September 15, 2024 • 27 mins
Marc Wilkenfeld, MD. Specialty: Occupational Medicine CredentialsPositions
Board Certifications
Education and Training
- Clinical Associate Professor, Department of Medicine at NYU Grossman Long Island School of Medicine
- Medical Director, Occupational Health, NYU Langone Health
- Chief, Division of Occupational Medicine, NYU Langone Hospital- Long Island
Board Certifications
- American Board of Preventive Medicine - Occupational Medicine, 1991
Education and Training
- Residency, Mount Sinai Medical Center, Occupational Medicine, 1989
- MD from University Of Vermont, 1985
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitute's neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
The following program is brought to you by NYU Land
Going Health. It's Katz's Corner with doctor Aaron Katz, your
trusted expert in men's health, providing straight talk on a
wide range of men's health topics and advice on how
to live your healthiest life. Now on seven ten WOOR.
It's the Chairman of Urology at NYU Land Going Hospital,
(00:32):
Long Island. Here is doctor Aaron Katzy.
Speaker 3 (00:36):
Good morning everyone, Welcome again to Katz's Corner here on
wr iHeartRadio. So glad you could join me this morning.
We have a really great show for you today and
such an important day. Today is our Prostate Cancer Awareness
Seminar and if you haven't registered, you still can you
can come down live. The seminar will be starting at
eight o'clock at one oh one Miniola Boulevard in downtown
(01:00):
Miniol It's the Research and Academic Center and we have
a terrific lineup and it'll be a wonderful morning for
everyone that attends and learns the latest information for men
who have been diagnosed with prostate cancer or about screening,
and my colleagues will be there, doctor Anthony Quachran and
doctor Jonathan hass as well as our good friend Ed
(01:20):
Randall from Fans for the Cure. This morning, I have
a wonderful guest on today and also someone that has
had a prostate cancer, Mark wilkinfelder Year, who's the chair
of Occupational Therapy. Good morning, Mark, how are you today?
Speaker 4 (01:37):
Good?
Speaker 5 (01:38):
How are you today? Dot Kata?
Speaker 3 (01:39):
Thank you great. Yeah, I'm sorry about last time. We
have a little mex up, but I'm glad you made.
Speaker 5 (01:44):
It on today. You know, doctor Katta, this is probably
the twentieth time I've been on with you since nine eleven.
Speaker 3 (01:50):
Is that right?
Speaker 5 (01:51):
We do this every year and then people keep getting sick,
and you know, we want to let people know about
the program. So thank you for doing a real public
health service for us.
Speaker 3 (02:00):
I appreciate that. Mark. I didn't realize that, but we
certainly continue to see men that have been diagnosed with
prostate cancer that were down at the World Trade Centers
on that day, and you know, you'll tell us a
little bit about that and how that occurs. And why
that occurs. And also I understand that Michael is here today. Michael,
(02:23):
good morning. How are you are you with us?
Speaker 4 (02:27):
Yes, doctor cat, it's a pleasure to meet you.
Speaker 3 (02:29):
Pleasure to meet you virtually, and you know, wonderful to
have you on the show. You were down at nine
to eleven, I understand, and we're treated with prostate cancer.
So we're going to talk with you about your experiences
and how you're doing. Mark, maybe if you want to start.
I know that you have a center here at NYU
that takes care of so many men and women from
(02:53):
nine to eleven, as well as other occupational exposures. And
tell us about your.
Speaker 5 (02:58):
Experience well in chemical exposures, people getting sick from chemicals.
Before nine to eleven, I travel all over the world
to factories where people were exposed. And it was ironic
for me that I lived about a mile from ground
zero and the towers collapsed on a terrible, terrible day
after the terrorist attacks, and within the towers were some
(03:19):
pretty bad toxins. There was asbestos, there was heavy metals.
The PCBs were created, the accidents were created, so you had,
you know, tens of thousands of responders that rushed downtown
you all remember, you know, as American heroes, they rushed
downtown to try to help rescue people and then to
rebuild the towers. And in addition to that, there were
(03:40):
hundreds of thousands of people who lived downtown, or worked downtown,
or went to school downtown, and they had the same exposures.
And over the years it became evidence that despite being
told that the air was safe to breathe, it wasn't
safe to breathe, and we started to see huge numbers
of diseases, including cancers. So in response to this, the
government enacted a program, right, and it's a two point
(04:03):
program almost And you know, mister Barrish is not only
a survivor, he's also an expert in the events of
nine to eleven and the aftermath. So there's a program
for patients who were exposed who can sign up right
and they get their condition what's called certified. Once the
condition is certified, they receive free treatment including medications and
(04:25):
doctor counts. You know how expensive that can be. So
you can be treated with no copaymages, no code police,
no out of pocket expenses. In additions that you're eligible
for compensation. So we have I think right now, it's
one hundred and twenty three thousand people in the program,
men and women. There's a number of conditions that are covered,
including sixty nine cancers, and one of those cancers that's
(04:47):
covered is prostate cancer. So the reason I'm here today
is to let you and I know you have you know,
a lot of people listening and a lot of people
with prostate cancer. Just to let people know that if
you were down there and you did have exposure, you
might be eligible to be the program. And it's amazing.
Speaker 3 (05:05):
In then way you have to fill out a form
or an application of something to get their money.
Speaker 5 (05:09):
Well, I'll tell you his experience with that.
Speaker 3 (05:12):
I said, good okay, Michael, good morning again. Thank you
for coming on and telling us about your experience. What
can you tell us there?
Speaker 4 (05:21):
Yes, okay, Well, first les to go the background. My
office is three blocks from the World Trades where the
World Trade Center stood. So when the EPA assured us
that quote the air is safe to breathe, we believed them,
even though the buildings were still on fire, even though
when you got out of the subway the smell would
(05:42):
just hit you right in the face like a two
by form. But we believe them, so we reopened our office.
We you know, the kids went back to school, the
people went back to their Lower Manhattan homes, and as
doctor Wilkinton said, it was anything but safe. I was
honored to represent NYPD Detective James that Roga, for whom
(06:04):
Congress named the bill which created the Wiltrads and Health
Program and the Victim Compensation five. When they did the
autopsy mister z Roga in two thousand and six, he
died of pulmonary fibrosis at the age of thirty four.
They found in his lung tissue ground glass, a specialist chromis.
(06:27):
All known carcinogens have now been linked by NIOSH to
sixty nine cancers and many respiratory illnesses.
Speaker 3 (06:36):
He was a police officer there on the day on
the working on the pile. Was that it actually on
the site.
Speaker 4 (06:43):
Yeah, he was, But my office was two walks away,
so we were exposed by people in my office were
exposed to the same toxins. And sadly, my secretary of
Leona died of breast cancer at age forty seven. Another
paralleagal named Dennis connord eyde of kidney cancer. I'm a
prostate cancer survivor my secretary as lymphomer. My partner Barry
(07:06):
has skin cancer. I mean it goes on and on
and on. There were three hundred thousand office workers downtown
below Canal Street. They're all entitled to this health program,
which is wonderful, Yet less than ten percent of the
civilians have been rolled so far. So I joined doctor Wilkinhelden,
thanking you for helping us spread the word to your listeners.
(07:29):
Hopefully they will learn something and even if they're healthy,
maybe they know someone who's had cancer who was and
they can call them up and say, weren't you working
downtown after nine to eleven? Doesn't have to be on
nine to eleven, It can be anytime in the eight
months after.
Speaker 3 (07:44):
Yeah, and you I did not realize that. And your
diagnosis of prostate cancer. What year was that that you
were diagnosed?
Speaker 4 (07:52):
I was five years ago. My gleason was three plus.
Speaker 3 (07:55):
Three in nineteen Yeah, twenty nineteen. And yet you were
exposed in two thousand and one. Right, so you know,
My question to doctor Wilkinfeld is, how do you, as
an occupational doctor, you know, you know, how do you
say that these cancers were related to the exposure? How
(08:15):
do you go because there's a lot of answers that
develop and yeah, you know, how do you how do
you link it? I guess.
Speaker 5 (08:25):
So that's a wonderful question. So, you know, thank you
for asking that. So there's two answers to that question.
The first answer is there have been studies, numerous studies
that show an increase in answers, including property cancers and
responders and survivors of nine to eleven. Okay, so that's
the academic question. You and I are both on the
academic faculty of the medical school, and we're very academic people, right,
(08:47):
So that that's how we look at it. We review
the studies and we know there is a relationship. But
that's not the important answer. The important answer is that
these these cancers are presumptive. If I have to go
to testify at Michael's case every other case, I would
be able to do nothing else. Right, if we have
to fight every single case of prostate cancer in court
and say this is related, it would be impossible because
(09:10):
there's sus of cancers. So what the government did is
they made prostate cancer and the other sixty eight cancers presumptive.
So if you have a diagnosis and you have the exposure.
It's accepted, so there's no arguing about it. So people
might say, well, you know I have prostate cancer. You know,
God forbid, but my father had it, my brother had it,
my son has it, my uncle has it. So it's
(09:31):
pretty obvious to me that you know, there's something genetic
going on. It doesn't matter. Same with lung cancer. It
doesn't matter if you spoke four packs a day, right
and you develop lung cancer, as long as you're a
responder and you meet the latency period. And just for
your audience, latency period means you can have had it
a week after nine to eleven. It would have to
be for that kind of cancer. For prostat it would
(09:53):
have to be four and a half years. For thyroid
or blood cancer would have to be eighteen months. And
that's why when Michael says his cancer, you know, someone
listening to you might say, well, it happened eighteen years later,
how is it related. That's exactly how chemical exposures work.
You're exposed, you're fine for many, many years or a
few years, and many developed the cancer. We've known that about,
(10:15):
you know, chemically of these cancers for years. So people
should not think there's two reasons why. I when I
ask people who come into the program, and you know,
I see them every day, as you know, when I
asked them, why didn't you come in a while ago,
and they said, well, I didn't think it was related.
And number two is I don't want to take anything
away from any anyone else. I have office workers that say,
(10:37):
you know, I work for a bank, and you know
there's cops down there. They need to program much more
than me. But there's room for everybody. And the third
thing is from a you know from again, you know
you're a professor, n Yu, I'm an associate professor. It
helps us to understand better. You know, we've just did
(10:58):
a study now on lung cancer and we found that
and this is the most important thing I'll say today.
We found that if you're in the program, you're diagnosed earlier,
right versus not being in the program. There's also a
study in the New York State of cancers in the
New York State and they found that nine eleven related
counters in people who are in the nine to eleven
(11:18):
program have a higher survival rate than cancers in the
New York State in general. So it's you know, it
can be life saving for someone to join the program.
It's not an academic thing, it's not a monetary thing.
I mean, there is compensation that people get, right, people
do receive compensations, but to me as a position, the
most important thing. If you come in, it could save
(11:39):
your life. So people need to sign up. People need
to come in, people need to be seen, and you
get a check up every year. And as Michael can
tell you, it's a wonderful, wonderful program.
Speaker 3 (11:49):
Yeah, I want to hear more about that. Go ahead, Michael.
I just have just a quick question. Go ahead, Michael.
Speaker 4 (11:57):
So, I agree with the Wilkenpel says, we're so lucky
in the nine to eleven community that Congress did the
right thing and created a health program. And I want
to add that it is nation wide. Your health insurance,
if you have health insurance, is your primary payer. But
the health program will pick up all the copays, all
(12:18):
the deductibles for anything that isn't covered by your insurance.
And of course we're dealing with cancer, which can bankrupt
families even if they have health insurance. So you're doing
your family, you're doing yourself a favor by getting into
this program. And you know again, I just want to
echo what Mark said about it being presumptive. It doesn't
(12:41):
matter if your family member or your mother had breast cancer.
Now you have breast cancer and you are show with
prossel cancer. Today, it wouldn't matter that my dad had
prostate cancer and now I have process cancer because I
was exposed to the nine to eleven toxins. There's a
presumption linking my cancer to my exposure to my working downtown.
(13:05):
So and you know, again I mentioned there are three
hundred thousand office workers, There were fifty thousand students and teachers,
twenty five thousand downtown residents after nine to eleven. And
these people, for the most part aren't applying because either
they don't know about the program, but if they're listening
to your show, they will now, or they feel guilty
(13:27):
taking away from firefighters and cops. Well, don't feel guilty.
These programs are fully funded and permanently extended until twenty ninety.
Or they don't know about the presumption. Well, now your
listeners do.
Speaker 3 (13:41):
And did you say that there's a site where people
can sign up for this or a phone.
Speaker 4 (13:45):
Yeah, there are two government sites. There's the World Trades
that are health program site. They can just google that
or they can, but I urge people to also sign
up for the victim compensation funds, even if they're currently healthy,
because you need proof that you were working, living, or
going to school Downtown. Well, let's face it, I lose
(14:07):
two clients every single day to nine to eleven cancers.
It's heartbreaking. But what's even worse is when I find
out the family has lost someone and they don't know
how to find witnesses or co workers that the guy
used to work with. So take care of your families.
Get that proof now if they want, and go to
(14:28):
my website where they'll learn so much. And that's nine
to eleven victims dot com. That's nine to eleven victims
with an s dot com. But you don't even need
a lawyer. I'll be the first to admit it. Although
for ten percent, which is what the government said, lawyers
had to cap their fees of these cases. Most of
my patients, most of my clients feel that it's well worth,
(14:51):
you know, having someone make sure that they get the
maximum amount. And the government's giving between two hundred and
two hundred and fifty thousand for people with certified answers,
including prostate cancer. But I know it's not all about
the money. It's also about the health program, but this
is life changing money. There's so many men to so
many women who feel like they're worried, how's my family
(15:13):
going to get by if I die? And it's so
gratifying to me as an attorney to be able to
assure these people that your family won't have to lose
their house, your kids can still go to college. That's
what makes what Mark and I do so gratifying.
Speaker 3 (15:30):
Now that's a really important message. Thank you so much
Michael for letting us know, and we want to hear
how you're doing. At seven seventeen in the morning here
on Kancers Corner, if you're just waking up, you can
give us a call. We aren't live. On September fifteenth,
there's our Prostate Cancer Awareness Seminar. It's Prostate Cancer Awareness
Month and we are having our seminar today with our colleagues,
Doctor Has myself, doctor Corkran, as well as Ed Randall,
(15:53):
Fans for the Cure, and an organization dedicated to the
screening of prostate cancer. If you want to give us
a call, we'll you have a few more moments left
here in the show this morning, it's eight hundred three
two one zero seven ten. We're talking with doctor Mark Wilkinfell,
who's the chair of Occupational Health, and Michael barrashan attorney
who was exposed as you've been listening to some of
(16:14):
the chemicals and dust there at nine to eleven and
has been treated for prostate cancer. Just going back to
a quick question for you, doctor Wilkinfell, in your experience,
the cancers that are found, whether it be prostrate or
other type of cancer, are they more are they more
aggressive types of cancers or are they the same type
(16:34):
as someone that was not exposed to these chemicals.
Speaker 5 (16:37):
Well, don't you know, don't forget the ones that I
see or the places that I see many times they
have their cancers found earlier, so you know, in terms
of again you know, so it could be life saving
to be in the program. We find it. And it's
not just cancers. We find with other diseases, diseases like sarcoid,
which is an autoimmune disease along disease, it just behaves differently.
(16:58):
So I don't think there's a there's a blanket answer
to your question. And just you know, again medically, I
think the important thing is get and you'll tell you
tell us your patients. You know, very often sometimes I'm
up at seven am listening to your show, and you know,
you get diagnosed earlier, you have a much better chance
of survival.
Speaker 3 (17:16):
Yeah, that's so corny, but it's so.
Speaker 4 (17:19):
Twenty five hundred clients that I represent with prostate cancer,
it's the second most common cancer in then I don't
event community after skin cancer. And those who get early
detection are the ones who are still with us. And
those who don't go for their annual psays, who don't
pay attention to their own health, those are the ones
(17:41):
who we lose. And it's just obvious, but it's always
bear repeating.
Speaker 5 (17:50):
There might be avistage for you, doctor cancer as well.
And I know you're doing a fantastic screetings today, right,
and a seminar today, and I know that you do
sweetings as well, and you'll office. But you know a
lot of oncologists and urologists and other specialists aren't asking
about nine to eleven. You know, when I speak to
our coologists, theyll tell me they saw a cancer case
and I'll say, you know, with they down a ground
(18:11):
zero and the last time at the next visit and
they'll say they were, and I'll say, well, well, I
need to talk to them, you know, because people, doctors
and patients are just not aware of the program, right,
And that's that's the twenty three years later, you know,
I go to social events and the other doctors say
what do you do? And I explained to me and
they goes. That's still going on twenty three years later.
(18:32):
There's a lot of you know, there's knowledge that needs
to be spread. And thank you again because you know,
my background is in public health and you're doing a
tremendous public health service by put putting us on the
radio today.
Speaker 3 (18:43):
No, thank you very much for that those comments. Mark.
I mean, you know, Michael, I was really interested to
hear about your case. So how you know you've been followed?
You were down at nine to eleven and then twenty
nineteen you were diagnosed. How did that? How did that
all come about? And tell us how are you doing now?
Speaker 4 (19:01):
Thanks for asking. And by the way, this is not
a commercial for Nyu Lango, but I am going to
say I'm very grateful to doctor Jeffrey Lessing and doctor
William Wang for following me to NYU doctors. So I
used to go for my annual PSA because I believe
it and I see so many of my clients have
prosy cancer. And my doctor remarked that my PSA had spiked.
(19:26):
It was still below four point zero, but it was
much higher than it had been previously, so he said,
let's watch it. Six months later, I come back and
now it's up to about seven, which was obviously a
warning sign. I go for an MRI. That led to
a biopsy where I found that I had a three
plus three gleason and that's when I was referred to
(19:49):
doctor Wang, who's my euroontologist, and he now has me
do PSA tests every four months. I go for MRIs
once a year, and if anything looks different, I go
for another biopsy. So that's called active surveillance. I'm one
of the lucky ones. I know that many are not,
(20:10):
but there are so many treatment options out there. Not
everything leads to ED or incontinence, but if you ignore it,
I guarantee you have cancer. It's going to lead to
a bad result if you don't follow it. So you
can't have your head in the sand. And thankfully, I'm
just going to continue to hopefully, as my doctor says,
(20:32):
die with prostate cancer and not from it.
Speaker 3 (20:36):
Yeah, and many men these days that are diagnosed with
prostate cancer have lower risks like you have at least
in six three plus three and can go on act
to surveillance. One of the things we'll be talking about
today in the seminar is a program we have called
active holistic surveillance where people actually change their diets, which
I have actually found to be quite helpful in my
(20:57):
practice treating many men on surveillance, ing them longer on surveillance,
because it's not only you know, treating that cancer in
the body, but if you can change or modulate your
diet with less things that are inflammatory and pro antioxidant,
and get rid of some of the fats in the
diet and reduce the sugars, you can find that your PSA.
(21:18):
I'm not saying it's going to eradicate and get rid
of the cancer, but your PSA can stay stable, your
MRIs can stay stable for many, many years. And that's
the idea, right Michael, so that you wouldn't have to
undergo some of the other whole gland or even focal
therapies like either radiation or surgery or cryotherapy. But you are.
(21:39):
You were fortunate in that you did the right thing.
You were monitoring your PSA very carefully, and once there
was a spike, boom, Well you got the latest and
greatest imaging for detection of prostate cancer, which is the MRI,
and you're doing the right thing.
Speaker 2 (21:54):
You know.
Speaker 3 (21:54):
When your doctor in NYU is, I know him well.
He's a top notch guy, and the right thing to
do is to follow with the MRI, not just the PSA.
I'm an old school guy and believe in digital rectal exams.
A lot of guys got away from that, but I'm
still old school because I have found that sometimes the
prostate texture in the anatomy can change a bit, yet
(22:16):
the PSA can stay stable. But Michael, have you changed
your diet or exercise program in any way? Do you
think that that that could be helpful for you?
Speaker 4 (22:26):
You know, I don't know. I do. I'm very mindful
now because my cardiologist, doctor Slater, he's also at ed YU.
He's always nagging me about making sure I get my
ten thousand steps in. I am much more mindful of exercise.
I'm not overweight, by the way. That doesn't mean that
I still shouldn't exercise, and as far as diet is concerned,
(22:49):
my wife keeps me on a pretty short leaf, so
I'm not and I'm also lactose intolerance, so I think
about all the bad sugars that I can't really have,
which just that help.
Speaker 3 (23:00):
So so yeah, you know, I'd be curious to know, Michael,
since you mentioned that you have many clients of yours
that you follow with diagnosis of prostate cancer, how many
of them are actually needing active treatment like radiation called
definitive treatment radiation or surgery, or how many of them
are actually going on surveillance and then compare that, let's say,
(23:23):
to the national statistics and see. You know, because my
thinking and my thought maybe I'm wrong, doctor Wilkinfeld, you
can correct me, was that if someone was exposed to
chemicals and things like that, that the types of cancers
might be more aggressive when they come out. And of
course more aggressive cancers can spread, and that's the ones
that we're concerned about. It would be interesting to know
(23:45):
this subpopulation of men that were diagnosed presumed as you
mentioned at nine to eleven, are they more aggressive or not?
And are men more likely to be on active surveillance.
Any thoughts but from either of you.
Speaker 5 (23:58):
Yeah, I think that's a great question. I don't think
it's it's been studied yet in prostate cancer where we're
currently looking at things like that in lung cancer. But
you know, unfortunately, I've had patients who've ultimately died from
prostate cancer, and I've seen I've seen very you know,
very aggressive cancers in some of the patients. So so ancidotally,
(24:19):
I do see those types of cases. But you know,
maybe you and I don't want to do a study
with that doctor cancer.
Speaker 3 (24:26):
Yeah, that sounds terrific. Uh we have a caller, uh,
Mark and and Michael. Let's let's hear from Joe. Good morning, Joe,
you're on the line.
Speaker 6 (24:34):
Stone, Yes, very quickly, yes, nine. At day nine to eleven,
worked a few blocks from uh the buildings and made
the way uptown. Just wanted to know if that is
enough to contact one of the agencies relating to prostate cancer.
(24:55):
Nothing at this point.
Speaker 3 (24:57):
Okay, Michael, what do you think about that?
Speaker 4 (25:00):
Yeah, I'd have to answer that. So in order to
be eligible. And the Health Program and the Victim Conversation Fund,
they're two separate organizations. Although they do work hand in hand.
But to be eligible, you must prove either that you
were caught in the dust cloud on nine to eleven, Joe,
or if you were a responder, that you spent more
than four hours downtown between nine to eleven and September fourteenth,
(25:25):
or more than twenty four hours in the month of September,
which is really going to be for the downtown residents
because so many office workers didn't return to work, like
my office didn't open till October, we didn't have any electricity.
Or finally that you spent eighty hours altogether between nine
to eleven and May thirtieth of two thousand and two.
(25:46):
But I applaud you for calling in for finding out
whether you are eligible. So I hope I answered your
question and if not, you can certainly follow up with
me or call the agencies directly.
Speaker 3 (26:00):
Yeah, I think that's a thank you. Thank you very
much for your phone call, Joe, and thank you Mark
for explaining and Michael for being on that. I want
to go ahead. We have about we have different groups.
Speaker 5 (26:13):
We have responders, and we have people who worked in
downtown with people who went to school downtown. We have
people that live downtown I know a patience who was
actually what's called the bystander exposure. He was shopping in
Century twenty one on the day that had happened. So
people really have to think, you know, about where they
were and how they were exposed, and you know we're
here for them. You know, the programs are really here
(26:34):
to help you. It was a huge fight, which we
can do on another show one day. It was a
huge political fight to get these programs established. You know,
there's billions of dollars put into them make sure that
people get care and make sure that their families are
taken care of. And I would just want to thank
you again, doctor Katson. I want to thank Michael, who's
who's very eloquent and very very devoted to this cause.
Speaker 3 (26:56):
Yeah, we really appreciate it.
Speaker 5 (26:57):
And you know, unfortunately, doctor I have a feeling that
next year, the first week of September, you and I'll
speak again and we'll be back on because we're only
seeing the members go up, we're not seeing them go down.
Speaker 3 (27:09):
Well, thank you very much. Unfortunately, Yes, thank you very
much Michael for coming on and all that you do
as well as you Doctor Wilkins felt. Unfortunately that's the
end of the show. I'm going to walk over now
to the Prostate Cancer Awareness Seminar one on one Miniola Boulevard.
If you'd like to come down, we'd us to see you.
It'll start at eight o'clock this morning. Have a great
day everyone. This is doctor Aaron Kevin.
Speaker 2 (27:37):
You've been listening to Cancer's Corner. Come back every week
to hear more straight talk on a wide range of
men's health topics and advice on how to live your
healthiest life.
Speaker 1 (27:48):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitute's neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
The following program is brought to you by NYU Land
Going Health. It's Katz's Corner with doctor Aaron Katz, your
trusted expert in men's health, providing straight talk on a
wide range of men's health topics and advice on how
to live your healthiest life. Now on seven ten WOOR.
It's the Chairman of Urology at NYU Land Going Hospital,
(00:32):
Long Island. Here is doctor Aaron Katzy.
Speaker 3 (00:36):
Good morning everyone, Welcome again to Katz's Corner here on
wr iHeartRadio. So glad you could join me this morning.
We have a really great show for you today and
such an important day. Today is our Prostate Cancer Awareness
Seminar and if you haven't registered, you still can you
can come down live. The seminar will be starting at
eight o'clock at one oh one Miniola Boulevard in downtown
(01:00):
Miniol It's the Research and Academic Center and we have
a terrific lineup and it'll be a wonderful morning for
everyone that attends and learns the latest information for men
who have been diagnosed with prostate cancer or about screening,
and my colleagues will be there, doctor Anthony Quachran and
doctor Jonathan hass as well as our good friend Ed
(01:20):
Randall from Fans for the Cure. This morning, I have
a wonderful guest on today and also someone that has
had a prostate cancer, Mark wilkinfelder Year, who's the chair
of Occupational Therapy. Good morning, Mark, how are you today?
Speaker 4 (01:37):
Good?
Speaker 5 (01:38):
How are you today? Dot Kata?
Speaker 3 (01:39):
Thank you great. Yeah, I'm sorry about last time. We
have a little mex up, but I'm glad you made.
Speaker 5 (01:44):
It on today. You know, doctor Katta, this is probably
the twentieth time I've been on with you since nine eleven.
Speaker 3 (01:50):
Is that right?
Speaker 5 (01:51):
We do this every year and then people keep getting sick,
and you know, we want to let people know about
the program. So thank you for doing a real public
health service for us.
Speaker 3 (02:00):
I appreciate that. Mark. I didn't realize that, but we
certainly continue to see men that have been diagnosed with
prostate cancer that were down at the World Trade Centers
on that day, and you know, you'll tell us a
little bit about that and how that occurs. And why
that occurs. And also I understand that Michael is here today. Michael,
(02:23):
good morning. How are you are you with us?
Speaker 4 (02:27):
Yes, doctor cat, it's a pleasure to meet you.
Speaker 3 (02:29):
Pleasure to meet you virtually, and you know, wonderful to
have you on the show. You were down at nine
to eleven, I understand, and we're treated with prostate cancer.
So we're going to talk with you about your experiences
and how you're doing. Mark, maybe if you want to start.
I know that you have a center here at NYU
that takes care of so many men and women from
(02:53):
nine to eleven, as well as other occupational exposures. And
tell us about your.
Speaker 5 (02:58):
Experience well in chemical exposures, people getting sick from chemicals.
Before nine to eleven, I travel all over the world
to factories where people were exposed. And it was ironic
for me that I lived about a mile from ground
zero and the towers collapsed on a terrible, terrible day
after the terrorist attacks, and within the towers were some
(03:19):
pretty bad toxins. There was asbestos, there was heavy metals.
The PCBs were created, the accidents were created, so you had,
you know, tens of thousands of responders that rushed downtown
you all remember, you know, as American heroes, they rushed
downtown to try to help rescue people and then to
rebuild the towers. And in addition to that, there were
(03:40):
hundreds of thousands of people who lived downtown, or worked downtown,
or went to school downtown, and they had the same exposures.
And over the years it became evidence that despite being
told that the air was safe to breathe, it wasn't
safe to breathe, and we started to see huge numbers
of diseases, including cancers. So in response to this, the
government enacted a program, right, and it's a two point
(04:03):
program almost And you know, mister Barrish is not only
a survivor, he's also an expert in the events of
nine to eleven and the aftermath. So there's a program
for patients who were exposed who can sign up right
and they get their condition what's called certified. Once the
condition is certified, they receive free treatment including medications and
(04:25):
doctor counts. You know how expensive that can be. So
you can be treated with no copaymages, no code police,
no out of pocket expenses. In additions that you're eligible
for compensation. So we have I think right now, it's
one hundred and twenty three thousand people in the program,
men and women. There's a number of conditions that are covered,
including sixty nine cancers, and one of those cancers that's
(04:47):
covered is prostate cancer. So the reason I'm here today
is to let you and I know you have you know,
a lot of people listening and a lot of people
with prostate cancer. Just to let people know that if
you were down there and you did have exposure, you
might be eligible to be the program. And it's amazing.
Speaker 3 (05:05):
In then way you have to fill out a form
or an application of something to get their money.
Speaker 5 (05:09):
Well, I'll tell you his experience with that.
Speaker 3 (05:12):
I said, good okay, Michael, good morning again. Thank you
for coming on and telling us about your experience. What
can you tell us there?
Speaker 4 (05:21):
Yes, okay, Well, first les to go the background. My
office is three blocks from the World Trades where the
World Trade Center stood. So when the EPA assured us
that quote the air is safe to breathe, we believed them,
even though the buildings were still on fire, even though
when you got out of the subway the smell would
(05:42):
just hit you right in the face like a two
by form. But we believe them, so we reopened our office.
We you know, the kids went back to school, the
people went back to their Lower Manhattan homes, and as
doctor Wilkinton said, it was anything but safe. I was
honored to represent NYPD Detective James that Roga, for whom
(06:04):
Congress named the bill which created the Wiltrads and Health
Program and the Victim Compensation five. When they did the
autopsy mister z Roga in two thousand and six, he
died of pulmonary fibrosis at the age of thirty four.
They found in his lung tissue ground glass, a specialist chromis.
(06:27):
All known carcinogens have now been linked by NIOSH to
sixty nine cancers and many respiratory illnesses.
Speaker 3 (06:36):
He was a police officer there on the day on
the working on the pile. Was that it actually on
the site.
Speaker 4 (06:43):
Yeah, he was, But my office was two walks away,
so we were exposed by people in my office were
exposed to the same toxins. And sadly, my secretary of
Leona died of breast cancer at age forty seven. Another
paralleagal named Dennis connord eyde of kidney cancer. I'm a
prostate cancer survivor my secretary as lymphomer. My partner Barry
(07:06):
has skin cancer. I mean it goes on and on
and on. There were three hundred thousand office workers downtown
below Canal Street. They're all entitled to this health program,
which is wonderful, Yet less than ten percent of the
civilians have been rolled so far. So I joined doctor Wilkinhelden,
thanking you for helping us spread the word to your listeners.
(07:29):
Hopefully they will learn something and even if they're healthy,
maybe they know someone who's had cancer who was and
they can call them up and say, weren't you working
downtown after nine to eleven? Doesn't have to be on
nine to eleven, It can be anytime in the eight
months after.
Speaker 3 (07:44):
Yeah, and you I did not realize that. And your
diagnosis of prostate cancer. What year was that that you
were diagnosed?
Speaker 4 (07:52):
I was five years ago. My gleason was three plus.
Speaker 3 (07:55):
Three in nineteen Yeah, twenty nineteen. And yet you were
exposed in two thousand and one. Right, so you know,
My question to doctor Wilkinfeld is, how do you, as
an occupational doctor, you know, you know, how do you
say that these cancers were related to the exposure? How
(08:15):
do you go because there's a lot of answers that
develop and yeah, you know, how do you how do
you link it? I guess.
Speaker 5 (08:25):
So that's a wonderful question. So, you know, thank you
for asking that. So there's two answers to that question.
The first answer is there have been studies, numerous studies
that show an increase in answers, including property cancers and
responders and survivors of nine to eleven. Okay, so that's
the academic question. You and I are both on the
academic faculty of the medical school, and we're very academic people, right,
(08:47):
So that that's how we look at it. We review
the studies and we know there is a relationship. But
that's not the important answer. The important answer is that
these these cancers are presumptive. If I have to go
to testify at Michael's case every other case, I would
be able to do nothing else. Right, if we have
to fight every single case of prostate cancer in court
and say this is related, it would be impossible because
(09:10):
there's sus of cancers. So what the government did is
they made prostate cancer and the other sixty eight cancers presumptive.
So if you have a diagnosis and you have the exposure.
It's accepted, so there's no arguing about it. So people
might say, well, you know I have prostate cancer. You know,
God forbid, but my father had it, my brother had it,
my son has it, my uncle has it. So it's
(09:31):
pretty obvious to me that you know, there's something genetic
going on. It doesn't matter. Same with lung cancer. It
doesn't matter if you spoke four packs a day, right
and you develop lung cancer, as long as you're a
responder and you meet the latency period. And just for
your audience, latency period means you can have had it
a week after nine to eleven. It would have to
be for that kind of cancer. For prostat it would
(09:53):
have to be four and a half years. For thyroid
or blood cancer would have to be eighteen months. And
that's why when Michael says his cancer, you know, someone
listening to you might say, well, it happened eighteen years later,
how is it related. That's exactly how chemical exposures work.
You're exposed, you're fine for many, many years or a
few years, and many developed the cancer. We've known that about,
(10:15):
you know, chemically of these cancers for years. So people
should not think there's two reasons why. I when I
ask people who come into the program, and you know,
I see them every day, as you know, when I
asked them, why didn't you come in a while ago,
and they said, well, I didn't think it was related.
And number two is I don't want to take anything
away from any anyone else. I have office workers that say,
(10:37):
you know, I work for a bank, and you know
there's cops down there. They need to program much more
than me. But there's room for everybody. And the third
thing is from a you know from again, you know
you're a professor, n Yu, I'm an associate professor. It
helps us to understand better. You know, we've just did
(10:58):
a study now on lung cancer and we found that
and this is the most important thing I'll say today.
We found that if you're in the program, you're diagnosed earlier,
right versus not being in the program. There's also a
study in the New York State of cancers in the
New York State and they found that nine eleven related
counters in people who are in the nine to eleven
(11:18):
program have a higher survival rate than cancers in the
New York State in general. So it's you know, it
can be life saving for someone to join the program.
It's not an academic thing, it's not a monetary thing.
I mean, there is compensation that people get, right, people
do receive compensations, but to me as a position, the
most important thing. If you come in, it could save
(11:39):
your life. So people need to sign up. People need
to come in, people need to be seen, and you
get a check up every year. And as Michael can
tell you, it's a wonderful, wonderful program.
Speaker 3 (11:49):
Yeah, I want to hear more about that. Go ahead, Michael.
I just have just a quick question. Go ahead, Michael.
Speaker 4 (11:57):
So, I agree with the Wilkenpel says, we're so lucky
in the nine to eleven community that Congress did the
right thing and created a health program. And I want
to add that it is nation wide. Your health insurance,
if you have health insurance, is your primary payer. But
the health program will pick up all the copays, all
(12:18):
the deductibles for anything that isn't covered by your insurance.
And of course we're dealing with cancer, which can bankrupt
families even if they have health insurance. So you're doing
your family, you're doing yourself a favor by getting into
this program. And you know again, I just want to
echo what Mark said about it being presumptive. It doesn't
(12:41):
matter if your family member or your mother had breast cancer.
Now you have breast cancer and you are show with
prossel cancer. Today, it wouldn't matter that my dad had
prostate cancer and now I have process cancer because I
was exposed to the nine to eleven toxins. There's a
presumption linking my cancer to my exposure to my working downtown.
(13:05):
So and you know, again I mentioned there are three
hundred thousand office workers, There were fifty thousand students and teachers,
twenty five thousand downtown residents after nine to eleven. And
these people, for the most part aren't applying because either
they don't know about the program, but if they're listening
to your show, they will now, or they feel guilty
(13:27):
taking away from firefighters and cops. Well, don't feel guilty.
These programs are fully funded and permanently extended until twenty ninety.
Or they don't know about the presumption. Well, now your
listeners do.
Speaker 3 (13:41):
And did you say that there's a site where people
can sign up for this or a phone.
Speaker 4 (13:45):
Yeah, there are two government sites. There's the World Trades
that are health program site. They can just google that
or they can, but I urge people to also sign
up for the victim compensation funds, even if they're currently healthy,
because you need proof that you were working, living, or
going to school Downtown. Well, let's face it, I lose
(14:07):
two clients every single day to nine to eleven cancers.
It's heartbreaking. But what's even worse is when I find
out the family has lost someone and they don't know
how to find witnesses or co workers that the guy
used to work with. So take care of your families.
Get that proof now if they want, and go to
(14:28):
my website where they'll learn so much. And that's nine
to eleven victims dot com. That's nine to eleven victims
with an s dot com. But you don't even need
a lawyer. I'll be the first to admit it. Although
for ten percent, which is what the government said, lawyers
had to cap their fees of these cases. Most of
my patients, most of my clients feel that it's well worth,
(14:51):
you know, having someone make sure that they get the
maximum amount. And the government's giving between two hundred and
two hundred and fifty thousand for people with certified answers,
including prostate cancer. But I know it's not all about
the money. It's also about the health program, but this
is life changing money. There's so many men to so
many women who feel like they're worried, how's my family
(15:13):
going to get by if I die? And it's so
gratifying to me as an attorney to be able to
assure these people that your family won't have to lose
their house, your kids can still go to college. That's
what makes what Mark and I do so gratifying.
Speaker 3 (15:30):
Now that's a really important message. Thank you so much
Michael for letting us know, and we want to hear
how you're doing. At seven seventeen in the morning here
on Kancers Corner, if you're just waking up, you can
give us a call. We aren't live. On September fifteenth,
there's our Prostate Cancer Awareness Seminar. It's Prostate Cancer Awareness
Month and we are having our seminar today with our colleagues,
Doctor Has myself, doctor Corkran, as well as Ed Randall,
(15:53):
Fans for the Cure, and an organization dedicated to the
screening of prostate cancer. If you want to give us
a call, we'll you have a few more moments left
here in the show this morning, it's eight hundred three
two one zero seven ten. We're talking with doctor Mark Wilkinfell,
who's the chair of Occupational Health, and Michael barrashan attorney
who was exposed as you've been listening to some of
(16:14):
the chemicals and dust there at nine to eleven and
has been treated for prostate cancer. Just going back to
a quick question for you, doctor Wilkinfell, in your experience,
the cancers that are found, whether it be prostrate or
other type of cancer, are they more are they more
aggressive types of cancers or are they the same type
(16:34):
as someone that was not exposed to these chemicals.
Speaker 5 (16:37):
Well, don't you know, don't forget the ones that I
see or the places that I see many times they
have their cancers found earlier, so you know, in terms
of again you know, so it could be life saving
to be in the program. We find it. And it's
not just cancers. We find with other diseases, diseases like sarcoid,
which is an autoimmune disease along disease, it just behaves differently.
(16:58):
So I don't think there's a there's a blanket answer
to your question. And just you know, again medically, I
think the important thing is get and you'll tell you
tell us your patients. You know, very often sometimes I'm
up at seven am listening to your show, and you know,
you get diagnosed earlier, you have a much better chance
of survival.
Speaker 3 (17:16):
Yeah, that's so corny, but it's so.
Speaker 4 (17:19):
Twenty five hundred clients that I represent with prostate cancer,
it's the second most common cancer in then I don't
event community after skin cancer. And those who get early
detection are the ones who are still with us. And
those who don't go for their annual psays, who don't
pay attention to their own health, those are the ones
(17:41):
who we lose. And it's just obvious, but it's always
bear repeating.
Speaker 5 (17:50):
There might be avistage for you, doctor cancer as well.
And I know you're doing a fantastic screetings today, right,
and a seminar today, and I know that you do
sweetings as well, and you'll office. But you know a
lot of oncologists and urologists and other specialists aren't asking
about nine to eleven. You know, when I speak to
our coologists, theyll tell me they saw a cancer case
and I'll say, you know, with they down a ground
(18:11):
zero and the last time at the next visit and
they'll say they were, and I'll say, well, well, I
need to talk to them, you know, because people, doctors
and patients are just not aware of the program, right,
And that's that's the twenty three years later, you know,
I go to social events and the other doctors say
what do you do? And I explained to me and
they goes. That's still going on twenty three years later.
(18:32):
There's a lot of you know, there's knowledge that needs
to be spread. And thank you again because you know,
my background is in public health and you're doing a
tremendous public health service by put putting us on the
radio today.
Speaker 3 (18:43):
No, thank you very much for that those comments. Mark.
I mean, you know, Michael, I was really interested to
hear about your case. So how you know you've been followed?
You were down at nine to eleven and then twenty
nineteen you were diagnosed. How did that? How did that
all come about? And tell us how are you doing now?
Speaker 4 (19:01):
Thanks for asking. And by the way, this is not
a commercial for Nyu Lango, but I am going to
say I'm very grateful to doctor Jeffrey Lessing and doctor
William Wang for following me to NYU doctors. So I
used to go for my annual PSA because I believe
it and I see so many of my clients have
prosy cancer. And my doctor remarked that my PSA had spiked.
(19:26):
It was still below four point zero, but it was
much higher than it had been previously, so he said,
let's watch it. Six months later, I come back and
now it's up to about seven, which was obviously a
warning sign. I go for an MRI. That led to
a biopsy where I found that I had a three
plus three gleason and that's when I was referred to
(19:49):
doctor Wang, who's my euroontologist, and he now has me
do PSA tests every four months. I go for MRIs
once a year, and if anything looks different, I go
for another biopsy. So that's called active surveillance. I'm one
of the lucky ones. I know that many are not,
(20:10):
but there are so many treatment options out there. Not
everything leads to ED or incontinence, but if you ignore it,
I guarantee you have cancer. It's going to lead to
a bad result if you don't follow it. So you
can't have your head in the sand. And thankfully, I'm
just going to continue to hopefully, as my doctor says,
(20:32):
die with prostate cancer and not from it.
Speaker 3 (20:36):
Yeah, and many men these days that are diagnosed with
prostate cancer have lower risks like you have at least
in six three plus three and can go on act
to surveillance. One of the things we'll be talking about
today in the seminar is a program we have called
active holistic surveillance where people actually change their diets, which
I have actually found to be quite helpful in my
(20:57):
practice treating many men on surveillance, ing them longer on surveillance,
because it's not only you know, treating that cancer in
the body, but if you can change or modulate your
diet with less things that are inflammatory and pro antioxidant,
and get rid of some of the fats in the
diet and reduce the sugars, you can find that your PSA.
(21:18):
I'm not saying it's going to eradicate and get rid
of the cancer, but your PSA can stay stable, your
MRIs can stay stable for many, many years. And that's
the idea, right Michael, so that you wouldn't have to
undergo some of the other whole gland or even focal
therapies like either radiation or surgery or cryotherapy. But you are.
(21:39):
You were fortunate in that you did the right thing.
You were monitoring your PSA very carefully, and once there
was a spike, boom, Well you got the latest and
greatest imaging for detection of prostate cancer, which is the MRI,
and you're doing the right thing.
Speaker 2 (21:54):
You know.
Speaker 3 (21:54):
When your doctor in NYU is, I know him well.
He's a top notch guy, and the right thing to
do is to follow with the MRI, not just the PSA.
I'm an old school guy and believe in digital rectal exams.
A lot of guys got away from that, but I'm
still old school because I have found that sometimes the
prostate texture in the anatomy can change a bit, yet
(22:16):
the PSA can stay stable. But Michael, have you changed
your diet or exercise program in any way? Do you
think that that that could be helpful for you?
Speaker 4 (22:26):
You know, I don't know. I do. I'm very mindful
now because my cardiologist, doctor Slater, he's also at ed YU.
He's always nagging me about making sure I get my
ten thousand steps in. I am much more mindful of exercise.
I'm not overweight, by the way. That doesn't mean that
I still shouldn't exercise, and as far as diet is concerned,
(22:49):
my wife keeps me on a pretty short leaf, so
I'm not and I'm also lactose intolerance, so I think
about all the bad sugars that I can't really have,
which just that help.
Speaker 3 (23:00):
So so yeah, you know, I'd be curious to know, Michael,
since you mentioned that you have many clients of yours
that you follow with diagnosis of prostate cancer, how many
of them are actually needing active treatment like radiation called
definitive treatment radiation or surgery, or how many of them
are actually going on surveillance and then compare that, let's say,
(23:23):
to the national statistics and see. You know, because my
thinking and my thought maybe I'm wrong, doctor Wilkinfeld, you
can correct me, was that if someone was exposed to
chemicals and things like that, that the types of cancers
might be more aggressive when they come out. And of
course more aggressive cancers can spread, and that's the ones
that we're concerned about. It would be interesting to know
(23:45):
this subpopulation of men that were diagnosed presumed as you
mentioned at nine to eleven, are they more aggressive or not?
And are men more likely to be on active surveillance.
Any thoughts but from either of you.
Speaker 5 (23:58):
Yeah, I think that's a great question. I don't think
it's it's been studied yet in prostate cancer where we're
currently looking at things like that in lung cancer. But
you know, unfortunately, I've had patients who've ultimately died from
prostate cancer, and I've seen I've seen very you know,
very aggressive cancers in some of the patients. So so ancidotally,
(24:19):
I do see those types of cases. But you know,
maybe you and I don't want to do a study
with that doctor cancer.
Speaker 3 (24:26):
Yeah, that sounds terrific. Uh we have a caller, uh,
Mark and and Michael. Let's let's hear from Joe. Good morning, Joe,
you're on the line.
Speaker 6 (24:34):
Stone, Yes, very quickly, yes, nine. At day nine to eleven,
worked a few blocks from uh the buildings and made
the way uptown. Just wanted to know if that is
enough to contact one of the agencies relating to prostate cancer.
(24:55):
Nothing at this point.
Speaker 3 (24:57):
Okay, Michael, what do you think about that?
Speaker 4 (25:00):
Yeah, I'd have to answer that. So in order to
be eligible. And the Health Program and the Victim Conversation Fund,
they're two separate organizations. Although they do work hand in hand.
But to be eligible, you must prove either that you
were caught in the dust cloud on nine to eleven, Joe,
or if you were a responder, that you spent more
than four hours downtown between nine to eleven and September fourteenth,
(25:25):
or more than twenty four hours in the month of September,
which is really going to be for the downtown residents
because so many office workers didn't return to work, like
my office didn't open till October, we didn't have any electricity.
Or finally that you spent eighty hours altogether between nine
to eleven and May thirtieth of two thousand and two.
(25:46):
But I applaud you for calling in for finding out
whether you are eligible. So I hope I answered your
question and if not, you can certainly follow up with
me or call the agencies directly.
Speaker 3 (26:00):
Yeah, I think that's a thank you. Thank you very
much for your phone call, Joe, and thank you Mark
for explaining and Michael for being on that. I want
to go ahead. We have about we have different groups.
Speaker 5 (26:13):
We have responders, and we have people who worked in
downtown with people who went to school downtown. We have
people that live downtown I know a patience who was
actually what's called the bystander exposure. He was shopping in
Century twenty one on the day that had happened. So
people really have to think, you know, about where they
were and how they were exposed, and you know we're
here for them. You know, the programs are really here
(26:34):
to help you. It was a huge fight, which we
can do on another show one day. It was a
huge political fight to get these programs established. You know,
there's billions of dollars put into them make sure that
people get care and make sure that their families are
taken care of. And I would just want to thank
you again, doctor Katson. I want to thank Michael, who's
who's very eloquent and very very devoted to this cause.
Speaker 3 (26:56):
Yeah, we really appreciate it.
Speaker 5 (26:57):
And you know, unfortunately, doctor I have a feeling that
next year, the first week of September, you and I'll
speak again and we'll be back on because we're only
seeing the members go up, we're not seeing them go down.
Speaker 3 (27:09):
Well, thank you very much. Unfortunately, Yes, thank you very
much Michael for coming on and all that you do
as well as you Doctor Wilkins felt. Unfortunately that's the
end of the show. I'm going to walk over now
to the Prostate Cancer Awareness Seminar one on one Miniola Boulevard.
If you'd like to come down, we'd us to see you.
It'll start at eight o'clock this morning. Have a great
day everyone. This is doctor Aaron Kevin.
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You've been listening to Cancer's Corner. Come back every week
to hear more straight talk on a wide range of
men's health topics and advice on how to live your
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