ROJoson PEP Talk: Breast Self-Exam: A Health Habit to Cultivate and BSE Awards - 2024

ROJoson PEP Talk: Breast Self-Exam: A Health Habit to Cultivate and BSE Awards - 2024

1. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. January 27, 2024 1400H - 1500H Via Zoom Breast Self-Examination: A Health Habit to Cultivate

2. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. January 27, 2024 1400H - 1500H Via Zoom Breast Self-Examination: A Health Habit to Cultivate Welcome all! MUTE yourself but always show your video picture. Sign in your name, FB account, or email address in the Chat Box! Include names of companions attending. Use the Chat Box to ask questions and make comments while the PEP TALK is on. There will be group pictures at start and end of PEP TALK – show your face in video.

3. Reminder: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.

4. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.

5. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!

6. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START PEP TALK PROPER IN 2 MINUTES! Pls. turn on your video! Show your face!

7. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate ROJoson PEP Talk I have a Patient Empowerment Program in which I like to empower the lay people or patients to take control in the management of their health.

8. I started the PEP Talk on May 15, 2021 during the COVID19 Pandemic. There are 3 courses in the PEP Talk. I completed the Core Course on October 9, 2021.

9. From October 23, 2021 onwards, I have been tackling Health Disorder and Health Issue Courses. This may take 3 years or longer depending on our enthusiasm , discipline and perseverance .

10. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate My PEP TALK today is entitled: BREAST SELF-EXAMINATION – A Health Habit to Cultivate. This PEP Talk is part of the promoting activities and requirements in the BREAST SELF-EXAM AWARDS.

11. In the light of breast cancer being the most common cancer in the world and in the Philippines, all females with breast s should always be on guard for breast cancer development in order to catch it as early as possible and then consult and have it treated as early as possible to avoid the high death rate in advanced stage. Breast Self-Examination: A Health Habit to Cultivate

12. Another reason why all females with breast s should always be on guard for breast cancer development is that up to now, we don’t know its exact cause. So there is really NO effective and practical way of prevention. It can strike anybody as no female is totally immune from it. It can strike anytime; we don’t know when. Breast Self-Examination: A Health Habit to Cultivate

13. So, how should Filipino females be on guard for breast cancer development in order to catch it as early as possible? Breast Self-Examination: A Health Habit to Cultivate Currently, there are 3 ways: Breast self-examination Breast specialist clinical examination Imaging procedures such as mammography and ultrasound What should be the sequential order on guarding? Start with breast self-examination. Then, breast specialist clinical examination as indicated. Then, imaging procedures as indicated.

14. Why start with breast self-examination or BSE as the first and foremost strategy in being on guard against breast cancer development? Breast Self-Examination: A Health Habit to Cultivate Because you carry your breasts all the time, day in day out. You can easily examine your breasts at any time and anywhere. Breast self-examination costs nothing at all (no medical expense whatsoever). It is simple and can be mastered as long as you are committed and willing to learn to protect yourself from breast cancer. Make BSE a health habit. Cultivate this habit. If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer.

15. Why start with breast self-examination or BSE as the first and foremost strategy in being on guard against breast cancer development? Breast Self-Examination: A Health Habit to Cultivate My advice is: Do not omit BSE and jump to the 2 nd and 3 rd ways: Breast specialist clinical examination Imaging procedures such as mammography and ultrasound Why? If you do BSE regularly, particularly monthly, and if you are committed and trained to do it, you are in a better position to detect breast cancer early.

16. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate My advice is: Do not omit BSE and jump to the 2 nd and 3 rd ways: Breast specialist clinical examination Imaging procedures such as mammography and ultrasound If you do BSE regularly, particularly monthly, and if you are committed and trained to do it, you are in a better position to detect breast cancer early. BETTER THAN A BREAST SPECIALIST particularly for a starting small breast cancer, because you are more familiar with feel of your breasts and any abnormality that may appear there.

17. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate You have more opportunities to feel and palpate your breasts daily (again and again) once you note of anything unusual. A breast specialist does not have this advantage. S/He may miss the small abnormality that is not evident on the surface (NOTE: a physician is not always 100% accurate / perfect.) S/He may miss the small abnormality if you don’t point it to her / him . A big reason why you should do regular BSE and NOT omit it to just rely on the breast specialist’s examination. You may be able to help the breast specialist in detecting your small breast cancer. AVOID MISSING ONE!

18. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate This shows the importance of doing BSE and supplying a breast specialist with information from your BSE to help him make an accurate diagnosis. When you consult a breast specialist, he will or should always ask you initially whether you have felt an abnormal lump in your breasts before s/he does inspection and palpation. If you consult for a “lump” or “mass” you palpated on the breast, again, s/he will or should always ask you where you palpated the lump. A big reason why you should do regular BSE and NOT omit it to just rely on the breast specialist’s examination.

19. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate If there is an abnormal lump palpated by both you and the breast specialist, the latter will ask for information on the changes that may occur from the initial detection to the time of consultation. The breast specialist uses these information from your BSE to get to an accurate diagnosis. A big reason why you should do regular BSE and NOT omit it to just rely on the breast specialist’s examination. You may be able to help the breast specialist in making an accurate diagnosis.

20. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate If you do monthly BSE, you may be able to detect the breast cancer earlier by yourself and then go back to the breast specialist sooner than the next scheduled check-up. Another reason why you should NOT omit BSE and just rely on a breast specialist - A breast specialist has limitations. S/He is not always 100% accurate in his evaluation. If s/he misses a breast cancer on a medical consultation, if s/he asks for a breast check-up after 6 months or one year, the missed breast cancer can be bigger or more advanced at the time of the next scheduled check-up. A big reason why you should do regular BSE and NOT omit it to just rely on the breast specialist’s examination.

21. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate If you do monthly BSE, you may be able to detect the breast cancer earlier by yourself and then go back to the breast specialist sooner than the next scheduled check-up. We don’t know when breast cancer will appear and become evident. Example. If during a medical consultation, there was no evident cancer yet. The breast specialist advises breast check-up after 2 years. After the initial medical consultation, the breast cancer becomes evident, say 6 months after. If one relies on the breast specialist only without BSE, the breast cancer can be bigger or more advanced at the time of the next scheduled check-up. A big reason why you should do regular BSE and NOT omit it to just rely on the breast specialist’s examination.

22. Why NOT to omit BSE and jump to the 2 nd way (just relying on a breast specialist)? Breast Self-Examination: A Health Habit to Cultivate So, do regular BSE. Do NOT omit to just rely on the breast specialist. Your BSE will be of great importance. It can avoid missing a breast cancer by a breast specialist. It can assist in making an accurate diagnosis of a breast disorder. It can complement breast specialist’s objective of early detection. IT CAN PROMOTE EARLY DETECTION OF BREAST CANCER BY YOURSELF.

23. Why NOT to omit BSE and jump to the 3 rd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate My advice is: Do not omit BSE and jump to the 2 nd and 3 rd ways: Breast specialist clinical examination Imaging procedures such as mammography and ultrasound If you do BSE regularly, particularly monthly, and if you are committed and trained to do it, you are in a better position to detect breast cancer early and without the frequent uncertain readings and undue false alarms of imaging procedures (specifically, mammography and ultrasound).

24. Why NOT to omit BSE and jump to the 3 rd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate BSE, if done properly, will be able to catch a breast cancer as small as 1 cm. which is in the early stage. Although imaging procedures such as mammography and ultrasound can catch breast cancer lesser than 1 cm, they carry a lot of uncertain readings and false alarms thereby causing undue anxiety and unwanted operations. The survival rates of Stage 1 (1 cm to less than 2 cm tumor size) and Stage 0 (less than 1 cm tumor size) have little difference. Stage 1 – 98% 5-year SR Stage 0 – 99% 5-year SR

25. Why NOT to omit BSE and jump to the 3 rd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate Imaging procedures are not always 100% accurate. They may miss and erroneously interpret lumps palpated by patients in BSE and breast specialists in their clinical examination. These can be corrected by the breast specialists’ examination and correlation with BSE findings. A big reason why you should do regular BSE and NOT omit it to just rely on the imaging procedures. You may be able to help the breast specialist in making an accurate diagnosis. BSE data are needed.

26. Why NOT to omit BSE and jump to the 3 rd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate Imaging procedures are not always 100% accurate. They may miss a breast cancer. If patients rely on imaging procedures and the next schedule is one to 2 years, then the missed breast cancer can be bigger or more advanced at the time of the next scheduled procedures. If you do monthly BSE, you may be able to detect the breast cancer earlier by yourself and then to the breast specialist sooner than the next scheduled check-up.

27. Why NOT to omit BSE and jump to the 3 rd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate Once reports of imaging procedures come in, the breast specialists will correlate the findings with their physical examination findings and with the history of the patients, particularly on the BSE information of the patients if it is regularly done. Correlation of these three sets of data and info are important to come out with an accurate diagnosis. A big reason why you should do regular BSE and NOT omit it to just rely on the imaging procedures. You may be able to help the breast specialist in making an accurate diagnosis. BSE data are needed.

28. Why NOT to omit BSE and jump to the 3 rd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate Except for patients with high risk for breast cancer (where mammography is being recommended as a screening procedure), imaging procedures should be done only as indicated (that is, only if there is an abnormality detected by the breast specialist and there is uncertainty in his diagnosis that a diagnostic test is needed.) There are usually less false alarms in such situations.

29. Why NOT to omit BSE and jump to the 2 nd way (just relying on imaging procedures)? Breast Self-Examination: A Health Habit to Cultivate So, do regular BSE. Do NOT omit to just rely on imaging procedures. Your BSE will be of great importance. It can avoid missing a breast cancer by imaging procedures. It can assist in making an accurate diagnosis of a breast disorder. It can complement imaging procedures objective of early detection. IT CAN PROMOTE EARLY DETECTION OF BREAST CANCER BY YOURSELF.

30. So, how should Filipino females be on guard for breast cancer development in order to catch it as early as possible? Breast Self-Examination: A Health Habit to Cultivate Currently, there are 3 ways: Breast self-examination Breast specialist clinical examination Imaging procedures such as mammography and ultrasound What should be the sequential order on guarding? Start with breast self-examination. Then, breast specialist clinical examination as indicated. Then, imaging procedures as indicated. TO REPEAT / RE-EMPHASIZE

31. Why start with breast self-examination or BSE as the first and foremost strategy in being on guard against breast cancer development? Breast Self-Examination: A Health Habit to Cultivate Because you carry your breasts all the time, day in day out. You can easily examine your breasts at any time and anywhere. Breast self-examination costs nothing at all (no medical expense whatsoever). It is simple and can be mastered as long as you are committed and willing to learn to protect yourself from breast cancer. Make BSE a health habit. Cultivate this habit. If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer.

32. Don’t be afraid to do BSE. Don’t let the accuracy worry of doing BSE deterred you from doing BSE. BSE can be learned, can be mastered with no cost. What is needed is commitment, discipline and perseveranc e. Breast Self-Examination: A Health Habit to Cultivate If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer. Make BSE a health habit. Cultivate this habit.

33. Why a lot of women are afraid of doing BSE? One specific reason forwarded is they are afraid to find something fearsome, particularly breast cancer. This is unfounded and is a detrimental attitude. You won’t be able to detect the breast cancer early. What is the solution here? Education, persuasion, and psychotherapy if indicated. Breast Self-Examination: A Health Habit to Cultivate If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer. Make BSE a health habit. Cultivate this habit.

34. Why a lot of women are afraid of doing BSE? Another reason forwarded is the belief that touching or palpating the breast may cause breast cancer. This is a myth that has arisen from the belief that trauma or a bump is a cause of breast cancer. A bump on the breast does not cause breast cancer. Breast Self-Examination: A Health Habit to Cultivate If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer. Make BSE a health habit. Cultivate this habit.

35. Why a lot of women are afraid of doing BSE? The background story behind the myth is that the painless unnoticeable cancer has been in the breast even before the bump. One day, when the bump occurs on the breast that contains the cancer, the person reflexly touches her breast and lo and behold, the cancer is discovered. This is origin of this myth believing that the bump caused the breast cancer. It is not true a bump on the breast or touching or palpating the breast can cause breast cancer. SOLUTION: Education and persuasion Breast Self-Examination: A Health Habit to Cultivate If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer. Make BSE a health habit. Cultivate this habit.

36. They don’t want to do BSE because they don’t know how to it. Very superficial reason but this is a common reason presented !!! What is the solution here? Convince the laypeople of the usefulness of BSE. Once they are convinced, teach them properly. Breast Self-Examination: A Health Habit to Cultivate If you love yourself. If you want to be on guard against breast cancer. If you want to avoid the suffering and death from breast cancer. Make BSE a health habit. Cultivate this habit.

37. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: All women should start developing a habit of doing BSE as early as age 18 as part of their preparedness program in detecting breast cancer in case one unfortunately develops in their bodies. Breast cancer is still rare in this age group. It starts coming out at age 30 to 40. So, at age 20, there is a lead-time of 10 years in developing BSE as a health habit in detecting early breast cancer.

38. Breast Self-Examination: A Health Habit to Cultivate BSE consists of inspection (looking at anything unusual on the externals of the breasts) and palpation (feeling the breasts for an abnormal mass). Before going to how to do BSE, some essential pointers to remember:

39. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: In palpation, one has to differentiate lumpy breast tissues from a real mass which is medically called dominant mass (a more-or-less round or oval hump with a feel that is different from the surrounding normal breast tissues). If there is palpated dominant mass, automatically it is considered as a red flag (for further investigation as it signifies an abnormality).

40. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember:

41. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: For menstruating women, it is usually advisable to do BSE a few days after the last day of the mense to avoid hormonal swelling of breast tissues during mense being mistaken for a dominant mass. This is aside from avoiding the discomfort induced by palpating a breast that is usually sensitive during time of menstruation.

42. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: For non-menstruating women, it is usually advisable to choose either the first or last day of the month for doing a monthly BSE for ease of memory.

43. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: The first goal of BSE is to look and feel for anything unusual on the breasts. Once something unusual is found, either it is closely monitored for persistence or it is brought to the attention of a breast specialist already. The self-monitoring of doubtful unusual findings can be done with repeated BSE on the same day, subsequent days or the next month.

44. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: The second goal of BSE is to try to interpret the unusual findings as much as able. If unable to and a red flag is present, consult a breast specialist right away.

45. Breast Self-Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: There are many techniques as there are authors. Choose one that is simple and practical to do as long as the end-points or goals are reached, especially the first goal.

46. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson https://www.youtube.com/watch?v=lkqI3aVkhLs

47. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Visual Inspection (LOOKING) Expose the upper body. In a standing position, face a mirror to view entire chest and breasts.

48. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson With both arms down and then raised over the head, look for anything unusual on the breasts!

49. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Look for changes in the contour of the breasts and armpits, such as bulge, skin dimpling, and flattening!

50. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Look for unusual changes on the skin of the breasts, such as redness and lesions!

51. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Manual Palpation (FEELING) In a standing position, with one arm raised over the head, using the flats of 2 to 3 fingers (2nd to 4th fingers) of the other hand, gently but firmly palpate the entire breast on the side where the arm is raised.

52. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Feel for anything unusual in the breast and feel for a possible presence of a dominant mass! A dominant mass is an unusual density distinct from the surrounding breast tissue with a felt margin or border which connotes a three dimensional lump.

53. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Cover the entire area of the breast by going one quadrant at a time until all four quadrants of the breast are palpated.

54. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Before palpating the armpit, gently squeeze the nipple for possible presence of discharge.

55. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson When palpating the armpit, put the arm down to have a lax or slack skin fold. Place the palpating fingers initially at the uppermost portion of the armpit. Then, gently but firmly press against the chest wall in the armpit and slowly glide the fingers downward to feel for anything unusual and to feel for a possible presence of a dominant mass!

56. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Repeat the same procedures for the other breast, nipple, and armpit.

57. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE

58. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE - NO dominant breast mass found on physical examination in patients complaining of breast mass and in patients coming for breast check  = normal or fibrocystic changes - Breast pain with NO dominant breast mass = fibrocystic changes

59. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE - Nonsanguinous (not red) nipple discharge with NO dominant breast mass = fibrocystic changes -  Sanguinous (red) nipple discharge with NO dominant breast mass = intraductal papilloma

60. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE - Focal erythema or redness and tenderness with NO dominant breast mass = mastitis

61. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE - Focal erythema or redness with a tender, fluctuant dominant breast mass = breast abscess

62. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE - cystic mass with no signs of malignancy – Macrocyst

63. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE SUSPECT CANCER: - Presence of a dominant breast mass with telltale (or giveaway) signs of malignancy (signs of local invasion of the breast mass on the adjacent tissues and signs of spread) - Presence of sanguinous nipple discharge with an accompanying dominant mass

64. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE CANCER SUSPECT Signs of local invasion of the breast mass on the adjacent tissues Fixation to the adjacent tissues such as the overlying skin inclusive of the nipple and areola and the underlying tissues such as chest muscles and ribs. Skin changes over the mass that are suggestive and indicative of local invasion such as ulcerations and fungation .

65. Breast Self-Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE CANCER SUSPECT Signs of spread presence of palpable ipsilateral axillary lymph node and supraclavicular lymph node.

66. Breast Self-Examination: A Health Habit to Cultivate Summary Take Away Develop BSE as a health habit. Make it as your first and mainstay screening and detecting armamentarium for breast cancer. You can complement BSE with breast specialist exam and imaging procedures as needed and indicated. Do not rely solely on breast specialist examination and imaging procedures as they may give a false-negative finding at the time of examination and if you do monthly BSE, you may be able to discover a dominant mass that may appear before the next checkup. This way, you are able to discover a dominant mass early.

67. Breast Self-Examination: A Health Habit to Cultivate Summary Take Away Do not listen / be discouraged by the negative recommendations on BSE. Do not be afraid to do BSE as it will not cause breast cancer. Do not be afraid to do BSE because of fear of finding breast cancer. If there is breast cancer, with BSE, it will be detected early enough. Do not simply say you don’t know how to do BSE to justify your reason for not doing BSE. You have to learn how to do it because of its usefulness. You can easily learn it as it is simple.

68. Breast Self-Examination: A Health Habit to Cultivate Summary Take Away Doing regular BSE is an investment for your breast health. Nobody knows when breast cancer will strike. Do monthly BSE so that once breast cancer strikes, you can detect it early enough. With early recognition and early treatment, your chances of cure will be high. If you don’t do BSE AND if a breast cancer appears and is already in the advanced stage, you will be blamed for the situation. You did not love yourself and your body enough.

69. Breast Self-Examination: A Health Habit to Cultivate Summary Take Away BSE as a health habit is simple and without cost. It can be repeated anytime without added cost. It can be done anytime and anywhere. It can detect breast cancer and other breast diseases. It can detect early breast cancer as long it is done regularly and properly and as long as it is reported to a breast specialist early enough. Consult a breast specialist right away once a dominant mass is detected during BSE.

70. Breast Self-Examination: A Health Habit to Cultivate Take Away in relation to Patient Empowerment Be always in touch with reliable medical information on BREAST SELF-EXAMINATION. Knowledge is power; it gives power. Use the 4Ks of Patient Empowerment: Kaalaman , Kakayanan , Karapatan and Kapangyarihan to gain greater control over decisions in management of your breast health AND in detecting breast cancer early in case it occurs.

71. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Project launched: January 15, 2022 The primary objective of the Club / Awards is to promote early detection of breast cancers among Filipino women. To promote / advocate the practice of a health habit called Regular BSE among Filipino women so that in case a breast cancer strikes, they will be able to catch it early enough and have it treated as soon as possible.

72. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Here are the general mechanics of the awards:  Teach the registrants on how to do breast self-examination. Teach them how to interpret findings on breast self-examination. Document their performance of regular breast self-examination for at least 9 consecutive months with a report card and a video every quarter with clothes on (total of 3 videos). Incentivize them with certificates and cash awards.

73. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Teach the registrants on how to do breast self-examination. (will give links to learning materials.)

74. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Teach the registrants on how to do breast self-examination. ROJoson PEP Talk on Breast Self-Examination: A Health Habit to Cultivate and Online Learning cum Evaluation Test Exercise

75. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Teach them how to interpret findings on breast self-examination. ROJoson PEP Talk on Breast Self-Examination: A Health Habit to Cultivate and Online Learning cum Evaluation Test Exercise

76. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Document their performance of regular breast self-examination for at least 9 consecutive months with a report card and a video every quarter with clothes on (total of 3 videos). February to October at least 9 months

77. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Coordinators and Members doing monthly BSE for at least 9 months must submit a report card and a video of BSE with CLOTHES ON once every 3 months.

78. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Incentivize them with certificates.

79. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Incentivize them with certificates. BSE Coordinators – Each = P500 + P100 per recruited member BSE Members – P500 each ( doing monthly BSE for at least 9 months) Ayuda for breast cancer discovered early (T1-T2) through monthly BSE in 2023 - P5000 each

80. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Incentivize them with certificates. Eligibility for Certificates and Cash Awards: Report Card Videos with clothes on (at least 3) Perfect score in OLETE on Breast Self-Exam

81. Breast Self-Exam Awards What is the Breast Self-Exam Awards? 2024 Awarding: December 1, 2024 – During the 37 th Cancer Crusaders Club Annual Christmas Get-Together Virtual Meet

82. Breast Self-Exam Awards What are ROJoson’s Parting Tips on Breast Self Exam and the Awards? Do regular monthly breast self-exam. It is the best strategy against breast cancer – simple, practical, no-cost strategy for early detection – can save life against breast cancer.

83. Breast Self-Exam Awards What are ROJoson’s Parting Tips on Breast Self Exam and the Awards? Do regular monthly breast self-exam. Look and palpate for anything unusual on the breasts. If there is anything unusual found, consult a breast specialist right away.

84. Breast Self-Exam Awards What are ROJoson’s Parting Tips on Breast Self Exam and the Awards? Project launched: January 15, 2022 Continuing BSE Awards Year 3 – 2024 The primary objective of the Club / Awards is to promote early detection of breast cancers among Filipino women. To promote / advocate the practice of a health habit called Regular BSE among Filipino women so that in case a breast cancer strikes, they will be able to catch it early enough and have it treated as soon as possible. You and your relatives and close friends! Protect yourself and your loved ones! DEADLINE FOR SUBMISSION: January 31, 2024

85. Breast Self-Exam Awards What are ROJoson’s Parting Tips on Breast Self Exam and the Awards? To promote / advocate the practice of a health habit called Regular BSE among Filipino women so that in case a breast cancer strikes, they will be able to catch it early enough and have it treated as soon as possible.

86. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate

87. Reminder: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.

88. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.

89. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!

90. Empowerment objective - for laypeople to have an understanding of the importance of cultivating BREAST SELF-EXAMINATION as a health habit in the light of high incidence of breast cancer. Breast Self-Examination: A Health Habit to Cultivate LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START Q&A AND INTERACTIONS! Pls. turn on your video! Show your face!