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Dr. Hekman spoke as Medical Director of the Family Health Center. He announced that the <br />Family Health Center has a urologist on staff. He mentioned that family medicine <br />practitioners do routine prostate screening as well. He introduced Dr. Charles Modlin. <br />Dr. Charles Medlin — Cleveland Clinic <br />Dr. Medlin remarked on his medical practice and career at Cleveland Clinic. The mere fact <br />that you're having this proclamation to recognize Prostate Cancer Awareness Month and <br />underscore the importance of screening is going to have a significant impact in terms of <br />saving countless lives of men, of residents of Lakewood. You've heard a lot about the <br />statistics of prostate cancer. Some of the things that fool men or make men believe that it's <br />not important that they get screened for prostate cancer is most men who develop prostate <br />cancer have no symptoms or signs whatsoever. And so a lot of men mistakenly think that if <br />they don't have signs, symptoms, pains, discomfort, that they don't have prostate cancer — <br />that there is no reason for them to get screened. The majority of men detected to have <br />prostate cancer nowadays are detected by the simple blood test — the PSA blood test which <br />you have heard about. It's called the prostate specific antigen blood test. In the old days <br />before we had this test, most men were detected during a digital rectal examination. As <br />urologists we prefer to do both examinations when screening men but a lot of men are going <br />to refuse the examination so we at least encourage the men to get the blood test. About one in <br />six men in the United States will develop prostate cancer. One in three black men will <br />develop prostate cancer. Black men develop and die from prostate cancer twice as often as <br />their white male counterparts. And the recommendation for screening is about 55 years old. <br />Actually it's recommended that African American men start screening for prostate cancer at <br />the age of 40. I think your resolution needs to encourage even more so African American <br />men at younger ages to get screened. And that's because of the higher incidence and higher <br />death rate. At Cleveland Clinic we're doing a lot of things to promote awareness about <br />prostate cancer and screening. One of the things we have is our annual minority men's health <br />fair, which many of you have probably heard about. We actually welcome all men regardless <br />of race or ethnicity but we target men of color because of the higher rates. As was mentioned, <br />prostate cancer, if detected early can potentially be 100% cured. There are different ways to <br />cure prostate cancer, treat prostate cancer — either with surgery or radiation. One thing that <br />you need to relay to the men of Lakewood is that not all cases of prostate cancer need to be <br />treated. There are many situations that we as urologists are discovering that when we <br />diagnose some men that have low grade prostate cancer, we can actually just observe them. <br />So there are some men that may not need to be treated whatsoever. But I just wanted to say <br />thank you for this resolution. I think you're going to have a great impact in terms of <br />improving the health and saving lives of men in your community. <br />Councilmember Rader thanked Dr. Medlin for coming out. He committed to emphasizing <br />Dr. Medlin's concern about the importance of early screening for African American men. <br />Councilmember O'Leary thanked Dr. Modlin for attending and for his work. He expressed <br />optimism that the Resolution will help to raise awareness and have a positive health impact. <br />On the motion: All members voted in favor. Motion passed. Resolution 9014 -18 adopted. <br />