{"version":"1.0.0","segments":[{"speaker":"Beth Brown","startTime":10.08,"endTime":13.8,"body":"Welcome to Q and A"},{"speaker":"Beth Brown","startTime":10.08,"endTime":13.8,"body":"with Dr. K, a podcast by"},{"speaker":"Beth Brown","startTime":13.8,"endTime":17.76,"body":"Mountain Pacific Quality Health,"},{"speaker":"Beth Brown","startTime":13.8,"endTime":17.76,"body":"where we sit down with Dr. Doug"},{"speaker":"Beth Brown","startTime":17.76,"endTime":22.2,"body":"Kuntzweiler and get your health"},{"speaker":"Beth Brown","startTime":17.76,"endTime":22.2,"body":"questions answered, because on Q"},{"speaker":"Beth Brown","startTime":22.2,"endTime":25.5,"body":"and A with Dr K, the doctor is"},{"speaker":"Beth Brown","startTime":22.2,"endTime":25.5,"body":"always in."},{"speaker":"Beth Brown","startTime":34.93,"endTime":38.08,"body":"Hello, everyone. This is Beth"},{"speaker":"Beth Brown","startTime":34.93,"endTime":38.08,"body":"Brown, your host, and we are so"},{"speaker":"Beth Brown","startTime":38.11,"endTime":43.51,"body":"excited to have Dr. K squared."},{"speaker":"Beth Brown","startTime":38.11,"endTime":43.51,"body":"Today we have two Dr. Ks joining"},{"speaker":"Beth Brown","startTime":43.51,"endTime":49.51,"body":"us for this episode of Q and A"},{"speaker":"Beth Brown","startTime":43.51,"endTime":49.51,"body":"with Dr. K, and so as usual,"},{"speaker":"Beth Brown","startTime":49.54,"endTime":52.81,"body":"we're joined by Dr. Doug"},{"speaker":"Beth Brown","startTime":49.54,"endTime":52.81,"body":"Kuntzweiler, our chief medical"},{"speaker":"Beth Brown","startTime":52.84,"endTime":57.13,"body":"officer at Mountain Pacific. And"},{"speaker":"Beth Brown","startTime":52.84,"endTime":57.13,"body":"today we also have Dr. Tiffany"},{"speaker":"Beth Brown","startTime":57.16,"endTime":60.1,"body":"Kniepkamp. So welcome both Dr"},{"speaker":"Beth Brown","startTime":57.16,"endTime":60.1,"body":"Ks!"},{"speaker":"Dr. Doug Kuntzweiler","startTime":60.28,"endTime":60.79,"body":"Thank you."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":61.26,"endTime":62.7,"body":"Thank"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":61.26,"endTime":62.7,"body":"you. Happy to be here."},{"speaker":"Beth Brown","startTime":62.81,"endTime":66.5,"body":"Yeah, it's great to"},{"speaker":"Beth Brown","startTime":62.81,"endTime":66.5,"body":"have you. So we are going to"},{"speaker":"Beth Brown","startTime":66.5,"endTime":70.31,"body":"talk about early onset cancer"},{"speaker":"Beth Brown","startTime":66.5,"endTime":70.31,"body":"today. That is what we're going"},{"speaker":"Beth Brown","startTime":70.31,"endTime":73.16,"body":"to tackle a little bit. And"},{"speaker":"Beth Brown","startTime":70.31,"endTime":73.16,"body":"people paying attention to the"},{"speaker":"Beth Brown","startTime":73.16,"endTime":76.73,"body":"latest in health news, maybe"},{"speaker":"Beth Brown","startTime":73.16,"endTime":76.73,"body":"have started noticing concerns"},{"speaker":"Beth Brown","startTime":76.76,"endTime":81.68,"body":"about cancer cases in younger"},{"speaker":"Beth Brown","startTime":76.76,"endTime":81.68,"body":"people are sharply on the rise."},{"speaker":"Beth Brown","startTime":81.68,"endTime":85.46,"body":"And so we want to talk today"},{"speaker":"Beth Brown","startTime":81.68,"endTime":85.46,"body":"about why is this happening? Why"},{"speaker":"Beth Brown","startTime":85.46,"endTime":88.94,"body":"should we be concerned? And can"},{"speaker":"Beth Brown","startTime":85.46,"endTime":88.94,"body":"we do anything to get those"},{"speaker":"Beth Brown","startTime":88.94,"endTime":93.14,"body":"numbers to either even out or go"},{"speaker":"Beth Brown","startTime":88.94,"endTime":93.14,"body":"down, so that they aren't on the"},{"speaker":"Beth Brown","startTime":93.14,"endTime":97.07,"body":"rise anymore? So let's break"},{"speaker":"Beth Brown","startTime":93.14,"endTime":97.07,"body":"down those questions and take"},{"speaker":"Beth Brown","startTime":97.07,"endTime":101.36,"body":"them one at a time. So let's"},{"speaker":"Beth Brown","startTime":97.07,"endTime":101.36,"body":"first start with what is early"},{"speaker":"Beth Brown","startTime":101.36,"endTime":105.74,"body":"onset cancer? Because we know"},{"speaker":"Beth Brown","startTime":101.36,"endTime":105.74,"body":"kids can get cancer."},{"speaker":"Beth Brown","startTime":105.74,"endTime":109.46,"body":"Unfortunately, you know cancer"},{"speaker":"Beth Brown","startTime":105.74,"endTime":109.46,"body":"strikes at any age. So what the"},{"speaker":"Beth Brown","startTime":109.46,"endTime":113.18,"body":"heck do we mean when we say"},{"speaker":"Beth Brown","startTime":109.46,"endTime":113.18,"body":"early onset cancer?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":113.66,"endTime":116.93,"body":"Well, to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":113.66,"endTime":116.93,"body":"some extent, it's semantics, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":116.96,"endTime":121.34,"body":"what we're talking about is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":116.96,"endTime":121.34,"body":"seeing cancers that typically we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":121.34,"endTime":126.2,"body":"used to see in people when they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":121.34,"endTime":126.2,"body":"were in their 60s and 70s. Now"},{"speaker":"Dr. Doug Kuntzweiler","startTime":126.2,"endTime":129.08,"body":"we're seeing them show up in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":126.2,"endTime":129.08,"body":"greater numbers when people are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":129.08,"endTime":134.84,"body":"in their 30s, 40s, even 50s."},{"speaker":"Dr. Doug Kuntzweiler","startTime":129.08,"endTime":134.84,"body":"That's my understanding."},{"speaker":"Dr. Doug Kuntzweiler","startTime":134.87,"endTime":136.46,"body":"Tiffany, do you agree?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":136.72,"endTime":139.0,"body":"Yeah, I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":136.72,"endTime":139.0,"body":"would. I would say we're even"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":139.0,"endTime":143.38,"body":"talking about people in their"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":139.0,"endTime":143.38,"body":"20s at this stage. And I think"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":143.38,"endTime":147.1,"body":"it's important to note that some"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":143.38,"endTime":147.1,"body":"cancers, which we traditionally"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":147.1,"endTime":150.04,"body":"associate with older"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":147.1,"endTime":150.04,"body":"populations, they're now"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":150.04,"endTime":153.85,"body":"increasing in that younger"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":150.04,"endTime":153.85,"body":"population. So we historically"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":153.85,"endTime":156.94,"body":"hadn't seen them in the younger"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":153.85,"endTime":156.94,"body":"and now we are, for example,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":156.94,"endTime":161.11,"body":"like colorectal cancer, breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":156.94,"endTime":161.11,"body":"cancer, melanoma, they're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":161.11,"endTime":165.34,"body":"showing up frequently in younger"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":161.11,"endTime":165.34,"body":"people, but childhood cancer is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":165.37,"endTime":170.89,"body":"tragic and real, but early onset"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":165.37,"endTime":170.89,"body":"is just a little bit different."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":170.89,"endTime":174.1,"body":"It's more that 20s, 30s, 40s and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":170.89,"endTime":174.1,"body":"50s,"},{"speaker":"Beth Brown","startTime":174.4,"endTime":176.2,"body":"And you already"},{"speaker":"Beth Brown","startTime":174.4,"endTime":176.2,"body":"started to answer what my next"},{"speaker":"Beth Brown","startTime":176.2,"endTime":180.67,"body":"question was, which is, are"},{"speaker":"Beth Brown","startTime":176.2,"endTime":180.67,"body":"there specific cancers that are"},{"speaker":"Beth Brown","startTime":180.7,"endTime":183.28,"body":"on the rise among these younger"},{"speaker":"Beth Brown","startTime":180.7,"endTime":183.28,"body":"adults."},{"speaker":"Dr. Doug Kuntzweiler","startTime":183.88,"endTime":186.34,"body":"There are,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":183.88,"endTime":186.34,"body":"but it's actually a pretty broad"},{"speaker":"Dr. Doug Kuntzweiler","startTime":186.34,"endTime":190.51,"body":"range. Colorectal is probably"},{"speaker":"Dr. Doug Kuntzweiler","startTime":186.34,"endTime":190.51,"body":"the leading one, and I've read"},{"speaker":"Dr. Doug Kuntzweiler","startTime":190.51,"endTime":194.35,"body":"that that is now the leading"},{"speaker":"Dr. Doug Kuntzweiler","startTime":190.51,"endTime":194.35,"body":"cancer death in males under the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":194.35,"endTime":199.06,"body":"age of 50, which used to be, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":194.35,"endTime":199.06,"body":"know, lung cancer and prostate"},{"speaker":"Dr. Doug Kuntzweiler","startTime":199.06,"endTime":202.96,"body":"cancer. Now it's colorectal"},{"speaker":"Dr. Doug Kuntzweiler","startTime":199.06,"endTime":202.96,"body":"cancer, but colorectal and as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":202.96,"endTime":207.52,"body":"Tiffany mentioned, breast,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":202.96,"endTime":207.52,"body":"prostate, uterine, gastric"},{"speaker":"Dr. Doug Kuntzweiler","startTime":207.52,"endTime":212.47,"body":"cancer, pancreatic cancer,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":207.52,"endTime":212.47,"body":"myelomas, it's a fairly broad"},{"speaker":"Dr. Doug Kuntzweiler","startTime":212.47,"endTime":213.1,"body":"range."},{"speaker":"Beth Brown","startTime":213.26,"endTime":216.98,"body":"Yikes. Okay, and so"},{"speaker":"Beth Brown","startTime":213.26,"endTime":216.98,"body":"before we just start honing in"},{"speaker":"Beth Brown","startTime":216.98,"endTime":221.38,"body":"on how terrible America is when"},{"speaker":"Beth Brown","startTime":216.98,"endTime":221.38,"body":"it comes with the way we eat and"},{"speaker":"Beth Brown","startTime":221.38,"endTime":223.72,"body":"how much we weigh and all of"},{"speaker":"Beth Brown","startTime":221.38,"endTime":223.72,"body":"that stuff. I think it's also"},{"speaker":"Beth Brown","startTime":223.72,"endTime":227.62,"body":"important to note that this is"},{"speaker":"Beth Brown","startTime":223.72,"endTime":227.62,"body":"not just a US. Problem. Is that"},{"speaker":"Beth Brown","startTime":227.62,"endTime":231.16,"body":"correct? This is something that"},{"speaker":"Beth Brown","startTime":227.62,"endTime":231.16,"body":"we are seeing worldwide. And one"},{"speaker":"Beth Brown","startTime":231.16,"endTime":233.92,"body":"story that comes to mind is Kate"},{"speaker":"Beth Brown","startTime":231.16,"endTime":233.92,"body":"Middleton. Everyone was paying"},{"speaker":"Beth Brown","startTime":233.92,"endTime":237.94,"body":"attention. She's in her 40s. She"},{"speaker":"Beth Brown","startTime":233.92,"endTime":237.94,"body":"was diagnosed with cancer and"},{"speaker":"Beth Brown","startTime":237.94,"endTime":240.72,"body":"has been getting cancer"},{"speaker":"Beth Brown","startTime":237.94,"endTime":240.72,"body":"treatment. So what are we seeing"},{"speaker":"Beth Brown","startTime":240.72,"endTime":242.76,"body":"worldwide, as far as statistics"},{"speaker":"Beth Brown","startTime":240.72,"endTime":242.76,"body":"go?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":242.0,"endTime":244.61,"body":"So I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":242.0,"endTime":244.61,"body":"would say yes. So it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":244.61,"endTime":248.69,"body":"absolutely a global issue. It's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":244.61,"endTime":248.69,"body":"not just us. We might think of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":248.69,"endTime":251.21,"body":"these trends as limited to the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":248.69,"endTime":251.21,"body":"US, but they're not like"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":251.21,"endTime":254.42,"body":"colorectal cancer, as we talked"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":251.21,"endTime":254.42,"body":"about earlier, it's been"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":254.42,"endTime":258.59,"body":"increasing in countries like the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":254.42,"endTime":258.59,"body":"UK, Canada, Australia, and even"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":258.59,"endTime":261.83,"body":"parts of Europe and Asia. It's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":258.59,"endTime":261.83,"body":"not just one part of the world."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":261.89,"endTime":265.55,"body":"It's all over, and especially"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":261.89,"endTime":265.55,"body":"high profile cases like Kate"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":265.55,"endTime":268.4,"body":"Middleton. What that does is it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":265.55,"endTime":268.4,"body":"really just brings attention to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":268.4,"endTime":273.17,"body":"this issue, like when someone in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":268.4,"endTime":273.17,"body":"their 40s, especially someone in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":273.17,"endTime":276.65,"body":"the public eye, goes through a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":273.17,"endTime":276.65,"body":"cancer diagnosis, it's a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":276.65,"endTime":279.26,"body":"reminder that anyone, regardless"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":276.65,"endTime":279.26,"body":"of their lifestyle, their"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":279.26,"endTime":282.68,"body":"status, they can face this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":279.26,"endTime":282.68,"body":"challenge, and it's kind of a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":282.68,"endTime":286.1,"body":"wake up call for all of us to be"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":282.68,"endTime":286.1,"body":"aware of this rising rate of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":286.1,"endTime":289.19,"body":"cancer in younger people and the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":286.1,"endTime":289.19,"body":"importance of early detection."},{"speaker":"Dr. Doug Kuntzweiler","startTime":289.49,"endTime":292.16,"body":"And I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":289.49,"endTime":292.16,"body":"think it probably goes to help"},{"speaker":"Dr. Doug Kuntzweiler","startTime":292.16,"endTime":298.04,"body":"us see, or help us find out what"},{"speaker":"Dr. Doug Kuntzweiler","startTime":292.16,"endTime":298.04,"body":"is behind all of this. Because"},{"speaker":"Dr. Doug Kuntzweiler","startTime":298.37,"endTime":301.58,"body":"if it were, let's say, just. In"},{"speaker":"Dr. Doug Kuntzweiler","startTime":298.37,"endTime":301.58,"body":"developed nations, then you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":301.58,"endTime":305.3,"body":"would look at, well, maybe it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":301.58,"endTime":305.3,"body":"related to diet, or maybe it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":305.3,"endTime":308.69,"body":"related somehow to their"},{"speaker":"Dr. Doug Kuntzweiler","startTime":305.3,"endTime":308.69,"body":"industrial pollution or that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":308.69,"endTime":312.44,"body":"sort of thing. But we're seeing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":308.69,"endTime":312.44,"body":"it even in underdeveloped"},{"speaker":"Dr. Doug Kuntzweiler","startTime":312.44,"endTime":317.03,"body":"countries, East Asians, Pacific"},{"speaker":"Dr. Doug Kuntzweiler","startTime":312.44,"endTime":317.03,"body":"Islanders, South America. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":317.33,"endTime":320.72,"body":"there's something going on that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":317.33,"endTime":320.72,"body":"is affecting us worldwide. It's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":320.72,"endTime":324.41,"body":"not limited just to the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":320.72,"endTime":324.41,"body":"wealthier developed countries."},{"speaker":"Beth Brown","startTime":324.62,"endTime":327.74,"body":"I had made the joke"},{"speaker":"Beth Brown","startTime":324.62,"endTime":327.74,"body":"about, you know, diet and"},{"speaker":"Beth Brown","startTime":327.74,"endTime":331.07,"body":"weight, because those are the"},{"speaker":"Beth Brown","startTime":327.74,"endTime":331.07,"body":"things that we hear all the time"},{"speaker":"Beth Brown","startTime":331.07,"endTime":333.74,"body":"when it comes to just about any"},{"speaker":"Beth Brown","startTime":331.07,"endTime":333.74,"body":"health issue that's out there."},{"speaker":"Beth Brown","startTime":333.77,"endTime":337.28,"body":"We usually can, you know, point"},{"speaker":"Beth Brown","startTime":333.77,"endTime":337.28,"body":"the arrow towards our lifestyle."},{"speaker":"Beth Brown","startTime":337.55,"endTime":342.47,"body":"So it's not clear cut with this"},{"speaker":"Beth Brown","startTime":337.55,"endTime":342.47,"body":"that we don't really know why"},{"speaker":"Beth Brown","startTime":342.47,"endTime":344.0,"body":"we're seeing these rates go up."},{"speaker":"Dr. Doug Kuntzweiler","startTime":344.39,"endTime":346.31,"body":"No, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":344.39,"endTime":346.31,"body":"would say, in my reading, most"},{"speaker":"Dr. Doug Kuntzweiler","startTime":346.31,"endTime":351.53,"body":"people are still in the stage of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":346.31,"endTime":351.53,"body":"forming hypotheses. And so you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":351.53,"endTime":355.07,"body":"would think about sedentary"},{"speaker":"Dr. Doug Kuntzweiler","startTime":351.53,"endTime":355.07,"body":"lifestyle, you would think about"},{"speaker":"Dr. Doug Kuntzweiler","startTime":355.1,"endTime":359.54,"body":"processed food. Some people feel"},{"speaker":"Dr. Doug Kuntzweiler","startTime":355.1,"endTime":359.54,"body":"it's related to an increase in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":359.54,"endTime":363.62,"body":"just general inflammation,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":359.54,"endTime":363.62,"body":"related to diet and who knows"},{"speaker":"Dr. Doug Kuntzweiler","startTime":363.62,"endTime":367.91,"body":"what, maybe some environmental"},{"speaker":"Dr. Doug Kuntzweiler","startTime":363.62,"endTime":367.91,"body":"pollutant. There are people who"},{"speaker":"Dr. Doug Kuntzweiler","startTime":367.91,"endTime":370.73,"body":"are saying that, well, this is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":367.91,"endTime":370.73,"body":"something that has been"},{"speaker":"Dr. Doug Kuntzweiler","startTime":370.73,"endTime":374.45,"body":"discovered, is that if you look"},{"speaker":"Dr. Doug Kuntzweiler","startTime":370.73,"endTime":374.45,"body":"at younger people, their biome,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":374.54,"endTime":379.73,"body":"that is the bacteria in their"},{"speaker":"Dr. Doug Kuntzweiler","startTime":374.54,"endTime":379.73,"body":"gut, has gotten simpler and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":379.73,"endTime":383.3,"body":"simpler compared to older"},{"speaker":"Dr. Doug Kuntzweiler","startTime":379.73,"endTime":383.3,"body":"generations, and that is that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":383.3,"endTime":387.17,"body":"the number of bacteria and the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":383.3,"endTime":387.17,"body":"different species of bacteria"},{"speaker":"Dr. Doug Kuntzweiler","startTime":387.17,"endTime":390.44,"body":"has shrunk. And so some people"},{"speaker":"Dr. Doug Kuntzweiler","startTime":387.17,"endTime":390.44,"body":"think maybe that's related, at"},{"speaker":"Dr. Doug Kuntzweiler","startTime":390.44,"endTime":394.34,"body":"least to colorectal cancer, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":390.44,"endTime":394.34,"body":"maybe to others as well. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":394.34,"endTime":397.79,"body":"there are lots of theories, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":394.34,"endTime":397.79,"body":"I don't, I don't know. Tiffany,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":397.79,"endTime":399.08,"body":"what do you think from your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":397.79,"endTime":399.08,"body":"reading?"},{"speaker":"Unknown","startTime":399.83,"endTime":402.08,"body":"Yeah, I think there's"},{"speaker":"Unknown","startTime":399.83,"endTime":402.08,"body":"so much research that still"},{"speaker":"Unknown","startTime":402.08,"endTime":407.6,"body":"needs to be had and completed,"},{"speaker":"Unknown","startTime":402.08,"endTime":407.6,"body":"but it's, it's a complex mix of"},{"speaker":"Unknown","startTime":407.6,"endTime":411.14,"body":"factors. Is what it seems to be"},{"speaker":"Unknown","startTime":407.6,"endTime":411.14,"body":"like. We talked about poor diet"},{"speaker":"Unknown","startTime":411.14,"endTime":414.05,"body":"and obesity definitely play a"},{"speaker":"Unknown","startTime":411.14,"endTime":414.05,"body":"role, especially in the"},{"speaker":"Unknown","startTime":414.05,"endTime":418.79,"body":"colorectal cancer, I think too,"},{"speaker":"Unknown","startTime":414.05,"endTime":418.79,"body":"just lack of exercise. We're an"},{"speaker":"Unknown","startTime":418.79,"endTime":422.69,"body":"amazing country who has"},{"speaker":"Unknown","startTime":418.79,"endTime":422.69,"body":"technologically advanced"},{"speaker":"Unknown","startTime":422.72,"endTime":425.99,"body":"tremendously, but what that has"},{"speaker":"Unknown","startTime":422.72,"endTime":425.99,"body":"also done is we sit in front of"},{"speaker":"Unknown","startTime":425.99,"endTime":429.65,"body":"a computer, we have less social"},{"speaker":"Unknown","startTime":425.99,"endTime":429.65,"body":"interaction. We're on our"},{"speaker":"Unknown","startTime":429.65,"endTime":435.05,"body":"devices more. And one of the"},{"speaker":"Unknown","startTime":429.65,"endTime":435.05,"body":"interesting topics I found was"},{"speaker":"Unknown","startTime":435.23,"endTime":439.22,"body":"how it affects your sleep. Just"},{"speaker":"Unknown","startTime":435.23,"endTime":439.22,"body":"having that light at night when"},{"speaker":"Unknown","startTime":439.28,"endTime":442.76,"body":"you're looking at your phone, it"},{"speaker":"Unknown","startTime":439.28,"endTime":442.76,"body":"affects your circadian rhythm,"},{"speaker":"Unknown","startTime":442.85,"endTime":445.85,"body":"it affects your social"},{"speaker":"Unknown","startTime":442.85,"endTime":445.85,"body":"interactions, which increases"},{"speaker":"Unknown","startTime":445.85,"endTime":449.48,"body":"your stress, causes you to be"},{"speaker":"Unknown","startTime":445.85,"endTime":449.48,"body":"more sedentary. So I think with"},{"speaker":"Unknown","startTime":449.48,"endTime":453.5,"body":"all of the technology advances"},{"speaker":"Unknown","startTime":449.48,"endTime":453.5,"body":"we have, we do need to be"},{"speaker":"Unknown","startTime":453.5,"endTime":456.53,"body":"careful that we're still getting"},{"speaker":"Unknown","startTime":453.5,"endTime":456.53,"body":"out, we're still exercising,"},{"speaker":"Unknown","startTime":456.53,"endTime":460.22,"body":"we're getting off of those"},{"speaker":"Unknown","startTime":456.53,"endTime":460.22,"body":"screens before bed, because it"},{"speaker":"Unknown","startTime":460.22,"endTime":463.37,"body":"definitely, from what I was"},{"speaker":"Unknown","startTime":460.22,"endTime":463.37,"body":"seeing, that's some of the big"},{"speaker":"Unknown","startTime":463.61,"endTime":466.31,"body":"new research that they're doing,"},{"speaker":"Unknown","startTime":463.61,"endTime":466.31,"body":"which is really interesting to"},{"speaker":"Unknown","startTime":466.31,"endTime":470.12,"body":"me, just affecting your sleep."},{"speaker":"Unknown","startTime":466.31,"endTime":470.12,"body":"So that was one of the most"},{"speaker":"Unknown","startTime":470.12,"endTime":473.54,"body":"important things I looked at."},{"speaker":"Unknown","startTime":470.12,"endTime":473.54,"body":"And then we do just age, you"},{"speaker":"Unknown","startTime":473.54,"endTime":477.2,"body":"know, they're saying we age"},{"speaker":"Unknown","startTime":473.54,"endTime":477.2,"body":"differently, and we're aging"},{"speaker":"Unknown","startTime":477.38,"endTime":482.3,"body":"more rapidly than we have in the"},{"speaker":"Unknown","startTime":477.38,"endTime":482.3,"body":"past. And that's linked to a lot"},{"speaker":"Unknown","startTime":482.3,"endTime":485.69,"body":"of different factors as well,"},{"speaker":"Unknown","startTime":482.3,"endTime":485.69,"body":"including, just when you get an"},{"speaker":"Unknown","startTime":485.72,"endTime":489.83,"body":"early onset cancer, your cells"},{"speaker":"Unknown","startTime":485.72,"endTime":489.83,"body":"are more rapidly dividing, and"},{"speaker":"Unknown","startTime":489.83,"endTime":493.34,"body":"so those cancers become more"},{"speaker":"Unknown","startTime":489.83,"endTime":493.34,"body":"aggressive faster. And so it's"},{"speaker":"Unknown","startTime":493.55,"endTime":496.46,"body":"it's a very interesting topic,"},{"speaker":"Unknown","startTime":493.55,"endTime":496.46,"body":"but I do think there's a lot of"},{"speaker":"Unknown","startTime":496.46,"endTime":498.62,"body":"research that still needs to"},{"speaker":"Unknown","startTime":496.46,"endTime":498.62,"body":"happen."},{"speaker":"Beth Brown","startTime":498.0,"endTime":501.33,"body":"What advice can we"},{"speaker":"Beth Brown","startTime":498.0,"endTime":501.33,"body":"give people at this point, then?"},{"speaker":"Beth Brown","startTime":501.33,"endTime":507.12,"body":"We should be screening earlier"},{"speaker":"Beth Brown","startTime":501.33,"endTime":507.12,"body":"and more? Or? Get more sleep,"},{"speaker":"Beth Brown","startTime":507.12,"endTime":510.39,"body":"I'm hearing that. Make sure that"},{"speaker":"Beth Brown","startTime":507.12,"endTime":510.39,"body":"you're getting off those devices"},{"speaker":"Beth Brown","startTime":510.39,"endTime":514.32,"body":"and that, you know, same advice"},{"speaker":"Beth Brown","startTime":510.39,"endTime":514.32,"body":"we always give, eat, right,"},{"speaker":"Beth Brown","startTime":514.35,"endTime":517.95,"body":"exercise, be active,"},{"speaker":"Beth Brown","startTime":514.35,"endTime":517.95,"body":"specifically towards cancer. Can"},{"speaker":"Beth Brown","startTime":517.95,"endTime":519.57,"body":"we talk about the screening"},{"speaker":"Beth Brown","startTime":517.95,"endTime":519.57,"body":"thing?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":519.99,"endTime":522.63,"body":"I think"},{"speaker":"Dr. Doug Kuntzweiler","startTime":519.99,"endTime":522.63,"body":"one thing that's important is to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":522.63,"endTime":526.11,"body":"find out about your family"},{"speaker":"Dr. Doug Kuntzweiler","startTime":522.63,"endTime":526.11,"body":"history, because some of this is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":526.11,"endTime":530.58,"body":"definitely genetically related,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":526.11,"endTime":530.58,"body":"and if you have a family"},{"speaker":"Dr. Doug Kuntzweiler","startTime":530.58,"endTime":536.25,"body":"history, and primarily close"},{"speaker":"Dr. Doug Kuntzweiler","startTime":530.58,"endTime":536.25,"body":"relatives, parents, siblings, if"},{"speaker":"Dr. Doug Kuntzweiler","startTime":536.25,"endTime":540.33,"body":"you have a family history, your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":536.25,"endTime":540.33,"body":"risk goes up, and your screening"},{"speaker":"Dr. Doug Kuntzweiler","startTime":540.33,"endTime":545.13,"body":"should probably start earlier."},{"speaker":"Dr. Doug Kuntzweiler","startTime":540.33,"endTime":545.13,"body":"So I think that's one thing that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":545.19,"endTime":549.45,"body":"that we can tell people. The"},{"speaker":"Dr. Doug Kuntzweiler","startTime":545.19,"endTime":549.45,"body":"other is to see your primary"},{"speaker":"Dr. Doug Kuntzweiler","startTime":549.45,"endTime":554.16,"body":"care and make sure that you are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":549.45,"endTime":554.16,"body":"getting the screening that you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.16,"endTime":557.46,"body":"should especially for things"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.16,"endTime":557.46,"body":"like colorectal cancer and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":557.46,"endTime":560.46,"body":"breast cancer. We know that we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":557.46,"endTime":560.46,"body":"have fairly good early"},{"speaker":"Dr. Doug Kuntzweiler","startTime":560.46,"endTime":563.19,"body":"detection, but you have to take"},{"speaker":"Dr. Doug Kuntzweiler","startTime":560.46,"endTime":563.19,"body":"advantage of that, and the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":563.19,"endTime":566.4,"body":"recommendations from"},{"speaker":"Dr. Doug Kuntzweiler","startTime":563.19,"endTime":566.4,"body":"organizations like the American"},{"speaker":"Dr. Doug Kuntzweiler","startTime":566.4,"endTime":570.54,"body":"Cancer Society have changed. We"},{"speaker":"Dr. Doug Kuntzweiler","startTime":566.4,"endTime":570.54,"body":"were recommending colorectal"},{"speaker":"Dr. Doug Kuntzweiler","startTime":570.54,"endTime":574.26,"body":"screening at age 50, and now"},{"speaker":"Dr. Doug Kuntzweiler","startTime":570.54,"endTime":574.26,"body":"that's been lowered to age 45"},{"speaker":"Dr. Doug Kuntzweiler","startTime":574.29,"endTime":578.31,"body":"breast cancer mammograms was"},{"speaker":"Dr. Doug Kuntzweiler","startTime":574.29,"endTime":578.31,"body":"recommended at age 45 and now"},{"speaker":"Dr. Doug Kuntzweiler","startTime":578.31,"endTime":581.94,"body":"that's lowered to age 40 and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":578.31,"endTime":581.94,"body":"I've read advice that if you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":581.94,"endTime":586.8,"body":"have a parent who, for instance,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":581.94,"endTime":586.8,"body":"maybe had a cancer at, let's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":586.8,"endTime":592.08,"body":"say, age 45 then you should"},{"speaker":"Dr. Doug Kuntzweiler","startTime":586.8,"endTime":592.08,"body":"start your screening 10 years"},{"speaker":"Dr. Doug Kuntzweiler","startTime":592.14,"endTime":596.22,"body":"younger than that. So you should"},{"speaker":"Dr. Doug Kuntzweiler","startTime":592.14,"endTime":596.22,"body":"start your screening at age 35"},{"speaker":"Dr. Doug Kuntzweiler","startTime":596.55,"endTime":599.1,"body":"and that's, I mean, this is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":596.55,"endTime":599.1,"body":"somewhat based on your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":599.1,"endTime":603.54,"body":"individual risk factors, and the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":599.1,"endTime":603.54,"body":"best way to know that is to talk"},{"speaker":"Dr. Doug Kuntzweiler","startTime":603.54,"endTime":606.18,"body":"to your family and then talk to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":603.54,"endTime":606.18,"body":"your primary care person."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":607.05,"endTime":609.78,"body":"We are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":607.05,"endTime":609.78,"body":"typically not getting a primary"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":609.78,"endTime":613.38,"body":"physician until later in life. A"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":609.78,"endTime":613.38,"body":"lot of young people use our"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":613.38,"endTime":617.91,"body":"urgent cares and our ERs as"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":613.38,"endTime":617.91,"body":"because they just don't have,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":617.94,"endTime":620.07,"body":"you know, you have your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":617.94,"endTime":620.07,"body":"pediatrician up until 18, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":620.07,"endTime":625.11,"body":"then you have this age gap from"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":620.07,"endTime":625.11,"body":"18 to 30 or 40 where you just"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":625.11,"endTime":627.87,"body":"don't feel like you need a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":625.11,"endTime":627.87,"body":"primary doctor if you're fairly"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":627.87,"endTime":630.81,"body":"healthy or haven't had any"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":627.87,"endTime":630.81,"body":"medical problems. And I think"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":630.81,"endTime":635.43,"body":"it's important that we do get"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":630.81,"endTime":635.43,"body":"into primary care and establish"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":635.43,"endTime":639.45,"body":"care with a physician earlier"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":635.43,"endTime":639.45,"body":"than we historically have, so"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":639.45,"endTime":643.2,"body":"that when issues come up, we can"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":639.45,"endTime":643.2,"body":"have those discussions. Or if"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":643.2,"endTime":647.31,"body":"there are risk factors that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":643.2,"endTime":647.31,"body":"require you to get screening"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":647.34,"endTime":650.7,"body":"early, you're aware of that, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":647.34,"endTime":650.7,"body":"you recognize that, and the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":650.7,"endTime":655.26,"body":"doctors can help you with that."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":650.7,"endTime":655.26,"body":"And also, there's genetic"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":655.26,"endTime":660.0,"body":"counseling, which is, I think, a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":655.26,"endTime":660.0,"body":"big key in all of this that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":660.0,"endTime":664.05,"body":"people don't realize, because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":660.0,"endTime":664.05,"body":"there are some genetic testing"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":664.05,"endTime":667.98,"body":"that can be done to see if you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":664.05,"endTime":667.98,"body":"have that increased risk, which"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":667.98,"endTime":671.19,"body":"some people want to know and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":667.98,"endTime":671.19,"body":"some people don't. And there's a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":671.19,"endTime":674.31,"body":"whole field that specializes in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":671.19,"endTime":674.31,"body":"this to help you through that,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":674.31,"endTime":678.21,"body":"but if we don't have those"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":674.31,"endTime":678.21,"body":"primary providers early, you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":678.21,"endTime":680.88,"body":"don't even recognize this, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":678.21,"endTime":680.88,"body":"before you know it it's too"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":680.88,"endTime":684.03,"body":"late. So I think that's one"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":680.88,"endTime":684.03,"body":"important point in the younger"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":684.27,"endTime":687.27,"body":"generation, is get get your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":684.27,"endTime":687.27,"body":"doctors sooner, not just when"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":687.27,"endTime":688.05,"body":"you have a problem."},{"speaker":"Beth Brown","startTime":688.34,"endTime":691.52,"body":"That's great advice."},{"speaker":"Beth Brown","startTime":688.34,"endTime":691.52,"body":"Anything else that we need to be"},{"speaker":"Beth Brown","startTime":691.52,"endTime":695.78,"body":"talking about to help folks"},{"speaker":"Beth Brown","startTime":691.52,"endTime":695.78,"body":"reduce their risk?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":696.68,"endTime":698.6,"body":"Well, one"},{"speaker":"Dr. Doug Kuntzweiler","startTime":696.68,"endTime":698.6,"body":"thing we haven't mentioned yet"},{"speaker":"Dr. Doug Kuntzweiler","startTime":698.66,"endTime":704.14,"body":"is the HPV vaccine, the Human"},{"speaker":"Dr. Doug Kuntzweiler","startTime":698.66,"endTime":704.14,"body":"Papilloma Virus. There is a very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":704.14,"endTime":710.38,"body":"good vaccine for this now you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":704.14,"endTime":710.38,"body":"get it in younger age children,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":710.44,"endTime":713.74,"body":"and it prevents them from"},{"speaker":"Dr. Doug Kuntzweiler","startTime":710.44,"endTime":713.74,"body":"getting that virus. And that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":713.74,"endTime":719.08,"body":"virus specifically is linked to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":713.74,"endTime":719.08,"body":"cervical cancer and also"},{"speaker":"Dr. Doug Kuntzweiler","startTime":719.08,"endTime":722.88,"body":"probably some head and neck"},{"speaker":"Dr. Doug Kuntzweiler","startTime":719.08,"endTime":722.88,"body":"cancers, especially in males. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":722.88,"endTime":726.66,"body":"that's an easy thing to do, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":722.88,"endTime":726.66,"body":"it can make a huge difference."},{"speaker":"Dr. Doug Kuntzweiler","startTime":726.66,"endTime":732.06,"body":"So maybe at some point we will"},{"speaker":"Dr. Doug Kuntzweiler","startTime":726.66,"endTime":732.06,"body":"have vaccines for other cancers"},{"speaker":"Dr. Doug Kuntzweiler","startTime":732.06,"endTime":734.82,"body":"there. There certainly is a lot"},{"speaker":"Dr. Doug Kuntzweiler","startTime":732.06,"endTime":734.82,"body":"of research in that area, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":735.12,"endTime":738.84,"body":"right now that's available, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":735.12,"endTime":738.84,"body":"it's not being taken advantage"},{"speaker":"Dr. Doug Kuntzweiler","startTime":738.84,"endTime":741.5,"body":"of, as it as it should be okay."},{"speaker":"Beth Brown","startTime":741.0,"endTime":743.82,"body":"So let's talk about"},{"speaker":"Beth Brown","startTime":741.0,"endTime":743.82,"body":"- you two are definitely the"},{"speaker":"Beth Brown","startTime":743.82,"endTime":746.61,"body":"experts here. And I know Tiffany"},{"speaker":"Beth Brown","startTime":743.82,"endTime":746.61,"body":"mentioned earlier that more"},{"speaker":"Beth Brown","startTime":746.61,"endTime":749.61,"body":"research needs to be done, but I"},{"speaker":"Beth Brown","startTime":746.61,"endTime":749.61,"body":"know in a little the little bit"},{"speaker":"Beth Brown","startTime":749.61,"endTime":753.36,"body":"of reading that I did, there is"},{"speaker":"Beth Brown","startTime":749.61,"endTime":753.36,"body":"some research being done based"},{"speaker":"Beth Brown","startTime":753.36,"endTime":756.27,"body":"on what is happening. Do you"},{"speaker":"Beth Brown","startTime":753.36,"endTime":756.27,"body":"know what those next steps need"},{"speaker":"Beth Brown","startTime":756.27,"endTime":759.9,"body":"to be in research? What are we"},{"speaker":"Beth Brown","startTime":756.27,"endTime":759.9,"body":"learning now, and where is that"},{"speaker":"Beth Brown","startTime":759.9,"endTime":760.86,"body":"taking us?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":760.84,"endTime":763.96,"body":"There are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":760.84,"endTime":763.96,"body":"a lot of medical centers that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":763.99,"endTime":768.76,"body":"have developed special research"},{"speaker":"Dr. Doug Kuntzweiler","startTime":763.99,"endTime":768.76,"body":"units just to look at these"},{"speaker":"Dr. Doug Kuntzweiler","startTime":769.15,"endTime":773.62,"body":"younger onset cancers, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":769.15,"endTime":773.62,"body":"that's fairly new. So I would"},{"speaker":"Dr. Doug Kuntzweiler","startTime":773.62,"endTime":778.87,"body":"say the research is still in its"},{"speaker":"Dr. Doug Kuntzweiler","startTime":773.62,"endTime":778.87,"body":"infancy. Trying to figure out"},{"speaker":"Dr. Doug Kuntzweiler","startTime":778.9,"endTime":783.07,"body":"why this is happening is one"},{"speaker":"Dr. Doug Kuntzweiler","startTime":778.9,"endTime":783.07,"body":"aspect of it. The other aspect"},{"speaker":"Dr. Doug Kuntzweiler","startTime":783.07,"endTime":787.81,"body":"is that you have to realize that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":783.07,"endTime":787.81,"body":"if you have colorectal cancer"},{"speaker":"Dr. Doug Kuntzweiler","startTime":787.84,"endTime":791.62,"body":"and you're 80 years old, it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":787.84,"endTime":791.62,"body":"doesn't have that huge an impact"},{"speaker":"Dr. Doug Kuntzweiler","startTime":791.65,"endTime":794.38,"body":"on your life, because those"},{"speaker":"Dr. Doug Kuntzweiler","startTime":791.65,"endTime":794.38,"body":"extra years come at the end"},{"speaker":"Dr. Doug Kuntzweiler","startTime":794.38,"endTime":798.7,"body":"anyway. But if you have that at"},{"speaker":"Dr. Doug Kuntzweiler","startTime":794.38,"endTime":798.7,"body":"age 40, you know you probably"},{"speaker":"Dr. Doug Kuntzweiler","startTime":798.7,"endTime":801.67,"body":"have young children at home, you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":798.7,"endTime":801.67,"body":"have family planning that's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":801.67,"endTime":805.72,"body":"going on, you're at sort of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":801.67,"endTime":805.72,"body":"peak of your productive years of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":805.72,"endTime":810.1,"body":"work, and it has a huge, huge"},{"speaker":"Dr. Doug Kuntzweiler","startTime":805.72,"endTime":810.1,"body":"impact. And also there's a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":810.1,"endTime":813.13,"body":"longer time when your cancer"},{"speaker":"Dr. Doug Kuntzweiler","startTime":810.1,"endTime":813.13,"body":"might recur, and so it has a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":813.13,"endTime":816.97,"body":"huge impact on your life. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":813.13,"endTime":816.97,"body":"these centers are realizing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":816.97,"endTime":821.05,"body":"that, and they're sort of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":816.97,"endTime":821.05,"body":"tailoring their approach to this"},{"speaker":"Dr. Doug Kuntzweiler","startTime":821.05,"endTime":825.13,"body":"new situation where the cancer"},{"speaker":"Dr. Doug Kuntzweiler","startTime":821.05,"endTime":825.13,"body":"has much greater impact on a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":825.13,"endTime":828.22,"body":"person's life than we were used"},{"speaker":"Dr. Doug Kuntzweiler","startTime":825.13,"endTime":828.22,"body":"to seeing"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":829.77,"endTime":831.84,"body":"And I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":829.77,"endTime":831.84,"body":"would say that, yeah, some of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":831.84,"endTime":835.41,"body":"the key areas of research is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":831.84,"endTime":835.41,"body":"what we talked about and what"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":835.41,"endTime":838.92,"body":"they're looking at right now is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":835.41,"endTime":838.92,"body":"environmental toxins, like"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":838.92,"endTime":843.21,"body":"pollution and the chemicals we"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":838.92,"endTime":843.21,"body":"used in our food lifestyle"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":843.21,"endTime":848.22,"body":"factors, which we talked about,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":843.21,"endTime":848.22,"body":"you know, sleep devices, diet,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":848.22,"endTime":852.99,"body":"exercise and then the genetic"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":848.22,"endTime":852.99,"body":"mutations. There's also this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":852.99,"endTime":855.36,"body":"growing interest, when I was"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":852.99,"endTime":855.36,"body":"looking through all of this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":855.36,"endTime":860.76,"body":"research in just the molecular"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":855.36,"endTime":860.76,"body":"biology of early onset cancers,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":860.94,"endTime":863.97,"body":"and I alluded to it earlier,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":860.94,"endTime":863.97,"body":"where it was talking about,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":864.18,"endTime":868.74,"body":"we're aging biologically faster"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":864.18,"endTime":868.74,"body":"than we historically had, and so"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":868.74,"endTime":872.7,"body":"they're looking at, why is that?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":868.74,"endTime":872.7,"body":"But honestly, we just we need"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":872.7,"endTime":876.45,"body":"better ways to predict who is at"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":872.7,"endTime":876.45,"body":"risk, so even researching"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":876.45,"endTime":880.26,"body":"screening options so that we"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":876.45,"endTime":880.26,"body":"have earlier recognition and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":880.26,"endTime":883.92,"body":"diagnosis. And then we need more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":880.26,"endTime":883.92,"body":"research on targeted therapies,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":883.92,"endTime":888.06,"body":"because they do act differently"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":883.92,"endTime":888.06,"body":"in early onset cancer than"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":888.09,"endTime":892.05,"body":"older. They're, you know, more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":888.09,"endTime":892.05,"body":"rapidly dividing. There's more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":892.05,"endTime":894.84,"body":"cell growth, and the cancers are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":892.05,"endTime":894.84,"body":"more aggressive. So how do we"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":895.05,"endTime":898.89,"body":"hit those harder, early, but"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":895.05,"endTime":898.89,"body":"also knowing that chemo"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":898.89,"endTime":902.16,"body":"radiation, those tree. Moments"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":898.89,"endTime":902.16,"body":"affect your life long term. And"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":902.16,"endTime":906.6,"body":"so how can we minimize your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":902.16,"endTime":906.6,"body":"lifestyle effects and your just"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":906.6,"endTime":910.74,"body":"life effects after the fact, but"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":906.6,"endTime":910.74,"body":"also be aggressive in treating"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":910.74,"endTime":914.91,"body":"it, since they are more rapidly"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":910.74,"endTime":914.91,"body":"dividing. So I think just large"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":914.91,"endTime":918.51,"body":"scale studies and clinical"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":914.91,"endTime":918.51,"body":"trials are critical. They're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":918.54,"endTime":921.48,"body":"starting to get done. There's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":918.54,"endTime":921.48,"body":"this amazing researcher at"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":921.48,"endTime":925.26,"body":"Memorial, Sloan Kettering, who"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":921.48,"endTime":925.26,"body":"recently published in JAMA, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":925.29,"endTime":927.39,"body":"they're doing some really"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":925.29,"endTime":927.39,"body":"interesting work on"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":927.39,"endTime":931.83,"body":"immunotherapy. And so it's it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":927.39,"endTime":931.83,"body":"recognized, and they're working"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":931.83,"endTime":936.27,"body":"on it, but we're kind of in the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":931.83,"endTime":936.27,"body":"infancy of really figuring out"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":936.51,"endTime":937.65,"body":"how to move forward."},{"speaker":"Beth Brown","startTime":938.4,"endTime":941.25,"body":"So some hope there,"},{"speaker":"Beth Brown","startTime":938.4,"endTime":941.25,"body":"but it might be a ways down the"},{"speaker":"Beth Brown","startTime":941.25,"endTime":945.42,"body":"road. So if there is one or two"},{"speaker":"Beth Brown","startTime":941.25,"endTime":945.42,"body":"main things that you want to"},{"speaker":"Beth Brown","startTime":945.42,"endTime":949.14,"body":"make sure our listeners take"},{"speaker":"Beth Brown","startTime":945.42,"endTime":949.14,"body":"away with them today about this"},{"speaker":"Beth Brown","startTime":949.14,"endTime":952.56,"body":"topic of early onset cancer,"},{"speaker":"Beth Brown","startTime":949.14,"endTime":952.56,"body":"what do you want to make sure we"},{"speaker":"Beth Brown","startTime":952.56,"endTime":953.16,"body":"all hear?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":953.67,"endTime":956.07,"body":"Well, I'm"},{"speaker":"Dr. Doug Kuntzweiler","startTime":953.67,"endTime":956.07,"body":"going to sound like my mother on"},{"speaker":"Dr. Doug Kuntzweiler","startTime":956.07,"endTime":957.0,"body":"some of these."},{"speaker":"Beth Brown","startTime":957.87,"endTime":959.19,"body":"That's okay. Moms"},{"speaker":"Beth Brown","startTime":957.87,"endTime":959.19,"body":"are smart."},{"speaker":"Dr. Doug Kuntzweiler","startTime":959.19,"endTime":962.73,"body":"So know"},{"speaker":"Dr. Doug Kuntzweiler","startTime":959.19,"endTime":962.73,"body":"your family history, get the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":962.73,"endTime":967.29,"body":"screening that you need, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":962.73,"endTime":967.29,"body":"then the usual things that I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":967.29,"endTime":972.18,"body":"harp on, exercise, healthy diet,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":967.29,"endTime":972.18,"body":"eat your fruits and vegetables,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":972.18,"endTime":975.9,"body":"your whole grains, the ranchers"},{"speaker":"Dr. Doug Kuntzweiler","startTime":972.18,"endTime":975.9,"body":"hate me, minimize your red meat"},{"speaker":"Dr. Doug Kuntzweiler","startTime":975.9,"endTime":980.79,"body":"consumption. Stop smoking."},{"speaker":"Dr. Doug Kuntzweiler","startTime":975.9,"endTime":980.79,"body":"That's probably the single most"},{"speaker":"Dr. Doug Kuntzweiler","startTime":980.79,"endTime":984.39,"body":"important thing you could do,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":980.79,"endTime":984.39,"body":"drink less than I do so,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":984.39,"endTime":991.02,"body":"minimize your alcohol intake,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":984.39,"endTime":991.02,"body":"get to get an adequate amount of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":991.05,"endTime":994.38,"body":"good rest, you know, make your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":991.05,"endTime":994.38,"body":"bedroom dark, put your phone"},{"speaker":"Dr. Doug Kuntzweiler","startTime":994.38,"endTime":997.89,"body":"away. So these are all things"},{"speaker":"Dr. Doug Kuntzweiler","startTime":994.38,"endTime":997.89,"body":"that we know are generally"},{"speaker":"Dr. Doug Kuntzweiler","startTime":997.92,"endTime":1002.21,"body":"helpful, whether or not they are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":997.92,"endTime":1002.21,"body":"specific to this early onset"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1002.21,"endTime":1005.6,"body":"cancer is yet to be really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1002.21,"endTime":1005.6,"body":"determined, but, but these are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1005.6,"endTime":1009.38,"body":"good things to do anyway, and it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1005.6,"endTime":1009.38,"body":"may it may help. Certainly won't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1009.38,"endTime":1013.43,"body":"hurt. And get your HPV vaccine."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1009.38,"endTime":1013.43,"body":"Keep up on all of your other"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1013.43,"endTime":1015.83,"body":"vaccinations. I'm done."},{"speaker":"Beth Brown","startTime":1016.55,"endTime":1018.41,"body":"I was gonna say that"},{"speaker":"Beth Brown","startTime":1016.55,"endTime":1018.41,"body":"was more than one or two things"},{"speaker":"Beth Brown","startTime":1018.74,"endTime":1022.16,"body":"but all really good. Would you"},{"speaker":"Beth Brown","startTime":1018.74,"endTime":1022.16,"body":"have anything to add to that big"},{"speaker":"Beth Brown","startTime":1022.16,"endTime":1024.62,"body":"old list that Dr K just gave us?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1025.31,"endTime":1027.59,"body":"Yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1025.31,"endTime":1027.59,"body":"yeah, I would say I agree with"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1027.59,"endTime":1031.43,"body":"everything Doug said, but, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1027.59,"endTime":1031.43,"body":"it's just never too early to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1031.43,"endTime":1035.75,"body":"start thinking about prevention"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1031.43,"endTime":1035.75,"body":"and early detection. If you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1035.75,"endTime":1038.9,"body":"concerned about your risk, make"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1035.75,"endTime":1038.9,"body":"sure you get that physician"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1038.93,"endTime":1043.19,"body":"early. Talk to your health care"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1038.93,"endTime":1043.19,"body":"provider. Just take control of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1043.19,"endTime":1046.16,"body":"your health, and just know that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1043.19,"endTime":1046.16,"body":"the things that are unhealthy,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1046.16,"endTime":1049.76,"body":"that you know are unhealthy, are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1046.16,"endTime":1049.76,"body":"unhealthy, and do affect your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1049.76,"endTime":1053.99,"body":"health long term. And so yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1049.76,"endTime":1053.99,"body":"and I would say one other"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1053.99,"endTime":1056.78,"body":"comment that I feel like we"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1053.99,"endTime":1056.78,"body":"didn't touch on that is very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1056.78,"endTime":1060.62,"body":"important in early onset cancer"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1056.78,"endTime":1060.62,"body":"and could play a role. Is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1061.79,"endTime":1066.44,"body":"smoking, so which also"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1061.79,"endTime":1066.44,"body":"correlates to vaping or E"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1066.44,"endTime":1070.58,"body":"cigarettes. There is still a lot"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1066.44,"endTime":1070.58,"body":"of research being done in this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1070.58,"endTime":1076.88,"body":"field, but it does look like it"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1070.58,"endTime":1076.88,"body":"is linked to cell damage. And so"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1076.88,"endTime":1080.81,"body":"I think there's a big thought in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1076.88,"endTime":1080.81,"body":"our younger generation that I'm"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1080.81,"endTime":1084.14,"body":"not smoking, because that has"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1080.81,"endTime":1084.14,"body":"all the bad cancer causing"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1084.17,"endTime":1088.67,"body":"stuff, but I'm vaping, which is"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1084.17,"endTime":1088.67,"body":"healthier. It's actually not. It"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1088.67,"endTime":1092.45,"body":"does damage the cells. It's just"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1088.67,"endTime":1092.45,"body":"it hasn't been around long"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1092.45,"endTime":1097.79,"body":"enough for us to have all of the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1092.45,"endTime":1097.79,"body":"data we have behind smoking"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1097.79,"endTime":1102.47,"body":"cigarettes, but all of the early"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1097.79,"endTime":1102.47,"body":"data does suggest that it does"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1102.47,"endTime":1107.21,"body":"damage the cells at an alarming"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1102.47,"endTime":1107.21,"body":"rate and can contribute to early"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1107.21,"endTime":1111.74,"body":"onset cancer. So just keep that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1107.21,"endTime":1111.74,"body":"in mind, sometimes it can be too"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1111.74,"endTime":1112.58,"body":"good to be true."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1114.47,"endTime":1118.76,"body":"And I will"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1114.47,"endTime":1118.76,"body":"add, sometimes people say the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1118.76,"endTime":1122.03,"body":"screening is is so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1118.76,"endTime":1122.03,"body":"uncomfortable, like referring"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1122.03,"endTime":1125.66,"body":"specifically to colonoscopy,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1122.03,"endTime":1125.66,"body":"they've heard horror stories"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1125.66,"endTime":1129.26,"body":"about it, and they don't want to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1125.66,"endTime":1129.26,"body":"do it, just because it doesn't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1129.26,"endTime":1132.29,"body":"sound like very much fun. I've"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1129.26,"endTime":1132.29,"body":"gone through it, and it's not"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1132.29,"endTime":1135.83,"body":"that bad. I'm not saying it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1132.29,"endTime":1135.83,"body":"fun, but it's really not that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1135.83,"endTime":1140.15,"body":"bad. And the valuable thing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1135.83,"endTime":1140.15,"body":"about colonoscopy is they can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1140.15,"endTime":1143.99,"body":"find polyps that 10 years from"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1140.15,"endTime":1143.99,"body":"now, could turn into cancer, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1143.99,"endTime":1146.6,"body":"they can remove them. And so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1143.99,"endTime":1146.6,"body":"it's it's more than just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1146.6,"endTime":1150.95,"body":"screening, it's actually also"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1146.6,"endTime":1150.95,"body":"prevention and treatment. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1151.04,"endTime":1154.22,"body":"don't be afraid of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1151.04,"endTime":1154.22,"body":"colonoscopy. You know, they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1154.31,"endTime":1157.19,"body":"sedate you, so you're not really"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1154.31,"endTime":1157.19,"body":"even aware of what's going on."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1157.49,"endTime":1161.36,"body":"The prep, I was told the prep"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1157.49,"endTime":1161.36,"body":"was going to be awful, and it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1161.36,"endTime":1164.42,"body":"really wasn't bad at all, so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1161.36,"endTime":1164.42,"body":"don't be afraid of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1164.42,"endTime":1166.67,"body":"screening. It may prolong your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1164.42,"endTime":1166.67,"body":"life."},{"speaker":"Beth Brown","startTime":1167.11,"endTime":1169.96,"body":"Perfect. Thank you."},{"speaker":"Beth Brown","startTime":1167.11,"endTime":1169.96,"body":"And for those people who are"},{"speaker":"Beth Brown","startTime":1169.99,"endTime":1173.77,"body":"concerned, maybe they do have"},{"speaker":"Beth Brown","startTime":1169.99,"endTime":1173.77,"body":"cancer in their family history,"},{"speaker":"Beth Brown","startTime":1173.89,"endTime":1176.92,"body":"what are the resources that you"},{"speaker":"Beth Brown","startTime":1173.89,"endTime":1176.92,"body":"would advise that they can take"},{"speaker":"Beth Brown","startTime":1176.92,"endTime":1178.99,"body":"advantage of if they want more"},{"speaker":"Beth Brown","startTime":1176.92,"endTime":1178.99,"body":"information?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1179.68,"endTime":1182.02,"body":"The"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1179.68,"endTime":1182.02,"body":"American Cancer Society has good"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1182.02,"endTime":1186.22,"body":"information, the National Cancer"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1182.02,"endTime":1186.22,"body":"Institute. And then the usual"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1186.22,"endTime":1189.91,"body":"things we talk about, like Johns"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1186.22,"endTime":1189.91,"body":"Hopkins' website, Yale's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1189.91,"endTime":1193.51,"body":"website, Tiffany mentioned"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1189.91,"endTime":1193.51,"body":"Memorial Sloan Kettering, they"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1193.51,"endTime":1194.8,"body":"have a really good website."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1195.19,"endTime":1197.38,"body":"And I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1195.19,"endTime":1197.38,"body":"would say the typical website"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1197.38,"endTime":1201.58,"body":"that Montanans love is the Mayo"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1197.38,"endTime":1201.58,"body":"Clinic. Which also has a lot of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1201.58,"endTime":1205.48,"body":"really good data and information"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1201.58,"endTime":1205.48,"body":"for people looking into that."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1205.48,"endTime":1209.17,"body":"And then just another plug for"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1205.48,"endTime":1209.17,"body":"your health care provider, they"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1209.17,"endTime":1213.1,"body":"tend to stay up on all of this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1209.17,"endTime":1213.1,"body":"and know the recommendations and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1213.1,"endTime":1216.04,"body":"can help you through that family"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1213.1,"endTime":1216.04,"body":"history and whether you need"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1216.04,"endTime":1216.88,"body":"early screening."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1217.15,"endTime":1219.25,"body":"Tiffany,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1217.15,"endTime":1219.25,"body":"I'm interested in having a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1219.25,"endTime":1224.38,"body":"discussion with you. I in my"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1219.25,"endTime":1224.38,"body":"last well, maybe 10 years or so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1224.41,"endTime":1229.18,"body":"of er medicine, I felt like I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1224.41,"endTime":1229.18,"body":"was seeing more brain cancers."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1229.36,"endTime":1232.75,"body":"Not to say I didn't find one"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1229.36,"endTime":1232.75,"body":"occasionally earlier in my"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1232.75,"endTime":1235.84,"body":"career, but it got to the point"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1232.75,"endTime":1235.84,"body":"where I was finding two or three"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1236.38,"endTime":1239.32,"body":"a year, and I knew if I were"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1236.38,"endTime":1239.32,"body":"seeing that, my partners were"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1239.32,"endTime":1242.05,"body":"probably seeing that. Do you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1239.32,"endTime":1242.05,"body":"feel like you're seeing any"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1242.05,"endTime":1244.87,"body":"cancer more frequently than in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1242.05,"endTime":1244.87,"body":"the past?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1245.08,"endTime":1247.75,"body":"Yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1245.08,"endTime":1247.75,"body":"Doug, I would say the brain"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1247.75,"endTime":1253.0,"body":"cancer has been alarming to me,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1247.75,"endTime":1253.0,"body":"but more so the colorectal"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1253.0,"endTime":1258.16,"body":"cancer we have been finding on"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1253.0,"endTime":1258.16,"body":"CAT scan in the ER whether it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1258.16,"endTime":1262.99,"body":"a bowel blockage or a tumor that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1258.16,"endTime":1262.99,"body":"we actually see on the CAT scan."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1262.99,"endTime":1266.35,"body":"We're finding some of these late"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1262.99,"endTime":1266.35,"body":"and that is the one that has"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1266.35,"endTime":1269.95,"body":"surprised me that I didn't see"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1266.35,"endTime":1269.95,"body":"early in my career, and I've"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1269.95,"endTime":1273.19,"body":"only been in practice for 13"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1269.95,"endTime":1273.19,"body":"years. We're seeing it and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1273.22,"endTime":1276.91,"body":"diagnosing it in 30 year olds,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1273.22,"endTime":1276.91,"body":"and it's aggressive, it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1276.91,"endTime":1280.48,"body":"already visible on the CAT scan."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1276.91,"endTime":1280.48,"body":"And so that's the one that's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1280.48,"endTime":1284.68,"body":"really shocked me, but yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1280.48,"endTime":1284.68,"body":"brain cancer as well, but I feel"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1284.68,"endTime":1287.83,"body":"like now that it doesn't shock"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1284.68,"endTime":1287.83,"body":"me as much anymore, because we"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1287.83,"endTime":1292.48,"body":"are seeing it more, and it has"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1287.83,"endTime":1292.48,"body":"been an increased rate. But the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1292.48,"endTime":1295.57,"body":"colorectal has really been a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1292.48,"endTime":1295.57,"body":"surprise to me in the younger"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1295.57,"endTime":1297.1,"body":"people. It's shocking."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1297.45,"endTime":1299.49,"body":"One thing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1297.45,"endTime":1299.49,"body":"I've read about colorectal"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1299.49,"endTime":1303.57,"body":"cancer in particular is that as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1299.49,"endTime":1303.57,"body":"you look at each cohort every 10"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1303.6,"endTime":1306.72,"body":"years or so, the rate of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1303.6,"endTime":1306.72,"body":"colorectal developing increases."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1306.72,"endTime":1311.37,"body":"So if, if you look at the 40 to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1306.72,"endTime":1311.37,"body":"50 age range compared to the 30"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1311.37,"endTime":1316.71,"body":"to 40 to the 20 to 30, the risk,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1311.37,"endTime":1316.71,"body":"or the incidence, is going up"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1316.71,"endTime":1321.33,"body":"by, you know, 15 to 20% each"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1316.71,"endTime":1321.33,"body":"time you look at a younger"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1321.36,"endTime":1324.18,"body":"cohort, which means whatever is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1321.36,"endTime":1324.18,"body":"happening is sort of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1324.24,"endTime":1329.04,"body":"accelerating, and I find that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1324.24,"endTime":1329.04,"body":"pretty disturbing. Yeah, get"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1329.04,"endTime":1329.76,"body":"your screening."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1330.36,"endTime":1332.58,"body":"Yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1330.36,"endTime":1332.58,"body":"absolutely."},{"speaker":"Beth Brown","startTime":1332.88,"endTime":1335.61,"body":"I was gonna say that"},{"speaker":"Beth Brown","startTime":1332.88,"endTime":1335.61,"body":"goes back to talk with your"},{"speaker":"Beth Brown","startTime":1335.61,"endTime":1339.66,"body":"primary care provider and and"},{"speaker":"Beth Brown","startTime":1335.61,"endTime":1339.66,"body":"get screened. Definitely,"},{"speaker":"Beth Brown","startTime":1339.66,"endTime":1343.83,"body":"whatever your provider says,"},{"speaker":"Beth Brown","startTime":1339.66,"endTime":1343.83,"body":"Because of your risks, you need"},{"speaker":"Beth Brown","startTime":1343.83,"endTime":1346.92,"body":"to be paying attention so that"},{"speaker":"Beth Brown","startTime":1343.83,"endTime":1346.92,"body":"we can catch those things early."},{"speaker":"Beth Brown","startTime":1347.7,"endTime":1351.66,"body":"Okay, perfect. Thank you so much"},{"speaker":"Beth Brown","startTime":1347.7,"endTime":1351.66,"body":"both of you, both Dr. Ks, for"},{"speaker":"Beth Brown","startTime":1351.66,"endTime":1355.02,"body":"being with us today. This is a"},{"speaker":"Beth Brown","startTime":1351.66,"endTime":1355.02,"body":"serious topic, but it's one that"},{"speaker":"Beth Brown","startTime":1355.14,"endTime":1358.71,"body":"doesn't have to scare us if we"},{"speaker":"Beth Brown","startTime":1355.14,"endTime":1358.71,"body":"take the right steps to protect"},{"speaker":"Beth Brown","startTime":1358.71,"endTime":1359.37,"body":"our own health."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1359.58,"endTime":1360.24,"body":"Absolutely."},{"speaker":"Beth Brown","startTime":1360.48,"endTime":1362.22,"body":"And thank you so"},{"speaker":"Beth Brown","startTime":1360.48,"endTime":1362.22,"body":"much for listening. We'll put"},{"speaker":"Beth Brown","startTime":1362.22,"endTime":1365.31,"body":"some resources for you with this"},{"speaker":"Beth Brown","startTime":1362.22,"endTime":1365.31,"body":"episode, as always, if you would"},{"speaker":"Beth Brown","startTime":1365.31,"endTime":1367.98,"body":"like more information about this"},{"speaker":"Beth Brown","startTime":1365.31,"endTime":1367.98,"body":"topic, and if you have a"},{"speaker":"Beth Brown","startTime":1367.98,"endTime":1372.63,"body":"question for Dr K. or Dr K., we"},{"speaker":"Beth Brown","startTime":1367.98,"endTime":1372.63,"body":"can, we can do this again and"},{"speaker":"Beth Brown","startTime":1372.63,"endTime":1377.13,"body":"invite both Dr Ks to be on an"},{"speaker":"Beth Brown","startTime":1372.63,"endTime":1377.13,"body":"episode. Please email us, and"},{"speaker":"Beth Brown","startTime":1377.13,"endTime":1383.76,"body":"that email address is"},{"speaker":"Beth Brown","startTime":1377.13,"endTime":1383.76,"body":"QandAwithDrK@mpqhf.org, and that"},{"speaker":"Beth Brown","startTime":1383.76,"endTime":1387.03,"body":"email address will be with this"},{"speaker":"Beth Brown","startTime":1383.76,"endTime":1387.03,"body":"episode as well. Thank you so"},{"speaker":"Beth Brown","startTime":1387.03,"endTime":1387.72,"body":"much and be well."}]}