Prostate Cancer Pathways for Patients and Caregivers - Englewood, NJ
Recorded Saturday, September 29, 2018
at Englewood Health, Englewood, NJ
View the full video by clicking on the image below; or scroll down to access links to short video segments about specific content presented at the event.
Presenters for the Englewood Event:
Dr. Anne Katz, Certified Sexuality Counselor, Clinical Nurse Specialist at CancerCare Manitoba, Editor of the Oncology Nursing Forum, and Author
Dr. Stacy Loeb, Assistant Professor of Urology and Population Health at the New York University School of Medicine and Manhattan VA
Dr. Charles G. Drake, Director of Genitourinary Oncology and Associate Director for Clinical Research at the Herbert Irving Comprehensive Cancer Center, New York-Presbyterian/Columbia University Medical Center (CUMC)
Mazyar Ghanaat, MD, Program Director of Urologic Oncology at Englewood Health
Dr. Tracy Scheller, Medical Director, Graf Center for Integrative Medicine at Englewood Health
Mark Van Buren, Mindful Living Trainer
Hosted by Englewood Health, in collaboration with Us TOO New Jersey and New York Support Groups.
VIDEO
CLICK TIMES BELOW TO ACCESS SPECIFIC TOPICS
0:18 - Introduction - Chuck Strand
3:51 - About Us TOO
7:29 - Intro to Dr. Mazyar Ghanaat
8:47 - Dr. Ghanaat - Men's Health Risks
10:45 - Intro to Men's Health
12:52 - Causes of Death
15:12 - Aging Population
16:37 - What Can I do to Improve My Health?
16:53 - Risk Factors
17:27 - Smoking
18:39 - Obesity
20:40 - Diet & Nutrition
21:39 - Diet & Inflammation
25:06 - Benefits of Exercise
26:59 - Chronic Stress
28:01 - Reducing Stress
29:00 - Routine Check Ups & Common Urologic Conditions
29:50 - What is the Prostate?
33:14 - Lifestyle Changes & Healthcare are Key to Living a Long & Healthy Life
34:00 - Q&A
38:27 - Intro to Dr. Tracy Scheller
39:17 - Dr. Scheller - Integrative Medicine
41:53 - The Graf Center
44:40 - Acupuncture
45:42 - Massage
47:13 - Holistic Nutritional Counseling
49:00 - Mindfulness/Mediation
51:09 - Yoga
51:43 - Therapeutic Review for Prostate Cancer
52:13 - Nutrition & Exercise
52:50 - Therapies for Prostate Cancer
53:55 - Q&A
58:10 - Dr. Ghanaat - Prostate Cancer 101
58:40 - Statistics
1:02:48 - What is PSA?
1:03:57 - Diagnosis & High Risk Groups
1:05:57 - Importance of Education & Shared Decision Making
1:09:30 - Q&A
1:10:32 - Intro to Dr. Stacy Loeb
1:11:39 - Dr. Loeb - Prostate Cancer Screening, Staging & Treatment of Localized Disease
1:11:52 - What is the Prostate?
1:12:47 - Anatomy of the Prostate
1:13:12 - Prostate Cancer: Main Risk Factors
1:14:01 - Prostate Cancer Prevention
1:14:54 - Prostate-Specific Antigen (PSA)
1:16:35 - Shared Decision-Making
1:17:02 - What You Need to Know About PSA Screening
1:18:37 - Randomized Trials of Prostate Cancer Screening
1:20:27 - Disadvantages of PSA Testing
1:21:44 - When to Recommend an Initial Biopsy
1:23:35 - Guidelines for Prior Negative Biopsy
1:24:32 - Testing Options
1:25:12 - Statement on MRI
1:26:39 - Transrectal Prostate Biopsy
1:27:46 - Serious Biopsy-Related Infections
1:29:11 - Ways to Reduce Biopsy Risks
1:32:10 - Prostate Cancer Diagnosis - Gleason & Grading
1:33:40 - Current Methods for Staging
1:35:21 - Risk Classification (Low, Intermediate & High)
1:36:39 - Additional Options for Risk Stratification (Imaging & Genomic Tests)
1:38:37 - Treatment Options
1:40:18 - A Multidisciplinary Approach
1:41:39 - Watchful Waiting
1:42:27 - Active Surveillance
1:43:25 - Radical Prostatectomy
1:45:17 - Goals of Surgery
1:45:43 - Radiation Therapy
1:46:48 - Other Localized Treatment Options (Cryotherapy, HIFU, Focal Therapy)
1:48:39 - Monitoring After Initial Definitive Therapy
1:49:22 - Biochemical Recurrence
1:50:57 - Key Considerations in Recurrence After Local Therapy
1:54:08 - Q&A
2:17:38 - A Word from Sponsors
2:22:22 - Intro to Dr. Anne Katz
2:23:42 - Dr. Katz - Sex, Intimacy, ED, Penile Shrinkage, Incontinence After Treatment
2:26:07 - After Radical Prostatectomy
2:33:02 - After External Beam Radiation
2:35:56 - After Brachytherapy
2:37:05 - After Androgen Deprivation Therapy
2:38:44 - Model of Male Sexuality After Cancer
2:40:38 - Men's Experiences of Changes to Sexuality
2:44:36 - Couple's Experiences
2:50:24 - Overcoming the "Coital Imperative"
2:54:32 - Interventions (Pills, Vacuum Pump, Intraurethral Pellets, Intracavernosal Injections, Penile Implants)
3:00:32 - Penile Rehabilitation
3:05:19 - Interventions (Vacuum Pump, Vibrators, Education & Support, New Expression of Sexuality)
3:07:19 - Interventions (Grieve the Loss of Sexuality, Massage, Libido, Counseling)
3:11:04 - Some Concerns Specific to Gay Men
3:14:45 - Q&A
3:23:33 - Intro to Dr. Charles G. Drake
3:24:55 - Dr. Drake - Advanced Disease & Immunotherapy
3:26:46 - How Prostate Cancer Evolves Over Time
3:27:57 - Prostate-Specific Membrane Antigen (PSMA) Imaging
3:29:19 - Assessment of Response to Therapy
3:31:45 - Initiation of Androgen Deprivation Therapy (ADT)
3:35:16 - Hormonal Therapy
3:38:53 - Blocking the Fuel Line
3:40:16 - Managing Side Effects
3:44:28 - Castration Resistance
3:46:11 - Side Effects Improvement?
3:48:19 - Blocking Fuel Production (Orchiectomy)
3:49:03 - Castration Resistance: Progression When Testosterone is Low
3:50:09 - What if ADT Fails?
3:51:25 - Immunotherapy
3:56:20 - Super-Blockers
4:00:30 - Super-Inhibitors
4:02:32 - Cost, Coverage & Assistance Programs
4:04:46 - Chemotherapy
4:07:19 - When are the Treatments Worse Than the Disease?
4:08:49 - Bone-Targeted Radiation Therapy (Rad223, Xofigo)
4:10:15 - Experimental Treatments
4:12:01 - PARP Inhibitors
4:13:31 - Anti-PD-1 Alone Doesn't Work in Prostate Cancer
4:14:33 - Immunotherapy Plus Hormonal Therapy
4:15:30 - Clinical Trials
4:17:13 - What to Ask?
4:18:03 - Example Trial
4:19:21 - How to Find a Trial
4:20:28 - Conclusion
4:22:02 - Thanks to Sponsors
4:22:40 - Intro to Mark Van Buren
4:23:07 - The Benefits of Meditation for Patients
4:29:07 - Guided Meditation Session
4:36:59 - Quieting the Mind
4:37:57 - Practicing Being Present
4:40:34 - Thank You to Viewers & Attendees