormal rectal exam,
• 05:38then the physician may decide
• 05:41to either order additional tests
• 05:43such as the MRI I discussed,
• 05:45or they may decide biopsy is
• 05:48warranted and proceed with bias.
• 05:51Directly and a biopsy is done with an
• 05:53ultrasound an it's done transrectal.
• 05:55It takes about 15 minutes and
• 05:57that will then allow us to gather
• 06:00tissue from the prostate that the
• 06:02pathologist can look at under
• 06:04the microscope and determine if
• 06:06cancer is present and is there
• 06:08with the PSA and upper age. Or is
• 06:12that forever? Usually yes.
• 06:14So studies have been done and usually
• 06:18it's recommended that screening is.
• 06:23That somewhere, but it's.
• 06:27We lost we
• 06:27lost. Yeah, it sounds like you're having
• 06:29some Wi-Fi or Internet problems there.
• 06:30Could you say that again?
• 06:33One second. We
• 06:36heard one second that
• 06:37we heard OK. Usually
• 06:39the screening is up to age 70,
• 06:41sometimes 75, but not much
• 06:43further than that. Alright.
• 06:44And why don't we go to break
• 06:46and we'll be back in just
• 06:48a couple of minutes.
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• 10:27Nets.
• 10:33And good morning and welcome
• 10:35back to the morning show 7:55
• 10:37in the morning and Zach
• 10:38temperature on your device.
• 10:3961 and we are at 62 here,
• 10:42and we are talking about prostate
• 10:44cancer and or prostate cancer
• 10:47has been been one of them,
• 10:49with Doctor Joe Renzulli.
• 10:50He is a urologist.
• 10:52He see new Regional Medical Director
• 10:54and chief of Urology at Wesley
• 10:56Hospital and Lawrence and Memorial.
• 10:58A couple of quick questions is
• 11:00are we seeing an increase of
• 11:02urological issues and also what
• 11:05are they relative to women,
• 11:07not just men?
• 11:09So yes, we're seeing an increase,
• 11:12and that's really related to the two
• 11:15things one we're seeing the baby boomer
• 11:18generation come into a advanced age in
• 11:21Eurologic malignancies all increase
• 11:23with advancing age by the decade.
• 11:26The other thing is.
• 11:29You know, with bladder cancer,
• 11:31smoking still is the number
• 11:34one cause and we know that.
• 11:37More and more women have begun
• 11:39smoking over the last 30 or 40 years,
• 11:42somewhat catching up to the male population.
• 11:45So we've seen an increase in
• 11:48bladder cancer amongst women,
• 11:49which is of concern.
• 11:51And then when we think of kidney cancer,
• 11:54it is directly related to
• 11:57smoking in obesity and certainly.
• 11:59We do have a obesity epidemic
• 12:01in this country,
• 12:03so all of those three cancers
• 12:05have been on the rise over the
• 12:07last several decades.
• 12:09What are the symptoms that
• 12:10people should be looking for?
• 12:13Well, that that's the really
• 12:15important part of this discussion.
• 12:17There everyone comes in and says, well,
• 12:19I never had symptoms with prostate cancer,
• 12:22and even most kidney cancers.
• 12:24You do not have symptoms.
• 12:26So if you want to catch these
• 12:28diseases in their early state,
• 12:30you're not going to find it with symptoms.
• 12:33That's why screening becomes so
• 12:35important for prostate cancer.
• 12:36With bladder cancer almost 90% or
• 12:38more patients will present because
• 12:40they see blood in their urine.
• 12:42So anyone who sees blood in their urine.
• 12:45That is a very important sign and should
• 12:47not be ignored and should be evaluated.
• 12:50Certainly it doesn't mean
• 12:51you have bladder cancer.
• 12:52There are other causes such as
• 12:54infections and kidney stones that
• 12:56can cause blood in the urine,
• 12:57but it is something that should
• 12:59not be ignored.
• 13:01Offer prostate cancer knowledge
• 13:03with his bladder cancer.
• 13:04Does that does that require surgery
• 13:06and if not, what are the options?
• 13:10Yes bladder, so bladder cancer is
• 13:12detected by performing a scope in the
• 13:15bladder just very similar to how people
• 13:17get colonoscopies for colon cancer.
• 13:19It's done in the office and takes
• 13:22about 5 minutes to do this procedure.
• 13:25If there's a bladder cancer identified,
• 13:27then it is removed,
• 13:28but it's removed through the urethra,
• 13:31which is the opening to the bladder,
• 13:33so it's done with scopes.
• 13:35So 90% of people would not have to have.
• 13:40Major surgery to remove bladder cancer.
• 13:42If you fall into the minority group
• 13:44where it's a advanced bladder cancer,
• 13:47which we call muscle invasive bladder cancer,
• 13:50then those patients have to
• 13:52have quite extensive surgery to
• 13:54remove the entire bladder.
• 13:55But we have the ability to make
• 13:58new bladders out of intestine
• 14:00for people an reconnect them,
• 14:02so this is really advanced surgical
• 14:04procedures that we do all the time at Yale,
• 14:08and Fortunately it helps to restore the
• 14:10quality of life for these patients.
• 14:13Rather than having to have a
• 14:15bag to drain urine and such.
• 14:18Are there non-surgical options?
• 14:21For bladder cancer,
• 14:23there's really not non-surgical
• 14:25options for prostate cancer.
• 14:27There are men can have radiation
• 14:29therapy to treat prostate
• 14:31cancer as opposed to surgery.
• 14:36Chemotherapy involved with any of that.
• 14:39So for for these diseases the
• 14:41primary treatment does not
• 14:42typically include chemotherapy,
• 14:44although for advanced
• 14:45bladder cancer many patients,
• 14:47the one that I spoke about that
• 14:50requires the extensive surgery.
• 14:51Many patients will have chemotherapy
• 14:53before having that major surgery,
• 14:55but again, that's the minority of
• 14:58patients that have bladder cancer,
• 15:00so most people
• 15:01will go to their primary care
• 15:03physician and and don't don't go to
• 15:06urologist regularly, should they be,
• 15:09or should they wait for a referral?
• 15:12And present to their primary care physician.
• 15:15Getting a referral to urologist.
• 15:18That's correct, everyone should continue
• 15:20with their primary care physician.
• 15:23They should inquire to whether
• 15:25they are having PSA screening,
• 15:27because unfortunately there is some.
• 15:31Controversy and some physicians in the
• 15:33primary care setting to do not often use
• 15:37PSA because there's been a controversy,
• 15:40whether it's as.
• 15:41As specific as they would like it,
• 15:44but still right now.
• 15:46The recommendation is for screening so
• 15:48the patients should ask for screening
• 15:50and then it would be carried out,
• 15:52and then if there's a problem they
• 15:55will be referred to a urologist.
• 15:58And once somebody is seeing urologist,
• 16:00I presume it's as with many of these,
• 16:03at least a yearly yearly visit.
• 16:06Typically it's a yearly visit. Yes,
• 16:08doctor renzulli.
• 16:09Unfortunately we are at a time.
• 16:11I want to thank you so much for
• 16:14being with us this morning.
• 16:16An important area that
• 16:17for people to consider,
• 16:19and I think maybe the biggest
• 16:20takeaway from this is that people
• 16:22should make sure that their primary
• 16:25care physicians are actually
• 16:26performing the tests that are
• 16:28necessary to see whether there
• 16:30is any need to see urologist.
• 16:32With that. With that Zach.
• 16:35Tell me what time it is.
• 16:37Is time for the news?
• 16:40How?
• 16:43Thank you very much. Both man Zach.
• 16:45Appreciate it. It is time for the
• 16:488:00 o'clock news and stereo.
• 16:5012:30 and 103.1 FM WBLQ and it's brought
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• 17:01This is news from 12:30
• 17:05WPLQ westerly Stonington.
• 17:09Let's start off with
• 17:11Southeastern Connecticut news.
• 17:1233 Connecticut nursing homes
• 17:14received notifications on Friday
• 17:16that their unionized workers are
• 17:18ready to strike on Friday, May 14th.
• 17:20If demands are not met for better wages,
• 17:23benefits and staffing ratios,
• 17:25more than 3400 workers are
• 17:27employed at the affected homes,
• 17:29which are owned by the chains.
• 17:31Genesis health care I care Health Network,
• 17:34Regal care and Autumn Lake healthcare.
• 17:37A total of 51 nursing home contracts have
• 17:40expired in Connecticut as of March 15th.
• 17:43And workers at the remaining facilities
• 17:45could potentially issues strike
• 17:47notices as well as in the coming days.
• 17:49A norwhich woman has been arrested
• 17:51on assault and other charges.
• 17:53Police say that 27 year old Lens con
• 17:56of Gifford St had a warrant out for an
• 17:59incident that happened last 4th of July,
• 18:02according to police reports.
• 18:03Khan was involved in a verbal altercation
• 18:05with the victim that turned physical
• 18:08and Khan allegedly cut the victims.
• 18:10Armed with a knife.
• 18:11Police also learned she had an
• 18:13outstanding warrant in Meridon,
• 18:15Connecticut.
• 18:15For violation of probation,
• 18:17she's being held on a $50,000 bond for the
• 18:21assault and a $60,000 bond for the warrant.
• 18:25There is a Westerly town
• 18:26council meeting this evening.
• 18:28Brian Sullivan will be back here
• 18:30at the studio to run the board.
• 18:32As we listen to the Westerly
• 18:34Town Council at 5:30,
• 18:35you can catch it right here on WBLQA.
• 18:38Formal inauguration was held for
• 18:40Lieutenant Governor Sabina mottos.
• 18:41Yes, it happened on another Sunday.
• 18:43Same thing was for Dan McKee,
• 18:45who was inaugurated as
• 18:46our Rhode Island governor.
• 18:48Now,
• 18:48Machos is Rhode Island,
• 18:5070th Lieutenant
• 18:50governor. I will work every day.
• 18:53To make sure everyone
• 18:55has the same opportunity.
• 18:57That allowed me to stand
• 19:00here on the steps today.
• 19:02And I ask you to join me
• 19:04in the hard work that
• 19:06lies ahead now. If you remember,
• 19:08she was handpicked by Governor Dan McKee and
• 19:11unanimously confirmed by the state Senate,
• 19:13and she was officially sworn in at a
• 19:16private ceremony back on May on April 14th.
• 19:19Now the town of Westerly already plans
• 19:21on doing an aerial application of
• 19:23mosquito larvicide this week on Chapman.
• 19:26Swamp spraying is scheduled to take place
• 19:28across 500 acres of the swamp tomorrow,
• 19:31May 4th between 8:00 in the morning.
• 19:34And two in the afternoon.
• 19:35So if it rains they're going to do
• 19:38the aerial spraying the closest day
• 19:40after May 4th that it does not rain.
• 19:43WQ News Time is 804,
• 19:44four minutes after 8:00 o'clock.
• 19:46This NEWS UPDATE brought you
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