Brian Middleton: We’re so glad you’re joining us today for the conversation with Dr. [Ali Kasraeian 00:00:03]. I am not Danielle Lee. I am Brian Middleton. I’m actually filling in for Danielle this weekend. She’s taking a much deserved cruise, believe it or not. So, hope she’s enjoying that. But I’m so happy to be here with you, Dr. Ali and to all of the listeners, if you have a questions for Dr. Kasraeian at any point in today’s show, you can always call in on our phone lines. 904-340-1045. Again, that’s 904-340-1045.
Doctor, what are we talking about today?
Dr. Kasraeian : So today, however, and welcome to the conversation. Today we’re talking about many things. The first thing we want to talk about is the 50th anniversary of Sgt Pepper’s Lonely Hearts Club Band. The groundbreaking Beatles album that was released on May 26 of 1967, which for any of us who are a big Beatles fan, and I am a huge Beatles fan. Actually when I was in 5th grade, my 5th grade homeroom teacher, Mr. Mooney, he didn’t teach us … I don’t think he taught us much history that year. We sort of the class that year, he had a … Back then it was the 8-track. The 8-millimeter film with the spinning wheel. The first day of class he played that and said, “You know, in 1966 America was invaded by the British.” And he played this video, and it was when the Beatles landed, and we just kind of watched those for a couple of weeks and learned about the Beatles and so it made a big impression on me.
Sgt Pepper’s really was released in May 26 of 1967. So one interesting thing that I’ll share with the audience … A lot of people talk about Sgt Pepper, the actual song, but that along with Penny Lane were actually released before the album as singles, and back then if you released a single, a lot of times you didn’t include it in the album itself, because … back then the artists had a little bit of a conscious and they did not feel that if they’ve already released a single and people paid for it, they should actually get new music in the album and not pay twice for something that they already paid for. So that I heard that on a piece that I was listening to on the Beatles last week, in honor of the release of Sgt Pepper’s, so I found that interesting. So, that’s one thing interesting as we contextualize.
So the main, main feature act of our show, which is not the Beatles, which very rarely would they play second to, but I think our featured act can hold their own to the Beatles is Dr. [Jamin Brahmbhatt 00:02:36] and later on Dr. Sijo Parekattil are joining us. They’re dear friends of mine. They’re urologists from Clermont, Florida, which is just outside of Florida. They’re not just minimally amazing surgeons, but they’re micro-surgeons who specialize in a number of things, including infertility and micro-surgery for chronic testicular and groin pain, which is something that is just a very difficult problem of the men who are dealing with it. And, honestly, urologists who … and other physicians who don’t have, when they run out of options of how to deal with it, and they use amazing microsurgical techniques, which they’ve actually been instrumental in developing some of the innovations to those techniques and …
We’re gonna talk a little bit about those things, but the big thing we’re talking about is their passion and their drive for raising awareness for men’s health issues in general, and the fact that men don’t talk about their health and mental issues, including things like sexual health. And to do this, they drive a Tesla, amazing electrical vehicle, the electrical car across the country and they’ve been doing this for multiple years, and their drive for men’s health movement starts this week. And, actually, starts June 3rd and continues to June 10th, and they drive all across the country, raising awareness for men’s health all across the country, so they’re joining us today, Dr.Jamin Brahmbhatt.
So Jamin, thanks for joining us!
Dr.Brahmbhatt: Hey, Ali, thanks for having me. This whole time I’ve been trying to figure out how old you are based on your 5th-grade story, so-
Dr. Kasraeian: I was born in [crosstalk 00:04:03] 1974, so I just actually, on May 18th turned 43. I don’t know if that’s a good thing to divulge my secrets.
Dr.Brahmbhatt: At least you’re honest about it on the air.
Brian Middleton: Hey, Ali, you still look quite young.
Dr.Brahmbhatt: I’m only 21, that’s all I’m [inaudible 00:04:16]
Dr.Kasraeian: Good thing for radio, you don’t have to put a picture up. I don’t know if that’s a good idea or bad idea, but …
Look, I’m [inaudible 00:04:23]. Thanks to both of you joining us today on the conversation.
Dr. Parekattil: Well, thank you for having us, Dr. Ali. I really appreciate it.
Dr.Kasraeian: So we are in … what, the third or fourth year now in terms of the process of the drive for men’s health in terms of an idea. And it’s getting bigger and bigger every year.
Dr. Parekattil: Absolutely, and I think there’s still such a disparity in terms of guys taking care of themselves compared to women, so we’re hoping that we can keep going this year to year, and keep pushing those guys to go in and see their doctors.
Dr.Kasraeian: You know, it’s an interesting thing so, for men, we anecdotally just talk about this. Men don’t talk about their health. Women are better at getting in to see their doctors. They get more inclined and more integrated in being a part of the healthcare system, because at a very young age they get used to going to the doctor, getting their pelvic exams and things of that nature, really at about 18 years of age or so, and they just get part of their life and their routine is to see the doctor, and that becomes part of their life.
For men, we get our sports physicals, and then once that ends and, unfortunately, most of us aren’t professional athletes, and so as that part of our lives goes away, we kinda get away from healthcare.
So before the age of 40, unless people have significant medical issues or they have some kind of accident usually associated with some kind of weekend warrior-type activity, they are not ingrained in some kind of medical care. And annual physicals are really a hard sell for men under 50, and studies have been done looking at the fact that about 37% of men have not seen [men 00:06:17] in a previous year. Actually, in 2011, a survey was published in Esquire Magazine. They found only 37% of men had seen a physician in the previous year. 10% could not even remember the last time they had seen a physician, and 45% didn’t even have a primary care physician at that time in comparison to only 20% of women along the same age brackets when they’re matched within that survey, so those are significant numbers, and that translates into the fact that when we look at matched statistics, men are not quite as healthy. We die younger when you look at mortality statistics and that’s impactful.
Dr. Parekattil: It’s true, Ali, and then we did a survey through Orlando Health, where we asked guys what their make and model of their last car was versus when their last doctor’s appointment was, and over 84% or more knew what their first car was, even if it was like 50 years ago. But only about half could even remember the last time they saw a doctor, so … what we realized in the years that we’ve been doing this and it’s even growing and we’ve been interacting with more and more men, is that it really comes down to a lack of communication. A communication from the world to men. A lack of communication within families at an early age, about family history, about sexual health. And a lack of communication, even from us as physicians standpoint, in encouraging men to seek the care of a healthcare professional earlier, so this whole year … What we’re trying to do is get guys just talking and communicating. And starting to communicate, not in the doctor’s office, but actually starting even earlier … at home, in the comforts of their own home.
Dr. Kasraeian: So how do we do that?
Dr.Brahmbhatt: That is a great question, especially or us guys. You mentioned that most women start going to a physician for public examinations, but actually, women and their female … mothers or their caretakers start talking about health much earlier when they start going through the menstrual cycles, and then as you get older and go through the fertility [inaudible 00:08:26], you’re right, they’re always conversing and engaging.
But for guys, how do you talk to your son about sexual health or HIV or STDs, the use of condoms? How do you talk to your son about his obesity at a young age and then when they get older, that’s gonna cause erectile dysfunction. But not only that, it’s gonna cause diabetes, stroke, heart disease, a million other things. I wish we had the perfect answer to that question, but we don’t, and I would love to hear your insight, Ali, on that, and Sijo as well, is … How do you initiate that conversation?
Dr. Kasraeian: So Sijo, I’ll open it to you first.
Dr. Parekattil: Well, I think it’s really tough, right and so the purpose of the drive is really just to start to get people talking about it. So what we’re hoping is that kid’s searching the internet or dad’s checking out the internet one night looking at cars or something, they pop on this website and they see some of these discussion topics. Maybe this will stimulate people to start to, you know, allow it to be kind of to break the ice and just say, “Hey, did you hear about those guys, about this? Well, what do you think about that. Have you had any issues and you want to talk about ’em?” And I think, more and more, they are references out there, where in communities, and the physicians are trying to do these engagement activities, things like that to get patients involved, but I think that’s why events like this are so important, because there is that natural-