joel t nowak, m.a., m.s.w. director of advocacy & advanced prostate cancer programs for malecare...

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Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma and Advanced (metastatic) Prostate Cancer Joel @Malecare.org Malecare.org

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Page 1: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Joel T Nowak, M.A., M.S.W.Director of Advocacy & Advanced Prostate Cancer Programs for Malecare

Survivor of four cancers including Thyroid, Kidney, Melanoma and Advanced (metastatic) Prostate Cancer

Joel @Malecare.orgMalecare.org

Page 2: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

The ProblemStudies have shown that men are dying nearly five years earlier than women.

This difference is even more pronounced for African American men

In addition to a shorter lifespan, men are almost twice as likely as women to die of heart disease.

Page 3: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Prostate Cancer- A Killer of Men

Prostate Cancer will strike 1 in 6 men

Prostate cancer is the second largest cancer killer of men in the U.S.

33,720 men will die of prostate cancer in 2011 - ACS

This number is growing each year

Page 4: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Towards A Solution

Become an Empowered Patient

Page 5: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

The TruthOften we hear broad statements that are asserted with such authority that we assume that there is real scientific research behind them

Too often we find that this may not be the case.

Page 6: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

An Empowered PatientWe all can be patients, but we must learn to become empowered patients

Empowered patients are those who become 100% partners in their care decisions with their doctors

Become the CEO of your medical care

Page 7: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

How to Be An Empowered Patient

Go to the best possible doctors at the best possible health facility, we have many in NYC

Educate yourself about your disease.

Page 8: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Finding the Right DoctorCancer care is big business for the doctor and the hospital

You are hiring a professional, so get different opinions from different doctors

Page 9: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Finding The Right DoctorAsk questions about your disease and about their treatment goals.

Does the doctor share your values and your goals?

Page 10: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Finding the Right DoctorAsk them about their experience treating men with prostate cancer

What about off label drug use and clinical trials?

Most important question is, After I listen to your treatment plan, may I choose what I believe is best for me?

Page 11: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Finding the Right DoctorFind out how you can communicate with them and does this system work for you?

Will they permit you to tape an office visit and bring a friend with you?

What is their philosophy on pain management?

Page 12: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Managing Your Doctor & Insurance Company

Make yourself human to your doctor. Give them your life story and make sure they know that you are loved and cared for by others.

Let your insurance company know you are a human being and that you will fight when necessary to preserve your life.

Page 13: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

How To Be An Empowered Patient

Face to face & on-line support groups

Malecare.orgCall : 1-800-4 cancer Ask questions of your doctors and other survivors

Use the internet (Web Savvy Patient by Andrew Schorr

Page 14: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

How To Be An Empowered Patient

Listen To Your BodyHave a goal for everydayFinish unfinished business and eliminate stress from today

Find a positive in your diagnosis

Page 15: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Making DecisionsDecisions need to be made about treatments

There are many optionsThey all have positives and negatives

There are no automatic correct answers

Page 16: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Making DecisionsStatistics are important only when you are trying to make a decision.

Once you have made your choices the only statistic that matters is the statistic of one, YOU

Page 17: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Making DecisionsWhen making treatment decisions remember that your cancer is unique just like you: you are unique.

Take your time to make decisions, understand the upside and the possible downside of each treatments.

wlebowitz
use singular with each -- "each treatment"
Page 18: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Making DecisionsAlways get 2nd and even 3rd opinions

Talk with other survivors and ask them their experiences and feelings

However, remember we are each individuals with different values

Page 19: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Gleason Grade

Page 20: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerYou did not choose to have cancer, but you do.

Cancer is something you have, it is not who you are

Stay in the present – the further out we go the more stressful

Page 21: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerYou always have choices, choose to always be positive

This has to be a very conscious decision.

Interrupt negative thoughts – your brain can only handle one thought at a time

Page 22: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerWhen you are comfortable with a decision, NEVER look back.

Remember, you made the best decision you could make. There is never room for should’ves or could’ves.

Page 23: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerYou can be angry and depressed today, but tomorrow decide to accept your situation and make the best of it.

When life hands you lemons, make lemonade.

Live your life today

Page 24: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerGet second & third opinionsGet copies of all your medical records

Read them and understand them

Ask questions and ask more questions

Page 25: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerWrap yourself in a blanket of love Surround yourself with positive people

Learn how to receive from others – receiving can be a gift to others

Let others take care of you

Page 26: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerBe honest about your feelings and share them. Saying them out loud helps

Then consciously decide to move on and live your life

Don’t do what you can not do, but do what you can

Page 27: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerLearn to say NOSet up a web page to report your progress

Page 28: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living With CancerHaving cancer is NOT a punishment

Remember you are still alive- so live your life

Use what is working, don’t struggle with what isn’t working

Page 29: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerGet those feel good endorphins circulating:

Exercise everyday for at least 30 mins.

Walk when you can (get a dog, I did)

Page 30: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with Cancer Epigenetics – The study of

environmental influences that can mitigate gene output

Stress is immunosuppressiveUse Psychotherapy & Anti- Depressants if needed

Use energy medicine – TiChi, Yoga prayer, biofeedback

Page 31: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerUse support groups and your fellow survivors to share your experience, they know how you feel.

Avoid toxic people: Put a sign on your door that says:Don’t come in if you can not be

positive

Page 32: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerYou are not any sicker or closer to death because you were diagnosed today.

Actually, being diagnosed can extend your life because you can now start the battle against your disease.

Page 33: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Living with CancerNever lose your faith Never lose your hopeBelieve in the strength of your prayers

Believe in the strength of your faith

Believe in miracles, they do happen

wlebowitz
remove "you're"
Page 34: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Take Home

Have A Happy and HEALTHY

Day

Page 35: Joel T Nowak, M.A., M.S.W. Director of Advocacy & Advanced Prostate Cancer Programs for Malecare Survivor of four cancers including Thyroid, Kidney, Melanoma

Who I AmJoel T Nowakmalecare.org

Men Fighting Cancer, Together

[email protected]