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I’m Dr. Rob Winn and you're listening
to Real Cancer Talk

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from VCU Massey
Comprehensive Cancer Center.

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Thank you for waking it up and getting it
rolling to the best

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Community Conversation
show ever in the world.

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Right here on Radio One Richmond stations.

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Because we go in deep
when it comes to your health,

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we call it this health up segment.

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We got a really, really good.

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So today's topic is modifiable
cancer risk.

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And to talk about it
you know I go to the source.

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It’s Doctor Tanner a member of the Cancer
Prevention and Control

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Research program
at VCU Massey Cancer Center.

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And we call him the head
doc, Doctor Robert Winn.

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He's running his show over at Massey.

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Of course, with this team.

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How do you doing, Dr. Winn?

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You know that, you know, you Clovia?

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You know,
I'm always good when I'm with you, Sis.

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I know that's right.

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So we
going to we're going to save some lives.

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We're going to at least
try and we're going to go all in.

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This is a day of no white coats
in which you guys don't wear that anymore

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and no co-pays.

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And we're going to have real talk.

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So Doctor Tanner, Turner,
let me start with you.

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What are modifiable cancer risks?

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So your modifiable yes.

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Yeah these modifiable risk factors
that they call

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and they're just basically a posh word
for saying tobacco use alcohol use

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excessive body weight, physical activity,
the way you drink your foods,

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all of these things that we all love and
enjoy each day can really affect cancer.

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And basically we just need to understand

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what they are and how they work
and how we what we can do to change

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those modifiable risk

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factors so we can all live a healthy life.

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So, Doctor Turner, wouldn't
you say this starts with a physical

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and getting some bloodwork so we can see
exactly what's going on in the blood

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to make these modifiable changes?

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Yeah, I mean, a lot of it, when you go in
and you see a doctor,

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you get all these blood tests
and everything.

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Some of the results can really indicate
what you need to do

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and what changes
you can make to the way you live.

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And a lot of these, 
I wouldn't say they're easy,

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but they're like,
they say modifiable risk factors.

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So we can do some think about our own
health just by changing things

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like smoking, doing more exercise,
drinking more healthier foods.

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All of these things are modifiable factors
that we can do something about.

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We're not reliant on the doctors.

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We're not relying on anybody ourselves.

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But we can really make some changes
to make ourselves healthier.

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Now, Doctor Turner,
when it comes to aspartame

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and folks is saying, look, I mean is

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sugar free, it's not a problem for me.

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How do you respond to that? Yeah.

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So aspartame is a big thing
in the in the papers.

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And everything at the moment is because
some research studies have come out

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and they've sort of indicated
this Aspartame

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may be associated
with an increased cancer risk,

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but there's also a lot of evidence
out there that shows

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that this aspartame,
which is a sweetener that we could

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and we all pretty much use now
and again, it can

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there's a lot of, data out there
saying that aspartame isn't dangerous.

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So basically, the World Health
Organization has come together to reassure

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people that basically, the amount
of aspartame you need to consume

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to actually increase
your cancer risk is a lot higher

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than what people sort of do
take in their daily lives.

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And if, for instance,
you need to be drinking. Yep.

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That's what I was.

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Get ready to hit you to go.

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Yeah, go ahead Dr.

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Winn. Hold up, aspartame.

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Now, look here, Doctor, Doctor Turner,
help me out.

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I know who that I know you
that talk about the little sugar,

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like my stevia and all the rest.

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Man, when we say aspartame,
what are we talking about?

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Because I've been using the little pink
packets, yellow packets.

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That you have, stuff that saccharin
and all that stuff.

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That's not good.
Right, Doctor Turner? Go ahead.

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Yeah.

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I mean, basically... That's
what people are aware of where they eat.

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Yeah, they thought that that was healthy.

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But we got
we got we going to get them healthy now.

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Yeah.

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So what's the difference between sugar

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and these all artificial sweeteners
basically is that

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they don't contain as much calories
as sugar is high in calories.

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So it's bad for you.

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These sweeteners are low in calories.

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So they think they're great as part of
a calorie control diet for losing weight.

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And you don't get obviously, the calories
that you do when you eat sugar.

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So that's basically how they came out.

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And now they're healthy
and they're good for you.

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But they're also saying that some things
are actually in the sweeteners

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especially this is aspartame,
which is one type of sweetener

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that actually could be bad for you
basically is what they're saying.

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But basically you'd have to drink
at least nine cans of diet soda a day

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to get anywhere near the dangerous levels
that,

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are being associated with causing cancer.

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That's the same as, somewhere around
23 packets

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of little pink sweeteners
that Doctor Winn was talking about.

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Doctor Winn,
thank you so much for that, Doctor Turner.

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Now I want to turn my attention
over to you.

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Doctor Winn, when we're talking
about the food consumption,

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the physical activity,
or even as we're talking about

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aspartame or aspartame,
how ever we pronounce that,

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don't you think that in order for us
to start modifying,

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we have to read
what's on the packet of our food choices?

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You know what?

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That's what I was about to get into.

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Because I think that, Doctor Turner
and,

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the World Health Organization,
folks are making good points.

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But, you know, the funny part is that,
you know, we've had people who wouldn't

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take vaccines and all the rest that
but they consume things without even

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knowing what's in it.

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And the question that I, you know, again,
that comes up is,

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how do you even identify aspartame
as in a subject?

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Well, you have to read it.

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It should be identified
within the ingredients in which you.

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So to your point, I think, Sister Clo,
is that we need to be much more

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knowledgeable about the types of foods
that we're consuming.

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Basically those that are processed,

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I think it's important
to actually really understand that.

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It's funny to me
when people come to my doctor's office

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and they're complaining
about getting a medicine,

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which I know has been studied, in
which the ingredients are all out there.

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We can we can even go to a factory and
figure out, like, this is what's happened.

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They're willing to do.

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They're willing to give me
sweat me on that.

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But when it comes to
some of the supplements or some of these,

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foods, particularly the processed foods,
I don't think even people will look at

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what's in those things.

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So to your point,
I think we could do a better job.

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And I and I know you know, Doctor Turner,
at some point we can brainstorm

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about how we can get more information
out to our community about know your food.

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And I mean, I'm serious about that.

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Know your food.

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Ideally, if we can know where source from
that be great.

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But that's you know,
sometimes that's going to be inconvenient.

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But when you're looking at the processed
foods, read the label.

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That's
what my grandmother used to tell me..

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And some of those words
you can't even pronounce.

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I mean, they may start with a b-r-h-u-i-m,

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and you know, when you're looking it,
I'm serious.

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You know, you guys can pronounce it.
Yeah, that's not me.

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So I can't pronounce the words.

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And I'm not going to Google every word
just to eat some chips or whatever.

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So guess I have to make that decision
not to eat it.

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And another thing, Doctor Turner,
and I'm so glad we're talking about that

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because the food consumption
is a major deal as well as tobacco

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and the alcohol when we're talking
about gluten free and fat free.

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But when you look at the sodium
content is high,

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how do we address that Doctor Turner
and/or Doctor Winn?

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Yeah,
I mean, definitely these food labels.

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I mean that's one of the
my big sort of issues is

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how can we understand these food labels
that I sort of work

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in nutritional research and I struggle
with some of the words that's in there.

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So I think that you're totally right.

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That's a major issue
that should be sort of addressed.

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They need to be simplified
and they need to understand.

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I think there's also a big emphasis
on people like myself

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and the cancer center
to really get out into the community

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and sort of help people understand
what these food labels mean.

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I mean, there's a lot of it.

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It's difficult.

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It's usually the foods you need to avoid

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are the ones that we all love,
which makes it very, very difficult.

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I understand
what a lot of these things can do to us,

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but I still eat some of these
unhealthy foods.

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I mean, they taste fantastic.

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We enjoy eating them,
but if we don't know about these foods,

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the damage
they can do, how much we can eat,

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we can't make the sort of
informed decisions

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that we need to make for ourselves
to affect our health.

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I mean, we've got gluten
free, the fat free, the high sodium.

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It's really hard to understand
how each one of these interact

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with each other,
how they can sort of affect our health.

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When we combine well alone.

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We know that low sodium is good for you.

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Gluten free.

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I personally that's for people
that have that need to take gluten free.

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I don't think every individual
needs to take that.

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But as a as a layperson,

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how do we sort of wade
through all that sort of conflicting

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information to make the choices
that we need to be making for our health?

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And this piece is very important.

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We're talking about it on the radio,

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but we got to really take it out
into the communities

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and we're going to challenge
our communities.

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Hey, you know, even if it's something
where, you know, from my end of it,

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hey, we go into the grocery store,
we shop in, and if I walk up to you

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and I see you in the store

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and you pulling chips
or you pulling some type of item

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and you can read
every ingredient on the back,

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I got a prize for you
and it's going to make you start...

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I mean, you see what, you gotta go,
you know, I think outside the box.

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Yeah.

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Anyway, yeah.

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Look,
we going to hold all of thoughts of yours.

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Because look, Doctor Winn told
that we're going to take that break

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and come on back
and we're going to start back with you.

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This is Community Conversations.

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Turn me up.

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Stay close.

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Welcome back to Community Conversations.

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I am Community Clo.

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It's a day of no copays and white coats.

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I have the doctors on the show
from the VCU Massey Cancer Center.

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He's the head doc.

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He's running things with the great team
Doctor Robert Winn.

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How you doing, Doctor Winn?

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Always good.

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Always good especially when I'm with you.

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Well, thank you for that.

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We also have Doctor David Turner,
member of the Cancer Prevention

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and Control Research program
at VCU Massey Cancer Center.

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And we're talking about modifiable cancer
risk for the folks

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who are just joining us.

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If we can make some changes
when it comes to tobacco alcohol use.

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Yeah,
we got to move that body a little bit,

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get some physical activity, exercising
and what we're consuming.

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Reading the label now, Doctor Winn
we're back to you talking about that low

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fat, vaping, and alcohol consumption, too,
can contribute to cancer.

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But all I'm saying,

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when these are modifiable risks,
what that means is.

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Yes, because you get on a low fat diet
don't mean that you can't get cancer.

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It means that your risk becomes lower.

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Right?

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So if I had something that said by doing,

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you know, consuming x, y, z, four times
more likely to do it,

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and then if I cut it, half is likely
to be what I'm going to take.

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The half is likely.

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So so here's the deal. Low fat.

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And we going to get Dr. Turner
in on this one, because I want I want.

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Yeah, please go in. We don't know this.

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And we going to talk about
smoking for a little bit.

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We get the stress
of leaving a little bit too.

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But but those one low fat to me.

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Here's the deal. I'm
going to turn this over to Doctor Turner.

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But a low fat diet if you have low
fat cookies or real cookies

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and what you do is instead of the one pack
you used to do, you don't eat three pack

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because they low fat that you negate
the benefit of your modifiable risk.

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But I’m going to let Dr. Turner...

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Bring it on Doctor Turner.

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Yeah.

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I mean, yeah, it's the way it goes,
isn't it?

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These are low fat, so they're healthy.

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So I can eat as many of these as I want.

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It's definitely it's an issue.

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But basically,
I mean, the way to look at modifiable

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risk factors and the low fat
is everything in moderation.

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Doesn't matter whether it's high fat, low
fat, high protein, it's that moderation.

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And keeping everything under control
and not doing anything in excess.

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I mean, the low fat diet itself,
the evidence is clear

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that low fat diets
can reduce the risk of cancer.

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High fat diets can increase that risk.

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But again,
it doesn't mean that you can go in there

00;12;56;24 - 00;12;59;16
and eat 50 low fat cookies
instead of 25 high fat cookies.

00;13;00;25 - 00;13;02;22
It just doesn't go that way.

00;13;02;22 - 00;13;05;22
And basically, I mean, it's

00;13;05;24 - 00;13;09;21
I mean, what we need to understand
is it took a long time ago.

00;13;09;21 - 00;13;11;20
They thought it was

00;13;11;20 - 00;13;14;20
genetic differences in our bodies
is what causes cancer.

00;13;14;29 - 00;13;18;16
Now, it's
thought that as high as 70% of cancers,

00;13;18;28 - 00;13;22;25
due to the way we live our lives
and the choices that we make each day.

00;13;23;19 - 00;13;27;22
And that that's really been a shift over
this last decade.

00;13;27;29 - 00;13;32;15
It's really moved towards these lifestyles
and these modifiable risk factors,

00;13;33;23 - 00;13;35;21
are the heart of that figure.

00;13;35;21 - 00;13;39;19
That's why 70% of cancers are associated
with lifestyle.

00;13;39;27 - 00;13;40;21
It's because of the

00;13;40;21 - 00;13;43;21
tobacco use, the alcohol use
and the excess body weight.

00;13;44;01 - 00;13;44;08
Yeah.

00;13;44;08 - 00;13;47;27
No, I I'm going to say to your point,
I mean I'm really glad you went there Dr.

00;13;47;27 - 00;13;48;06
Turner.

00;13;48;06 - 00;13;49;17
Because when we talked

00;13;49;17 - 00;13;52;17
about particularly risk in our rural
and African-American communities,

00;13;52;22 - 00;13;54;03
I really need people

00;13;54;03 - 00;13;58;10
hear that and understand that 20 years ago
we would say, it's just bad luck.

00;13;58;10 - 00;13;59;09
You got bad genes.

00;13;59;09 - 00;14;02;26
And I'm not saying genes
don't play a role, but what you just said

00;14;02;26 - 00;14;07;18
is something that I want to come back
and actually, you know, reinforce that.

00;14;07;18 - 00;14;08;24
What you're saying is that over

00;14;08;24 - 00;14;12;13
the last ten, 15 years in particular,
yes, medicines have gotten better.

00;14;12;21 - 00;14;17;00
But what has also gotten
better is our understanding that 70%

00;14;17;17 - 00;14;20;14
of what contributes
to the in our community,

00;14;20;14 - 00;14;23;24
the poorest outcomes, right,
are due to modifiable risk.

00;14;23;24 - 00;14;26;07
Now, there's some issues
with that structures and stuff,

00;14;26;07 - 00;14;28;11
but I want people to know
that you could do things.

00;14;28;11 - 00;14;31;25
For example, we will, you know,
now, look, you know, Sister Clo...

00;14;31;26 - 00;14;35;06
I even talk about the cracklin,
the pig feet, the scrapple.

00;14;35;07 - 00;14;36;15
And leave that alone for a second.

00;14;36;15 - 00;14;39;02
But we talk about the quality.
We talk about the type of food.

00;14;39;02 - 00;14;40;22
But here is what Dr.

00;14;40;22 - 00;14;42;28
Ambrose talk about the alcohol. Right.

00;14;42;28 - 00;14;44;08
We used to 30 years ago.

00;14;44;08 - 00;14;48;03
Oh, people drink,
but we understand that alcohol consumption

00;14;48;26 - 00;14;53;15
and particularly, you know, you know,
different levels of alcohol consumption

00;14;53;18 - 00;14;56;24
are actually coming to light
that just like tobacco

00;14;57;12 - 00;15;00;14
are contributing to our cancers.

00;15;00;20 - 00;15;03;21
We and we'll we'll talk about that
a little bit, Doctor Turner, about,

00;15;03;21 - 00;15;05;18
you know, what,
you know, in the context of how

00;15;05;18 - 00;15;08;22
alcohol consumption, regional alcohol,
what's the latest literature.

00;15;08;27 - 00;15;13;15
But the reality is, let's just be honest,
that things that we used to take for

00;15;13;15 - 00;15;17;26
granted over the last 15 years, we're now
understanding that it does contribute

00;15;17;26 - 00;15;19;26
like alcohol consumption.
I don't know if that's internal.

00;15;19;26 - 00;15;21;06
If you have more to say about that.

00;15;22;20 - 00;15;23;21
Yeah, definitely.

00;15;23;21 - 00;15;26;20
I mean, alcohol consumption
is really coming to the fore.

00;15;26;20 - 00;15;29;20
I think one way of really putting
all of this is things

00;15;29;24 - 00;15;32;24
like smoking, alcohol
consumption, high fat diets.

00;15;33;08 - 00;15;35;18
Basically,
I think what we all need to understand

00;15;35;18 - 00;15;40;12
is they cause our bodies,
our organs inside our bodies to burn.

00;15;40;28 - 00;15;42;03
It's inflammation.

00;15;42;03 - 00;15;47;23
So when we drink alcohol, it can increase,
the inflammation inside our bodies.

00;15;47;23 - 00;15;50;29
When we drink alcohol in excess,
that inflammation is higher

00;15;51;13 - 00;15;54;05
and that inflammation
is one of the main reasons

00;15;54;05 - 00;15;58;05
why all these modifiable risk
factors can cause cancer.

00;15;58;22 - 00;16;02;25
That's sort of looking at its most basic
sort of description you can give.

00;16;03;06 - 00;16;07;10
Is that all of these modifiable,
modifiable factors

00;16;07;16 - 00;16;11;18
alcohol consumption,
smoking increase inflammation in the body,

00;16;11;25 - 00;16;14;13
which can lead to the onset of cancer.

00;16;14;13 - 00;16;17;15
And if you already have cancer,
you can actually make that cancer

00;16;17;15 - 00;16;19;01
grow quicker.

00;16;19;01 - 00;16;21;20
So it's looking at it
from that point of view, there’s

00;16;21;20 - 00;16;24;20
chemicals inside these things
that are not good for us.

00;16;24;26 - 00;16;27;23
And they can sort of increase
that inflammation.

00;16;27;23 - 00;16;31;01
So and you know that's including
your moonshine in your backyard too.

00;16;31;02 - 00;16;32;12
So I'm gonna just put it out there.

00;16;32;12 - 00;16;35;27
I mean moonshine is made naturally Doctor
Winn I'm not saying

00;16;36;01 - 00;16;37;09
that know anything about it.

00;16;39;05 - 00;16;40;11
Wow. I’m

00;16;40;11 - 00;16;44;18
just saying, look, moonshine and alcohol
consumption, its all alcohol consumption.

00;16;45;11 - 00;16;47;11
You just got to go there.

00;16;47;11 - 00;16;48;27
Its more natural, that’s right..

00;16;48;27 - 00;16;50;27
The other thing is.

00;16;50;27 - 00;16;55;02
It may be more natural, but you know
what, more natural still got consequences.

00;16;55;07 - 00;16;58;29
I think that that's the other thing
that Doctor Turner that I think

00;16;58;29 - 00;17;03;03
that people really need to understand
just because it's organic.

00;17;03;03 - 00;17;05;07
If you overconsume organic.

00;17;05;07 - 00;17;07;23
You can also have bad consequences. Right.

00;17;07;23 - 00;17;12;00
So it started with starting
with good quality food.

00;17;12;00 - 00;17;13;04
If you can get it good

00;17;13;04 - 00;17;16;24
quality fruit, good quality vegetable,
good quality other things.

00;17;17;00 - 00;17;19;27
But the truth of the matter is
overconsumption is overconsumption.

00;17;19;27 - 00;17;22;01
Your body doesn't know.
But I don't know, Doctor Turner,

00;17;22;01 - 00;17;24;19
if you have something different
than that. Wow.

00;17;24;19 - 00;17;26;07
Yeah. About that.

00;17;26;07 - 00;17;28;11
Yeah. Yeah. I mean sure.

00;17;28;11 - 00;17;32;25
So our body is probably the most
amazing thing there anywhere.

00;17;32;25 - 00;17;37;20
The way it works, the thousands, 
the trillions of cells inside it,

00;17;37;29 - 00;17;39;29
they're all sort of working together.

00;17;39;29 - 00;17;45;15
And anything we could do with it to damage
this body, we really can repair it.

00;17;45;25 - 00;17;49;19
Our body is fantastic,
but it only goes up to a certain point.

00;17;49;29 - 00;17;50;26
There comes a point

00;17;50;26 - 00;17;54;25
where too much of anything is really going
to start to damage the body.

00;17;55;03 - 00;17;59;14
And that's sort of what we need to bear in
mind when anything that's in excess

00;18;00;02 - 00;18;01;13
is going to damage the body.

00;18;01;13 - 00;18;02;18
It doesn't matter what it is,

00;18;02;18 - 00;18;05;10
whether it be your low fat it,
whether it be a high fat.

00;18;05;10 - 00;18;08;14
And that's sort of the mindset
that I tried to think about.

00;18;08;20 - 00;18;12;10
I still I
mean, bacon is one of the big things.

00;18;12;10 - 00;18;14;14
I love bacon, it tastes fantastic.

00;18;14;14 - 00;18;17;14
I still eat it,
but I know to eat it in moderation.

00;18;17;22 - 00;18;20;08
I can't go in and have a bacon

00;18;20;08 - 00;18;22;23
and sandwich every day
when I come in for breakfast,

00;18;22;23 - 00;18;24;27
because I know that's going to be in
excess

00;18;24;27 - 00;18;28;10
and it's going to damage the body, and I'm
going to increase my risk of disease.

00;18;28;27 - 00;18;33;04
So it's basically, yeah, it's looking
it don't everything in moderation.

00;18;33;04 - 00;18;35;06
We can't say that enough.
You've got to eat.

00;18;35;06 - 00;18;37;03
Everybody's got to live.
You've got to enjoy.

00;18;37;03 - 00;18;39;11
You've got to enjoy your food.

00;18;39;11 - 00;18;43;27
But you can't go into the burger joint
and have three burgers a day.

00;18;44;05 - 00;18;47;06
And for most people,
that's going to have consequences.

00;18;47;20 - 00;18;50;25
So Doctor Turner, I'm listening to you.

00;18;51;00 - 00;18;52;28
So in all you eat. Yeah.

00;18;52;28 - 00;18;56;29
Whether you're going to eat your organic
or your natural foods,

00;18;57;04 - 00;19;03;05
you just don't want to over eat and overdo
it, you still have to balance it out.

00;19;03;05 - 00;19;05;19
So just because I'm eating something
all natural,

00;19;05;19 - 00;19;08;00
it doesn't mean I can eat the whole bag.

00;19;08;00 - 00;19;09;02
Yeah, definitely.

00;19;09;02 - 00;19;12;26
I mean, there is obviously yeah,
obviously some things are bad,

00;19;13;04 - 00;19;16;11
but a wish to you I know there's obviously
vegetables in excess.

00;19;16;22 - 00;19;19;06
It's going to take a lot of vegetables
to do harm.

00;19;19;06 - 00;19;21;12
But if you're eating a lot of burgers
and things,

00;19;21;12 - 00;19;23;04
the harm is going to happen quicker.

00;19;23;04 - 00;19;26;23
But the premises,
you really need to do this in moderation.

00;19;27;11 - 00;19;32;11
Mix your vegetables with your meats and
just everything from that point of view.

00;19;32;17 - 00;19;37;09
And that brings us back into people like
myself, Doctor Winn and our responsibility

00;19;37;09 - 00;19;42;01
of going in the community and sort of
putting this across in a clear way.

00;19;42;09 - 00;19;46;00
I mean, we're told that red wine is good
for you, one day is bad for you the next.

00;19;46;10 - 00;19;50;17
It makes a lot of sort of an apathy
in the community about,

00;19;50;17 - 00;19;53;21
well, what is it we need the scientist
needs to make their minds up.

00;19;54;02 - 00;19;54;29
But we

00;19;54;29 - 00;19;58;15
there is a certain set of things
that we can do, and it's up to us

00;19;58;15 - 00;20;01;28
to go out in the community
and sort of put them across and say,

00;20;01;29 - 00;20;04;13
these are the things we can do
in moderation

00;20;04;13 - 00;20;07;06
that are really going
to allow us to enjoy our lives

00;20;07;06 - 00;20;10;20
and really reduce
our risk of developing cancer.

00;20;11;04 - 00;20;11;20
You know what I love about.

00;20;13;04 - 00;20;13;14
Having a

00;20;13;14 - 00;20;16;19
sip of Thunderbird might be better
than a whole bottle of Thunderbird.

00;20;16;22 - 00;20;19;16
Are you serious, Dr. Winn? Yeah.

00;20;19;16 - 00;20;21;14
Not Thunderbird Mellow Nights.

00;20;21;14 - 00;20;24;14
I mean,
oh my God, we're going to take a break.

00;20;24;19 - 00;20;26;11
We're going to take a break
and come on back.

00;20;26;11 - 00;20;27;16
We got to do a wrap up.

00;20;27;16 - 00;20;30;06
I'm a Doctor Winn,
we may have to do a part two on this.

00;20;30;06 - 00;20;32;24
This is Community Conversations.

00;20;32;24 - 00;20;35;01
I am Community Clo.

00;20;35;01 - 00;20;37;07
This is Community Conversations.

00;20;37;07 - 00;20;39;03
I am Community Clo.

00;20;39;03 - 00;20;42;10
Doctor David Turner is joining
me, member of the Cancer

00;20;42;10 - 00;20;46;04
Prevention and Control Research program
at VCU Massey Cancer Center.

00;20;46;10 - 00;20;51;16
Also joining me is the Doctor
Winn of VCU Massey Cancer Center.

00;20;51;18 - 00;20;56;01
So I want us to go to the source
when we talk about modifiable cancer risk.

00;20;56;04 - 00;20;59;10
Now I'm going to run down
these quick stats projections

00;20;59;10 - 00;21;02;29
from the American Cancer Society for 2023.

00;21;03;06 - 00;21;06;15
Nearly 610,000 cancer deaths in the U.S.,

00;21;06;25 - 00;21;10;19
45% of them
attributed to cancer risk factors

00;21;10;25 - 00;21;14;05
potentially modifiable through lifestyle
changes.

00;21;14;11 - 00;21;17;11
Cigaret smoking, secondhand
smoke exposure.

00;21;17;20 - 00;21;19;01
Excess.

00;21;19;01 - 00;21;21;05
Excess body weight.

00;21;21;05 - 00;21;24;00
Now, Doctor Turner,
we talked about the American

00;21;24;00 - 00;21;27;00
Cancer Society 2023 projections.

00;21;27;01 - 00;21;30;12
But if we do these modifiable changes,

00;21;30;19 - 00;21;33;26
what numbers
are we looking at in in the future?

00;21;34;15 - 00;21;37;16
Yeah, that's the big question.

00;21;37;16 - 00;21;37;25
I mean,

00;21;38;24 - 00;21;40;04
that's an area of research

00;21;40;04 - 00;21;43;26
that really needs to be done
and really sort of needs to be done.

00;21;43;27 - 00;21;44;16
The estimates

00;21;44;16 - 00;21;48;29
that I've seen from some of the places,
like the ACS reckon that we might be able

00;21;48;29 - 00;21;52;03
to reduce 25 to 50% of cancer deaths

00;21;52;16 - 00;21;55;16
by adopting a healthier lifestyle,

00;21;55;17 - 00;21;59;15
by adopting these modifiable risk factors
like losing weight,

00;21;59;25 - 00;22;05;20
stop smoking cigarets, drink and drink
alcohol in sort of reasonable amounts.

00;22;06;00 - 00;22;07;16
And that could really but one

00;22;07;16 - 00;22;11;07
figure that's really sort of missing from
this is because of the advances

00;22;11;12 - 00;22;15;11
being made by Centers,
just like the Massey Cancer Center,

00;22;15;20 - 00;22;19;10
there's around 18,
18 million people living with cancer.

00;22;19;20 - 00;22;24;08
And they can also really benefit
from doing these modifiable risk factors

00;22;24;16 - 00;22;28;00
that can really reduce the risk
of their cancers becoming aggressive

00;22;28;08 - 00;22;31;08
and ultimately,
ultimately leading to death.

00;22;31;22 - 00;22;35;15
And what's really sort of
then a really astounding figure, at least

00;22;35;15 - 00;22;40;27
I find this astounding, is that that
that number is expected to double by 2050.

00;22;41;06 - 00;22;44;18
So because of the advances
that we're making in cancer research

00;22;44;25 - 00;22;47;27
in 2050, they expect 36 million

00;22;48;05 - 00;22;50;28
people will be living
with cancer in the US.

00;22;50;28 - 00;22;52;19
So it's just another aspect of

00;22;52;19 - 00;22;56;08
this is how the modifiable risk
factors really come into play.

00;22;56;14 - 00;22;58;18
It's not only about cancer prevention.

00;22;58;18 - 00;23;00;25
It's also about cancer survivorship.

00;23;00;25 - 00;23;05;13
And the people that have come to what they
can do to survive longer with a disease.

00;23;06;11 - 00;23;07;25
Just modifiable

00;23;07;25 - 00;23;11;08
just simple changes
when it comes to tobacco alcohol.

00;23;11;08 - 00;23;11;26
Yeah.

00;23;11;26 - 00;23;13;01
And you know that gut.

00;23;13;01 - 00;23;14;18
You know a lot of folks have a gut.

00;23;14;18 - 00;23;17;08
And you know
the BBLs are not going to save you right.

00;23;17;08 - 00;23;19;20
Because that fat is behind that.

00;23;19;20 - 00;23;22;07
Right Doctor Winn? Sure, sure.

00;23;22;07 - 00;23;24;16
You weren’t expecting that, were you?

00;23;24;16 - 00;23;28;14
You were not expecting,
you were not expecting.

00;23;29;10 - 00;23;31;15
All right. So... I was like, Clo.

00;23;31;15 - 00;23;33;11
Thank you, Clo.

00;23;33;11 - 00;23;36;19
We're going to end on a more positive note
as we're doing.

00;23;36;28 - 00;23;39;11
Doctor David Turner,
thank you so much for that.

00;23;39;11 - 00;23;42;21
So Massey has programs to modify cancer
risk.

00;23;42;26 - 00;23;45;25
Let's talk about them, Doctor Winn.

00;23;46;08 - 00;23;49;12
Yeah, we have a number of programs
over at Massey.

00;23;49;18 - 00;23;54;06
And I think one thing you pointed out, 
Sister Clo, one time, was that Massey

00;23;54;06 - 00;23;57;11
and the cancer centers are not the places
where you go

00;23;57;11 - 00;24;00;13
to when there's nowhere else to turn to.

00;24;00;20 - 00;24;01;10
Frequently.

00;24;01;10 - 00;24;04;10
I'm trying to encourage people
to get Massey for prevention.

00;24;04;17 - 00;24;09;06
We have many things that if you reach
Massey, programs like get moving programs

00;24;09;06 - 00;24;12;15
like we're starting programs
about educating people around food,

00;24;12;15 - 00;24;13;16
all of these other things.

00;24;13;16 - 00;24;17;21
So if you hit us up,
we have a number of, programs.

00;24;17;21 - 00;24;20;23
We have people like Doctor
Turner, a Doctor

00;24;20;23 - 00;24;24;03
Findlay, Doctor Bernard
Fuemmeler, Doctor Vanessa Sheppard.

00;24;24;04 - 00;24;27;08
We have a whole host of people
from our cancer prevention control group

00;24;27;08 - 00;24;28;12
as well as others

00;24;28;12 - 00;24;33;02
that to get you on point, by the way,
we also have perspectives

00;24;33;03 - 00;24;35;11
in around nutrition and diet
and all of these things.

00;24;35;11 - 00;24;40;02
So we're about ready to roll out because
cancer is not just a game of medicine,

00;24;40;09 - 00;24;44;14
it's also a game of prevention
and changing these modifiable risks.

00;24;45;03 - 00;24;48;02
And we got to
just get that body moving right.

00;24;48;02 - 00;24;52;18
And so in other words,
from the research that you're doing

00;24;52;23 - 00;24;56;15
and you're treating cancer patients
to walking in a cure,

00;24;56;16 - 00;24;59;29
Doctor Winn, doesn't believe in just, hey,
you're in remission.

00;24;59;29 - 00;25;03;15
He want you cured
But it's the simple things.

00;25;04;02 - 00;25;05;22
Can we agree on this?

00;25;05;22 - 00;25;10;16
Doctor Turner and Doctor
Winn, it's the simple lifestyle changes.

00;25;11;26 - 00;25;12;22
Oh, absolutely.

00;25;12;22 - 00;25;15;22
Yeah. Absolutely.

00;25;15;29 - 00;25;18;26
So what about folks who go Doctor Winn.

00;25;18;26 - 00;25;20;18
What about folks
who are stressed a lot of times

00;25;20;18 - 00;25;23;14
when folks are stressed
they eat or don't eat.

00;25;23;14 - 00;25;26;09
A lot of times when folks are stressed,
they might drink or don't

00;25;26;09 - 00;25;29;09
drink or use altering, you know,

00;25;29;10 - 00;25;30;20
alterting drugs.

00;25;30;20 - 00;25;35;09
So we need to get to a therapist, right.

00;25;35;09 - 00;25;39;02
Get referral,
get referrals from a general practitioner

00;25;39;06 - 00;25;42;10
so that can aid in us
with the modification.

00;25;43;15 - 00;25;44;27
Right. No no no no.

00;25;44;27 - 00;25;47;12
And by the way,
I think that we didn't get to it now.

00;25;47;12 - 00;25;50;26
So we may really have to talk about a part
two about mindfulness,

00;25;51;06 - 00;25;52;24
about reducing stress.

00;25;52;24 - 00;25;56;12
Because stress actually does contribute
to cancer and cardiovascular disease.

00;25;56;24 - 00;25;58;27
Exercise, by the way, actually does help.

00;25;58;27 - 00;26;02;20
For example, we know that we say
30 minutes five times a day,

00;26;02;24 - 00;26;05;22
but two days if you just
get out on the weekend to do something,

00;26;05;22 - 00;26;08;26
you reduce your cardiovascular risk 
and the cancer risk.

00;26;09;00 - 00;26;11;26
And by the way,
it turns out we then talk about it now.

00;26;11;26 - 00;26;13;06
But sleep is important too.

00;26;13;06 - 00;26;16;14
So, you know,
I mean, the truth of the matter is, again,

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all these things on, are
easier said than done.

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But all these things,
if we can at least practice

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and be deliberate
about doing at least 10% better,

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you know, a month, a 10% better day,
all that adds up.

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And being mindful of the foods
that we put inside ourselves,

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I think we can I think we can do this.

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For more information,
you can go to MasseyCancerCenter.org.

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Or you can simply call over to Massey
at 8774-Massey.

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Doctor David Turner, member of the Cancer
Prevention and Control Research Program.

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And Doctor
Robert Winn, over at VCU Massey.

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God bless you
and thank you so much for this

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help up information.

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This has been Community
Conversations I am Community Clo.