EP 606: Can TikTok Give You Hemorrhoids? Why Less Scrolling, More Fiber, and a Colonoscopy Can Keep Your Hiney Happy and Healthy!

In this episode, Dr. Mistry and Donna Lee are joined by friend and colleague Dr. Andrew Miller of Central Texas Colon and Rectal Surgeons. Dr. Miller specializes in surgical treatments for diseases of the colon, rectum, and anus. Today, he explains why two simple preventative health measures can keep patients out of his operating room: eating more fiber and having routine colonoscopies. Neglecting either can become a real pain in the butt. Listen in to learn why you should never TikTok on the toilet, but you should try putting hemorrhoid cream on the puffy bags under your eyes! To schedule an appointment with Dr. Miller, visit Central Texas Colon and Rectal Surgeons online or call 512-220-7002 today. 

Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot

Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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Transcript

Speaker 1: 0:07

Welcome to the Armor Men's Health Show with Dr. Mystery and Donna Lee.

Speaker 2: 0:15

Hello and welcome to the Armor Men's Health Show. This is Dr. Mystery. Your host here is always with my co-host, the incredibly technologically capable Donnelly.

Speaker 3: 0:25

That's right. You know, you challenge me and I know how to do this. Now, three years later, I know how to do

Speaker 2: 0:29

It. You really are getting kind of fancy And, and for you listeners out there, this is only one of her podcasts now. That's right.

Speaker 3: 0:34

I have like four.

Speaker 2: 0:35

She's got a bunch of radio shows. She has a hair show. She does her own show. I

Speaker 3: 0:38

Do A funny people podcast now.

Speaker 2: 0:40

Yes. It's, You can't say you're doing the Funny People podcast until you actually do one of them. I did. And I was supposed to be your first guest.

Speaker 3: 0:46

What? No, I didn't. I made a commercial for it to feature you. So I almost Very good.

Speaker 2: 0:50

Almost did it market first. Very good for you. That's right. I'm a board certified urologist. This is a men's health show. This show is brought to you by Naau Urology Specialist. That's the urology specialty clinic that I started in 2007. Mm-hmm.<affirmative>. We are all over the central Texas region. We love taking care of patients from their nipples to their knees. Mm-hmm.<affirmative> and beyond and beyond. We, uh, deal with nutrition. We deal with biomechanics, we deal with making sure your overall health concerns are taken care of. Mm-hmm.<affirmative>. And we love to take care of you. That's

Speaker 3: 1:20

Right. We wanna take care of all the dripping too. By the way, if you're in dripping

Speaker 2: 1:22

Springs, if you're in dripping, they love dripping. Mm-hmm.

Speaker 3: 1:25

There's a big old sinuses. We're

Speaker 2: 1:26

Love dripping. We're gonna put a big slinger on that din today. We have a very exciting gift. Dr. Andrew Miller with Central Texas Colo Rectal surgery. Now colorectal surgery does not sound like the sexiest kind of thing.

Speaker 3: 1:37

Uh, no. But I bet he's gonna make it Awesome.

Speaker 2: 1:39

He's super sexy though, Drew, thank you for joining us today. Thanks for having, Let's just start with what we usually start with. Well, where did you educate

Speaker 4: 1:44

Yourself? So, I grew up in Texas. I went to Baylor for undergrad in Waco. Oh boy. And I went to Galveston, University of Texas Medical Brand for medical school. Uh, spent a year in Lexington, Kentucky for, uh, internship, and then did my general surgery training here in

Speaker 2: 1:57

Austin. That's awesome. And then you had to do a colorectal fellowship, correct?

Speaker 4: 2:00

Correct. An additional year, uh, down in Houston in the medical

Speaker 2: 2:03

Center. When people think about surgeons, they think about them operating on the colon and rectum and all this stuff. Anyway, so why, why an additional fellowship to operate on this particular part of the body?

Speaker 4: 2:12

It's a good question. You do get training for colorectal surgery conditions in general surgery. It's a five year general surgery residency. So to be able to specialize in the specific complex disorders of the colon and the rectum, including inflammatory bowel disease and colorectal cancer, I think it provides that extra amount of training to be able to call yourself an

Speaker 2: 2:31

Expert. So I think that when they, when they line up the medical students okay, and they put'em along a wall, they take the funniest ones, they make them and they become urologists. Mm-hmm.<affirmative> and the second funniest ones, the ones that are quieter and wittier, they make'em colorectal surgeons, ah,<laugh>. Because when it comes to butt jokes, there is nobody better<laugh>. But in our show we often talk about like age related conditions that men in particular, but both men and women can expect when it comes to their overall health. What are the common conditions that you're gonna gonna see people that, that, that will come to see you for?

Speaker 4: 3:01

It's probably the most common's hemorroids. That's a referral that we get from gastroenterologists, from primary care docs, from urologists, um, and gynecologists. So what is a hemo hemorroids? We all have'em. Surprisingly. Most people don't know, but they are part of our normal anatomy. We all have one on the left and two on the right. And they're collections of blood vessels called hemorrhoidal

Speaker 2: 3:18

Veins. There really are one on the left and two on the right. That's right. I had no idea really, really but's understandable. That I don't know. So loud. Go ahead.

Speaker 3: 3:25

How, how did you

Speaker 4: 3:26

Not know that? So most people don't know that we have'em until they actually become symptomatic. And it's typically over a long period of time of dealing with constipation and poor bathroom habits, like sitting long periods of time on the toilet, straining, constipation, diarrhea,

Speaker 2: 3:39

Because these are blood vessels. Mm-hmm.<affirmative> and they're vein. And so they don't have really strong walls. Right. Exactly. So if you're pushing down those walls are gonna stretch, those hemorroids are gonna get bigger. Right.

Speaker 4: 3:48

They dilate, they get under pressure and that persistent repeated dilation, they just get bigger and bigger. And then they start causing hemorrhoidal symptoms, which are the classic rectal bleeding feeling. Hemorroids stick out, you know, another term form piles. That's kind of an older term feeling, uh, feeling that tissue stick out or get swollen after bowel movements.

Speaker 3: 4:04

What are, what's the difference between a hemorrhoid and a skin tag or a fisher

Speaker 4: 4:07

Hemorroids have blood. There's internal hemorrhoidal veins. Mm-hmm.<affirmative>, and then there's external hemorrhoidal veins. Mm-hmm.<affirmative>, external hemorroids or external skin tags are typically as a result of where hemorroids have been swollen and inflamed in the past. And then that swelling goes down and you're left with that residual skin that's been a little stretched out. So

Speaker 3: 4:24

The blood, so the blood flow's kind of gone from the skin tag.

Speaker 4: 4:26

Well, it's excess there on the outside. So, and the majority of the population has that to some degree, but depends on how much it bothers you of whether or not you need to get it taken care of.

Speaker 2: 4:33

Mm-hmm.<affirmative>. Okay. Now, if, uh, somebody does have hemorrhoidal symptoms, I assume we don't just rush in and operate on all of them and mm-hmm.<affirmative> operating on them may not be the best option anyway. Besides good bowel habits, like high fiber diets and things of that nature, what are some other things that people do even over the counter or prescription to help with hemorrhoidal? Pain and discomfort?

Speaker 4: 4:53

Best one is high fiber diet. High fiber diet. Limiting time on the toilet is gonna be the best limiting that downward pressure over the counter face. And

Speaker 2: 5:01

I shouldn't poop standing up. Correct.

Speaker 4: 5:03

That's,

Speaker 3: 5:03

Yeah, no, you know, I think pooping and ting, my husband is in the bathroom for like an hour. Mm-hmm.<affirmative>,

Speaker 2: 5:08

These t I think TikTok is gonna help hemorroids get worse, worse smart

Speaker 4: 5:11

IPhone keeps us in business. Oh,

Speaker 2: 5:13

Man.

Speaker 3: 5:14

<laugh><laugh>. I

Speaker 4: 5:15

Bet. So, yeah, I mean there are, there are some over the counter treatments. Um, you know, the most common everyone knows is preparation. H

Speaker 2: 5:24

What's in preparation. Put

Speaker 3: 5:25

That under your eyes too.

Speaker 4: 5:26

So its medic, it's it's medic over the counter medications. Yeah. Under the eyes. We put it under eyes.

Speaker 3: 5:31

Uh, the ladies do.

Speaker 4: 5:32

It's got some, uh, some medications that help basically shrink those blood vessels down temporarily, uh, to help relieve symptoms. And it's really just treating the symptom.

Speaker 2: 5:42

Hmm. And, um, at what point, like sometimes I get patients in which they're having it really hurt all of a sudden and it's really, really, really like terrible. Mm-hmm.<affirmative> what's happened to that patient?

Speaker 4: 5:53

So one of two things that all of a sudden, uh, I guess one of three, one, it could be an an infection or an abscess, but keeping with the hemorrhoid talk, it's most likely a thrombo hemorrhoid, which is where one of those veins gets a, a rapid dilation and irritation, and then that blood, the blood and that vein clots and that clot expands and stretches that skin there on the outside of the anal canal and that really sensitive skin. And it's really painful. So, uh, there's a natural progression of those thrombose hemorroids where it's really swollen and painful on the outside, and then typically peaks at about three days, three days, uh, and then starts to get better. So if you get pain like that, call your colorectal surgeon come into the office and typically we can remove that blood clot in the office.

Speaker 2: 6:35

You can do it in the office. Yep. So, uh, when, when my wife was pregnant, she had a thrombose uh, uh, hemorrhoid, and then she begged me to inject it with lidocaine. And, uh, how did that go? I, I will tell you, it did not go well. I am not, I I I have not been forgiven. And that baby is 14 years old. Oh, thought

Speaker 3: 6:53

You were gonna say you were

Speaker 2: 6:54

Scarred. I would not self-medicate. Even if you're a physician, your wife's hemorrhoids now. Uh, but you

Speaker 3: 6:59

Gave yourself a

Speaker 2: 6:59

Vasectomy, didn't you? But no, I did not give myself a vasectomy. That is a terrible rumor. That's the rumor around that is not a tumor.<laugh> not a good rumor. I can't even get my words right. It's not a tumor or a rumor. So, so, so, so pregnancy is a risk factor for rapidly worsening, um, uh, hemorrhoids. Uh, we talked about just bowel, uh, bad bowel habits. Mm-hmm.<affirmative>, uh, from medical school. I remember, uh, cirrhosis being a thing, uh, if you have liver disease that you got some hemorrhoids, but that's kind of a less common thing, right?

Speaker 4: 7:27

Yeah. So that's gonna be more, uh, hemorrhoidal VAEs, which is a, uh, it's a different, uh, I guess path of physiologic setting.

Speaker 2: 7:35

It's something different

Speaker 4: 7:36

Entirely. It's, it's different and it's much more dangerous.

Speaker 2: 7:38

So besides just being heavy, which I imagine is also a pretty, uh, big, uh, risk factor, what are some other just kind of, uh, medical health and, uh, disease state, uh, risk factors?

Speaker 4: 7:48

So you mentioned one. Pregnancy and delivery are huge. I mean, I have so many in my female patients who come in and say, Well, my kids 15 years old, That's how long I've had hemorrhoids. Oh. Um, and it's, Oh no, you know, it, and it's that longstanding constant pressure. And then that rapid pressure with actual delivery. Um, the, the biggest one is gonna be a low fiber diet.

Speaker 2: 8:11

And so, uh, I feel like you should, uh, have Metamucil with your face on it, like a, like a, like a Wheaties box. Because every time I ask you a question, you're like, Yeah, Metamucil

Speaker 4: 8:21

<laugh>. Yeah. I should own stock in

Speaker 3: 8:24

That Metamucil Miller.

Speaker 2: 8:26

They didn't want Metamucil. Well, what are some, uh, dietary things commonly that ends, ends up leading into slower transit times and things like that, that people may not recognize readily is a, is a problem in their diet?

Speaker 4: 8:38

Uh, so real high red meat, uh, high meat, low fiber, low vegetable. What you're wanting to get are these the raw crunchy fruits and vegetables, but there's also, uh, you know, things like blueberries and blackberries, uh, almonds are good and high in fiber. And then you've got the common ones like beans and green beans and black beans. And, and I, you know, I'll give all my patients a, a handout with common foods of ways they can add things in easily to their diet in addition to doing a, a fiber supplement.

Speaker 2: 9:06

So if somebody out there has symptomatic, um, hemorrhoids and they're wondering where to go, I mean, in general, a primary care physicians unlikely to do surgery. Right. Um, and, uh, well, what about a gastroenterologist? Are those people, uh, traditionally trained to, to deal with hemorroids as well?

Speaker 4: 9:22

Uh, I think they're good at identifying hemorroids and, and treating, uh, uh, treating early stage hemorroids. Um, most of them are not comfortable doing office based procedures. They do do banding of hemorroids, uh, at the time of colonoscopy. But ultimately, your, your person you want to end up in is, is in the office of a colorectal

Speaker 2: 9:45

Surgeon Now, um, you work with central Texas Colo Rectal Surgery. Mm-hmm.<affirmative>, they're the biggest colorectal surgeons group in town, aren't they? They're

Speaker 4: 9:52

The only colorectal surgery group

Speaker 2: 9:53

In town. Well, that's nice. He's snapped right back. I'm a big fan of monopolies,<laugh>. You're so some of your doctors there, like Dr. Flieger and Dr. Klein. Right? Right. They've been around for so long. They were actually my mentors in the Texas Medical Association. So I have such great respect for the group that you've put together. What is your website and your phone number?

Speaker 4: 10:11

So our website is central Texas c r s.com. And our phone number is(512) 220-7002.

Speaker 2: 10:21

Drew, thank you so much. I have Dr. Andrew Miller with Central Texas Colorectal Surgery. I'm Dr. Mystery here as always with Donnel Lee to talk about hemorrhoids. And we'll be right back. Welcome back. I'm Dr. Mystery, a board certified urologist here, joined by my co-host. She was our business manager. She's been our office manager. She's our marketing manager. She's our all around everything. My right hand woman Donnel Lee.

Speaker 3: 10:44

That's right. You're podcasting right hand woman. You're doing lots of podcasts.

Speaker 2: 10:48

We've been doing this show for about three years. We've received amazing feedback from people. We love your questions, uh, and we love to answer them on the air. How do people get ahold

Speaker 3: 10:57

Of us? You can reach out to us at armour men's health.com, 5 1 2 2 3 8 0 7 6 2. But I do wanna add and remind people who haven't heard before. We have won awards for Best Men's Health podcast, Best Sexual Health podcast, and best prostate Cancer podcast per feed spot.com.

Speaker 2: 11:11

And two of them were given to Donna by herself. That's right. Thank you. You all very, very

Speaker 3: 11:15

Much. Donna at the office, my junior high school, Bandi War<laugh>. But

Speaker 2: 11:18

Continue, uh, we are joined once again by one of my good friends, an Austin colorectal surgeon, Andrew Miller. Dr. Miller, thank you so much for joining us today. Happy to be here. So in our last segment we discussed, uh, hemorrhoids, uh, which is a real pain in the butt.

Speaker 3: 11:31

So fun, my butt hurts, talking about us flickering the whole time.

Speaker 2: 11:34

And really kind of, uh, my assessment as well is that if you have symptomatic hemorrhoid, getting treatment from a colorectal surgeon is really, uh, important. But, but I imagine that that hemorrhoids does not make up like the bulk of what caused you to have to go to a fellowship for a year. Would I agree? That's right.<laugh>. And so we deal with each other on two conditions that we deal with. And we may not have time for both conditions, but diverticulitis. Mm-hmm.<affirmative>, which is an inflammation of how would you, how, how would you define

Speaker 4: 11:57

It? It is inflammation of little out pouching of the colon related to low fiber diets and constipation. And so that in, when those little out pouching get under pressure and get a little micro rupture that causes inflammation. Infection. So

Speaker 2: 12:08

Diverticulitis is a thing that you and I have a lot of overlap on mm-hmm.<affirmative> because we, uh, there's often urinary symptoms, but then colon cancer is, you know, is a big concern. There have been changes recently in recommendations on screening. Perhaps you can go through just kind of what are the numbers behind colon cancer and and what role do you play in colon cancer screening?

Speaker 4: 12:25

Colorectal cancer is the fourth most, most commonly diagnosed cancer. It is the most preventable cancer, and yet it's probably the least prevented cancer. One in roughly 23 to 25 people in the United States will get colorectal cancer. Uh, we do differentiate between colon and rectum, even though that the, the cancer itself is the same. It, the anatomy's a little different. So the treatment plan is different, but the whole idea is that it's preventable. And the way that we prevent that is colonoscopy and screening colonoscopy. We used to say that you need to begin screening at age 50, but now what he, we are seeing younger and younger patients in their thirties, early forties, getting colorectal cancer or advanced colon polyps and, and colon cancer comes from a polyp that is a benign overgrowth of the lining of the colon that progresses on a continuum to a big polyp, to an angry polyp, and then a colon cancer. And so the idea is to go in with colonoscopy, to identify, and then actually remove that polyp at that time. And then that can prevent 90 to 95% of colon cancers.

Speaker 2: 13:23

That's really good point, because you, you were about, you know, I was about to say that isn't a colonoscopy, just finding it early, but no, that's not the case. A colonoscopy allows you to take polyps out and there is a progression from a small little benign polyp to cancer. Right. And so by removing these polyps, you're exactly right. That is a preventable disease more than, more than even I realized. Right?

Speaker 4: 13:44

It is. And you know, colonoscopy gets like a bad rap in the community. No one's excited about getting a colonoscopy. But the the truth is, is it's very easy. The bowel preparation, the clean out process of the colon the night before surgery is, you know, it's not fun. You're on the toilet all night. But ultimately when you come into the facility the next morning, the hard part's over this is done under a twilight anesthesia. You don't feel anything. You don't remember anything. It's a 30 minute procedure. And then the likelihood is that if you have no family history of colorectal cancer and you have no polyps in your colonoscopy, the next scope is in 10 years. So this is not something that we do often

Speaker 2: 14:16

People put this off more than I've seen my wife put off in oil change. You know what I'm saying? Doing the idea of doing the idea of doing a colonoscopy is not particularly exciting. I mean, myself, I'm 47 and I haven't done one. I guess I need to make an appointment.

Speaker 4: 14:28

You're overdue. Now, the, so the guidelines have moved to age 45. We

Speaker 2: 14:32

Know about people with no family history that are just kind of routine screening, the, the a colonoscopy at age 45. What are, what are some risk factors besides family history that I should be concerned about that could also be looked at to maybe get scoped

Speaker 4: 14:46

Earlier? Sure. So if you have no family history and no symptoms, you start at age 45 now.

Speaker 2: 14:49

So yet symptoms are what, what symptoms or

Speaker 4: 14:51

What? Uh, so symptoms changes in bowel habits, rectal bleeding. A lot of people will come in and say, Oh, well it's bright red, so I know it's not something bad. That there's no truth to that. Blood is blood. Okay. Uh, and no amount of blood is normal. Blood is always abnormal. So changes in bowel habits, rectal bleeding, abdominal bloating, unintentional weight loss, anything that seems abnormal, progressive abdominal pain. All of these need to be, to have or should prompt a discussion with a gastroenterologist or a colorectal

Speaker 2: 15:16

Surgeon. There are also some kinds of genetic conditions. Lynch syndrome, I've, you know, we, we, we see because there's a lot of GI and, and people with multiple polyps like familial polyposis. What are some other health conditions that may predispose somebody to colorectal

Speaker 4: 15:30

Cancer? Obesity is a big one. Obesity in low activity levels have been proven to, uh, correlate with colorectal cancer development. And the big one's, red meat consumption. That came out recently with multiple rounds of data, showing that that is one of the one factors that we can put a finger on and say that is a cause of colorectal cancer. And so limiting red meat consumption, processed meat consumption down to once a week, once serving a week, is gonna keep you from, uh, or at least lower

Speaker 2: 15:55

Your risk. And if our listeners haven't paying attention, cruciferous vegetables, cruciferous blueberries, green leafy vegetables, limiting red meat helps your eyes to your, that's, I mean, it's really, it, it's really the way down

Speaker 4: 16:09

To the red. That's,

Speaker 2: 16:09

You know what I'm saying? So, um,<laugh>, when, when somebody gets colon cancer, is that a death sentence for

Speaker 4: 16:16

All of them? Not, It's one of the reasons I went into colorectal surgery is because the cancer that we treat is, is treatable. Um, and if it's caught at an early stage, surgery itself can be a cure. It doesn't, you're, you're, you're not condemned to having to do chemotherapy and radiation. There are patients that depending on stage at the time of diagnosis, may have to have chemotherapy or radiation before surgery or have to have chemotherapy after surgery. But the idea is that if you do your colonoscopy on time, we can prevent it or catch it early. And it's curable

Speaker 2: 16:43

With surgery. I mean, it's really blowing my mind, this whole idea that, that all this time that these GI doctors have been, uh, taking polyps off. They weren't just trying to get some money<laugh>, so they were really trying to do something. Saving lives. Saving lives. Right. One polyp at a time. Oh my God. Um, now, um, is, is, uh, access to colonoscopy through insurance and things like that widely accepted, or is, are, are people expected to put a lot of money outta pocket?

Speaker 4: 17:07

No. So this is considered preventative care. So if you were doing screening colonoscopies with no family history, uh, or even if you have a family history, uh, your screening colonoscopy is covered first dollar by most insurance companies, cuz it's considered preventative healthcare

Speaker 2: 17:24

Now, uh, I've seen a lot of commercials with this, um, this dancing rectum on television. The box. The box. Mm-hmm.<affirmative>. And it, it, what does that look like? It the dancing rectum. It's really cool. I mean, you know, the ads are cool. It's called, What's it shaped like? It's called rectum. What is rectum? I just, I I just met him. I just met him. Uh, you're kill him. You're killed him.<laugh>.

Speaker 4: 17:46

It's the most popular color,

Speaker 2: 17:47

Right? Sure. It's the most How

Speaker 3: 17:49

About you two are fun at the party?

Speaker 2: 17:51

We, we have, we've been known jokes. We've been known to clear, clear a whole row table around. That's right. That's right. So, so when it comes to, um, uh, uh, getting away with not getting away with a, with a colonoscopy, give me your opinion on colo guard testing, which is where you take and you poop. Right. And do a bag and send

Speaker 4: 18:11

It in stool sample by mail. Um, so Cologuard is a study that is for patients who have no family history, no personal history of colon polyps or colon cancer, and are asymptomatic.

Speaker 3: 18:23

They just have a fetish of pooping in a bag. Well,

Speaker 2: 18:26

Well,

Speaker 4: 18:27

Hey, so

Speaker 2: 18:28

Those

Speaker 3: 18:29

Worst things, who

Speaker 2: 18:30

Knew, who knew my fetish could turn into something scientific

Speaker 3: 18:33

<laugh>. I'm so healthy.

Speaker 4: 18:35

So the idea, uh, is that you can do Cologuard and not do colonoscopy. Cologuard is fairly good at picking up advanced polyps and colon cancer, but when that test comes back positive, you're,

Speaker 2: 18:46

You really are kind of screwed.

Speaker 4: 18:47

You're already behind the eight ball at that point. Right? So, uh, at that point, if you get a positive test, you need a colonoscopy. Um, there are these tests like Cologuard and stool DNA testing that, uh, do not allow you to prevent the cancer. They only diagnose. So the only test that is both diagnostic and, uh, preventable and treatable is colonoscopy to actually go in and remove the pulp

Speaker 2: 19:13

Itself. Well, I I, I, you've really opened my eyes because I really thought we were getting away with something. Maybe we could just swallow some pill, cameras and poop in a bag and I wouldn't have to go, go under twilight sedation. But I, I guess you're gonna have your wish. After all, you're gonna, I thought

Speaker 3: 19:26

You're gonna have your way.

Speaker 2: 19:28

My upended butt on your table.

Speaker 4: 19:30

We're gonna ahead a talk

Speaker 2: 19:30

Later. Later. We're gonna have a talk later.

Speaker 3: 19:32

<laugh>. My husband's in you naked. He said at the site What? At the, at

Speaker 2: 19:36

The spa. Oh my Lord.

Speaker 3: 19:37

In Las

Speaker 2: 19:38

Vegas, that's supposed to be, that's supposed to be private<laugh>. Not anymore. We've had such a, such a pleasure to have, uh, Dr. Andrew Miller with Central Texas Colorectal Surgery, uh, surgeons, uh, how do people get ahold of you? What is your website and your

Speaker 4: 19:52

Phone number? Central Texas crs.com and 5 1 2 2 2 0 7 0 0 2.

Speaker 2: 20:00

Uh, you've really opened my eyes. Uh, and Donna, I mean, really about the importance. Have you had a colonoscopy?

Speaker 3: 20:04

No. I keep getting a little reminder of my phone. It says it's time and I keep ignoring it.

Speaker 2: 20:08

It's too old.

Speaker 4: 20:08

Come on guys. I

Speaker 3: 20:10

Know. It's

Speaker 2: 20:11

Terrible. Oh, I mean, okay, that's fine.

Speaker 3: 20:12

I don't want anybody to go

Speaker 2: 20:13

Before the end

Speaker 4: 20:14

Of year. You're a bad example. Before

Speaker 2: 20:15

The community, before the end of the year, we're getting our colonoscopy

Speaker 3: 20:19

Together,

Speaker 4: 20:19

Holding

Speaker 2: 20:19

Hands. We podcast, We'll it podcast, we'll do it together like a massage and we're podcasting

Speaker 4: 20:23

It. We'll podcast it. I'll do the colonoscopy,

Speaker 3: 20:25

The man and woman massage

Speaker 2: 20:26

And colon. And I get to, I get to talk during my

Speaker 4: 20:28

Colon. Mic

Speaker 2: 20:29

You up. It'll be spectacular.

Speaker 3: 20:31

Thanks.

Speaker 4: 20:31

Little anesthesia would be

Speaker 2: 20:32

Great. Thank you so much for joining us, Donna. How do people get ahold of

Speaker 3: 20:35

Us? Call us at(512) 238-0762 or check out our website, armor men's health.com. And you can listen to our podcasts wherever you listen to free

Speaker 1: 20:42

Podcasts. The Armor Men's Health Hour is brought to you by Urology Specialist. For questions or to schedule an appointment, please call 5 1 2 2 3 8 0 7 6 2 or online at armour men's help.com.