>>>
>>> THE
>>> THE DEATH OF CHADWICK BOSEMAN IS A TRAGIC LOSS A LOT
OF PEOPLE ARE WRAPPING THEIR
MINDS AROUND.
MINDS AROUND. HE WAS DIAGNOSED AT COLON
CANCER AT JUST 39 AGE OLD AND
DIED AT THE AGE OF 43.
HIS DEATH IS RAISING NEW
AWARENESS ON THE RISK THIS
DISEASE POSES TO YOUNG PEOPLE.
WE WANT TO BRING IN DR. PAYAL
KOHLI TO PUT THIS INTO CONTEXT
FOR US.
FOR US.
FOR US. NOT ONLY WAS IT A SHOCK BECAUSE
A LOT OF PEOPLE DIDN'T KNOW HE
WAS SICK, BUT THIS IS SOMETHING
THAT TOOK HIM FROM US WITHIN
FOUR YEARS.
FOUR YEARS. SO, WHAT CAN YOU TELL US ABOUT
THE SPEED OF HIS RECTAL CANCER?
WHAT DOES THAT TELL US ABOUT
HOW SERIOUS THIS DISEASE CAN
BE?
BE?
BE? >>
BE? >> Reporter: SO, ALEX, THIS WAS
A REAL LOSS FOR OUR SOCIETY.
AND WE KNOW THAT COLON CANCER
IS ACTUALLY THE SECOND LEADING
CAUSE OF CANCER DEATH AMONG MEN
AND WOMEN COMBINED.
AND SO, EVEN THOUGH HIS LOSS
WAS SO TRAGIC, I THINK IT HAS
TAUGHT US A COUPLE OF IMPORTANT
LESSONS ABOUT COLON CANCER.
THE FIRST, IT IS NOT JUST A
DISEASE OF THE OLD.
FOR THE LONGEST TIME, THE
PERCEPTION HAS BEEN THAT AGE IS
REALLY THE BIGGEST RISK FACTOR
AND DRIVER OF COLON CANCER SO
WE HAVE BEEN CONCENTRATING ALL
OF OUR SCREENING EFFORTS IN
OLDER PEOPLE.
OLDER PEOPLE. WE WERE REDUCING INCIDENTS OF
COLON CANCER IN THE OLDER
PEOPLE.
PEOPLE.
PEOPLE. BUT THE YOUNGER PEOPLE WE
NOTICED STARTED HAVING A HIGHER
INCIDENCE OF COLON CANCER.
A NEW REPORT SAYS ONE IN FIVE
NEWLY DETECTED COLO-RECTAL
CANCERS ARE IN PEOPLE UNDER THE
AGE OF 54.
SO HIS DEATH TAUGHT US THAT
SCREENING YOUNG PEOPLE IS
IMPORTANT.
IMPORTANT. AND THE SECOND LESSON WE HAVE
TALK ABOUT BEFORE, IT
HIGHLIGHTS SOME OF THOSE RACIAL
DISPARITIES THAT WE CONTINUE TO
SEE IN MEDICINE.
SO, BLACK AMERICANS HAVE A
HIGHER INCIDENCE OF GETTING
COLO-RECTAL CANCER.
COLO-RECTAL CANCER. 20% HIGHER THAN WHITE.
50% HIGHER THAN ASIANS.
AND, THEY ALSO HAVE A 40%
HIGHER CHANCE OF DYING FROM THE
CANCER BECAUSE OF LATE
DIAGNOSIS.
DIAGNOSIS. >> THAT IS HARD TO WRAP YOUR
MIND AROUND.
MIND AROUND. WHAT CAN WE DO SINCE WE ARE ALL
AT RISK?
AT RISK?
AT RISK? SOME MORE THAN OTHERS?
WHAT CAN WE DO?
DO WE NEED TO BE GETTING
SCREENED?
SCREENED?
SCREENED? JUST LIKE MAMMOGRAMS AFTER AGE
40?
40?
40? YOU
40? YOU GET THEM DONE EVERY YEAR?
IS THERE AN AGE THIS SHOULD
KICK IN?
KICK IN?
KICK IN? >> Reporter: GREAT QUESTION.
THERE ARE SOME RISK FACTORS
THAT ARE MODIFYABLE.
THETHERE IS A LOT WE CAN DO TO
REDUCE OUR RISK.
BEING OBESE, SEDENTARY.
MODERATE TO HEAVY ALCOHOL USE.
SMOKING, HAVING DIABETES.
EATING RED MEAT OR PROCESSED
MEAT.
MEAT.
MEAT. OR
MEAT. OR VITAMIN INTAKE, HAVING HIGH
LEVELS OF VITAMIN D AND CALCIUM
CAN BE ASSOCIATED WITH LOWER
RISK.
RISK.
RISK. BUT
RISK. BUT YOU ASK ABOUT SCREENING AND
I'M GLAD YOU DID.
EARLY SCREENING CAN BE THE
DIFFERENCE BETWEEN LIFE AND
DEATH WITH RESPECT TO COLON
CANCER.
CANCER.
CANCER. THE AMERICAN SOCIETY OF CANCER
SOCIETY HAS NOW SHIFTED THE
CANCER SCREENING GUIDELINES TO
START AT THE AGE OF 45 FOR
AVERAGE RISK AMERICANS.
>> AND I KNOW IT CAN BE, YOU
KNOW, WE CAN HAVE THIS WITHOUT
SYMPTOMS, WITH SYMPTOMS.
WHEN THEY DO SHOW UP, IT'S TOO
LATE.
LATE.
LATE. WHAT DO WE NEED TO BE LOOKING
FOR?
FOR?
FOR? IS
FOR? IS THERE ANYTHING?
>> Reporter: ANOTHER GREAT
QUESTION.
QUESTION.
QUESTION. EARLY IN THE COURSE OF THE
DISEASE WHEN THE CURE RATE IS
HIGH, THERE ARE OFTEN NO
SYMPTOMS.
SYMPTOMS.
SYMPTOMS. LATER IN THE DISEASE, YOU CAN
DEVELOP SYMPTOMS.
DEVELOP SYMPTOMS. CHANGE IN BOWL HABITS.
ABDOMINAL PAIN.
ABDOMINAL PAIN. BLOOD IN THE STOOL.
A LOT OF SCREENING TESTS TRY TO
FIND THEM EARLY.
COLONOSCOPY LOOKS FOR THE EARLY
TUMORS AND WE CAN DO STOOL
TESTING AS WELL.
THESE ARE HOME TESTS AVAILABLE
AT 9HEALTHCARE.ORG.
AT 9HEALTHCARE.ORG. YOU SWIPE A LITTLE OF YOUR
STOOL ON THE CARD.
IT LOOKS FOR BLOOD.
THAT MAY BE A GOOD WAY TO GET
MICROSCOPIC BLOOD BEFORE YOU
HAVE THE SYMPTOMS.
>> OKAY, SO MUCH GOOD
INFORMATION THAT YOU JUST
PROVIDED US WITH.
OBVIOUSLY, OUR COMMUNITY LOST A
HERO.
HERO.
HERO. BUT
HERO. BUT IF IT IS ABLE TO ED A
LITTLE LIGHT ON SOMETHING WE
NEED TO ME MORE ABOUT, WE WILL
TAKE THAT