ROJoson PEP Talk: SURGICAL ONCOLOGISTS - What and When

ROJoson PEP Talk: SURGICAL ONCOLOGISTS - What and When

1. August 31, 2024 1400H - 1500H Via Zoom SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management.

2. August 31, 2024 1400H - 1500H Via Zoom SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. 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 after the PEP Talk: 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: 25 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.

5. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. 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. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. 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. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. 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. May 18, 2024 marks the start of YEAR 4 of ROJoson PEP Talk. How long the PEP Talk will last will depend on our enthusiasm , discipline and perseverance .

10. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. My PEP TALK today is entitled: SURGICAL ONCOLOGISTS – What and When

11. kind Contents What are oncologists? What are the 3 basic kinds of oncologists? What are surgical oncologists? What are the different kinds of surgical oncologists? When does one see a surgical oncologist? Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer? Disclaimer: ROJoson PEP Talk contains ROJoson’s Thoughts, Perceptions, Opinions and Recommendations (TPORs) culled from experiences of ROJoson and writings of other health professionals . SURGICAL ONCOLOGISTS – What and When

12. kind SURGICAL ONCOLOGISTS – What and When What are oncologists? Oncologists will be operationally defined here as medical doctors (physicians) who specialize in the diagnosis and treatment and management of patients with cancer. Above definition refers to CLINICIAN ONCOLOGISTS, a clinician means a physician with direct contact and responsibility for patients rather than one involved in a laboratory or research setting. Treatment vs management Treatment – specific interventions Management – comprehensive interventions

13. kind SURGICAL ONCOLOGISTS – What and When What are oncologists? Oncologists will be operationally defined here as medical doctors (physicians) who specialize in the diagnosis and treatment and management of patients with cancer. ONCOLOGISTS IN LAYMAN’S TERM ARE CANCER SPECIALISTS.

14. kind SURGICAL ONCOLOGISTS – What and When What are basic kinds of oncologists? Three basic kinds of oncologists based on the conventional cancer treatment modalities (drugs, surgery and radiation): Medical oncologists Surgical oncologists Radiation oncologists

15. What are different kinds of oncologists? MEDICAL ONCOLOGISTS These are cancer specialists who treat patients with cancers with drugs and not using non-surgical and non-radiation means. They treat cancers with drugs such as chemotherapy, hormonal therapies, immunotherapy and other targeted treatments. SURGICAL ONCOLOGISTS – What and When

16. What are different kinds of oncologists? SURGICAL ONCOLOGISTS These are cancer specialists who treat patients with cancers using surgical means or OPERATIONS. SURGICAL ONCOLOGISTS – What and When

17. What are different kinds of oncologists? RADIATION ONCOLOGISTS These are cancer specialists who treat patients with cancers using radiation. SURGICAL ONCOLOGISTS – What and When

18. What are SURGICAL ONCOGISTS? SURGICAL ONCOLOGISTS These are cancer specialists who treat patients with cancers using surgical means or OPERATIONS. SURGICAL ONCOLOGISTS – What and When

19. What are the different kinds of SURGICAL ONCOGISTS? MANY – PLENTY as many AND as plenty as the number of different surgical specialties since the treatment of cancers or tumors are inherently part of their training in the surgical specialty. i f they want a formal title of Surgical Oncologist, they spend additional 1-2 years of formal training to treat cancers or if they do a lot of cancer surgery in their specialty. SURGICAL ONCOLOGISTS – What and When

20. What are the different kinds of SURGICAL ONCOGISTS? GENERAL SURGERY SURGICAL ONCOLOGISTS –general surgeons who are surgical oncologists (general and cancer surgeons) – all kinds of solid tumors and cancers HEAD AND NECK SURGICAL ONCOLOGISTS – Head and Neck tumors and cancers NEUROSURGICAL ONCOLOGISTS – Brain tumors and cancers SURGICAL ONCOLOGISTS – What and When

21. What are the different kinds of SURGICAL ONCOGISTS? Breast surgical oncologists Colorectal surgical oncologists Hepatobiliary and pancreatic surgical oncologists Urologic surgical oncologists Thoracic surgical oncologists Pediatric surgical oncologists Gynecologic oncologists Orthopedic oncologists SURGICAL ONCOLOGISTS – What and When

22. SURGICAL ONCOLOGISTS – What and When When does one see an ONCOLOGIST? One should see an oncologist or a cancer specialist if one has symptoms of a possible or probable cancer being present in his / her body. One should know the alert signals for cancer. Alert or warning symptoms of cancer: Change in bowel or bladder habits A sore that does not heal Unusual bleeding or discharge Thickening or lump in the breast or elsewhere Indigestion or difficulty in swallowing Obvious change in a wart or mole Nagging cough or hoarseness There are other warning symptoms but the above are the more common ones.

23. SURGICAL ONCOLOGISTS – What and When When does one see a SURGICAL ONCOLOGIST? One should see a SURGICAL ONCOLOGIST if one has symptoms of a possible or probable cancer being present in his / her body . SPECIFICALLY, if one is suspecting a SOLID TUMOR that may be a cancer. SOLID vs BLOOD CANCERS Blood cancers – hematologic oncologists Solid cancers – first see surgical oncologists

24. SURGICAL ONCOLOGISTS – What and When When does one see a specific SURGICAL ONCOLOGIST? If one is sure on the ORGAN of involvement of the possible solid cancer, see a surgical oncologist with specialty on the organ or tissue. - SPECIFIC ORGAN SURGICAL ONCOLOGIST ADVICE: *Go for a SPECIFIC ORGAN SURGICAL ONCOLOGIST if you can identify one in your community. If not, can start with a GENERAL SURGEON SURGICAL ONCOLOGIST. * For more efficient, comprehensive and specialized mgt.

25. SURGICAL ONCOLOGISTS – What and When When does one see a specific SURGICAL ONCOLOGIST? Here are some guides: Gynecologic cancers – gynecologic oncologist Orthopedic cancers – orthopedic oncologist Pediatric solid cancers – pediatric surgical oncologist Breast cancers – breast surgical oncologist ADVICE: *Go for a SPECIFIC ORGAN SURGICAL ONCOLOGIST if you can identify one in your community. If not, can start with a GENERAL SURGEON SURGICAL ONCOLOGIST. * For more efficient, comprehensive and specialized mgt.

26. SURGICAL ONCOLOGISTS – What and When When does one see a specific SURGICAL ONCOLOGIST? Here are some guides: Head and neck cancers – head and neck oncologist Colorectal cancers – colorectal surgical oncologist Hepatobiliary and pancreatric cancers – hepatobiliary and pancreatic surgical oncologist ADVICE: *Go for a SPECIFIC ORGAN SURGICAL ONCOLOGIST if you can identify one in your community. If not, can start with a GENERAL SURGEON SURGICAL ONCOLOGIST. * For more efficient, comprehensive and specialized mgt.

27. SURGICAL ONCOLOGISTS – What and When When does one see a specific SURGICAL ONCOLOGIST? Here are some guides: Urologic cancers – urologic surgical oncologist Brain cancers – neurosurgical oncologist Thoracic cancers – thoracic surgical oncologist ADVICE: *Go for a SPECIFIC ORGAN SURGICAL ONCOLOGIST if you can identify one in your community. If not, can start with a GENERAL SURGEON SURGICAL ONCOLOGIST. * For more efficient, comprehensive and specialized mgt.

28. SURGICAL ONCOLOGISTS – What and When When does one see a specific SURGICAL ONCOLOGIST? Here are some guides: NOT SURE OF THE PRIMARY SOURCE OR ORIGIN OF SOLID CANCER GENERAL SURGEON SURGICAL ONCOLOGIST. ADVICE: *Go for a SPECIFIC ORGAN SURGICAL ONCOLOGIST if you can identify one in your community. If not, can start with a GENERAL SURGEON SURGICAL ONCOLOGIST. * For more efficient, comprehensive and specialized mgt.

29. Which oncologist/s to choose to see to consult and for management for a possible or probable cancer, if one is sure on the organ of involvement of the possible cancer and there are 3 oncologists who are known to treat the specific cancer (such as breast cancer and such as medical, surgical and radiation oncologists), to whom to go first? One can choose anyone if one is not sure of the best priority and best sequence. But know the priority for cost-effective management. For example: Breast Cancer 1 st oncologist to consult is Breast Surgical Oncologist or General Surgeon Surgical Oncologist primarily because of the need to make a definitive diagnosis usually through a biopsy (done by surgeon). Not medical or radiation oncologists. SURGICAL ONCOLOGISTS – What and When

30. Which oncologist/s to choose to see to consult and for management for a possible or probable cancer, if one is sure on the organ of involvement of the possible cancer and there are 3 oncologists who are known to treat the specific cancer (such as breast cancer and such as medical, surgical and radiation oncologists), to whom to go first? One can choose anyone if one is NOT sure of the best priority and best sequence. But try to know the priority for cost-effective management. For example: Gynecologic Cancer 1 st oncologist to consult is Gynecologic Oncologist primarily because there is a need to make a definitive diagnosis by the gynecologist-oncologist usually through a biopsy procedure and other operative procedure. Not medical or radiation oncologists. SURGICAL ONCOLOGISTS – What and When

31. Which oncologist/s to choose to see to consult and for management for a possible or probable cancer? Here is a guide on which oncologist to consult first: Solid cancers in adults – usually surgical oncologist first, then medical oncologist then radiation oncologist SURGICAL ONCOLOGISTS – What and When

32. Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer ? (if there are several available surgical oncologists) Choosing a Cancer Doctor Before you start looking for a surgical onco , think about the qualities you want your doctor to have. A few ideas are listed below, but there may be others you want to add. Choose a surg onco who has experience treating your type of cancer. You want someone who is familiar with and uses the latest standards, guidelines, and research. https://www.cancer.org/cancer/managing-cancer/finding-care/where-to-find-cancer-care/choosing-a-cancer-doctor.html SURGICAL ONCOLOGISTS – What and When

33. Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer ? (if there are several available surgical oncologists) Choosing a Cancer Doctor / Surgical Oncologist You’ll need a doctor who is part of your health insurance plan (often called a preferred provider) and/or accepts your health insurance . https ://www.cancer.org/cancer/managing-cancer/finding-care/where-to-find-cancer-care/choosing-a-cancer-doctor.html SURGICAL ONCOLOGISTS – What and When

34. Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer ? (if there are several available surgical oncologists) Choosing a Cancer Doctor / Surgical Oncologist Pick a surg onco who practices (has privileges) at a cancer center or hospital that you’re willing to use. Doctors can only send patients to cancer centers or hospitals where they have admitting privileges. https ://www.cancer.org/cancer/managing-cancer/finding-care/where-to-find-cancer-care/choosing-a-cancer-doctor.html SURGICAL ONCOLOGISTS – What and When

35. Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer ? (if there are several available surgical oncologists) Choosing a Cancer Doctor / Surgical Oncologist Choose a surg onco you feel comfortable with. Languages spoken, sex, and education may be important to you. You may also have strong feelings about personality and how they should communicate with you. Some people want their doctors to have a business-like manner, while others value a doctor who can help with their emotional health as well as their medical needs. https ://www.cancer.org/cancer/managing-cancer/finding-care/where-to-find-cancer-care/choosing-a-cancer-doctor.html SURGICAL ONCOLOGISTS – What and When

36. Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer ? (if there are several available surgical oncologists) ROJoson advice: Choose a surgical oncologist who will treat your cancers as best as he/she can AND who is patient-centered and compassionate AND who will provide comprehensive and holistic management (including psychological and psychosocial support). Don’t go for a surgical oncologist who will treat your cancer only and then leave you alone after (you are on your own already). SURGICAL ONCOLOGISTS – What and When

37. kind Contents What are oncologists? What are the 3 basic kinds of oncologists? What are surgical oncologists? What are the different kinds of surgical oncologists? When does one see a surgical oncologist? Which surgical oncologist/s to choose to see to consult and for management for a possible or probable cancer? SURGICAL ONCOLOGISTS – What and When Summary Take Away

38. Take Away in relation to Patient Empowerment Be always in touch with reliable medical information on SURGICAL ONCOLOGISTS – What and When. Knowledge is power; it gives power. Use the 4Ks of Patient Empowerment: Kaalaman , Kakayanan , Karapatan and Kapangyarihan to gain greater control over decisions / make better decisions on SURGICAL ONCOLOGISTS – What and When as part of your health management. SURGICAL ONCOLOGISTS – What and When

39. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. This ends my PEP TALK today on: SURGICAL ONCOLOGISTS – What and When

40. Reminder after the PEP Talk: 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.

41. Reminder: 25 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.

42. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. 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!

43. SURGICAL ONCOLOGISTS – What and When Empowerment objective - for laypeople to have an essential  understanding on SURGICAL ONCOLOGISTS – What and When as part of their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START Q&A AND INTERACTIONS! Pls. turn on your video! Show your face!