Breast Cancer Awareness: Looking Beyond the Pink

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🎀 BREAST CANCER AWARENESS: BEYOND THE PINK  What does breast cancer awareness really mean beyond wearing pink?  This Pink October, Beyond the Headlines looks deeper into breast cancer awareness, the importance of recognizing possible warning signs, regular screening, early detection, and seeking medical advice when something feels unusual.  Awareness can lead to early action—and early action can make a difference.  Join us on Beyond the Headlines. Look Deeper. Think Better.

Transcript

00:00:00music

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00:00:23music

00:00:28It starts with a fresh shot of espresso. Bold, rich, pulled just right.

00:00:38Then comes the milk, steamed smooth, creamy, and balanced.

00:00:43The perfect latte is not brushed. It is crafted one cup at a time.

00:00:50Your perfect latte is ready. Coffee first, then everything else.

00:00:57How much time do we really have?

00:01:00Good afternoon and welcome to Beyond the Headlines.

00:01:03I'm DJ Moises and today's conversation is brought to us by Coffee First.

00:01:07When a serious accident happens, sometimes the difference between life and death can be measured in minutes.

00:01:15When cancer begins, every delay in recognizing a warning sign and getting the right diagnosis can matter.

00:01:23Let's look deeper and think better.

00:01:27Joining us are three specialists who see the consequences of those decisions.

00:01:32Dr. Jan Michael Yap and Dr. Oliver Villarma are trauma and critical care surgeons dealing with some of the most

00:01:40serious injuries and medical emergencies.

00:01:44And Dr. Maria Dulce Consuegra is a surgical oncologist with specialized training in surgical oncology and a particular focus on

00:01:54cancer care.

00:01:55So good afternoon, Dr. Jan, Dr. Dulce, and Dr. Oliver sounds like an enumeration.

00:02:03And welcome to Beyond the Headlines.

00:02:06Thank you so much.

00:02:08So before we get into the more serious business, let's just get into something serious.

00:02:17Because maybe some of our viewers who are yet to take their major or yet to decide to study medicine,

00:02:26they might also be interested.

00:02:28What were the decision points that led you to the medical field?

00:02:34So who will start first?

00:02:36Was this always your dream as a child?

00:02:39Yes, sir. It was really my dream. Since I was in elementary, I really was interested in the human body.

00:02:51Growing up, I was exposed more to subjects in biology.

00:02:57I was more scared.

00:02:58I was more scared.

00:02:59I was scared.

00:02:59If you read it, I'm scared.

00:03:02I was scared.

00:03:06I was scared.

00:03:09I was scared.

00:03:10I was scared.

00:03:13I was scared.

00:03:14I was scared.

00:03:15I was scared.

00:03:16I was scared.

00:03:18I was scared.

00:03:18Which is actually before the two of you can also chime in.

00:03:21Our guest yesterday, he placed first in civil engineering licensure exam.

00:03:29And that was his answer.

00:03:31Because we asked him about his recreation and it was actually studying.

00:03:37And when I looked at his face, I was really convinced that he's happy studying.

00:03:43He doesn't have...

00:03:44If you enjoy what you do, you don't need a vacation.

00:03:46Yeah.

00:03:47From your due.

00:03:47From what you do.

00:03:48So, I think that's a good point.

00:03:51If there are those who are considering pursuing the medical field, reading about medical stuff should be a must.

00:04:00It should be an interest.

00:04:01An interest.

00:04:02Not something that's forced on them.

00:04:03But I can tell that Dr. John, you wanted to say next.

00:04:08Oh.

00:04:08What's that?

00:04:10Ako po, sir.

00:04:11Maybe my path was a little bit more unconventional compared to Dr. Will Armas and maybe presumably Dr. Consuegras.

00:04:18Ako, I was more into the arts.

00:04:20Yes.

00:04:21Rather than...

00:04:23Really?

00:04:25Rather than...

00:04:26Rather than...

00:04:27What we now know as STEM subjects.

00:04:29Mm-hmm.

00:04:29What gives kay kay kay kay interest.

00:04:31And although I had good grades for it.

00:04:32I had the grades for it.

00:04:34Mm-hmm.

00:04:34I tried initially to apply under the arts program sa UP.

00:04:49Mm-hmm.

00:04:50But again...

00:04:51I think maybe we should switch.

00:04:53A few.

00:04:53Yeah, continue.

00:04:54A few.

00:04:56A few.

00:04:56May mga libaong along the way.

00:04:58And that eventually led me to trying to pursue something in the medical field.

00:05:04Actually, I started as a medtech.

00:05:06Ah.

00:05:07It was there, I think, in college where I developed the interest for medicine and surgery specifically.

00:05:15Mm-hmm.

00:05:16So, I think, seguro, for those of you who aren't...

00:05:20For those in the audience who aren't really interested right now, please know that it really isn't...

00:05:25Something you discover.

00:05:27It's not set in stone.

00:05:28Yes, yes, yes.

00:05:28It's something that you will discover along your journey as a high school student, college student.

00:05:34And eventually, if you learn to love medicine as a profession and as a vocation, that is going to be

00:05:43your saktog yapon.

00:05:44If you love what you're doing, it won't feel like work at all.

00:05:49Yeah.

00:05:50Or maybe that's something that has been there.

00:05:52Yeah.

00:05:53And then the journey eventually made you realize that, oh, this is the path I want to take.

00:05:58So Karunang Arts is just relegated, at least for me, relegated as a hobby.

00:06:02Ah.

00:06:04Ah.

00:06:04Sige.

00:06:05How about you, Doctora?

00:06:06Tell us a different...

00:06:11Actually, if you look into it, it's kind of different because...

00:06:15Ah, okay.

00:06:16Medicine is actually my father's dream.

00:06:19I came from a family, basically.

00:06:24I know you're an engineer.

00:06:25Most of my siblings are engineers, architects.

00:06:30And being the only girl in the family, my father wanted me to pursue something that's different.

00:06:38When I was younger, during my younger years, especially college, I really wanted to pursue law.

00:06:45But my father thought that it was kind of radical for me to go into law.

00:06:50So I tried to look into other interests of mine, and one was science.

00:06:56Okay.

00:06:56So just like Oliver, I had this fascination with the human body.

00:07:01Okay.

00:07:01Because, you know, everything, if you look into the literature, I mean, there's something magical and spectacular with how the

00:07:10body works.

00:07:11So that's why I decided to pursue biology, actually, during my college years, and then decided to pursue medicine after.

00:07:20But I think, I guess, my father was correct.

00:07:23Maybe he saw something in me that really was in line into that vocation.

00:07:28So I think my father was correct.

00:07:30So I'm happy with where I am now.

00:07:33And just like the rest of them, one advice for those who are still in the crossroads is just pursue

00:07:41something that you really love to do.

00:07:43Because it wouldn't feel like work at all if you do what you love.

00:07:47Even if it's something that you already knew from the start or something you find out along the way.

00:07:53Yes.

00:07:53Or something that people saw it first in you, no?

00:07:56But as long as you enjoy it, then it's good to go.

00:07:59Yes.

00:08:00We would have been talking about the impeachment hearing.

00:08:02Hadn't we pursued law?

00:08:04It would have been a different conversation.

00:08:05But that said, let's talk about the bunk records.

00:08:09Just kidding.

00:08:09So Dr. Jan, what eventually drew you specifically to trauma and surgical critical care?

00:08:18So for trauma specifically, all three of us were trained under a general surgery program.

00:08:26So that's where we started and that's where we developed our skills and our knowledge base to deal with surgical

00:08:34cases.

00:08:35And I'm sure a lot of us in the field will also agree with this, no?

00:08:40That most of us fall prey to this sense of routine.

00:08:45So that's why I took particular interest in trauma.

00:08:49There's really no way for you to actually predict what you're going to see inside once you open these patients

00:08:55up.

00:08:55And after having rescued them from the sea, no?

00:08:58That's what we did in the operating room.

00:09:00They were the same as they were.

00:09:02There's really no way to predict.

00:09:03Even if you take maybe 10, 15 different CT scans and X-rays from these patients, a lot of times

00:09:10the CT scans are really not a reflection of what you're actually going to see and what you're going to

00:09:16have to deal with once you open these patients up.

00:09:19So I kind of gravitated towards that kind of excitement and unpredictability.

00:09:25I get to improvise based on my knowledge base.

00:09:31And that's right, Dr. Bilal Maulagui.

00:09:33Actually, before we get into him, well, when people open up or when you ask people to open up, you

00:09:39see a lot of trauma.

00:09:42Okay, how about you, Dr. Oliver?

00:09:49Most of the time during residency, I always get those very complex cases, difficult cases.

00:09:55They always find their way to me.

00:09:58So that's why I really was thinking about how I can better improve my practice or how I can better

00:10:07improve my training institution because we need critical care at that time.

00:10:12But for trauma, I think mostly media influence from watching too many action movies.

00:10:21I thought the doctor series.

00:10:23Ano?

00:10:25Action movies, sir?

00:10:27Where one yung yung yung trigger na, and seeing, wala yung ticolata siya.

00:10:31What can I say?

00:10:32What can I say?

00:10:33What can I say?

00:10:34What can I say?

00:10:37What can I say?

00:10:39In residency, I had around 60 trauma cases for the past two years.

00:10:43Nagkana kayo na, sir.

00:10:44Nagkana kayo na, sir.

00:10:45Nagkana kayo na 60.

00:10:46And malingaw ko.

00:10:47Malingaw ko.

00:10:48Malingaw ko.

00:10:49Even if I'm not on duty, I had to go back.

00:10:52So, I enjoyed going back.

00:10:54But, at that time, it's really stressful.

00:10:57But looking back, it was...

00:10:59Action.

00:10:59Oh, action.

00:11:00Yeah.

00:11:00The high is very much there.

00:11:04Especially if you have a very toxic patient,

00:11:08nagpadong napatay, and you see them makauli.

00:11:11It's very gratifying.

00:11:12So, munang...

00:11:13That's why I chose trauma.

00:11:16Because...

00:11:16Ito.

00:11:17Marag na...

00:11:18For the action.

00:11:19For the action.

00:11:19Or, nagkana kayo na lang.

00:11:21Sige.

00:11:21Kasi kadagkana kayo na.

00:11:22Huwag trauma.

00:11:22Huwag bati ng cases.

00:11:23For you, Dr. Dulce.

00:11:26I'm not very knowledgeable about the field.

00:11:28Can...

00:11:28Is it safe for me to assume that this is a more peaceful route?

00:11:34No.

00:11:35Actually, no.

00:11:37Ah, okay.

00:11:38Some would say that cancer surgery is one of the fields wherein

00:11:43it's a little bit depressing.

00:11:47Because, at times, you get to inform the patient.

00:11:54Yeah.

00:11:54Especially if you have the diagnosis.

00:11:56Yeah.

00:11:56Once it's cancer, sometimes you think that it's already a death sentence.

00:12:01Mm-hmm.

00:12:02You have to be the harbinger of bad news.

00:12:06Correct.

00:12:06But, for me, I take it as a different...

00:12:10My perspective is different.

00:12:12Mm-hmm.

00:12:13I decided to pursue this, actually, because I was...

00:12:16Just like Oliver, I was trained in a government institution as well.

00:12:21Mm-hmm.

00:12:21I felt that we were operating on cancer patients, but there seems to be a drive for me to improve

00:12:31in terms of the outcomes.

00:12:33Because, remember, Sir DJ, every time we do surgery, what is more important will be the outcomes, no?

00:12:39That we will have for our patients.

00:12:40So, if they're gonna improve, they're gonna live after the surgery, then that's, I think, what's more important.

00:12:47So, it's a matter, really, of trying to improve the outcomes, the prognosis among these patients.

00:12:54So, that inspired me to pursue surgical oncology.

00:13:01It's kind of, as I mentioned earlier, a lot of times, it may be depressing because you have to say

00:13:07this diagnosis to these patients.

00:13:09But, in the end, as you go through their journey, what is quite gratifying, no, is the feeling that you

00:13:17get to be with them every step of the way.

00:13:20From the time that they get biopsy, diagnosed, up to they finish their treatment, and finally, to the surveillance phase.

00:13:27And once, although it may be a long journey, no, that feeling of giving, encouraging them, finishing their treatment, providing

00:13:37hope, and as well as, of course, making sure that their outcomes are good in terms of prognosis-wise, no?

00:13:44They have better prognosis that makes my work a little bit meaningful.

00:13:51Sige, so, we'll get into the deals because I, while you were, while you were discussing about the journey, there

00:13:57were also points that I wanted to ask, but let's get into trauma first, no?

00:14:01So, this is both for doctor, this, the succeeding question.

00:14:05There's a quiz, no?

00:14:06For a category.

00:14:09So,

00:14:11So, my next few questions will be for both, and you can also chime in, by the way, no?

00:14:18For, because I'm also interested about trauma, no? So, let's get into that first.

00:14:24Take us into the journey, if we, if we use the same term, on the first few minutes, no?

00:14:32After the incident, how does that work?

00:14:39To start, sir, your trauma is a physiologic, more of a physiologic surgery, rather than anatomic. So, first few hours

00:14:48of trauma is really, is very important.

00:14:51They say, you know, the best outcomes comes after, after treatment within the golden hour.

00:14:57Which is?

00:14:58First hour.

00:14:59First hour.

00:14:59First hour is really essential. That's why pre-hospital care is really being promoted right now.

00:15:06How to stop the bleed. We did a program last month on how to stop the bleeding, because it is,

00:15:13it is, it reserves the physiologic capacity of the patient.

00:15:16So, when the patient arrives at the hospital, what we do is assess. If there's a need to do surgery,

00:15:22okay? Then, we bring the patient 15 to 30 minutes at the OR.

00:15:26That's, that's the ideal setting. But, ideal setting, 30 minutes, cutting namin, sugod namin yung abli. Okay? So, at that

00:15:35time, ang among priority is to stop the bleeding, control the infection. Okay? So, usually, yeah, exciting kayo. So, you

00:15:42can do everything.

00:15:42And, and you won't be sure of what the injury is. Okay? Like John said earlier, even with the CT

00:15:50scan, ultrasound, you're not sure what the injury is. So, you just suspect na maunin yung may tabo. So, you

00:15:57prepare contingencies, you prepare blood, you prepare warm fluids, so that we can do the surgery right away, stop the

00:16:07bleeding, control the infection if possible.

00:16:12Anastomose, meaning reconstruct everything in one go. But our goal is to do everything within 90 minutes. Okay? After that,

00:16:19we close, bring the patient to our ICU, surgical ICU. We take care of the patient. If we are not

00:16:26able to do everything at once, then we might need to do succeeding surgeries. Okay? So, the first hour, golden

00:16:34hour is very important. So, stopping the bleed, giving fluids.

00:16:37But for civilians, I think the goal is to stop the bleeding. Okay? That's, that's about it. Stop the bleeding,

00:16:44bring the patient to the nearest hospital.

00:16:48Yeah. So, just to piggyback off of what Dr. Bilarma mentioned. Again, the first few minutes are the most, the

00:16:58very critical moments when we deal with patients with trauma. Like Dr. Bilarma said, it's a physiological disease rather than

00:17:08an anatomical problem.

00:17:09And we really want to make sure that we are preserving as much as possible how a body normally works.

00:17:20So, we don't want to add additional stress. And at the same time, we want to prevent any stresses that

00:17:26we might expect based on the patterns of injuries.

00:17:28So, like, again, I mentioned this earlier. Dr. Bilarma mentioned this once again. There's really no way to predict. But

00:17:37we know what to expect based on patterns of injuries.

00:17:42So, for example, if it's going to be like a four-wheel vehicle. Let's say, driver is unrestrained, without a

00:17:48seat belt, without a steering wheel, we know to expect that maybe there's a problem with the heart, with the

00:17:54lungs, maybe the vessels that surround the heart, and there may be a problem relating to organs in the abdomen

00:18:01as well.

00:18:01So, the way we were trained is to expect things based on mechanisms of injuries and not to overly rely

00:18:11on long tests that we know are going to be unnecessary at the end point.

00:18:17So, the goal of this is to contain and to fix the problem within those first few minutes or within

00:18:24the first hour, like Dr. Bilarma mentioned.

00:18:27Oh, wala. Okay. I can tell, Magude, you were also, you wanted to say something.

00:18:32Yeah, because I was, usually, for my colleagues, no, if you often, if you watch or if you're a fan

00:18:39of a medical drama, what usually happens in the ER is what usually really happens in real life.

00:18:46That's that thing. So, if you see them rushing the patient, trying to resuscitate the patient, give medications immediately, and

00:18:56then rush the patient to the OR1's table, that's actually their life.

00:19:01Yeah.

00:19:01And that's, that's the picture of how they do their work in a nutshell.

00:19:07But, times 10 in reality.

00:19:09Yes.

00:19:09Because the patients in our locality, taghan gaya, sir, taghan gaya, pasiente.

00:19:14So, that's why, taghan complain, I'll just go into it because there are a lot of patients in our, in

00:19:21our locality.

00:19:21That needs one hour, that needs to be, what's the matter, treated within the golden hour.

00:19:27Within the golden hour.

00:19:36But you have to understand that there are more patients in real life than the actors that they can hire.

00:19:45That's a good answer.

00:19:46Just also to add a little more context.

00:19:50The Philippines presents a very unique problem in that we are separated by bodies of water.

00:20:05Since it's a very unique problem, we are also faced with that challenge of trying to set up a system

00:20:11that is unique to our region.

00:20:14The regions in northern Lausanne are going to be expectedly different.

00:20:18They are landlocked.

00:20:19But it's wider.

00:20:22So it's a big challenge.

00:20:27It's trying to develop a system in order to, at least starting locally, starting in the island itself, in Cebu

00:20:38Island.

00:20:39It's just our focus.

00:20:40And I think credit is due to the local government.

00:20:45They're really helping us nowadays.

00:20:47Yeah, that's true.

00:20:48Especially for trauma.

00:20:50Yeah.

00:20:51And I have that also later on.

00:20:55And yes, we will also cover that because I'm also curious about how much of the intervention are the capabilities

00:21:04of the specialists.

00:21:07And also how much of it is also the system around them.

00:21:10We'll get into that later.

00:21:12Easy questions first.

00:21:19So, in terms of, from the perspective of the public, so there's an accident or there's an injury.

00:21:29What are the common mistakes that you see us do that we should understand that even if our objective was

00:21:37to help, we're not actually helping?

00:21:40Yeah.

00:21:42First, paim na noong tubig.

00:21:44Yeah.

00:21:44Kanang paim na noong tubig na?

00:21:46I heard noong tubig.

00:21:47Yeah.

00:21:48You can actually, the patient could actually aspirate and go into pneumonitis.

00:21:53Matay then, within a few hours.

00:21:55Sulipan.

00:21:56Sulipan, igpainom, nabi na maghigda, nabi na maghigda, ikinom, add to sa baga.

00:22:03Okay?

00:22:04So, mohan na.

00:22:05Mohan na, mohan na itingin na.

00:22:06Toothpaste ka na sa sunog.

00:22:08Toothpaste.

00:22:08Common sa na ang toothpaste.

00:22:09What is the toothpaste sa sunog?

00:22:11Apply.

00:22:12Burn application.

00:22:13Ang common na first aid sa mga laymen is apply a toothpaste.

00:22:18Ah, okay.

00:22:19Pero in...

00:22:20What does it do, man?

00:22:22At least they understand that when they do that, it's even harmful.

00:22:25Not really harmful, but doesn't...

00:22:27It will cause infection, sir.

00:22:29Okay?

00:22:30Dilim na sterile ang toothpaste.

00:22:32O, pati masunog.

00:22:34Tanga na toothpaste.

00:22:35Yeah, kwan-bila na siya.

00:22:36That's mostly carbohydrates and high-fructose corn syrup.

00:22:40That's not going to help at all, no?

00:22:41In terms of preventing infection.

00:22:43I think the intention there is good.

00:22:45Supposedly, yeah.

00:22:46Gusto ni mo siya, mohan na siya salg, no?

00:22:48Mohan na siya pain reliever, I guess.

00:22:50I think maka-provide pain relief because matabunan niyang open nerves ni mo.

00:22:56Open nerve endings.

00:22:58So, manong, nilisakit.

00:22:59But actually, it's quite harmful kay maka-cause of infection.

00:23:02Okay, we see a lot of that.

00:23:03Ako po, Sir DJ, I think one of the problems here that we really try,

00:23:08we really need to try and focus on and maybe just fix slowly is the mindset that

00:23:15fixable ragintanan, especially household injuries or even mga road crash incidents, mga injuries with home remedies.

00:23:27We're trying to work on capacity building.

00:23:30Okay, we can only do so much, no?

00:23:32But the public should also know that they have people here that are trained and know what they're doing.

00:23:39and don't just try and fix everything

00:23:44with tooth paste

00:23:46or gangbayabas

00:23:48mga piang birahon

00:23:50helmet

00:23:53there's a proper way of removing your helmet

00:23:56because they're trying to help

00:23:57in the process of removing the helmet

00:24:00it creates an injury

00:24:02those are good points

00:24:04how about you just bangun

00:24:05because the reason why I had that question

00:24:07is because my dad also

00:24:09and by the way he passed away after that

00:24:10my dad has had

00:24:13maybe some major

00:24:14the reason why he fell

00:24:16so it was an accident

00:24:18it wasn't a wound, nothing visible

00:24:20and we'll get into that later

00:24:21but it was bangun

00:24:24so it hurt the spinal cord

00:24:26because it's heavier outside

00:24:29and so it resulted

00:24:31to severe

00:24:33spinal cord injury

00:24:34how about the bangun

00:24:36or the lifting

00:24:37those are one of the things that

00:24:40maybe training will fix

00:24:42correct

00:24:43okay

00:24:43a lot of times

00:24:44the intention there is to try and help

00:24:47but really you are causing more injury

00:24:49so is it safe

00:24:50that we just let them be?

00:24:53yes

00:24:54that's a better

00:24:55better na siya

00:24:56because we don't know yet what's wrong

00:24:58and of course during the process

00:25:00na

00:25:00bangun

00:25:01na naaang patient

00:25:03on lying down on the floor

00:25:05you call for help

00:25:06okay of course

00:25:07there are trained rescuers

00:25:09who

00:25:10who can help you

00:25:12in moving the patient

00:25:14without adding further injury

00:25:17so Murad

00:25:18in a nutshell

00:25:20it is even safer

00:25:22to just leave the patient

00:25:24no

00:25:24as it is

00:25:25and then call

00:25:26rather than lifting

00:25:28removing the helmet

00:25:29giving water

00:25:31if you're not sure

00:25:32of the mechanism of injury

00:25:34do not touch

00:25:35we can put it on the recovery position

00:25:38but always support neck

00:25:40but if you're in doubt

00:25:42then leave it

00:25:43leave the patient there

00:25:43call for help

00:25:44you will notice

00:25:46na a lot of the

00:25:47rescue vehicles

00:25:47have what we call

00:25:48backboards

00:25:49or spinal boards

00:25:50so those

00:25:51there for a reason

00:25:52that's to protect the spine

00:25:53keep it

00:25:54as stiff and straight

00:25:56as possible

00:25:56and inapod sila

00:25:58mga cervical collars

00:25:59those are all there

00:26:01for the patient's safety

00:26:02and to make sure

00:26:02na walay added injury

00:26:03while we're rescuing

00:26:05these patients

00:26:05there's also a term

00:26:07that we use

00:26:08in the medical field

00:26:09called

00:26:09we call it in situ

00:26:11which really just means

00:26:12to leave

00:26:13leave it as it lies

00:26:14if you're not sure

00:26:16what you're doing

00:26:17if you don't know

00:26:18what you're doing

00:26:19it would be better

00:26:20for you to call for help

00:26:23whether it's

00:26:24whether it's a cardiac event

00:26:25or whether it's trauma

00:26:27it's still the same

00:26:28the first priority

00:26:29is to call for help

00:26:30or actually

00:26:31first priority

00:26:31is make sure

00:26:32the scene is safe

00:26:33and then afterwards

00:26:34once you make sure

00:26:35na nimong nga safe

00:26:35ang scene

00:26:36call for help

00:26:37and this also

00:26:38eventually

00:26:39but we'll

00:26:40we'll

00:26:41we'll

00:27:01we'll

00:27:02then we can

00:27:02do first aid

00:27:03yes

00:27:04ang

00:27:04ka nang bangon

00:27:05very dangerous

00:27:06sir

00:27:06labi na ko na

00:27:06kuyapan

00:27:07kay

00:27:07ang tendency

00:27:08na

00:27:08you support

00:27:09the shoulder

00:27:10niya

00:27:11mabila ang

00:27:12mahulog ang ulo

00:27:13mahulog ang nek

00:27:14so

00:27:14that's what happened

00:27:15naman da

00:27:18that's why

00:27:19you highlighted

00:27:20the board

00:27:21yes

00:27:21kato kayo

00:27:22it was like

00:27:22this

00:27:22mabilin lang

00:27:24so

00:27:26oh sige

00:27:27sige

00:27:28so

00:27:28kani is a

00:27:29general question

00:27:31but still

00:27:32about trauma

00:27:33and also

00:27:34about accidents

00:27:34or injuries

00:27:35why

00:27:35what

00:27:36why do

00:27:36people

00:27:37certain people

00:27:38but they look

00:27:39okay

00:27:39on the outside

00:27:40like my dad

00:27:41for example

00:27:42but

00:27:43there's already

00:27:44serious trauma

00:27:46happening

00:27:46inside

00:27:48no

00:27:48can you explain

00:27:49that also

00:27:50to us

00:27:51he must be fine

00:27:55yeah

00:27:56so

00:27:57yeah

00:27:57so

00:28:00mistakes

00:28:01that we want

00:28:02to

00:28:02yeah

00:28:03misconceptions

00:28:03that we want

00:28:04to avoid

00:28:04especially

00:28:05when dealing

00:28:05with trauma

00:28:06patients

00:28:06so

00:28:06again

00:28:08we

00:28:09we are

00:28:11we are

00:28:13under

00:28:14the

00:28:15what's

00:28:16the term

00:28:16there

00:28:16we are

00:28:17we are

00:28:17limited

00:28:18to what

00:28:18we can

00:28:19do

00:28:19on the

00:28:19field

00:28:20so

00:28:21the

00:28:21priority

00:28:22has to be

00:28:23to transfer

00:28:24these

00:28:24patients

00:28:25whether we

00:28:26think

00:28:26there's a

00:28:27problem

00:28:27or not

00:28:28transfer

00:28:29these

00:28:30patients

00:28:30to

00:28:31institutions

00:28:32or hospitals

00:28:32that have

00:28:33the capabilities

00:28:34to figure

00:28:34out what's

00:28:35happening

00:28:36on the

00:28:36inside

00:28:39if

00:28:40they

00:28:42don't

00:28:42have

00:28:43problems

00:28:43a lot

00:28:44of times

00:28:45they

00:28:45have

00:28:45problems

00:28:48this also

00:28:49underscores

00:28:50one of the

00:28:51main

00:28:52tenets

00:28:52or the

00:28:52basic

00:28:53principles

00:28:53in

00:28:53trauma

00:28:54we

00:28:55were

00:28:55taught

00:28:56that

00:28:56it

00:28:56was

00:28:58trimodal

00:28:58but

00:28:59now

00:28:59we

00:28:59know

00:28:59it's

00:29:00bimodal

00:29:00meaning

00:29:00it's

00:29:01peak

00:29:01if

00:29:02the

00:29:02will die

00:29:04during the

00:29:06first

00:29:06few

00:29:06minutes

00:29:06or

00:29:07the

00:29:07first

00:29:07hour

00:29:07and

00:29:08usually

00:29:09after

00:29:09the

00:29:10first

00:29:10few

00:29:11days

00:29:12I guess

00:29:13no

00:29:13minutes

00:29:14hours

00:29:14days

00:29:16so

00:29:17that

00:29:17means

00:29:18if

00:29:18they're

00:29:18like

00:29:20they seem

00:29:21to be

00:29:21okay

00:29:22but

00:29:23days

00:29:23after

00:29:24there's

00:29:25a

00:29:25separate

00:29:25trauma

00:29:27it's

00:29:27been

00:29:28there

00:29:28all

00:29:28along

00:29:28that's

00:29:29what

00:29:29we

00:29:29see

00:29:30in

00:29:30cases

00:29:30of

00:29:30maybe

00:29:31problems

00:29:31with

00:29:31the

00:29:32head

00:29:32trauma

00:29:32traumatic

00:29:34brain

00:29:34injury

00:29:34late

00:29:37it's

00:29:38more

00:29:38prevalent

00:29:39in

00:29:39blunt

00:29:39trauma

00:29:40so

00:29:43that's

00:29:47very

00:29:48serious

00:29:49mechanism

00:29:50so

00:29:50especially

00:29:51injuries

00:29:52to the

00:29:52lungs

00:29:52may

00:29:53go

00:29:53ka

00:29:53mabali

00:29:54yung

00:29:54gusok

00:29:54tanaw

00:29:55na

00:29:55okay

00:29:55na

00:29:55hinawan

00:29:55sa

00:29:56kaya

00:29:56raman

00:29:57iamong

00:29:58pag

00:29:58abali

00:29:58is

00:29:58yung

00:29:58gusok

00:29:59na

00:29:59yung

00:29:59baga

00:30:00so

00:30:00ang

00:30:00baga

00:30:01niyong

00:30:01mabuslot

00:30:02na

00:30:02hinahinay

00:30:02after

00:30:03hours

00:30:04maglisod

00:30:04ka

00:30:04ginawa

00:30:05maglisod

00:30:06ka

00:30:06di

00:30:06na

00:30:06kaginawa

00:30:07maglisod

00:30:07na

00:30:07pagdai

00:30:08dalim

00:30:08mga

00:30:08sa

00:30:09ospital

00:30:09iugay

00:30:10pa

00:30:10mabot

00:30:11i-figure

00:30:12out

00:30:12pa

00:30:12nil

00:30:12anong

00:30:13inanim

00:30:13so

00:30:14one

00:30:14ang

00:30:15the

00:30:15hooking

00:30:15chance

00:30:15malisga

00:30:16siya

00:30:16matay

00:30:17sa

00:30:17tiyanzad

00:30:18may go

00:30:19ang

00:30:19atay

00:30:19may go

00:30:20spreen

00:30:20magdugo

00:30:20maginahini

00:30:21nagdugo

00:30:23manifest

00:30:23ang

00:30:24imong

00:30:24blood

00:30:25loss

00:30:26hypovolemia

00:30:27kung

00:30:27at least

00:30:28mga

00:30:2930%

00:30:30na

00:30:30sa imong

00:30:31dugo

00:30:31na

00:30:31wag

00:30:31tap

00:30:31okay

00:30:32so

00:30:32di

00:30:33kakabalte

00:30:34kasi

00:30:34pasipas

00:30:35na

00:30:35kayo

00:30:36makuyapan

00:30:37ka

00:30:37severe

00:30:37na

00:30:38na

00:30:38siya

00:30:38so

00:30:38delay

00:30:39na

00:30:39siya

00:30:39basta

00:30:42naghan-daghan

00:30:42nakaog

00:30:43blood

00:30:43loss

00:30:43na

00:30:43and

00:30:44it

00:30:44would

00:30:44really

00:30:45once

00:30:46huwaan

00:30:47na

00:30:47kagdugo

00:30:48kailang

00:30:48paspas

00:30:49nagig

00:30:49ka na

00:30:49ang

00:30:49kwan

00:30:50it

00:30:50will

00:30:50go

00:30:50downhill

00:30:51from

00:30:51there

00:30:52these

00:30:52are

00:30:53actually

00:30:53good

00:30:54points

00:30:54kay

00:30:54for

00:30:54a lay

00:30:55person

00:30:55said

00:30:55our

00:30:56gauge

00:30:57is

00:30:57kung

00:30:58walay

00:30:58samad

00:30:59then

00:31:00walay

00:31:01problema

00:31:01and

00:31:02in fact

00:31:03there

00:31:03was

00:31:03even

00:31:04a

00:31:04video

00:31:04that

00:31:04I

00:31:05saw

00:31:05on

00:31:06social

00:31:06media

00:31:07nga

00:31:07nibalitok

00:31:08ang

00:31:08person

00:31:08which

00:31:09looked

00:31:10fatal

00:31:11but

00:31:11niland

00:31:12ramagod

00:31:12siya

00:31:13and

00:31:13then

00:31:13people

00:31:13immediately

00:31:14assumed

00:31:14that

00:31:15he

00:31:15was

00:31:15fine

00:31:16okay

00:31:17ang

00:31:17gauge

00:31:17magid

00:31:18is

00:31:18na

00:31:18kuya

00:31:18pan

00:31:19or

00:31:20konso

00:31:20aside

00:31:21from

00:31:21what

00:31:21you

00:31:21mentioned

00:31:21maybe

00:31:22do

00:31:22you

00:31:22have

00:31:22anything

00:31:23to

00:31:23add

00:31:23about

00:31:23what

00:31:24could

00:31:24be

00:31:24happening

00:31:26internally

00:31:26that

00:31:28people

00:31:29should

00:31:29not

00:31:29assume

00:31:30that

00:31:30just

00:31:30because

00:31:30the

00:31:31person

00:31:31look

00:31:31fine

00:31:32or

00:31:32even

00:31:32the

00:31:32person

00:31:33will

00:31:33verbalize

00:31:33it

00:31:33I'm

00:31:34okay

00:31:34they

00:31:35should

00:31:35take

00:31:35seriously

00:31:37so

00:31:37ako

00:31:38I

00:31:38would

00:31:38just

00:31:39like

00:31:39to

00:31:39emphasize

00:31:39that

00:31:42really

00:31:43the

00:31:44one

00:31:44we

00:31:44want

00:31:45to

00:31:45try

00:31:45to

00:31:45avoid

00:31:46here

00:31:46is

00:31:47judging

00:31:48a

00:31:48problem

00:31:49or judging

00:31:49an issue

00:31:50by what

00:31:50you can

00:31:50see

00:31:51externally

00:31:51no

00:31:52correct

00:31:52again

00:31:53we

00:31:54want

00:31:54to

00:31:54make

00:31:54sure

00:31:54that

00:31:55nothing

00:31:55is

00:31:55wrong

00:31:56so

00:31:56if

00:31:56really

00:31:57the

00:31:58attitude

00:31:59here

00:31:59should

00:31:59be

00:31:59if

00:31:59something

00:32:00doesn't

00:32:00feel

00:32:00right

00:32:00to

00:32:01you

00:32:01or

00:32:02if

00:32:02you're

00:32:02not

00:32:02sure

00:32:02what

00:32:03you're

00:32:03doing

00:32:03you seek

00:32:04medical

00:32:04attention

00:32:05because

00:32:05again

00:32:05we

00:32:06already

00:32:06have

00:32:07people

00:32:07here

00:32:07who

00:32:07know

00:32:07what

00:32:08they're

00:32:08doing

00:32:09maybe

00:32:09the

00:32:10problem

00:32:10here

00:32:10is

00:32:10just

00:32:11the

00:32:11public

00:32:12awareness

00:32:12we are

00:32:15able to

00:32:16offer

00:32:16these

00:32:16services

00:32:17and

00:32:17we're

00:32:18here

00:32:18now

00:32:18a few

00:32:19hours

00:32:19in

00:32:20the

00:32:20ER

00:32:20would

00:32:21compensate

00:32:22for

00:32:23the

00:32:23lifelong

00:32:24problems

00:32:25if

00:32:26you

00:32:26missed

00:32:27an

00:32:27injury

00:32:27or

00:32:27if

00:32:28wala

00:32:28aning

00:32:29mga

00:32:29pakuha

00:32:29na

00:32:29kaya

00:32:30gana

00:32:30makita

00:32:30na

00:32:31bali

00:32:31na

00:32:32yung

00:32:32kamot

00:32:32hiwi

00:32:32na

00:32:33wala

00:32:33mong

00:32:33part

00:32:34kaya

00:32:34wala

00:32:34pa

00:32:35man

00:32:35hibag

00:32:36na

00:32:36yun

00:32:36tugma

00:32:36pa

00:32:36mo

00:32:37hibag

00:32:38days

00:32:38after

00:32:39tanaw

00:32:39na

00:32:39wala

00:32:40na

00:32:40magpilit

00:32:41ng

00:32:41bukog

00:32:42gusod

00:32:42na

00:32:42kayo

00:32:42nga

00:32:43last

00:32:43nalang

00:32:44we

00:32:44moved

00:32:45to

00:32:46canadi

00:32:46ang

00:32:47city

00:32:47scan

00:32:47kaya

00:32:48that's

00:32:49common

00:32:49ako

00:32:49I also

00:32:50met

00:32:50an

00:32:50accident

00:32:50when

00:32:51I was

00:32:51in

00:32:51my

00:32:5120s

00:32:59prescribed

00:33:00nila

00:33:00I need

00:33:01to

00:33:01go

00:33:01to

00:33:01city

00:33:02scan

00:33:02so

00:33:02tell

00:33:02us

00:33:02about

00:33:03that

00:33:03so

00:33:03that

00:33:04baby

00:33:06etc

00:33:08okay

00:33:08raman

00:33:08yung

00:33:09dang

00:33:09na

00:33:09maghilak

00:33:09so

00:33:09we're

00:33:10fine

00:33:10so

00:33:11highlight

00:33:11that

00:33:12talaga

00:33:12then

00:33:12we

00:33:12move

00:33:12to

00:33:13cancer

00:33:14for

00:33:14city

00:33:15cancer

00:33:15actually

00:33:16it's

00:33:16not

00:33:17it's

00:33:18not

00:33:18being

00:33:18done

00:33:18left

00:33:19and

00:33:19right

00:33:19there's

00:33:20actually

00:33:20criterias

00:33:21if

00:33:22follow

00:33:22certain

00:33:22what

00:33:24are

00:33:24these

00:33:24for

00:33:25brains

00:33:26brain

00:33:26city

00:33:26scan

00:33:27if

00:33:27line

00:33:28loss

00:33:28of

00:33:28consciousness

00:33:30persistent

00:33:31nausea

00:33:32and

00:33:32vomiting

00:33:332 hours

00:33:34after

00:33:35after

00:33:36injury

00:33:37for

00:33:38the

00:33:38chest

00:33:38multiple

00:33:39rib

00:33:39fractures

00:33:40if

00:33:42ka nang

00:33:43mabali

00:33:44ang

00:33:44mong

00:33:44second

00:33:46rib

00:33:46mong

00:33:47sternum

00:33:47ka nang

00:33:48ipascana

00:33:48mong

00:33:48scapula

00:33:49abdomen

00:33:50if

00:33:51high

00:33:52impact

00:33:52kung

00:33:53panalitan

00:33:53kusugay

00:33:54ang

00:33:54daga

00:33:54nya

00:33:54okay

00:33:55we do

00:33:57have

00:33:57a test

00:33:57we do

00:33:58ultrasound

00:33:58first

00:33:59at the

00:34:01emergency room

00:34:02if

00:34:02positive

00:34:03then we

00:34:04proceed

00:34:04to your

00:34:05CT scan

00:34:05of the

00:34:06abdomen

00:34:06not just

00:34:07because

00:34:07of the

00:34:08cost

00:34:08kaya

00:34:08mahal

00:34:08lang

00:34:09scan

00:34:09but also

00:34:10the

00:34:10radiation

00:34:11exposure

00:34:12so

00:34:12we don't

00:34:13do it

00:34:13outright

00:34:14to everyone

00:34:15so

00:34:15the criteria

00:34:16so

00:34:18some

00:34:18points

00:34:19dr.

00:34:20dr.

00:34:20billarman

00:34:20maybe

00:34:20maybe i

00:34:21can

00:34:21just

00:34:21add

00:34:21that

00:34:21we

00:34:22weigh

00:34:23the

00:34:23risks

00:34:23versus

00:34:23benefits

00:34:24but

00:34:24more

00:34:25oftentimes

00:34:25if

00:34:25it's

00:34:26significant

00:34:26trauma

00:34:26the

00:34:27benefits

00:34:28outweigh

00:34:28the

00:34:28risks

00:34:29oftentimes

00:34:31again

00:34:31dr.

00:34:32billarman

00:34:32mentioned

00:34:33that

00:34:33we

00:34:33look at

00:34:34certain

00:34:34criteria

00:34:35we

00:34:35follow

00:34:36what

00:34:36is

00:34:37called

00:34:37the

00:34:37Canadian

00:34:37CT

00:34:38head

00:34:38rule

00:34:39sometimes

00:34:39we

00:34:40look at

00:34:40certain

00:34:40parameters

00:34:41there

00:34:41that

00:34:41will

00:34:41tell

00:34:41us

00:34:42that

00:34:42maybe

00:34:42we

00:34:43should

00:34:43order

00:34:43a

00:34:43CT

00:34:44scan

00:34:44like

00:34:45the

00:34:45GCS

00:34:46score

00:34:46is a

00:34:48quick

00:34:48way

00:34:48of

00:34:49establishing

00:34:50whether or

00:34:50not

00:34:50problema

00:34:51ang

00:34:51itong

00:34:52brain

00:34:53or

00:34:54lesions

00:34:54in

00:34:55itong

00:34:55brain

00:34:55in

00:34:56trauma

00:34:56most

00:34:56often

00:34:56those

00:34:57lesions

00:34:57are

00:34:57bleeding

00:34:59we

00:35:00also

00:35:00look at

00:35:00the

00:35:01pupils

00:35:01pen

00:35:02lights

00:35:03that

00:35:03shine

00:35:03in

00:35:04the

00:35:04eyes

00:35:04so

00:35:04you

00:35:05localize

00:35:06me

00:35:06if

00:35:06likely

00:35:07it's

00:35:07right

00:35:08side

00:35:08I see

00:35:09that's

00:35:09on TV

00:35:13for

00:35:14chest

00:35:14below

00:35:17the

00:35:17second

00:35:19rib

00:35:19above

00:35:19the

00:35:19tenth

00:35:20rib

00:35:20sometimes

00:35:22you

00:35:22also

00:35:22take

00:35:23screening

00:35:24tests

00:35:24like

00:35:24what

00:35:25was

00:35:26mentioned

00:35:26ultrasounds

00:35:27maybe

00:35:27a chest

00:35:27x-ray

00:35:28if

00:35:29we

00:35:29see

00:35:31sentinel

00:35:32lesions

00:35:33or

00:35:33sentinel

00:35:34injuries

00:35:34it's

00:35:35high

00:35:36impact

00:35:37it's

00:35:37so

00:35:38it's

00:35:39bone

00:35:39the

00:35:40scapula

00:35:41and the

00:35:42scapula

00:35:42is normally

00:35:43covered by

00:35:43a lot

00:35:43of

00:35:44muscles

00:35:44so

00:35:44the

00:35:45scapula

00:35:45is

00:35:45a lot

00:35:45of

00:35:46so

00:35:47I think

00:35:49for now

00:35:49in this

00:35:50conversation

00:35:50at this

00:35:51point

00:35:51correct me

00:35:52if I'm

00:35:52wrong

00:35:52in a

00:35:53nutshell

00:35:54if

00:35:54I am

00:35:55not

00:35:55trained

00:35:56I don't

00:35:57have to

00:35:57eat

00:35:58eat

00:35:59eat

00:36:00eat

00:36:01eat

00:36:01that's

00:36:02a very

00:36:03kind

00:36:03way

00:36:03of

00:36:03saying

00:36:04it

00:36:04to

00:36:04abbreviate

00:36:04the

00:36:04proceedings

00:36:05correct

00:36:05so

00:36:07now

00:36:07we've

00:36:07talked

00:36:08about

00:36:08the

00:36:08critical

00:36:09golden

00:36:10hour

00:36:11now

00:36:11let's

00:36:12move

00:36:12towards

00:36:13something

00:36:14that's

00:36:15not

00:36:16in

00:36:17minutes

00:36:17but

00:36:18something

00:36:18that's

00:36:19also

00:36:20longer

00:36:21but

00:36:22because

00:36:22some

00:36:22of

00:36:22them

00:36:22are

00:36:23sudden

00:36:23I'm

00:36:25talking

00:36:25about

00:36:25specifically

00:36:26breast

00:36:27cancer

00:36:27what are

00:36:28the

00:36:28typical

00:36:29warning

00:36:29signs

00:36:30man

00:36:30said

00:36:31doc

00:36:31that

00:36:33people

00:36:34or

00:36:35does it

00:36:36happen

00:36:37to all

00:36:37women

00:36:37or men

00:36:38that

00:36:38people

00:36:39just

00:36:39ignore

00:36:40okay

00:36:41now

00:36:42remember

00:36:43Sir DJ

00:36:43breast

00:36:44cancer

00:36:44if you

00:36:44look

00:36:45into

00:36:45the

00:36:45statistics

00:36:46right

00:36:46now

00:36:47presently

00:36:47it's

00:36:48considered

00:36:49as a

00:36:49top

00:36:49cancer

00:36:50among

00:36:50women

00:36:51so

00:36:52a lot

00:36:52of

00:36:52our

00:36:53patients

00:36:54they tend

00:36:55to die

00:36:55simply

00:36:56because

00:36:56they have

00:36:57neglected

00:36:57a

00:36:59long-standing

00:36:59mass

00:37:00or

00:37:00came

00:37:01in

00:37:01very

00:37:01late

00:37:01now

00:37:02most

00:37:03of

00:37:04the

00:37:04warning

00:37:05signs

00:37:05number

00:37:06one

00:37:06pinaka

00:37:07common

00:37:07is

00:37:07really

00:37:07a

00:37:08very

00:37:09evident

00:37:10lump

00:37:10that

00:37:11may

00:37:11kapan

00:37:11they

00:37:12would

00:37:12come

00:37:13in

00:37:13for

00:37:14consultation

00:37:14if

00:37:15they

00:37:15feel

00:37:15something

00:37:16other

00:37:17warning

00:37:18signs

00:37:18may

00:37:19not

00:37:19be

00:37:19that

00:37:20they're

00:37:21very

00:37:21obvious

00:37:22like

00:37:22a lump

00:37:22others

00:37:23would

00:37:23be

00:37:24a

00:37:25bloody

00:37:25nipple

00:37:25discharge

00:37:26or

00:37:26abnormalities

00:37:27in

00:37:28the

00:37:28skin

00:37:28when

00:37:29you

00:37:29say

00:37:29abnormalities

00:37:30in

00:37:30the

00:37:30skin

00:37:31that

00:37:31you

00:37:31feel

00:37:31that

00:37:32you

00:37:32see

00:37:33that

00:37:33the

00:37:33skin

00:37:33is

00:37:33quite

00:37:36puha

00:37:37for

00:37:38several

00:37:40weeks

00:37:41or

00:37:41months

00:37:42long-standing

00:37:43redness

00:37:44or edema

00:37:45or swelling

00:37:46sa skin

00:37:46others

00:37:47would come

00:37:48in for

00:37:48chronic

00:37:49wounds

00:37:49so

00:37:50usually

00:37:51when you

00:37:51say

00:37:51chronic

00:37:52if

00:37:54the

00:37:55wound

00:37:55doesn't

00:37:56heal

00:37:56around

00:37:5710-14

00:37:58days

00:37:58then

00:37:59there

00:38:01might

00:38:02be

00:38:02something

00:38:02wrong

00:38:04aside

00:38:06from

00:38:06lumps

00:38:07obvious

00:38:07dimpling

00:38:08of the

00:38:09breast

00:38:09can

00:38:11also

00:38:11be

00:38:11warning

00:38:12signs

00:38:12for

00:38:13cancer

00:38:13so

00:38:14that's

00:38:15why

00:38:15usually

00:38:15for

00:38:16women

00:38:17if

00:38:17you

00:38:17feel

00:38:18that

00:38:18there

00:38:18is

00:38:19really

00:38:19an

00:38:20obvious

00:38:21change

00:38:21in the

00:38:22breast

00:38:22then

00:38:23it

00:38:23is

00:38:24really

00:38:24warranted

00:38:25for

00:38:25you

00:38:25to

00:38:25visit

00:38:26a

00:38:27physician

00:38:28and

00:38:29have

00:38:29yourself

00:38:30checked

00:38:30now

00:38:31another

00:38:32thing

00:38:32that

00:38:32is

00:38:32also

00:38:33of

00:38:33value

00:38:33is

00:38:33of

00:38:34course

00:38:34for

00:38:35those

00:38:35for

00:38:36women

00:38:37we

00:38:38should

00:38:38always

00:38:39try

00:38:39to

00:38:39practice

00:38:40self

00:38:40breast

00:38:40examination

00:38:41now

00:38:42in

00:38:43my

00:38:43practice

00:38:44I

00:38:44have

00:38:44been

00:38:44trying

00:38:45to

00:38:45advocate

00:38:46this

00:38:46especially

00:38:47to

00:38:48the

00:38:49women

00:38:49simply

00:38:50because

00:38:50it's

00:38:51just

00:38:52like

00:38:52fighting

00:38:52a

00:38:52battle

00:38:53sir

00:38:53when

00:38:55we

00:38:55go

00:38:56to

00:38:56war

00:38:56we

00:38:57always

00:38:57study

00:38:58our

00:38:58opponent

00:39:00and

00:39:01the

00:39:01only

00:39:01way

00:39:01to

00:39:02be

00:39:02able

00:39:03to

00:39:03know

00:39:03whether

00:39:04that

00:39:05is

00:39:06your

00:39:06opponent

00:39:06or

00:39:07you're

00:39:07shooting

00:39:08at

00:39:08your

00:39:08opponent

00:39:08or

00:39:09you're

00:39:09shooting

00:39:09at

00:39:10a

00:39:10colleague

00:39:10is

00:39:11basically

00:39:11to

00:39:12identify

00:39:13or

00:39:14to

00:39:14know

00:39:14who

00:39:14is

00:39:15your

00:39:15colleague

00:39:15so

00:39:16in

00:39:17a

00:39:17nutshell

00:39:18if

00:39:18you

00:39:18try

00:39:19to

00:39:21rationalize

00:39:22with

00:39:22self-breast

00:39:23exam

00:39:23the more

00:39:24that you

00:39:25examine

00:39:25your

00:39:25breast

00:39:26you get

00:39:26to

00:39:26know

00:39:26yourself

00:39:27you get

00:39:27to

00:39:28know

00:39:28if

00:39:29it's

00:39:29still

00:39:29normal

00:39:30or

00:39:30not

00:39:30and

00:39:31when

00:39:32you

00:39:32feel

00:39:32that

00:39:32there

00:39:33is

00:39:33something

00:39:33unusual

00:39:34then

00:39:34that's

00:39:35the

00:39:35time

00:39:35that

00:39:35you

00:39:35go

00:39:36and

00:39:36have

00:39:36yourself

00:39:37check

00:39:37but

00:39:38most

00:39:38of

00:39:38the

00:39:38time

00:39:38unfortunately

00:39:39we

00:39:40have

00:39:40this

00:39:40tendency

00:39:41it feels

00:39:44abnormal

00:39:46for me

00:39:46to

00:39:46touch

00:39:46myself

00:39:47but

00:39:47actually

00:39:48it's

00:39:48something

00:39:49that

00:39:49can

00:39:49help

00:39:49you

00:39:50in

00:39:50the

00:39:50latter

00:39:50part

00:39:51my

00:39:52follow-up

00:39:53question

00:39:53actually

00:39:54is

00:39:54I

00:39:55sometimes

00:39:57hear

00:39:57stories

00:39:58along

00:40:01with

00:40:01other

00:40:02myths

00:40:02which

00:40:03you

00:40:03can

00:40:03also

00:40:03share

00:40:04to

00:40:04the

00:40:04public

00:40:04is

00:40:05it

00:40:05safe

00:40:06to

00:40:06say

00:40:06for

00:40:07breast

00:40:08cancer

00:40:08for

00:40:08example

00:40:09there

00:40:09is

00:40:10always

00:40:10a

00:40:11manifestation

00:40:12he

00:40:13watched

00:40:13that

00:40:14he

00:40:14was

00:40:16I

00:40:17hear

00:40:17that

00:40:17those

00:40:18stories

00:40:18narratives

00:40:19sometimes

00:40:21I

00:40:23often

00:40:24get

00:40:24that

00:40:24among

00:40:24my

00:40:25patients

00:40:25they

00:40:26come

00:40:27in

00:40:27three

00:40:30months

00:40:31ago

00:40:31but

00:40:32when

00:40:33they

00:40:33come

00:40:33in

00:40:33it's

00:40:33already

00:40:34fist

00:40:34size

00:40:35so

00:40:35it

00:40:40always

00:40:40starts

00:40:41with

00:40:41a

00:40:41small

00:40:42lump

00:40:42that

00:40:42you

00:40:43haven't

00:40:43felt

00:40:44initially

00:40:44and

00:40:45then

00:40:45will

00:40:46eventually

00:40:46grow

00:40:47in

00:40:47size

00:40:47for

00:40:48the

00:40:48next

00:40:49three

00:40:49months

00:40:49so

00:40:50that's

00:40:51why

00:40:51it's

00:40:51important

00:40:51for

00:40:52you

00:40:52to

00:40:52do

00:40:52your

00:40:53examination

00:40:53on a

00:40:54monthly

00:40:54basis

00:40:55so

00:40:55that

00:40:56you

00:40:56will

00:40:57be

00:40:57able

00:40:57to

00:40:58detect

00:40:58those

00:40:58changes

00:40:59during

00:41:00the

00:41:00three

00:41:00month

00:41:00period

00:41:01now

00:41:02other

00:41:03misconceptions

00:41:04that I

00:41:04also get

00:41:05to encounter

00:41:05especially

00:41:06if there's

00:41:07already

00:41:07an obvious

00:41:08lump

00:41:08they tend

00:41:10to be

00:41:10afraid

00:41:10to see

00:41:11consultation

00:41:11especially

00:41:12because

00:41:12of the

00:41:13biopsies

00:41:13they

00:41:15have a

00:41:16misconception

00:41:16that once

00:41:17biopsy

00:41:18the tumor

00:41:18has a

00:41:19tendency

00:41:19to spread

00:41:20out

00:41:20but actually

00:41:21that's

00:41:22not true

00:41:23because

00:41:27there's

00:41:27no way

00:41:28that a

00:41:28tumor

00:41:29would

00:41:29eventually

00:41:30spread

00:41:30out

00:41:31because

00:41:31of a

00:41:31very

00:41:32small

00:41:32incision

00:41:33so

00:41:34a lot

00:41:34of my

00:41:34patients

00:41:35they get

00:41:35to be

00:41:36afraid

00:41:36of that

00:41:37so

00:41:37of course

00:41:38when we

00:41:39diagnose

00:41:40cancer

00:41:40although

00:41:42imaging

00:41:42can help

00:41:43us

00:41:43in determining

00:41:44what type

00:41:45of tumor

00:41:46we are

00:41:46dealing

00:41:47with

00:41:47but

00:41:47the

00:41:48final

00:41:48say

00:41:48whether

00:41:49this

00:41:49is

00:41:50cancer

00:41:50or

00:41:50not

00:41:51will

00:41:51depend

00:41:51on

00:41:52a

00:41:52histopathologic

00:41:53diagnosis

00:41:53through

00:41:54a biopsy

00:41:55so

00:41:55it's

00:41:55really

00:41:56mandatory

00:41:56and

00:41:57needed

00:41:57so

00:41:59at least

00:42:00I hope

00:42:01the

00:42:01viewers

00:42:01especially

00:42:02lay

00:42:03people

00:42:03like me

00:42:04have a

00:42:05better

00:42:05appreciation

00:42:06normally

00:42:07breast cancer

00:42:08is

00:42:10that's

00:42:11why

00:42:11the

00:42:12urgency

00:42:13is

00:42:13there

00:42:13the

00:42:14moment

00:42:15they

00:42:15notice

00:42:15something

00:42:16they

00:42:17have

00:42:17to

00:42:17seek

00:42:19they

00:42:20have

00:42:20to

00:42:20consult

00:42:21or

00:42:22see

00:42:22a

00:42:22doctor

00:42:22next

00:42:24question

00:42:25I know

00:42:25it will

00:42:27take a

00:42:27whole

00:42:27class

00:42:28to cover

00:42:29this

00:42:29but

00:42:29whatever

00:42:30you can

00:42:31share

00:42:32to the

00:42:32public

00:42:32there

00:42:33are

00:42:34options

00:42:35like

00:42:35surgery

00:42:36chemotherapy

00:42:37radiation

00:42:38targeted

00:42:39treatment

00:42:40etc

00:42:40what are

00:42:41normally

00:42:41this is

00:42:43like

00:42:43but

00:42:45what are

00:42:45normally

00:42:46the

00:42:46purpose

00:42:47for

00:42:48viewers

00:42:48it's not

00:42:48self-diagnosed

00:42:50but at least

00:42:50it becomes

00:42:51a conversation

00:42:52with your

00:42:52doctor

00:42:53so

00:42:54actually

00:42:55sir

00:42:56DJ

00:42:56treatment

00:42:57of

00:42:58breast

00:42:58cancer

00:42:59is

00:42:59multidisciplinary

00:43:00multi-modality

00:43:02so

00:43:03gone are

00:43:04the days

00:43:05once

00:43:05you

00:43:06diagnosed

00:43:06cancer

00:43:07surgery

00:43:09it's not

00:43:10the case

00:43:11presently

00:43:12so

00:43:13we have

00:43:14a

00:43:15good

00:43:16number

00:43:16of

00:43:17doctors

00:43:17with

00:43:18different

00:43:18specialties

00:43:19who can

00:43:19help

00:43:20in terms

00:43:21of

00:43:21the

00:43:21treatment

00:43:21as I

00:43:22mentioned

00:43:22it's

00:43:22a

00:43:23multidisciplinary

00:43:23team

00:43:24approach

00:43:24now

00:43:25options

00:43:26for

00:43:26treatment

00:43:26they may

00:43:27vary

00:43:27depending

00:43:28on the

00:43:29presentation

00:43:29of the

00:43:30patient

00:43:30so

00:43:31we can

00:43:32offer

00:43:32them

00:43:32surgery

00:43:33through

00:43:34a

00:43:35mastectomy

00:43:35or

00:43:35through

00:43:36breast

00:43:36conservation

00:43:36surgery

00:43:37so

00:43:37when

00:43:38you

00:43:38say

00:43:38mastectomy

00:43:39we

00:43:39remove

00:43:39the

00:43:39entire

00:43:40breast

00:43:40including

00:43:41the

00:43:41axillary

00:43:42lymph nodes

00:43:42if

00:43:43it's

00:43:43breast

00:43:44conservation

00:43:44we

00:43:45just

00:43:45remove

00:43:45the

00:43:45lump

00:43:46and

00:43:46try

00:43:46to

00:43:46preserve

00:43:47the

00:43:47breast

00:43:47but

00:43:48again

00:43:49you

00:43:49have

00:43:49to

00:43:50categorize

00:43:51these

00:43:51patients

00:43:52as

00:43:52they

00:43:52come

00:43:53in

00:43:53because

00:43:53we

00:43:54need

00:43:54to

00:43:54assess

00:43:54them

00:43:54if

00:43:55they

00:43:55are

00:43:55qualified

00:43:55for

00:43:56that

00:43:56or

00:43:57not

00:43:57so

00:43:58another

00:43:58mode

00:43:59of

00:43:59treatment

00:44:00would

00:44:00be

00:44:00chemotherapy

00:44:01so

00:44:02there

00:44:03are

00:44:03so

00:44:03many

00:44:04drugs

00:44:04right

00:44:04now

00:44:05that

00:44:05are

00:44:05available

00:44:06that

00:44:06are

00:44:07even

00:44:07targeted

00:44:08to

00:44:09a

00:44:09specific

00:44:10receptor

00:44:10that

00:44:11may be

00:44:11present

00:44:12in the

00:44:12cancer

00:44:13cell

00:44:13so

00:44:14because

00:44:16of

00:44:16the

00:44:16advancement

00:44:17in

00:44:17medicine

00:44:18so

00:44:18mas

00:44:19personalized

00:44:21ang

00:44:21treatment

00:44:22mas

00:44:22specialized

00:44:23siya

00:44:23so

00:44:24this

00:44:25is

00:44:25what

00:44:25I

00:44:25usually

00:44:26tell

00:44:26my

00:44:26patients

00:44:27when

00:44:28they

00:44:28come

00:44:28in

00:44:28we

00:44:29often

00:44:30time

00:44:30request

00:44:31for

00:44:31the

00:44:32battery

00:44:32of

00:44:32test

00:44:33that

00:44:33includes

00:44:34your

00:44:34hormonal

00:44:35receptor

00:44:35status

00:44:36so

00:44:37each

00:44:39patient

00:44:39may

00:44:40not

00:44:40have

00:44:40the

00:44:41same

00:44:41type

00:44:41of

00:44:41cancer

00:44:42when

00:44:43I

00:44:43say

00:44:43the

00:44:45profile

00:44:45of

00:44:45one

00:44:46patient

00:44:46molecular

00:44:47profile

00:44:47of

00:44:48the

00:44:48cancer

00:44:48of

00:44:48one

00:44:48patient

00:44:49may

00:44:49be

00:44:49different

00:44:50so

00:44:52it's

00:44:56because

00:44:57we have

00:44:58different

00:44:58profiles

00:44:59so

00:44:59that's

00:45:00one

00:45:01good

00:45:01thing

00:45:01about

00:45:01modern

00:45:02medicine

00:45:02right

00:45:03now

00:45:03is

00:45:03because

00:45:03we

00:45:04have

00:45:04been

00:45:05going

00:45:05into

00:45:06the

00:45:06practice

00:45:07of

00:45:07personalized

00:45:08treatment

00:45:09options

00:45:09so

00:45:10aside

00:45:11from

00:45:11chemotherapy

00:45:11there's

00:45:12also

00:45:12hormonal

00:45:13therapy

00:45:13so

00:45:14if

00:45:14you

00:45:14happen

00:45:15to

00:45:15have

00:45:15positive

00:45:17receptors

00:45:18for

00:45:18the

00:45:18hormonal

00:45:19receptor

00:45:20estrogen

00:45:20and

00:45:21progesterone

00:45:21then

00:45:22you

00:45:22can

00:45:22qualify

00:45:23for

00:45:23oral

00:45:24treatment

00:45:25with

00:45:25hormonal

00:45:27medications

00:45:28and

00:45:29then

00:45:29there's

00:45:29also

00:45:29what

00:45:30we

00:45:30call

00:45:30targeted

00:45:31treatment

00:45:31with

00:45:32HER2

00:45:34chemotherapy

00:45:34so

00:45:35that's

00:45:36another

00:45:37advancement

00:45:38also

00:45:38in

00:45:38the

00:45:39treatment

00:45:39per se

00:45:40when we

00:45:41talk about

00:45:41systemic

00:45:42treatment

00:45:43and

00:45:43then

00:45:43after

00:45:44chemo

00:45:44there's

00:45:45also

00:45:45radiation

00:45:46now

00:45:46radiation

00:45:47therapy

00:45:47may be

00:45:48given

00:45:49to

00:45:49specialized

00:45:50indications

00:45:51for

00:45:52patients

00:45:52especially

00:45:53if they

00:45:53have

00:45:53positivity

00:45:54in the

00:45:54lymph nodes

00:45:55the size

00:45:55is big

00:45:56or it's

00:45:57a locally

00:45:58advanced

00:45:58breast

00:45:59cancer

00:45:59so

00:46:00there might

00:46:00be a

00:46:01need

00:46:01to add

00:46:02radiation

00:46:02therapy

00:46:03for

00:46:03local

00:46:04control

00:46:04of

00:46:04the

00:46:05disease

00:46:05so

00:46:06chemotherapy

00:46:07hormonal

00:46:08therapy

00:46:08is more

00:46:09of

00:46:09systemic

00:46:10control

00:46:11okay

00:46:11surgery

00:46:12is a

00:46:13form

00:46:13of

00:46:13local

00:46:13control

00:46:14together

00:46:14with

00:46:15the

00:46:15radiation

00:46:15okay

00:46:16sige

00:46:17if

00:46:17ang

00:46:18trauma

00:46:18they

00:46:18have

00:46:19a

00:46:19golden

00:46:20hour

00:46:22is

00:46:22there

00:46:23such

00:46:24an

00:46:24equivalent

00:46:25to

00:46:25breast

00:46:26cancer

00:46:26na

00:46:27if

00:46:27they

00:46:28just

00:46:28are

00:46:28able

00:46:29at least

00:46:29naging

00:46:29mga

00:46:30exceptions

00:46:30I know

00:46:30it's

00:46:31not

00:46:31really

00:46:31like

00:46:31100%

00:46:32but

00:46:3270%

00:46:36if

00:46:37it's

00:46:37just

00:46:37detected

00:46:38or

00:46:39reported

00:46:39on a

00:46:40certain

00:46:40period

00:46:41it

00:46:42also

00:46:43increases

00:46:43their

00:46:44likelihood

00:46:45actually

00:46:45to

00:46:45survive

00:46:46yes

00:46:47the

00:46:47earlier

00:46:48that

00:46:48we

00:46:49catch

00:46:49the

00:46:49disease

00:46:49through

00:46:50screening

00:46:51the

00:46:52earlier

00:46:53we

00:46:54treat

00:46:54these

00:46:55patients

00:46:55the

00:46:55better

00:46:56will

00:46:56be

00:46:56the

00:46:56prognosis

00:46:57of

00:46:57the

00:46:57patient

00:46:58sige

00:46:59so

00:47:00now

00:47:02let's

00:47:03go

00:47:03move

00:47:03zoom

00:47:04out

00:47:06I'll

00:47:06go

00:47:06to

00:47:07the

00:47:07question

00:47:07that

00:47:07I

00:47:07have

00:47:07set

00:47:08whether

00:47:08in

00:47:08the

00:47:08context

00:47:09of

00:47:09trauma

00:47:09or

00:47:09the

00:47:09context

00:47:10of

00:47:10breast

00:47:11cancer

00:47:11but

00:47:11how

00:47:11much

00:47:12of

00:47:12it

00:47:12is

00:47:13really

00:47:13the

00:47:14patient's

00:47:15participation

00:47:16the

00:47:16capacity

00:47:17of

00:47:17the

00:47:17doctor

00:47:18and

00:47:18the

00:47:18system

00:47:19around

00:47:19them

00:47:20okay

00:47:21okay

00:47:22maybe

00:47:23for

00:47:23trauma

00:47:23I

00:47:24think

00:47:24if

00:47:26you're

00:47:26going

00:47:26to

00:47:26ask

00:47:26us

00:47:26about

00:47:27how

00:47:27to

00:47:28improve

00:47:30I

00:47:31just

00:47:31read

00:47:31this

00:47:32book

00:47:32about

00:47:34management

00:47:36you

00:47:38don't

00:47:39manage

00:47:39people

00:47:40you

00:47:40create

00:47:41systems

00:47:41and

00:47:42then

00:47:42you

00:47:42manage

00:47:42the

00:47:42system

00:47:43I

00:47:43think

00:47:44that's

00:47:44one

00:47:44of

00:47:44the

00:47:44ways

00:47:45we

00:47:45can

00:47:45improve

00:47:46is

00:47:46to

00:47:46start

00:47:46with

00:47:46a

00:47:46good

00:47:47system

00:47:47and

00:47:48I

00:47:48think

00:47:48the

00:47:49way

00:47:49to

00:47:49create

00:47:50that

00:47:50good

00:47:51system

00:47:51is

00:47:51through

00:47:52capacity

00:47:52building

00:47:53you

00:47:53so

00:47:53we

00:47:53are

00:47:53very

00:47:54lucky

00:47:54that

00:47:55we

00:47:55get

00:47:55to

00:47:55work

00:47:55with

00:47:57the

00:47:57admin

00:47:58we

00:47:58have

00:47:58right

00:47:58now

00:47:59in

00:47:59province

00:47:59they

00:48:00are

00:48:00very

00:48:01very

00:48:01helpful

00:48:02and

00:48:02very

00:48:03supportive

00:48:03of

00:48:04this

00:48:05advocacy

00:48:05of

00:48:06ours

00:48:06to

00:48:06improve

00:48:07the

00:48:07system

00:48:07improve

00:48:09capacitation

00:48:10as far

00:48:11as

00:48:12infrastructure

00:48:13is

00:48:13concerned

00:48:14manpower

00:48:15is

00:48:15concerned

00:48:15training

00:48:16is

00:48:16concerned

00:48:18goal

00:48:19right

00:48:19now

00:48:19again

00:48:21as

00:48:22far

00:48:22as

00:48:23certified

00:48:24trauma

00:48:25surgeons

00:48:25in the

00:48:27region

00:48:27there

00:48:27are

00:48:27only

00:48:27two

00:48:28of

00:48:28us

00:48:28so

00:48:29we

00:48:29can

00:48:29only

00:48:29do

00:48:29so

00:48:30much

00:48:30yeah

00:48:32okay

00:48:33okay

00:48:34the

00:48:34smart

00:48:35way

00:48:35would

00:48:35be

00:48:35to

00:48:36divide

00:48:37and

00:48:37conquer

00:48:38by

00:48:38increasing

00:48:39training

00:48:39as

00:48:40many

00:48:41people

00:48:41as

00:48:41possible

00:48:41and

00:48:42getting

00:48:43all

00:48:43of

00:48:43these

00:48:43especially

00:48:44the

00:48:44smaller

00:48:45hospitals

00:48:45ready

00:48:46to

00:48:47treat

00:48:47these

00:48:47patients

00:48:47so

00:48:49that

00:48:49they're

00:48:49stable

00:48:49enough

00:48:50for

00:48:50us

00:48:51to

00:48:51transfer

00:48:51them

00:48:51to

00:48:52the

00:48:52big

00:48:52centers

00:48:52like

00:48:52Vicente

00:48:53Soto

00:48:53like

00:48:59can you

00:49:00so

00:49:00just in

00:49:01case

00:49:01let's

00:49:02talk about

00:49:02the

00:49:02system

00:49:03for now

00:49:03so

00:49:04we

00:49:04know

00:49:04that

00:49:04the

00:49:05destination

00:49:08is

00:49:09Vicente

00:49:10Soto

00:49:10but

00:49:10in

00:49:11the

00:49:11province

00:49:11specific

00:49:12for

00:49:12then

00:49:13you

00:49:13can

00:49:13chime

00:49:13in

00:49:13also

00:49:14for

00:49:14cancer

00:49:15cases

00:49:15what

00:49:16are

00:49:16the

00:49:16other

00:49:17areas

00:49:18outside

00:49:18Vicente

00:49:19Soto

00:49:19within

00:49:20the

00:49:20province

00:49:20that

00:49:21people

00:49:22can

00:49:22already

00:49:22rely

00:49:23for

00:49:24these

00:49:24particular

00:49:25cases

00:49:25no need

00:49:26to rush

00:49:26them

00:49:27straight

00:49:27to

00:49:27Vicente

00:49:28Soto

00:49:28we're

00:49:29working

00:49:29on a

00:49:30system

00:49:30sir

00:49:30especially

00:49:31with

00:49:31Cebu

00:49:33province

00:49:33because

00:49:33most

00:49:34of

00:49:34the

00:49:34high

00:49:34impact

00:49:34injuries

00:49:35comes

00:49:36outside

00:49:36of

00:49:37Cebu

00:49:37City

00:49:37so

00:49:38we're

00:49:38working

00:49:38on

00:49:39three

00:49:40levels

00:49:40of

00:49:40trauma

00:49:41center

00:49:41level

00:49:41three

00:49:42is

00:49:42the

00:49:42apex

00:49:42it was

00:49:46mandated

00:49:47that

00:49:47Vicente

00:49:49Soto

00:49:49apex

00:49:50trauma

00:49:51center

00:49:51final

00:49:52referral

00:49:53center

00:49:53for

00:49:53all

00:49:55traumas

00:49:55complicated

00:49:56traumas

00:49:56we have

00:49:57level

00:49:57two

00:49:57we're

00:49:59working

00:49:59on

00:49:59developing

00:50:00Cebu

00:50:01South

00:50:01and

00:50:02Eversley

00:50:02and

00:50:04the

00:50:04four

00:50:05level

00:50:06one

00:50:06trauma

00:50:06hospitals

00:50:07supposed

00:50:07to be

00:50:08the

00:50:08catch

00:50:09basin

00:50:09sa

00:50:10province

00:50:11is

00:50:11Bugo

00:50:13Danau

00:50:14Carcar

00:50:15and

00:50:16Balamban

00:50:17those are

00:50:18the four

00:50:19when they

00:50:20are the

00:50:20first

00:50:20and

00:50:22they are

00:50:23statistics

00:50:24in Soto

00:50:24they are

00:50:25the top

00:50:26four

00:50:26kusog

00:50:27mo

00:50:27padala

00:50:28patients

00:50:29because of

00:50:30the

00:50:30high

00:50:31numbers

00:50:31of

00:50:31trauma

00:50:32patients

00:50:32there

00:50:32supposedly

00:50:33those are

00:50:35the

00:50:35cascade

00:50:35sa

00:50:36on

00:50:36pag

00:50:36one

00:50:36first

00:50:38ito

00:50:38sa

00:50:38level

00:50:39one

00:50:39kato

00:50:40sila

00:50:40sa

00:50:40province

00:50:40and

00:50:41one

00:50:41four

00:50:43supposedly

00:50:44they are

00:50:44there to

00:50:45treat

00:50:45the

00:50:46life

00:50:46threatening

00:50:47injuries

00:50:47so

00:50:47ilang

00:50:48resuscitate

00:50:49prepare

00:50:49nila

00:50:50for

00:50:50transfer

00:50:50for

00:50:51complicated

00:50:51cases

00:50:52diritsyo

00:50:52na

00:50:52dito

00:50:53sa

00:50:53level

00:50:53three

00:50:53sa

00:50:54Vicente

00:50:54Soto

00:50:54if

00:50:55kaya

00:50:56mga

00:50:57makaya

00:50:58o

00:50:58complicated

00:50:59cases

00:51:00but still

00:51:00require

00:51:00surgery

00:51:01pwede

00:51:02na

00:51:02sa

00:51:02level

00:51:02two

00:51:02and

00:51:03level

00:51:04sorry

00:51:04level

00:51:05two

00:51:05hospitals

00:51:05are

00:51:06Cebu

00:51:06South

00:51:07and

00:51:08Eversley

00:51:09Eversley

00:51:10and

00:51:10Madawe

00:51:11north

00:51:11right

00:51:12before

00:51:13this

00:51:14education

00:51:14for

00:51:15me

00:51:15so

00:51:15the

00:51:15first

00:51:15step

00:51:16is

00:51:16level

00:51:16one

00:51:16level

00:51:16two

00:51:17and

00:51:17then

00:51:17level

00:51:17three

00:51:18for

00:51:18cases

00:51:19that

00:51:19cannot

00:51:20be

00:51:20handled

00:51:20so

00:51:21dilitanan

00:51:21is

00:51:21so

00:51:22good

00:51:22it

00:51:22and

00:51:23that's

00:51:23also

00:51:24one

00:51:24of

00:51:24our

00:51:24goals

00:51:24is

00:51:25to

00:51:26the

00:51:26throughput

00:51:27that

00:51:27we

00:51:27want

00:51:28is

00:51:29a

00:51:29significant

00:51:30or

00:51:31impactful

00:51:32minimization

00:51:35cases

00:51:36of

00:51:36unnecessary

00:51:37unnecessary

00:51:38when it

00:51:39could have

00:51:39been

00:51:39level

00:51:39one

00:51:40how

00:51:41about

00:51:42for

00:51:42specific

00:51:43to

00:51:43breast

00:51:43cancer

00:51:45right

00:51:45now

00:51:46sir

00:51:46fortunately

00:51:48I think

00:51:48it's

00:51:48high

00:51:49time

00:51:49said

00:51:49no

00:51:49the

00:51:50government

00:51:50has

00:51:50already

00:51:51expanded

00:51:53especially

00:51:54DOH

00:51:55and

00:51:55PhilHealth

00:51:56their

00:51:57capacity

00:51:57to help

00:51:58in terms

00:51:58of

00:51:58cancer

00:51:59care

00:51:59if

00:52:00you

00:52:01have

00:52:01heard

00:52:01PhilHealth

00:52:02has

00:52:02already

00:52:02increased

00:52:03their

00:52:03budget

00:52:03for

00:52:03Z-BEN

00:52:04particularly

00:52:05Z-BEN

00:52:06for

00:52:06breast

00:52:07cancer

00:52:09including

00:52:09also

00:52:10those

00:52:10who

00:52:11are

00:52:11already

00:52:11at

00:52:11a

00:52:12very

00:52:12early

00:52:12stage

00:52:12or

00:52:13what

00:52:13we

00:52:13call

00:52:13stage

00:52:140

00:52:15or

00:52:15DCIS

00:52:16so

00:52:16these

00:52:16are

00:52:17lesions

00:52:17that

00:52:17haven't

00:52:18been

00:52:18turned

00:52:19into

00:52:19the

00:52:20invasive

00:52:20type

00:52:21of

00:52:21cancer

00:52:22but

00:52:23they

00:52:24also

00:52:24included

00:52:25already

00:52:25stage

00:52:264

00:52:26disease

00:52:27as

00:52:27part

00:52:27of

00:52:28their

00:52:29capacity

00:52:30to

00:52:31budget

00:52:32this

00:52:32patient

00:52:32in

00:52:32terms

00:52:33of

00:52:34surgery

00:52:34treatment

00:52:35chemotherapy

00:52:36and

00:52:37radiation

00:52:37therapy

00:52:38another

00:52:39thing

00:52:39also

00:52:39that

00:52:40the

00:52:40government

00:52:40has

00:52:41been

00:52:41pushing

00:52:41the

00:52:42DOH

00:52:43has

00:52:43been

00:52:43pushing

00:52:44is

00:52:44the

00:52:44use

00:52:44of

00:52:45the

00:52:45yakap

00:52:46yakap

00:52:47benefits

00:52:47now

00:52:48the

00:52:48yakap

00:52:48has

00:52:49been

00:52:49if

00:52:49you

00:52:49look

00:52:50into

00:52:50the

00:52:50yakap

00:52:51now

00:52:51they

00:52:51have

00:52:52been

00:52:52pushing

00:52:52for

00:52:52screening

00:52:53so

00:52:55if

00:52:55more

00:52:56on the

00:52:56prevention

00:52:56yes

00:52:57and

00:52:57that's

00:52:57a

00:52:58good

00:52:58thing

00:52:58because

00:52:58we

00:52:59have

00:52:59been

00:52:59pushing

00:52:59that

00:53:00for

00:53:00quite

00:53:00a

00:53:00long

00:53:01time

00:53:01already

00:53:01and

00:53:02I

00:53:02think

00:53:02they

00:53:03are

00:53:03implementing

00:53:04it

00:53:05now

00:53:05considering

00:53:07that

00:53:07there

00:53:07is

00:53:07really

00:53:07a

00:53:08need

00:53:08for

00:53:09screening

00:53:10among

00:53:11our

00:53:11patients

00:53:12so

00:53:13if

00:53:14you

00:53:14happen

00:53:14to

00:53:14be

00:53:15enrolled

00:53:16in

00:53:16a

00:53:16yakap

00:53:16facility

00:53:17because

00:53:18there's

00:53:18yakap

00:53:19for

00:53:19medicine

00:53:19yakap

00:53:20for

00:53:20diagnostic

00:53:21so

00:53:21if

00:53:22you

00:53:22happen

00:53:22to

00:53:23be

00:53:23enrolled

00:53:23you

00:53:24can

00:53:24avail

00:53:24of

00:53:24colonoscopies

00:53:25mammograms

00:53:27CT scan

00:53:28especially

00:53:29for

00:53:29the chest

00:53:30if

00:53:31it's

00:53:31needed

00:53:32so

00:53:33with

00:53:33these

00:53:34moves

00:53:35by the

00:53:36government

00:53:37sector

00:53:38is also

00:53:39quite

00:53:39helpful

00:53:40because

00:53:40a lot

00:53:41of our

00:53:41patients

00:53:41who

00:53:42come

00:53:42in

00:53:42are

00:53:43usually

00:53:43in

00:53:44the

00:53:44lower

00:53:44economic

00:53:45class

00:53:46and

00:53:46that's

00:53:46one

00:53:47reason

00:53:47why

00:53:47we

00:53:47also

00:53:48get

00:53:48them

00:53:49or

00:53:50they

00:53:50come

00:53:50in

00:53:50at

00:53:51a

00:53:51very

00:53:51late

00:53:51stage

00:53:52because

00:53:53of

00:53:53the

00:53:53monetary

00:53:53issues

00:53:54associated

00:53:55with

00:53:56the

00:53:56diagnosis

00:53:57of

00:53:57the

00:53:57disease

00:53:58and

00:53:58then

00:53:58if

00:53:58I

00:53:58also

00:53:59don't

00:53:59want

00:53:59to put

00:54:00you

00:54:00on the

00:54:00spot

00:54:00but

00:54:00just

00:54:01in

00:54:01case

00:54:01so

00:54:02and

00:54:02if

00:54:02we

00:54:02are

00:54:02to

00:54:03look

00:54:03at

00:54:03our

00:54:03level

00:54:04one

00:54:04level

00:54:04two

00:54:04level

00:54:04three

00:54:05the

00:54:06what's

00:54:06this

00:54:07the

00:54:07checks

00:54:08can

00:54:08already

00:54:08be

00:54:08done

00:54:09in

00:54:09level

00:54:10ones

00:54:11right

00:54:11now

00:54:12sir

00:54:12we

00:54:12are

00:54:13also

00:54:13have

00:54:13we

00:54:14have

00:54:14a

00:54:14program

00:54:15we're

00:54:16trying

00:54:16to

00:54:16establish

00:54:16this

00:54:17community

00:54:17navigator

00:54:18system

00:54:19for

00:54:19particularly

00:54:21for

00:54:21Vicente

00:54:21Soto

00:54:22we

00:54:22have

00:54:23been

00:54:24doing

00:54:24trainings

00:54:25because

00:54:25what

00:54:26we

00:54:26want

00:54:26is

00:54:26of

00:54:27course

00:54:27everything

00:54:28starts

00:54:28in

00:54:28the

00:54:29community

00:54:29so

00:54:30if our

00:54:31local

00:54:31barangay

00:54:31health

00:54:32workers

00:54:32they

00:54:33get to

00:54:34know

00:54:34these

00:54:35patients

00:54:35who

00:54:36already

00:54:36have

00:54:37red

00:54:37flags

00:54:37for

00:54:38the

00:54:38disease

00:54:38then

00:54:39they

00:54:39get to

00:54:40be

00:54:40referred

00:54:41to

00:54:41the

00:54:41apex

00:54:42hospital

00:54:43which

00:54:43is

00:54:43of

00:54:43course

00:54:44Vicente

00:54:44Soto

00:54:45so

00:54:46everything

00:54:47from

00:54:47terms

00:54:48of

00:54:48the

00:54:48diagnosis

00:54:49to

00:54:49the

00:54:49treatment

00:54:50process

00:54:50we

00:54:50can

00:54:51already

00:54:51cater

00:54:51them

00:54:52in

00:54:53Soto

00:54:54since

00:54:55we

00:54:55have

00:54:56the

00:54:56capacity

00:54:57already

00:54:57for

00:54:57surgery

00:54:58chemotherapy

00:54:59radiation

00:55:00and

00:55:00soon

00:55:01even

00:55:02nuclear

00:55:02medicine

00:55:03so

00:55:04I'm

00:55:04glad

00:55:05there

00:55:05are

00:55:06also

00:55:07developments

00:55:07and

00:55:08progress

00:55:08such as

00:55:09this

00:55:09that

00:55:10would

00:55:10further

00:55:11spread

00:55:12our

00:55:13capacity

00:55:14and

00:55:15the

00:55:15system

00:55:16is

00:55:16doing

00:55:16that

00:55:16so

00:55:17that

00:55:17we

00:55:18don't

00:55:18just

00:55:18have

00:55:19to

00:55:19go

00:55:20to

00:55:20just

00:55:20one

00:55:22hospitals

00:55:23because

00:55:23for

00:55:23a

00:55:24day

00:55:24person

00:55:24you

00:55:24can

00:55:24have

00:55:24to

00:55:25take

00:55:25for

00:55:26one

00:55:26for

00:55:27the

00:55:27doctor

00:55:28even

00:55:29the

00:55:29private

00:55:30sectors

00:55:30right

00:55:31now

00:55:31there

00:55:31are

00:55:31certain

00:55:32hospitals

00:55:33who

00:55:33are

00:55:33already

00:55:33applying

00:55:34for

00:55:34Z-BEN

00:55:35so

00:55:36eventually

00:55:37if

00:55:38they get

00:55:39to be

00:55:39approved

00:55:39there

00:55:39are

00:55:40now

00:55:40options

00:55:40for

00:55:41our

00:55:41patients

00:55:41whether

00:55:42they

00:55:42want

00:55:42to

00:55:42go

00:55:42to

00:55:43private

00:55:43sectors

00:55:44or

00:55:45the

00:55:45government

00:55:45sectors

00:55:46as

00:55:46long

00:55:46as

00:55:47they

00:55:47can

00:55:48use

00:55:48the

00:55:48Z-BEN

00:55:49of

00:55:50PhilHealth

00:55:51Sige

00:55:52My

00:55:52goodness

00:55:52I'm

00:55:53enjoying

00:55:53this

00:55:53conversation

00:55:54this

00:55:54could

00:55:54have

00:55:54been

00:55:55a

00:55:55two

00:55:55hour

00:55:55episode

00:55:55but

00:55:56quickly

00:55:56tell us

00:55:57about

00:55:57Pink

00:55:58October

00:55:58why

00:55:59we

00:55:59have

00:55:59Pink

00:55:59October

00:56:00and

00:56:00then

00:56:00you

00:56:01can

00:56:01quickly

00:56:02segue

00:56:02to

00:56:02the

00:56:02run

00:56:03actually

00:56:03one

00:56:04of the

00:56:05main

00:56:05reasons

00:56:06why

00:56:06we're

00:56:06here

00:56:07is

00:56:07of

00:56:07course

00:56:07in

00:56:07celebration

00:56:08of

00:56:08the

00:56:08Pink

00:56:09October

00:56:09so

00:56:10Pink

00:56:10October

00:56:11is

00:56:11an

00:56:11international

00:56:12celebration

00:56:13wherein

00:56:14we

00:56:14promote

00:56:14for

00:56:15breast

00:56:16cancer

00:56:16awareness

00:56:17among

00:56:17the

00:56:17laymen

00:56:19and the

00:56:19public

00:56:20because

00:56:21since

00:56:22I already

00:56:22mentioned

00:56:23the

00:56:23statistics

00:56:23in the

00:56:24Philippines

00:56:24and

00:56:25in

00:56:25Asia

00:56:25our

00:56:26country

00:56:27is

00:56:27considered

00:56:27to be

00:56:28one

00:56:28of

00:56:28the

00:56:28countries

00:56:29with

00:56:30higher

00:56:30rates

00:56:31of

00:56:32mortalities

00:56:33and

00:56:34of course

00:56:34the

00:56:34diagnosis

00:56:35of

00:56:35breast

00:56:35cancer

00:56:36is

00:56:36quite

00:56:36high

00:56:36so

00:56:38this

00:56:39celebration

00:56:40in

00:56:42conjunction

00:56:42to

00:56:43this

00:56:43the

00:56:44Philippine

00:56:44Society

00:56:45of

00:56:45General

00:56:45Surgeons

00:56:47particularly

00:56:47our

00:56:48chapter

00:56:49is

00:56:50trying

00:56:51to

00:56:51promote

00:56:51breast

00:56:53cancer

00:56:53awareness

00:56:54among

00:56:54our

00:56:55patients

00:56:55and

00:56:56to

00:56:56the

00:56:56public

00:56:56as

00:56:57well

00:56:57so

00:56:57in

00:56:57line

00:56:58with

00:56:58this

00:56:58we

00:56:58are

00:56:59having

00:57:00a run

00:57:00a fun

00:57:01run

00:57:02this

00:57:02coming

00:57:03October

00:57:0325

00:57:04so

00:57:04this

00:57:06is

00:57:06of course

00:57:07in line

00:57:07with

00:57:08our

00:57:08goal

00:57:09to

00:57:09promote

00:57:10awareness

00:57:10raise

00:57:11funds

00:57:12for our

00:57:12indigent

00:57:13breast

00:57:13cancer

00:57:13patients

00:57:14and

00:57:15of

00:57:15course

00:57:15expand

00:57:16no

00:57:17the

00:57:17para

00:57:19mawala

00:57:19ang

00:57:19mga

00:57:20myths

00:57:20nga

00:57:20ito

00:57:21ang

00:57:21nagunggan

00:57:21as

00:57:22what

00:57:22sir

00:57:22DJ

00:57:22mentioned

00:57:23so

00:57:23there

00:57:24are

00:57:26certified

00:57:27surgeons

00:57:28that

00:57:28you can

00:57:29visit

00:57:30especially

00:57:30if you

00:57:31have

00:57:32problems

00:57:33with

00:57:33the

00:57:33breast

00:57:34that

00:57:34needs

00:57:34to

00:57:35be

00:57:36addressed

00:57:37so

00:57:39we're

00:57:39having

00:57:39the

00:57:40run

00:57:40this

00:57:40October

00:57:4125

00:57:41in

00:57:42Gate

00:57:43Walk

00:57:43Ayala

00:57:46where

00:57:46I can

00:57:47go

00:57:47so

00:57:48we have

00:57:50different

00:57:51categories

00:57:5110

00:57:52kilometers

00:57:525

00:57:53kilometers

00:57:543

00:57:54kilometers

00:57:55and

00:57:56the

00:57:56executive

00:57:56walk

00:57:57which

00:57:58is

00:57:581km

00:57:591km

00:58:001km

00:58:01and

00:58:01also

00:58:02we have

00:58:02a category

00:58:03for

00:58:03parent

00:58:04and

00:58:04child

00:58:05and

00:58:06for

00:58:07parents

00:58:08and

00:58:08for

00:58:08babies

00:58:10anybody

00:58:11can join

00:58:13so

00:58:14if

00:58:14you're

00:58:15one

00:58:15with

00:58:15us

00:58:16the

00:58:17awards

00:58:18maybe

00:58:18the

00:58:18competitive

00:58:19ones

00:58:19would

00:58:19wish

00:58:20for

00:58:20so

00:58:20we

00:58:21are

00:58:21trying

00:58:21to

00:58:21market

00:58:22this

00:58:22as

00:58:22a

00:58:23fun

00:58:23run

00:58:23we

00:58:24will

00:58:24be

00:58:24prizes

00:58:25not

00:58:25necessarily

00:58:26monetary

00:58:27but

00:58:28there

00:58:28will

00:58:29be

00:58:29prizes

00:58:29available

00:58:30for

00:58:30certain

00:58:30categories

00:58:31not just

00:58:33time-based

00:58:34best

00:58:36dress

00:58:36best

00:58:37in

00:58:37costume

00:58:40runner

00:58:40more

00:58:41on

00:58:41awareness

00:58:42awareness

00:58:43that

00:58:46breast

00:58:46cancer

00:58:47or

00:58:47any

00:58:47form

00:58:47of

00:58:48cancer

00:58:48is

00:58:48not

00:58:48a

00:58:48death

00:58:49sentence

00:58:49like

00:58:50what

00:58:50Dr.

00:58:50Consuegra

00:58:51said

00:58:51there

00:58:51are

00:58:51a lot

00:58:51of

00:58:52options

00:58:52for

00:58:53different

00:58:54types

00:58:54of

00:58:54cancer

00:58:55so

00:58:55don't

00:58:55wait

00:58:56until

00:58:56condition

00:58:57is

00:58:58complicated

00:58:58same

00:58:59with

00:59:00trauma

00:59:04don't

00:59:04wait

00:59:04for

00:59:05things

00:59:05to

00:59:05complicate

00:59:06because

00:59:06physiologically

00:59:07if

00:59:07things

00:59:08turns out

00:59:09bad

00:59:11maybe

00:59:11we

00:59:12can't

00:59:12do

00:59:12anything

00:59:12for

00:59:13you

00:59:13anymore

00:59:13okay

00:59:15so

00:59:15final

00:59:16words

00:59:16yeah

00:59:17just

00:59:17to

00:59:18go back

00:59:18to

00:59:19the

00:59:19invitation

00:59:19we're

00:59:20encouraging

00:59:20everybody

00:59:21if

00:59:22any

00:59:22of

00:59:22you

00:59:22have

00:59:22been

00:59:23touched

00:59:24by

00:59:24breast

00:59:25cancer

00:59:26in

00:59:26some

00:59:26way

00:59:26or

00:59:27you

00:59:27know

00:59:27anybody

00:59:27or

00:59:28would

00:59:28like

00:59:29to

00:59:29run

00:59:29for

00:59:29somebody

00:59:30who

00:59:30has

00:59:30been

00:59:30affected

00:59:31by

00:59:31breast

00:59:31cancer

00:59:31we

00:59:32encourage

00:59:32all

00:59:33of

00:59:33you

00:59:33to

00:59:33join

00:59:34us

00:59:34this

00:59:34October

00:59:3525

00:59:36I

00:59:37hope

00:59:37I

00:59:37believe

00:59:38the

00:59:38details

00:59:39will

00:59:39be

00:59:39posted

00:59:39yes

00:59:40during

00:59:40the

00:59:40program

00:59:41actually

00:59:41yes

00:59:41they're

00:59:41already

00:59:42posted

00:59:42so

00:59:43thank

00:59:43you

00:59:43very

00:59:44much

00:59:44Dr.

00:59:45Jan

00:59:45Dr.

00:59:46Dulce

00:59:46and

00:59:46Dr.

00:59:47Oliver

00:59:47for

00:59:48being

00:59:49with

00:59:49us

00:59:49today

00:59:49and

00:59:50actually

00:59:50it's

00:59:51very

00:59:52entertaining

00:59:53I

00:59:53enjoyed

00:59:54the

00:59:54conversation

00:59:58for

01:00:04our

01:00:04patients

01:00:05for

01:00:06PSGS

01:00:07we are

01:00:07here

01:00:07and

01:00:08of

01:00:08course

01:00:08we want

01:00:09to

01:00:09invite

01:00:09you

01:00:09to

01:00:09join

01:00:10us

01:00:10I

01:00:11will

01:00:11and

01:00:12EFA

01:00:12will

01:00:1610k

01:00:17and

01:00:17then

01:00:17I

01:00:18think

01:00:18we

01:00:18should

01:00:19have

01:00:19more

01:00:19of

01:00:19this

01:00:19conversation

01:00:21we're

01:00:22willing

01:00:22to

01:00:22come

01:00:22back

01:00:23anytime

01:00:23because

01:00:25when it

01:00:25comes

01:00:25to

01:00:25trauma

01:00:26not

01:00:26just

01:00:26heartbreak

01:00:27we need

01:00:28to

01:00:28open

01:00:28up

01:00:30today

01:00:32we

01:00:33began

01:00:33with

01:00:33a

01:00:34simple

01:00:34question

01:00:34how

01:00:35much

01:00:35time

01:00:36do

01:00:36we

01:00:36really

01:00:36have

01:00:37the

01:00:38answer

01:00:38is

01:00:38not

01:00:39simply

01:00:39measured

01:00:39in

01:00:40minutes

01:00:40days

01:00:41or

01:00:42years

01:00:42we

01:00:43cannot

01:00:44always

01:00:44control

01:00:45how

01:00:45much

01:00:46time

01:00:46we

01:00:46have

01:00:47but

01:00:47we

01:00:47can

01:00:48choose

01:00:48what

01:00:49we

01:00:49do

01:00:49with

01:00:50the

01:00:50time

01:00:51we

01:00:51are

01:00:51given

01:00:52so

01:00:52I'm

01:00:52DJ

01:00:53Moisa

01:00:53shout

01:00:53out

01:00:53to

01:00:54Coffee

01:00:54First

01:00:54for

01:00:54supporting

01:00:55conversations

01:00:55that

01:00:56matter

01:00:56this

01:00:57is

01:00:57Beyond

01:00:57the

01:00:57Headlines

01:00:58let's

01:00:58continue

01:00:58to

01:00:58look

01:00:59deeper

01:00:59and

01:01:00think

01:01:00better

01:01:00have

01:01:01a

01:01:01good

01:01:01afternoon

01:01:04it

01:01:07starts

01:01:08with a

01:01:08fresh

01:01:09shot

01:01:09of

01:01:09espresso

01:01:11bold

01:01:12rich

01:01:13bold

01:01:14just

01:01:14right

01:01:17then

01:01:17comes

01:01:18the

01:01:18milk

01:01:18steamed

01:01:19sweet

01:01:20free

01:01:20and

01:01:21balanced

01:01:21the

01:01:22perfect

01:01:23latte

01:01:23is

01:01:24not

01:01:24brushed

01:01:24it

01:01:25is

01:01:25crafted

01:01:26one

01:01:27cup

01:01:27at

01:01:28a

01:01:28time

01:01:28your

01:01:29perfect

01:01:29latte

01:01:30is

01:01:30ready

01:01:30coffee

01:01:32first

01:01:32then

01:01:33everything

01:01:34else

01:01:35is

01:01:36happy

01:01:38to

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