00:00Hello there, welcome to the final episodes of Putting Dr. G on the Spot in the month of Movember
00:05November, where we have focused a whole month on the treatment and also diagnosis of testicular
00:12cancer. Starting from mycolithiasis, we talked about radical orchidectomy, putting in prosthesis,
00:18and today we're going to use an example of a very famous personality who suffered from testicular
00:23cancer and overcome this cancer and adversity and overturned it to become an inspiration.
00:30This is none other than Lance Armstrong.
00:40Lance Armstrong, actually in 1996 at the age of 25, was discovered to have testicular cancer.
00:46Unfortunately, this was a bit too late for him because when he actually first discovered he's
00:51got testicular cancer, despite actually having it for a few months, he coughed out blood and also had
00:58headache and what turned out was that he had metastasis to the brain and also to his lungs.
01:04For most people, we would think that this has a very, very poor prognosis of 40% survival.
01:11So he was rushed to hospital and underwent a radical orchidectomy. The removal of testicle is crucial
01:17because that will determine whether this is seminoma or non-seminomatous germ cell tumour.
01:23And from that point onwards, he also underwent another operation, which is removal of the lymph
01:28nodes in his paraiotic glands, and that's called paraiotic lymph node dissection. With that, the
01:36platinum-based chemotherapy is the absolute turning point because that will actually eliminate the cancer
01:42with several treatment doses. And that itself is what happened to Lance Armstrong.
01:48From 1999 onwards, he overcome the surgery on his personal life. He had multiple partners and actually
01:56had multiple children. So that didn't impair his sex life or his chemotherapy-induced infertility.
02:03In addition to that, he also turned adversity into inspiration. What he said is that pain is temporary,
02:10but quitting is forever. Indeed, that's true because what he continued to do was be an inspiration to
02:17many people. He started raising money for more than $500 million for his Live Strong campaign and also
02:25the Yellow Band campaign. But more importantly, he raised a lot of awareness to know that testicular cancer
02:33happened in younger men. And therefore, regular self-inspection will help you to overcome all these
02:39problems of testicular cancer and also poor prognosis. Next week is going to be the final month of the year.
02:47December. And to make December a little bit more light-hearted, I'm going to tell you a few
02:52operations in urology that actually is actually quite humorous. First operation that I'm going to talk
02:58about actually is penile elongation. Stay tuned for next week's Putting Dr. G on the Spot.
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