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March 23, 2024
1400H - 1500H
Via Zoom
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD as
part of their health
management.
March 23, 2024
1400H - 1500H
Via Zoom
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD 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.
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.
Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD 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!
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD 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!
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD 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.
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.
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.
We are now on our 3rd
year!
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD as
part of their health
management.
My PEP TALK today is
entitled:
DEVELOPING A
BREAST SELF-EXAM
HABIT THROUGH A
MOTIVATING AWARD
Contents
• What is a breast self-exam (BSE)?
• Why should all females develop a breast self-exam
habit?
• How come NOT ALL Filipino females who can do or
should be doing breast self-exam are doing it?
• What is ROJoson’s advocacy on Breast Self-Exam?
• What is the Breast Self-Exam Awards?
• How to do breast self-exam and how to interpret
findings?
• ROJoson’s appeal to develop a breast self-exam habit
• ROJoson’s appeal to join the Breast Self-exam Awards in
2024
Disclaimer:
ROJoson PEP Talk
contains ROJoson’s
Thoughts,
Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of
ROJoson and other
professionals.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
What is a breast self-exam (BSE)?
A breast self-exam is an examination of one’s
own breasts by the person herself (in case of
female) or himself (in case of male).
In this PEP Talk, the focus is on FEMALES doing
breast self-exam.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
What is a breast self-exam (BSE)?
More specifically,
BSE consists of INSPECTION (looking at anything
unusual on the externals of the breasts) and
PALPATION (feeling the breasts for an abnormal
mass).
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
Why should all females develop a breast self-
exam habit?
Mainly, for SELF-PROTECTION against breast
cancer.
Self-protection in the sense of
PROMOTING EARLY DETECTION of breast cancer
in oneself with a long-term benefit of GREATER
CHANCE FOR CURE AND SURVIVAL when treated
early after detection.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
Why should all females develop a breast self-
exam habit?
Mainly, for SELF-PROTECTION against breast
cancer.
Self-protection in the sense of
PROMOTING EARLY DETECTION of breast cancer
in oneself with a long-term benefit of GREATER
CHANCE FOR CURE AND SURVIVAL when treated
early after detection.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
Why should all females develop a breast self-
exam habit?
Mainly, for SELF-PROTECTION against breast
cancer.
Self-protection in the sense of
PROMOTING EARLY DETECTION of breast cancer
in oneself with a long-term benefit of GREATER
CHANCE FOR CURE AND SURVIVAL when treated
early after detection.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
Why should all females develop a breast self-
exam habit?
Corollary reasons (related to early detection):
Treatment for early breast cancer is usually LESS
COMPLICATED AND LESS EXPENSIVE than that for
more advanced cancer.
• Less extensive operation
• May not need chemotherapy (or less intensive)
• May not need radiotherapy (or less intensive)
• Lesser expense
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
Why should all females develop a breast self-
exam habit?
BSE is SIMPLE and can be completed in a few
minutes (less than 5 minutes)
BSE can be done at HOME, in the private
bathroom or bedroom, and NOT in the clinic or
hospital.
BSE COSTS NOTHING to the person who does it
(even monthly and more frequent if needed)
compared to physical examination by a physician,
ultrasound and mammography.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
How come NOT ALL Filipino females who can do
or should be doing breast self-exam are doing it?
• Lack of awareness of the importance of BSE
• Aware but NOT convinced / committed to do
BSE
• Was not taught how to do BSE / does not how
• Would rather rely on physician’s physical
examination / mammo and ultrasound
• Fear of finding a breast lesion when doing BSE
• Unfounded fear that touching the breasts may
cause cancer
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
What is ROJoson’s advocacy on Breast Self-Exam?
As a physician specializing in breast cancer, I have been advocating
breast self-examination since 1982 (when I started my private
practice) and up to now (2024) – that’s more than 40 years.
I have always felt sad, disappointed and frustrated especially when
I would see patients with advanced breast cancer coming to me
and knowing they were not doing regular breast self-exam. I also
have been feeling frustrated when my advocacy has fallen on deaf
ear by majority of Filipino women.
I care for them. They won’t listen to my advice.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
What is ROJoson’s advocacy on Breast Self-Exam?
As I enter my twilight years, I will make a last-ditch
attempt.
I know and accept that I will not be able to convince the
37 million adult female population in the Philippines.
I will just be contented if I can inculcate breast self-exam
as a health habit in 200 adult Filipino female women
before I die.
200 lang! PUEDE NA!
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
What is ROJoson’s advocacy on Breast Self-Exam?
In 2022, I started the Breast Self-Exam Awards and I was
able to inculcate breast self-examination as a health
habit in 65 Filipino women.
In 2023, I was able to inculcate breast self-examination
as a health habit in 22 Filipino women.
Total of 87 already.
In 2024, I will try to reach my 200 persons-goal (that’s
113 more).
Will try. With your help.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
More than P50,000 Cash
Awards in 2022/2023.
Hy shou
What is the Breast Self-Exam Awards?
This is my last-ditch attempt in my advocacy in
breast self-examination for the Filipino women.
This has not been done before by anybody (I
think).
I will go out of my way to give incentive cash
awards to Filipino women who would do
monthly breast self-exam for at least 9 months.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Hy shou
What is the Breast Self-Exam Awards?
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Project launched: January 15, 2022
The primary objective of the BSE 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.
Hy shou
What is the Breast Self-Exam Awards?
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
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.
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.)
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
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
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
OR
March to November at least 9 months
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.
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
• Incentivize them with certificates.
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 2024 - P5000 each
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
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
Other details:
Two categories of 2024 BSE Promoters and
Practitioners:
- BSE Coordinators
- BSE Members
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
Other details:
2024 BSE Coordinators consist of:
- Breast cancer patients who practice BSE and
will promote the practice BSE among their
recruited members
- BSE Members who have been certified as BSE
practitioners in 2022 and 2023 are now eligible
to be 2024 BSE Coordinators
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
Other details:
2024 BSE Members consist of:
- Filipino females who have been recruited by
the 2024 BSE Coordinators
Cancer Crusaders Club - Breast Self-Exam Club
BSE Promoters and Practitioners Awards
3rd Awarding: December 1, 2023
Breast Cancer Crusaders promoting BSE – Award: P500 + P100 per recruited member
Breast Self-Examination Practitioners doing monthly BSE for at least 9 months – P500 Award
Ayuda for breast cancer discovered early through monthly BSE – P5,000 Award
For
Minimum budget: P50,000
(100 awardees)
Depending on availability
of generous donors –
number of awardees may
increase!
For 2024:
2022 and 2023 BSE
Practitioners are eligible to
become BSE Promoters /
Coordinators –
2023 BSE Promoters /
Coordinators can still join but
have to recruit new
members.
Same requirements as in 2023: Report
cards, videos and OLETE
Register with ROJoson
Deadline: February 14, 2024
2023 BSE Promoters /
Coordinators can still join but
have to recruit new
members.
2022 /2023 BSE Practitioners
are eligible to become BSE
Promoters / Coordinators.
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
Other details:
Duties and responsibilities of BSE Coordinators:
- Train, supervise and coordinate recruited BSE members in
accomplishing the requirements in BSE Awards.
- Submit to ROJoson the reports cards (every month) and BSE
videos (every 3 months) of BSE members (and their own).
- Certify the completeness of accomplishment of requirements of
BSE Members.
- Attend the ROJoson PEP Talk on BSE and pass the OLETE on BSE.
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
Other details:
Duties and responsibilities of BSE Members:
- Fulfill the requirements of the BSE Awards.
- Do monthly breast self-examination for at least
9 months.
- Submit to BSE Coordinators the reports cards
(every month) and BSE videos (every 3
months).
- Attend the ROJoson PEP Talk on BSE and pass
the OLETE on BSE.
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
Other details:
How to register for the Breast Self-Exam Awards
• Submit registration forms (report cards) to
ROJoson through email:
rjoson2001@yahoo.com
• Indicate name of BSE Coordinator.
• Indicate names of recruited BSE Members.
DEADLINE FOR SUBMISSION: March 31, 2024
Breast Self-Exam
Awards
What is the Breast Self-Exam Awards?
2024 Awarding:
December 1, 2024
– During the 37th Cancer Crusaders
Club Annual Christmas Get-Together
Virtual Meet
Cancer Crusaders Club - Breast Self-Exam Club
BSE Promoters and Practitioners Awards
Sample Feedback
Being one of the coordinator, I’m able to educate my family and friends on how important to
have a monthly BSE. This will help oneself to detect any possible problems earlier especially
with our family who has history of cancer. My auntie and my 1st cousin just died of breast
cancer 2 years ago. I wish that by practicing this, no more from my family will undergo the
same thing I have undergone and I wouldn’t want to loss anyone from my family with this
sickness again.
Instead of doing BSE occasionally and haphazardly, the project gave me a chance to do BSE the
right way on a regular basis. I will encourage folks and friends to do BSE and perhaps ask them
to join us in this project.
Cancer Crusaders Club - Breast Self-Exam Club
BSE Promoters and Practitioners Awards
Sample Feedback
This Project on Regular BSE will help a lot of women in the early detection of breast cancer and
also alleviate unnecessary visits to the doctor. I will promote BSE among my friends by
teaching them how to properly perform BSE and by telling them the many benefits of doing
BSE on a regular basis.
The benefits of this project regarding regular BSE will help a lot of women in the early
detection of breast cancer, especially those who don’t have the means to pay mammogram or
ultrasound on a regular basis.
Breast Self-Exam Awards
A MOST TANGIBLE OUTCOME OF THE BSE AWARDS OCCURRED IN 2023-2024
A BSE Coordinator (ZC) reported on November 2023 – her sister was able to discover an
early breast cancer because of the Project. She was given P5000 ayuda for her treatment.
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.
ROJoson
Compassionate
Humanitarian
Program for Filipina
with breast cancer
Breast Self-
Examination:
A Health Habit
to Cultivate
How to do BSE and how to interpret findings?
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 18, there is a lead-time of 12 years in
developing BSE as a health habit in detecting
early breast cancer.
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:
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).
Breast Self-
Examination:
A Health Habit
to Cultivate
Before going to how to do BSE, some essential
pointers to remember:
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.
Breast Self-
Examination:
A Health Habit
to Cultivate
Before going to how to do BSE, some essential
pointers to remember:
• For non-menstruating women, or those with
irregular mense, it is usually advisable to
choose either the first or last day of the month
for doing a monthly BSE for ease of memory.
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.
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.
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.
Breast Self-
Examination:
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
https://www.youtube.com/watch?v=lkqI3aVkhLs
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.
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!
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!
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!
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.
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.
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.
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.
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!
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.
Breast Self-
Examination:
A Health Habit
to Cultivate
How to Do Breast Self-Examination – by ROJoson
Interpretations of Findings on BSE
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
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
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
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
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
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
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.
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.
Hy shou
ROJoson’s appeal to develop a breast self-exam
habit
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Breast Self-
Examination:
A Health Habit
to Cultivate
• 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.
Breast Self-
Examination:
A Health Habit
to Cultivate
• 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.
Breast Self-
Examination:
A Health Habit
to Cultivate
• 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.
Breast Self-
Examination:
A Health Habit
to Cultivate
• 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.
Hy shou
ROJoson’s appeal to join the Breast Self-exam
Awards in 2024
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Breast Self-Exam
Awards
ROJoson’s appeal to join the Breast Self-exam
Awards in 2024
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:
March 31, 2024
Breast Self-Exam
Awards
ROJoson’s appeal to join the Breast Self-exam
Awards in 2024
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.
Contents
• What is a breast self-exam (BSE)?
• Why should all females develop a breast self-exam
habit?
• How come NOT ALL Filipino females who can do or
should be doing breast self-exam are doing it?
• What is ROJoson’s advocacy on Breast Self-Exam?
• What is the Breast Self-Exam Awards?
• How to do breast self-exam and how to interpret
findings?
• ROJoson’s appeal to develop a breast self-exam habit
• ROJoson’s appeal to join the Breast Self-exam Awards in
2024
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Summary
Take Away
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Take Away in
relation to
Patient
Empowerment
Be always in touch with reliable medical
information on importance of DEVELOPING A
BREAST SELF-EXAM HABIT.
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 HOW
TO DEVELOP A BREAST SELF-EXAM HABIT
THROUGH A MOTIVATING AWARD as part
of your health management.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD as
part of their health
management.
This ends my PEP
TALK today on:
DEVELOPING A
BREAST SELF-EXAM
HABIT THROUGH A
MOTIVATING AWARD
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.
Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD 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!
DEVELOPING A
BREAST SELF-
EXAM HABIT
THROUGH A
MOTIVATING
AWARD
Empowerment
objective - for laypeople
to have an essential
understanding on HOW
TO DEVELOP A BREAST
SELF-EXAM HABIT
THROUGH A
MOTIVATING AWARD 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!

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ROJoson PEP Talk: Developing a Breast Self-Exam Habit through a Motivating Award

  • 1. March 23, 2024 1400H - 1500H Via Zoom DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD as part of their health management.
  • 2. March 23, 2024 1400H - 1500H Via Zoom DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD 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. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD 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. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD 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. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD 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. This may take 3 years or longer depending on our enthusiasm, discipline and perseverance. We are now on our 3rd year!
  • 10. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD as part of their health management. My PEP TALK today is entitled: DEVELOPING A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD
  • 11. Contents • What is a breast self-exam (BSE)? • Why should all females develop a breast self-exam habit? • How come NOT ALL Filipino females who can do or should be doing breast self-exam are doing it? • What is ROJoson’s advocacy on Breast Self-Exam? • What is the Breast Self-Exam Awards? • How to do breast self-exam and how to interpret findings? • ROJoson’s appeal to develop a breast self-exam habit • ROJoson’s appeal to join the Breast Self-exam Awards in 2024 Disclaimer: ROJoson PEP Talk contains ROJoson’s Thoughts, Perceptions, Opinions and Recommendations (TPORs) culled from experiences of ROJoson and other professionals. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 12. What is a breast self-exam (BSE)? A breast self-exam is an examination of one’s own breasts by the person herself (in case of female) or himself (in case of male). In this PEP Talk, the focus is on FEMALES doing breast self-exam. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 13. What is a breast self-exam (BSE)? More specifically, BSE consists of INSPECTION (looking at anything unusual on the externals of the breasts) and PALPATION (feeling the breasts for an abnormal mass). DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 14. Hy shou Why should all females develop a breast self- exam habit? Mainly, for SELF-PROTECTION against breast cancer. Self-protection in the sense of PROMOTING EARLY DETECTION of breast cancer in oneself with a long-term benefit of GREATER CHANCE FOR CURE AND SURVIVAL when treated early after detection. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 15. Hy shou Why should all females develop a breast self- exam habit? Mainly, for SELF-PROTECTION against breast cancer. Self-protection in the sense of PROMOTING EARLY DETECTION of breast cancer in oneself with a long-term benefit of GREATER CHANCE FOR CURE AND SURVIVAL when treated early after detection. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 16. Hy shou Why should all females develop a breast self- exam habit? Mainly, for SELF-PROTECTION against breast cancer. Self-protection in the sense of PROMOTING EARLY DETECTION of breast cancer in oneself with a long-term benefit of GREATER CHANCE FOR CURE AND SURVIVAL when treated early after detection. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 17. Hy shou Why should all females develop a breast self- exam habit? Corollary reasons (related to early detection): Treatment for early breast cancer is usually LESS COMPLICATED AND LESS EXPENSIVE than that for more advanced cancer. • Less extensive operation • May not need chemotherapy (or less intensive) • May not need radiotherapy (or less intensive) • Lesser expense DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 18. Hy shou Why should all females develop a breast self- exam habit? BSE is SIMPLE and can be completed in a few minutes (less than 5 minutes) BSE can be done at HOME, in the private bathroom or bedroom, and NOT in the clinic or hospital. BSE COSTS NOTHING to the person who does it (even monthly and more frequent if needed) compared to physical examination by a physician, ultrasound and mammography. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 19. Hy shou How come NOT ALL Filipino females who can do or should be doing breast self-exam are doing it? • Lack of awareness of the importance of BSE • Aware but NOT convinced / committed to do BSE • Was not taught how to do BSE / does not how • Would rather rely on physician’s physical examination / mammo and ultrasound • Fear of finding a breast lesion when doing BSE • Unfounded fear that touching the breasts may cause cancer DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 20. Hy shou What is ROJoson’s advocacy on Breast Self-Exam? As a physician specializing in breast cancer, I have been advocating breast self-examination since 1982 (when I started my private practice) and up to now (2024) – that’s more than 40 years. I have always felt sad, disappointed and frustrated especially when I would see patients with advanced breast cancer coming to me and knowing they were not doing regular breast self-exam. I also have been feeling frustrated when my advocacy has fallen on deaf ear by majority of Filipino women. I care for them. They won’t listen to my advice. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 21. Hy shou What is ROJoson’s advocacy on Breast Self-Exam? As I enter my twilight years, I will make a last-ditch attempt. I know and accept that I will not be able to convince the 37 million adult female population in the Philippines. I will just be contented if I can inculcate breast self-exam as a health habit in 200 adult Filipino female women before I die. 200 lang! PUEDE NA! DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 22. Hy shou What is ROJoson’s advocacy on Breast Self-Exam? In 2022, I started the Breast Self-Exam Awards and I was able to inculcate breast self-examination as a health habit in 65 Filipino women. In 2023, I was able to inculcate breast self-examination as a health habit in 22 Filipino women. Total of 87 already. In 2024, I will try to reach my 200 persons-goal (that’s 113 more). Will try. With your help. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD More than P50,000 Cash Awards in 2022/2023.
  • 23. Hy shou What is the Breast Self-Exam Awards? This is my last-ditch attempt in my advocacy in breast self-examination for the Filipino women. This has not been done before by anybody (I think). I will go out of my way to give incentive cash awards to Filipino women who would do monthly breast self-exam for at least 9 months. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 24. Hy shou What is the Breast Self-Exam Awards? DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Project launched: January 15, 2022 The primary objective of the BSE 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.
  • 25. Hy shou What is the Breast Self-Exam Awards? DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD 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.
  • 26. 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.)
  • 27. 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
  • 28. 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
  • 29. 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 OR March to November at least 9 months
  • 30. 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.
  • 31. Breast Self-Exam Awards What is the Breast Self-Exam Awards? • Incentivize them with certificates.
  • 32. 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 2024 - P5000 each
  • 33. 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
  • 34. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Other details: Two categories of 2024 BSE Promoters and Practitioners: - BSE Coordinators - BSE Members
  • 35. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Other details: 2024 BSE Coordinators consist of: - Breast cancer patients who practice BSE and will promote the practice BSE among their recruited members - BSE Members who have been certified as BSE practitioners in 2022 and 2023 are now eligible to be 2024 BSE Coordinators
  • 36. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Other details: 2024 BSE Members consist of: - Filipino females who have been recruited by the 2024 BSE Coordinators
  • 37. Cancer Crusaders Club - Breast Self-Exam Club BSE Promoters and Practitioners Awards 3rd Awarding: December 1, 2023 Breast Cancer Crusaders promoting BSE – Award: P500 + P100 per recruited member Breast Self-Examination Practitioners doing monthly BSE for at least 9 months – P500 Award Ayuda for breast cancer discovered early through monthly BSE – P5,000 Award For Minimum budget: P50,000 (100 awardees) Depending on availability of generous donors – number of awardees may increase! For 2024: 2022 and 2023 BSE Practitioners are eligible to become BSE Promoters / Coordinators – 2023 BSE Promoters / Coordinators can still join but have to recruit new members. Same requirements as in 2023: Report cards, videos and OLETE Register with ROJoson Deadline: February 14, 2024 2023 BSE Promoters / Coordinators can still join but have to recruit new members. 2022 /2023 BSE Practitioners are eligible to become BSE Promoters / Coordinators.
  • 38. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Other details: Duties and responsibilities of BSE Coordinators: - Train, supervise and coordinate recruited BSE members in accomplishing the requirements in BSE Awards. - Submit to ROJoson the reports cards (every month) and BSE videos (every 3 months) of BSE members (and their own). - Certify the completeness of accomplishment of requirements of BSE Members. - Attend the ROJoson PEP Talk on BSE and pass the OLETE on BSE.
  • 39. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Other details: Duties and responsibilities of BSE Members: - Fulfill the requirements of the BSE Awards. - Do monthly breast self-examination for at least 9 months. - Submit to BSE Coordinators the reports cards (every month) and BSE videos (every 3 months). - Attend the ROJoson PEP Talk on BSE and pass the OLETE on BSE.
  • 40. Breast Self-Exam Awards What is the Breast Self-Exam Awards? Other details: How to register for the Breast Self-Exam Awards • Submit registration forms (report cards) to ROJoson through email: rjoson2001@yahoo.com • Indicate name of BSE Coordinator. • Indicate names of recruited BSE Members. DEADLINE FOR SUBMISSION: March 31, 2024
  • 41. Breast Self-Exam Awards What is the Breast Self-Exam Awards? 2024 Awarding: December 1, 2024 – During the 37th Cancer Crusaders Club Annual Christmas Get-Together Virtual Meet
  • 42. Cancer Crusaders Club - Breast Self-Exam Club BSE Promoters and Practitioners Awards Sample Feedback Being one of the coordinator, I’m able to educate my family and friends on how important to have a monthly BSE. This will help oneself to detect any possible problems earlier especially with our family who has history of cancer. My auntie and my 1st cousin just died of breast cancer 2 years ago. I wish that by practicing this, no more from my family will undergo the same thing I have undergone and I wouldn’t want to loss anyone from my family with this sickness again. Instead of doing BSE occasionally and haphazardly, the project gave me a chance to do BSE the right way on a regular basis. I will encourage folks and friends to do BSE and perhaps ask them to join us in this project.
  • 43. Cancer Crusaders Club - Breast Self-Exam Club BSE Promoters and Practitioners Awards Sample Feedback This Project on Regular BSE will help a lot of women in the early detection of breast cancer and also alleviate unnecessary visits to the doctor. I will promote BSE among my friends by teaching them how to properly perform BSE and by telling them the many benefits of doing BSE on a regular basis. The benefits of this project regarding regular BSE will help a lot of women in the early detection of breast cancer, especially those who don’t have the means to pay mammogram or ultrasound on a regular basis.
  • 44. Breast Self-Exam Awards A MOST TANGIBLE OUTCOME OF THE BSE AWARDS OCCURRED IN 2023-2024 A BSE Coordinator (ZC) reported on November 2023 – her sister was able to discover an early breast cancer because of the Project. She was given P5000 ayuda for her treatment. 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. ROJoson Compassionate Humanitarian Program for Filipina with breast cancer
  • 45. Breast Self- Examination: A Health Habit to Cultivate How to do BSE and how to interpret findings?
  • 46. 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 18, there is a lead-time of 12 years in developing BSE as a health habit in detecting early breast cancer.
  • 47. 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:
  • 48. 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).
  • 49. Breast Self- Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember:
  • 50. 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.
  • 51. Breast Self- Examination: A Health Habit to Cultivate Before going to how to do BSE, some essential pointers to remember: • For non-menstruating women, or those with irregular mense, it is usually advisable to choose either the first or last day of the month for doing a monthly BSE for ease of memory.
  • 52. 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.
  • 53. 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.
  • 54. 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.
  • 55. Breast Self- Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson https://www.youtube.com/watch?v=lkqI3aVkhLs
  • 56. 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.
  • 57. 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!
  • 58. 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!
  • 59. 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!
  • 60. 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.
  • 61. 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.
  • 62. 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.
  • 63. 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.
  • 64. 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!
  • 65. 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.
  • 66. Breast Self- Examination: A Health Habit to Cultivate How to Do Breast Self-Examination – by ROJoson Interpretations of Findings on BSE
  • 67. 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
  • 68. 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
  • 69. 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
  • 70. 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
  • 71. 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
  • 72. 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
  • 73. 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.
  • 74. 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.
  • 75. Hy shou ROJoson’s appeal to develop a breast self-exam habit DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 76. Breast Self- Examination: A Health Habit to Cultivate • 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.
  • 77. Breast Self- Examination: A Health Habit to Cultivate • 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.
  • 78. Breast Self- Examination: A Health Habit to Cultivate • 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.
  • 79. Breast Self- Examination: A Health Habit to Cultivate • 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.
  • 80. Hy shou ROJoson’s appeal to join the Breast Self-exam Awards in 2024 DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD
  • 81. Breast Self-Exam Awards ROJoson’s appeal to join the Breast Self-exam Awards in 2024 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: March 31, 2024
  • 82. Breast Self-Exam Awards ROJoson’s appeal to join the Breast Self-exam Awards in 2024 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.
  • 83. Contents • What is a breast self-exam (BSE)? • Why should all females develop a breast self-exam habit? • How come NOT ALL Filipino females who can do or should be doing breast self-exam are doing it? • What is ROJoson’s advocacy on Breast Self-Exam? • What is the Breast Self-Exam Awards? • How to do breast self-exam and how to interpret findings? • ROJoson’s appeal to develop a breast self-exam habit • ROJoson’s appeal to join the Breast Self-exam Awards in 2024 DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Summary Take Away
  • 84. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Take Away in relation to Patient Empowerment Be always in touch with reliable medical information on importance of DEVELOPING A BREAST SELF-EXAM HABIT. 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 HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD as part of your health management.
  • 85. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD as part of their health management. This ends my PEP TALK today on: DEVELOPING A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD
  • 86. 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.
  • 87. Reminder: 25 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.
  • 88. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD 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!
  • 89. DEVELOPING A BREAST SELF- EXAM HABIT THROUGH A MOTIVATING AWARD Empowerment objective - for laypeople to have an essential understanding on HOW TO DEVELOP A BREAST SELF-EXAM HABIT THROUGH A MOTIVATING AWARD 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!

Editor's Notes

  1. A picture of one of the 2023 group awardees. Reminder:: 2023 BSE Promoters / Coordinators can still join but have to recruit new members. 2022 /2023 BSE Practitioners are eligible to become BSE Promoters / Coordinators.
  2. Sample feedback: