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Warrior Monk Conversations 012: Cancer Prevention, Detection and Screening—Unique Insights

Updated: Jul 5, 2020

012: Cancer Prevention, Detection and Screening—Unique Insights with Dr. Vershalee Shukla and Dr. Pablo Prichard

I talk to Dr. Vershalee Shukla and Dr. Pablo Prichard and they discuss factors as to the upsurge of cancer in young people, the importance of prevention and early detection of cancer among first responders, utilizing new technology to screen persons who are at risk of cancer due to environmental exposure, and instituting not just treatment plans but policy changes as well.

Dr. Shukla and Dr. Prichard also share their very own best practices when things get stressful, their use of revolutionary technology like Zap, and dealing with immunocompromised patients in the time of COVID-19.

Dr. Vershalee Shukla is the co-founder of Vincere Cancer Center. She is a board-certified radiation oncologist in private practice in the Phoenix and Scottsdale area for the past seven years. She went on to complete highly specialized training at the world-renowned University of Heidelberg, in Germany, in Proton and Heavy Ion therapy.

Connect with Dr. Vershalee Shukla on Instagram @vincerecancer and Dr. Pablo Prichard @pabloprichard

Read more about Vincere Cancer Center here: vincerecancer.com

Dr. Pablo Prichard is the Chief of Plastic Surgery at John C. Lincoln Hospital, and Medical Director for Plastic Surgery. He is also a Senior Partner at Advanced Aesthetic Associates. Dr. Prichard is certified by the American Board of Plastic Surgery and is a Diplomate of the American Society of Plastic Surgeons.

For more information about Dr. Prichard, redirect here: www.drprichard.com

Intro and Outro Music: Hearts on Fire by Immersive Music

Connect with me for inspiring and educational content on Instagram @warriormonk and Facebook: facebook.com/thewarriormonk

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The repository of Warrior Monk Conversations podcast episodes are found here: www.thewarriormonk.me

#personalgrowth #wellness #wellbeing #mentalhealth #medicine #healthcare #frontliners #covid19 #poonachamachaiah #podcastepisode #vincere #drvershaleeshukla #drpabloprichard


Warrior Monk Conversations 012: Cancer Prevention, Detection and Screening—Unique Insights with Dr. Vershalee Shukla and Dr. Pablo Prichard

Welcome to Warrior Monk Conversations, a treasure trove of inspirational discussions in personal and professional development.

I am Poonacha Machaiah. Join me on this journey where I have immersive conversations with the most thought-provoking leaders and everyday heroes from our communities to inspire, educate, and empower you to build resilience and reach your highest potential. Join me on this mission to create a positive societal shift to the compassionate transformation of humankind.

Dr. Shukla is the co-founder of Vincere Cancer Center. She is a board-certified radiation oncologist in private practice in the Phoenix and Scottsdale area for the past seven years. She has completed her Radiation Oncology training at the prestigious Baylor College of Medicine in Houston, Texas. She went on to complete highly specialized training at the world-renowned University of Heidelberg, in Germany, in Proton and Heavy Ion therapy.

Dr. Shukla treats all cancers requiring radiation. She has a special interest in treating brain tumors and is extremely honored to be one of the first radiation oncologists in the world to treat patients with ZAP.

Dr. Shukla is committed to providing the highest quality of cancer care to her patients. She does this by utilizing cutting-edge technology along with evidence-based medicine in an inspiring and compassionate environment. She is beyond excited to be working with the esteemed Dr. Deepak Chopra to develop yoga and meditation programs for cancer patients. As part of Vincere Cancer Center, she has developed the first of its kind, free cancer screening for first responders in the city of Phoenix.

Dr. Pablo Prichard is the co-founder of Vincere Cancer Center, senior partner at Advanced Aesthetic Associates, and has been the Chief Medical Director of Plastic and Reconstructive Surgery at John C. Lincoln Hospital for 14 years. He has been voted ‘Top Doc’ by PHOENIX Magazine numerous times and named ‘Valley’s Best Plastic Surgeon’ by Arizona Foothills Magazine. Dr. Prichard is certified by the American Board of Plastic Surgery and is a Diplomat of the American Society of Plastic Surgeons.

Dr. Prichard graduated with honors from both the prestigious Rice University and the University of Texas, Galveston, where he received his medical doctorate. He trained with many leading prominent surgeons at Michigan State University where he received his degree in Reconstructive and Plastic Surgery. He has been in practice for over a decade in the Phoenix and Scottsdale area. During this time, he has performed over 20,000 reconstructive surgeries involving trauma to head, face, limbs, and burns, among others. Being Director of Reconstructive Surgery, Dr. Prichard is responsible to ensure the best comprehensive compassionate care of each cancer patient. He dedicates a significant portion of his time to helping the less fortunate trauma patients regain their lives.

Poonacha: So Dr. Shukla and Dr. Prichard, I'm really excited to have you all on my podcast. I think this is a very timely-caught podcast to really talk about cancer prevention, cure, and especially cancer, and especially from a perspective of patients in the time of COVID-19. So I'm excited to have you all today.

Dr. Prichard: Thank you, Poonacha. I'm very excited to be here.

Dr. Shukla: Yeah, we're very honored.

Poonacha: Thank you. So before I set---before we can dive deep into the conversation, unpack it, I wanted to, maybe, share some statistics from the World Health Organization, and I was just reading up on it. It says, 'cancer is the second leading cause of death globally, and is responsible for an estimated 9.6 million deaths in 2018. And globally, about 1 in 6 deaths is due to cancer. Around one third of deaths from cancer are due to the 5 leading behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol use.' Pretty much lifestyle. And tobacco is the most important risk factor for cancer and responsible for approximately 22% of cancer deaths.

From your perspective, both of you are specialists, you've been in this field, doing amazing work, can you reflect on the statistics and share what is going on? Obviously, some of the key statistics here is actually lifestyle. What are your thoughts on this? And what can we do better as in modern day society?

Dr. Prichard: Sure. So we have also seen a great upsurgence in cancer and especially in younger people, and that is very astounding. Some of the things that we've noted are just the US lifestyle, as it's kind of degrading, as far as what we're doing, exercise wise, what we're eating, the way we live. There are so many different aspects.

Dr. Shukla: The environment's a lot more stressful. We're exposed to a lot more environmental toxins. There's a lot of pollution. There are multiple different factors and reasons why cancer is increasing.

Poonacha: Great. So, Dr. Shukla, from your perspective, you know, you're a board-certified radiation oncologist, trained in some of the most prestigious institutions around the world, such as University of Heidelberg, in Germany, in Proton and Heavy Ion therapy, and you have a special interest in brain tumors, and one of the first radiation oncologists in the world to treat patients with ZAP. So can you share your personal journey, your vision for the treatment and prevention of cancer and maybe, as part of that, even share some of the technologies which you are bringing into the world today with this treatment, I would say, technology with ZAP, and I had the pleasure of seeing it in early stages.

Dr. Shukla: Sure. So my philosophy of care is, I take care of my cancer patients as if they were my family, and so our center feels like a place where I want to go to work and where a cancer patient would want to come and get treated. The lobby is a tea bar, which is, you know, which serves tea that helps relax cancer patients, that treat the symptoms of cancer patients. And then, our clinic is multidisciplinary, meaning there's access to radiation oncologists, medical oncologists, reconstructive surgeons, breast surgeons, lung surgeons, neurosurgeons, anyone who would need to be involved in cancer care. So it can be done quicker, and it can be done more coordinated.

Then we also---a big part of our cancer center focuses on prevention, and so we're lucky to be one of three in the country to have a new breast scanner called QT Ultrasound. QT Ultrasound is Quantitative Transmission Ultrasound, which is a different type of ultrasound. And this is a really safe technology because there's no radiation, there's no contrast, and there's no compression. And we're hoping to get this approved for women under the age of 40 because right now, mammograms have radiation, and they're not very high at detecting tumors in women with dense breasts, and women of all ages have dense breasts.

In terms of ZAP technology, ZAP is a unique technology to treat brain tumors, and we like this technology because it's one of the first radiation machines that does not require a vault. Traditionally, radiation machines are housed in huge 600 feet of wet and high density concrete to prevent the radiation from seeping out, but ZAP is self-shielded. The benefits are then, for patients, family members can be in the room while they're getting treated. And that's a huge difference. It also has one of the most precise types of radiation to treat focal and pinpoint brain tumors, and patients with brain Mets, now, also live a lot longer. So the whole perception of, 'oh, I'm going to get cancer and die,' that changed. Cancer patients are living a very long time. We think of it as diabetes now, and chronic illness.

Poonacha: Uh-huh. So, you know, one of the things I was, obviously, amazed about when I was taking a tour of your center, it almost felt like you're in your living room, which is so important, especially in reducing the stress and anxiety of people going through the care process, but I also know there is a lot of, I would say, love and care has gone into the design, and you've been collaborating with Dr. Prichard over the years in putting this vision together.

So Dr. Prichard, from your perspective, you know, you're the Chief Medical Director of Plastic and Reconstructive Surgery at John C. Lincoln Hospital. I was reading your bio, you're kind of a legend in reconstructive surgery with over 20,000 surgeries involving trauma to the head, face, limbs, and burns, and transforming lives literally. I know you specialize in microsurgery for breast cancer patients. What is---can you just kind of share your vision, with you and Dr. Shukla collaborating, especially in the prospective Vincere Cancer Center? How do you see this? What's your vision in this collaboration?

Dr. Prichard: Well, one of the things, I always like to tell the story of the first time I went to Dr. Shukla, Vershalee's center where she was working at. I walked into the building, and instantaneously, my mood changed. I became kind of more, kind of somber, more depressed in mood. I noticed that the surroundings were very kind of gloomy in nature, so to speak, just kind of your average cancer center.

And I thought that was kind of a very strange aura about that, and so we developed the Vincere Cancer Center to try to counteract that. It's really, do the opposite. The facilities are very bright, lights, very inviting, very calming. There are different curves that have kind of calming effects. And as Dr. Shukla said, the tea bar is supposed to be relaxing at the same time because stress is one of those things that actually can have an effect on cancer. Stress depresses the immune system, and as the immune system gets depressed, you're unable to fight the cancer cells as well. Your immune system is supposed to find the cancer cells, attack them, and destroy them, and it can't do that very well when it's depressed.

But that's one of the, just one of the factors that affect cancer that I've learned so much with Dr. Shukla in the cancer journey that we've been undergoing, of all the intrinsic and extrinsic things that can affect cancer and patients from both a treatment and from a prevention standpoint.

Poonacha: Right. I think, personally, knowing both of you all over the years and collaborating, I guess our recent collaboration with Dr. Deepak Chopra, I mean, typically, when we talk about integrative medicine into cancer therapy, I think people like Dan Vicario, Dr. Dan Vicario, are kind of on the forefront, and your work, I would say, is the most open to integrating things like grounding and earthing as part of the protocol and therapy. So I look forward to, I would say, continuing the collaboration with Dr. Chopra and with Vincere Cancer Center.

So what are some of the things---if you can walk through the protocol today, are there certain things which you can prescribe from a preventive perspective? So if so much of cancer is based on lifestyle, are there things which you all do from a protocol perspective to help patients and their families go through this?

Dr. Shukla: I mean, there are a lot of things we talked about in terms of prevention. So first of all, work, we do a lot a bit of proactive. So we want patients to know what their risk factors are. We do genetics as well, and then we talk about lifestyle, nutrition, exercise. We form different partnerships, meditation as well. And so it's tailored to the individual patient and what they're able to do, and that's why we look forward to more partnerships with you because there are more and more things that we can offer these patients.

Dr. Prichard: Yeah, I mean, for sure, and one of the biggest things as cancer rates are increasing, we're looking more on prevention and early detection, because you want to nip this in the bud, right? Most centers are looking to kind of put out fires, you know, you diagnose stage three or stage four cancer, and then you're basically trying against all odds to find a cure to treat the patient when their prognosis is poor. Now, what we're trying to do is prevent cancer as much as possible, and those cancers that are not preventable, to detect them as early as possible, so that we can treat them with a minimal amount of either radiation or surgery or chemotherapy and have a really good prognosis for the patient. So it's kind of trying to attack it from the opposite spectrum.

Dr. Shukla: And another thing that we're doing, which is super unique, is we've partnered with the University of Arizona, and they've developed cell-free DNA markers that we can look in patients' blood to see which cancers they may be developing early, and then using lifestyle factors and imaging, we can detect it early, potentially even change the course.

Poonacha: Absolutely. Talking about early detection, I think one of the---the poster child is the work you're both doing, which is amazing, in the community, right? I was just reading an article that said the Scottsdale cancer center diagnosed 22 firefighters with cancer in 2019. I guess the program started in 2018. Can you kind of share, first of all, this is the first of its kind in the country, so can you all both share how it started and then have an amazing scorecard to date, and then how this potentially can be rolled out across the US and globally?

Dr. Prichard: Absolutely. Yeah, this is a program dear to our hearts. We noted, with Dr. Shukla, after 9/11, the great number of first responders that were diagnosed with cancer, and so we saw this as environmental factors from the 9/11 circumstances, and all the toxins that were released from that, and all that the first responders were exposed to.

And then, we started digging into that. We saw studies from NIOSH and other studies where 61% of firefighter, active duty firefighter deaths are due to cancer, which is like an unbelievable figure. It used to be that heart disease or heart issues were the number one killer of active duty first responders, and now, that is trimmed to only 18%, whereas 61% due to cancer, which is just amazing figures. Actually, in 2017 alone, it was reported by the International Association of Fire Fighters that 70% of active duty firefighters deaths were due to cancer.

So once we saw that, Dr. Shukla developed this amazing program to screen firefighters, to detect cancers due to environmental exposures as early as possible, so that the prognosis is good and very easily treatable.

Dr. Shukla: The biggest problem with firefighters is they're getting cancer early; they're getting rare cancers, and they're getting very aggressive cancers. And so we needed to figure out a way to screen them safely, as well as effectively. And that's why we're utilizing low-dose lung CT, which has mostly been done in smokers, but we're doing that at the age of 40 for firefighters, and that's helped me pick up three early cancers which would normally be fatal. So low-dose lung CT is the type of CT where they lower the dose of radiation, so it's almost the same radiation you would get with a mammogram. It's very, very safe to do, and at the same time, it can pick up cancers earlier.

Other things that we are doing, there's a full-body MRI, which looks for 11 different cancers in men and 13 different cancers in women, and then we're also utilizing the QT Ultrasound, blood work and regular colonoscopies, upper endoscopies, and physical exams to detect these cancers as well. To detect these cancers, we're utilizing, also, Dr. Prichard just reminded me, artificial intelligence as well, as we've partnered with UCLA. UCLA has a computer-based training lab where they can detect the collagen-elastin ratio in the lung and predict which lung nodules may turn into cancer which may turn into infection. And so there's a great opportunity to utilize new technology to help us as well.

Poonacha: I know you have a very strong relationship with the City Council, with the Phoenix Fire Chief Kara Kalkbrenner, who's an amazing woman, and the Police Chief. What are some of the lessons you've learned which you can share? And it kind of almost sounds like a no-brainer that this should become the model for every city, first responders to be screened. Are there things which you're currently underway, I mean, are you sharing this globally, in a certain kind of platform where other cities can---you know, I used to be a volunteer firefighter in Virginia, and I know that this is something which every fire station should adopt.

Dr. Prichard: I agree, Poonacha. This seems like it should be a no-brainer when you have increased cancer rates, and we're putting firefighters at increased risk just by their job duties alone, but it really takes cooperation with the city. We had amazing people in the city of Phoenix and other surrounding cities, the Fire Chief, Chief Kalkbrenner, and the Police Chief, Jeri Williams, as well as Laura Pastor, Councilwoman, as well as Senator Boyer, Senator

Dr. Shukla: Carter

Dr. Prichard: Carter, in instituting not only treatment plans but also policy changes.

Dr. Shukla: It's a win-win situation for everybody because picking up cancers earlier, firefighters are cheered. So they are living longer, we're not having to pay to have another pit, like, firefighters shake their price, insurance companies are paying less for their treatment, and so everybody wins. Right now, there's a lot of political battle with getting new legislation because what's been happening, the firefighters have been denied their workers' comp benefits, which is truly unfortunate, and so, but the big fear is that they won't have enough money to pay for all these firefighters, and so our response is, spend your money on screening these guys and screening them early.

Dr. Prichard: Yeah, I mean, really, Poonacha, it's a win win-win. I mean, it's a win for the firefighter here, first and utmost, because, again, we have to protect the person who is protecting us, right?

Poonacha: And especially, in times like today, right? They're on the front line, right?

Dr. Prichard: Exactly, right on the front line. And diagnosing them early, trying to prevent cancer, but diagnosing them early, that is very treatable. I mean, there's a huge, huge difference in treating a Stage 0, Stage I cancer versus to treating a Stage III or IV cancer. So that's a huge win for the firefighter. It's a huge one for the fire department, as Dr. Shukla was saying, because they haven't lost a firefighter. The brotherhood of the fire department is great, but also, just the cost of replacing a firefighter, we talked to Chief Kalkbrenner, and she was saying that just the cost of replacing a firefighter in her department was about $600,000, when you think about the training, the gear involved, plus the overtime pay to cover the shifts that that firefighter can no longer cover until a new firefighter is trained, and then the savings to the city are great because, again, just the expense of a treatment to treat a Stage 0, Stage I cancer is far, far less, orders of magnitude less than treating a Stage III or Stage IV cancer, and then, of course, you know, the savings to the taxpayer. So it really---it just makes sense on every level.

Poonacha: Right. I think I'm a fan. I know what I can do to spread the message you all are doing. It's amazing work. So very grateful for what you're doing in the community today. Also, when you look at---the second thing which I want to talk about is, you know, stress, anxiety, depression, PTSD. As physicians, you know there's a huge issue with burnout, first responders have a huge issue with burnout. What are your thoughts? How do you think we can address that? I know, Dr. Shukla and Dr. Prichard, I met you all a couple of months ago, that's something which you were thinking about. Are there things you are doing today to really bring that awareness? Because I think that's also a huge crisis today. Physician burnout, first responder burnout.

Dr. Prichard: Sure, I think burnout is possible in so many different fields. You know, firefighters, obviously, increase the stress that they're going through, just the constant stress every day, every day of like risking their lives, not knowing what's going to happen. The stress on physicians, obviously, is great to the, you know, the stress of possibly losing patients, their decisions having life or death circumstances. But I mean, really, this isn't trivial to other people in our daily lives as well. I mean, so many people are undergoing stress. So developing a program of meditation, of grounding, of nutrition, really is imperative for managing the stress. You can't completely be rid of stress, but we're trying to manage that stress.

Dr. Shukla: In Phoenix Fire, it's unique, and they developed a program called Phoenix Strong, and they have this brotherhood where they look out for each other, and if they're worried about someone, they can call someone, and that person can get confidential help. There's---we work with some coffee farms which have developed equine therapy program. We're looking to ground and put meditation stations in 75 firehouses with you. We're trying to, like, it's like working out every---your mental brain needs to be relaxed and exercise every day. And so getting into the regular practice of meditation has helped me personally so much.

Poonacha: Right. And also, I love the work of Hunkapi Farms and also John Vargo and his movement of Turn In, to bring meditation to the first responders, which is amazing work.

Dr. Shukla: Absolutely.

Poonacha: So, question, more of a personal one here, is that, what is your own---what do Dr. Shukla and Dr. Prichard do when things get stressful? What is your own personal practice? And can you share that?

Dr. Shukla: Well, I've always been a fan of Deepak Chopra. I do a lot of meditation. So, that seems to help me the most. Also, you know, I have a wonderful support system. Dr. Prichard is amazing, very strong, also Indian and I’m very close to my family. So, you know, that's also---those things. Walking is very good for me. You know, exercise is a very good release as well.

Dr. Prichard: I echo those things. I mean, I'm a strong believer of the program. I believe in all the things that we're doing. I implement those in my own life, and it has helped me tremendously because, again, you know, the stresses that we go under trying to help others, if we aren't in a good mental state, then we can't help others be in that same good mental state.

Poonacha: Right. And I was, I guess we had a plan or event on April 15, to have this launch and celebration with the first responders. We have to really pick that up once you get through this current crisis, and hopefully, we get a chance to share meditation globally with Dr. Chopra.

Dr. Shukla: Yeah, we're looking forward to that.

Poonacha: Absolutely. Thinking of some of the questions, we don't want to kind of maybe talk to you all today, is kind of really going back to the soul crisis with Coronavirus and COVID-19. I was reading an article which was published in The Lancet Oncology on Feb. 14th, and the authors of the article concluded, by use of epidemiological studies, that because the proportion of patients with cancer histories was higher in a cohort with COVID-19 than in the population in China, so patients with cancer were more likely to develop COVID-19. What are your thoughts on that? And how to navigate?

Dr. Shukla: Well, that's absolutely true. Cancer patients, either immunocompromised, meaning their immune system is compromised from the cancer as well from the treatment, and so we have to do everything we can to protect them and keep them safe. And so, for me, I'm very fortunate because I work in an outpatient cancer facility, and my patients are very fortunate because they have a private entrance. They don't share waiting rooms with any other patients. I'm actually having my patients wait in the car, they come in, they use hand sanitizer, they go to the vault, they get the radiation, they put the hand sanitizer on, they leave. So they're very protected and safe because I've been able to isolate them. I've taken them all off work. I'm recommending them social isolation. I'm limited to essential staff. In terms of cancer treatment, some treatments, we can delay, so we're delaying those.

Some of the prostate cancer patients can be on hormone therapy for a while. Some of the breast cancer patients with early stage can wait a couple weeks. And so the ones that we can delay, we're delaying. And so the ones that are getting concurrent chemotherapy are the highest risk. The ones that are being treated at the hospital are the highest risk. So this is something Dr. Pritchard and I were talking about last night, that we are opening up our operating rooms for cancer patients for simple and easy procedures that need to be done but can be done in an outpatient facility, because the hospitals are going to be very overwhelmed and very high-risk places to these cancer patients.

Dr. Prichard: Yes, if you think about a person, in general, has a limited amount of energy in their body, and when they are undergoing cancer treatment or have cancer, their energy is being used up to fight that cancer or to recover from whatever treatment we are giving them, and so they actually have less energy to combat some other illness such as COVID-19. So we're trying to, as Dr. Shukla said, isolate those patients. Patients needing urgent cancer treatments that can be done in outpatient surgery, we're trying to isolate them away from the hospital, where they're more likely to have contamination with COVID-19 patients, to a setting where the risk is less.

Dr. Shukla: And there's also good data now too because we've lived through some hurricanes and things like that, where we've had to delay cancer treatment. And we used to think, 'oh, my gosh, delaying cancer treatment can be horrible.' In some circumstances like head/neck cancers and lung cancers, delays can be horrible, but some breast cancer patients and some prostate cancer patients, you know, a little delay of two weeks, if they have symptoms and they have to stay at home, it's not the end of the world. And there are ways that we can make up for their treatment, and it can be as effective. And so, it's just a very high-anxiety time for cancer patients unfortunately right now.

Poonacha: So do you think we could expect that---I'm going to share the Vincere Cancer Center webpage. Who do you think you'd be sharing information online with your wisdom and knowledge, especially your cancer patients, so that everybody globally can benefit from these insights, right? Potentially delaying some of them, what are the precautions they can take? Because there is so much information out there when you Google. It'll be really really good to have both of you all share your insights, you know, online or through a blog or on your Vincere Cancer Center page.

Dr. Prichard: Absolutely. We actually just shared our recommendations with the City of Phoenix for their employees as far as preparedness and prevention in COVID-19, and it applies to cancer patients, obviously, as well.

Poonacha: So one of my thoughts was, you know, as we kind of conclude this podcast, is when you look at, you guys have worked very closely with first responders, one of the other logical areas is probably going to be working with corporations. Have you ever thought about bringing this awareness and knowledge and insight which you have learned with people on the frontline into more of a corporate setting where everybody can get educated, you know, with large enterprises?

Dr. Shukla: Right. We were actually approached by American Airlines a few months ago to do something similar because, you know, pilots also don't sleep, which increases their risk for cancer. They're exposed to ionizing radiation up high, and so they're getting cancers at higher rates. And now with the stress of travel and this whole COVID-19, I mean, they, probably, more than anyone, need some sort of cancer prevention, cancer screening program.

Poonacha: Wonderful. So, and last, just a closing thought from each of you all, what is your vision when you look at the world ahead and when you look at the next decade, just looking at everything going on? And what is your wish and your vision for the world and humanity at large?

Dr. Prichard: I guess the biggest thing is, you know, kind of our main theme today is prevention. Prevention as much as possible. Managing the intrinsic and extrinsic factors of cancer in a person. The intrinsic factors, the things that you can control, like nutrition, meditation, relaxation, stress relief, exercise. The things that you can't control like genetics, diagnosing genetic abnormalities, and then being able to further screen the person because of that. And then the extreme (30:04) factors, you know, the things that we're exposed to, the toxins in our environment. Trying to manage those as well. Trying to educate people from just a general standpoint: what are the risks, how we can manage those risks, how we can prevent cancer, and how we can early detect.

Poonacha: Thank you. Dr. Shukla?

Dr. Shukla: I mean, I think, with COVID-19 and everyone being very, very highly anxious, I think, just little things that we can do to help people on a day to day basis to manage their anxiety and improve their quality of life as physicians and healthcare givers, that's huge, and so that would be my big goal.

Poonacha: And thank you again, both of you all, for sharing your insights. I think, my vision for this podcast and sharing it with the rest of the world is to build a more resilient body personally and a more resilient society as we kind of look into the challenge ahead of us, and also not just kind of endure it, but emerged from it as a much stronger, I would say more united community in general. So thank you again, and I'm grateful for your time.

Dr. Prichard: Thank you, Poonacha. We appreciate all your efforts as well.

Poonacha: Thank you.

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Warrior Monk Conversations 012: Cancer Prevention, Detection and Screening—Unique Insights with Dr. Vershalee Shukla and Dr. Pablo Prichard

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