March 2, 2024

1400H - 1500H
Via Zoom

Empowerment
objective - for laypeople
to have an essential
CAN ONE SKIP
understanding on
CHEMOTHERAPY
WHETHER ONE CAN
IN BREAST
SKIP CHEMOTHERAPY
CANCER
IN BREAST CANCER
TREATMENT?
TREATMENT as part of
their health
management.
 March 2, 2024
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

Empowerment show your video picture.
objective - for laypeople
to have an essential Sign in your name, FB
CAN ONE SKIP account, or email address in
understanding on the Chat Box! Include names
CHEMOTHERAPY
WHETHER ONE CAN of companions attending.
IN BREAST
SKIP CHEMOTHERAPY
CANCER Use the Chat Box to ask
IN BREAST CANCER questions and make
TREATMENT?
TREATMENT as part of comments while the PEP TALK
their health is on.

management. 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:
50 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
 ROJOSON’S REQUEST:
Empowerment
objective - for laypeople FEEDBACK TO THIS
to have an essential PEP TALK!
CAN ONE SKIP
understanding on
CHEMOTHERAPY
WHETHER ONE CAN Pls. type in your
IN BREAST
SKIP CHEMOTHERAPY feedback in the chat
CANCER
IN BREAST CANCER box during the open
TREATMENT?
TREATMENT as part of forum and before we
their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START PEP TALK
to have an essential PROPER IN 2
CAN ONE SKIP
understanding on MINUTES!
CHEMOTHERAPY
WHETHER ONE CAN
IN BREAST
SKIP CHEMOTHERAPY Pls. turn on your
CANCER
IN BREAST CANCER video!
TREATMENT?
TREATMENT as part of Show your face!
their health
management.
 Empowerment ROJoson PEP Talk
objective - for laypeople
to have an essential I have a Patient
CAN ONE SKIP
understanding on Empowerment
CHEMOTHERAPY
WHETHER ONE CAN Program in which I
IN BREAST
SKIP CHEMOTHERAPY like to empower the
CANCER
IN BREAST CANCER lay people or
TREATMENT?
TREATMENT as part of patients to take
their health control in the
management. 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.
 My PEP TALK today is
Empowerment entitled:
objective - for laypeople
to have an essential CAN ONE SKIP
CAN ONE SKIP CHEMOTHERAPY IN
understanding on
CHEMOTHERAPY BREAST CANCER
WHETHER ONE CAN
IN BREAST TREATMENT?
SKIP CHEMOTHERAPY
CANCER
IN BREAST CANCER
TREATMENT?
TREATMENT as part of
their health
management.
 CAN ONE SKIP Contents Disclaimer:
CHEMOTHERAPY • What is chemotherapy?
IN BREAST • What is chemotherapy in breast cancer ROJoson PEP Talk
CANCER treatment? contains ROJoson’s
TREATMENT? • Can one skip chemotherapy in breast cancer Thoughts,
treatment? Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of
ROJoson and other
professionals.
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST
CANCER
TREATMENT?
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Chemotherapy is the use of drugs to destroy
CANCER cancer cells.
TREATMENT?
This type of cancer treatment works by keeping
cancer cells from growing, dividing, and making
more cells.

Chemotherapy is a systemic medication. This

https://www.cancer.net/
means it travels through the bloodstream and navigating-cancer-care/how-
reaches all parts of the body. cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST There are many different kinds of chemotherapy.
CANCER In general, drugs used for chemotherapy are
TREATMENT? powerful chemicals that treat cancer by attacking
cells during specific parts of the cell cycle.

All cells go through the cell cycle, which is how

new cells are made.
https://www.cancer.net/
Cancer cells go through this process faster than navigating-cancer-care/how-
normal cells, so chemotherapy has more of an cancer-treated/
effect on these fast-growing cells. chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Because chemotherapy travels through the whole
CANCER body, it can also damage healthy cells as they go
TREATMENT? through their normal cell cycle.

This is why chemotherapy can cause side effects

like hair loss and nausea.

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST The goals of chemotherapy depend on the type of
CANCER cancer and how far it has spread.
TREATMENT?
Chemotherapy can be given alone or as a part of
a treatment plan that includes different
treatments.

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Some of the ways chemotherapy is used include:
CANCER • As the primary treatment. This might be called
TREATMENT? "curative chemotherapy."
• Before other treatments. This can be called
"neoadjuvant chemotherapy."
• After other treatments. This is called "adjuvant
chemotherapy."
• To slow the progression of cancer and relieve
https://www.cancer.net/
symptoms. Chemotherapy used for these navigating-cancer-care/how-
purposes is sometimes called "palliative cancer-treated/
chemotherapy." chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST As the primary treatment.
CANCER
TREATMENT? Sometimes, the goal of chemotherapy treatment
is to get rid of all the cancer and keep it from
coming back.

This might be called "curative chemotherapy."

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Before other treatments.
CANCER
TREATMENT? Chemotherapy can be given before surgery or
radiation therapy to shrink tumors.

This can be called "neoadjuvant chemotherapy."

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST After other treatments.
CANCER
TREATMENT? Chemotherapy can be given after surgery or
radiation therapy to destroy any remaining
cancer cells.

This is called "adjuvant chemotherapy."

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST To slow the progression of cancer and relieve
CANCER symptoms.
TREATMENT?
Even when the cancer is not curable,
chemotherapy can partially shrink tumors and
prevent tumor growth and spread for various
lengths of time. In such settings, chemotherapy
can extend survival, relieve cancer-related
https://www.cancer.net/
symptoms, and improve quality of life. navigating-cancer-care/how-
Chemotherapy used for these purposes is cancer-treated/
sometimes called "palliative chemotherapy." chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Chemotherapy can be used to treat many types of
CANCER cancers.
TREATMENT?
It can also be used to treat recurrent cancer and
metastatic cancer.

Recurrent cancer is cancer that comes back after

treatment.
https://www.cancer.net/
navigating-cancer-care/how-
Metastatic cancer is cancer that has spread to cancer-treated/
other parts of the body. chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST What factors determine a chemotherapy plan?
CANCER
TREATMENT? There are many drugs available to treat cancer.

One may receive a combination of drugs, because

this sometimes works better than 1 drug by itself.

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST The drugs, dose, and treatment schedule depend on many factors.
CANCER These include:
TREATMENT? • The type of cancer
• The stage of the cancer. Cancer stage is determined by the size
and location of the tumor and whether or not the cancer has
spread. tumor size, its location, and if or where it has spread.
• One’s age and general health
https://www.cancer.net/navigating-
• One’s body weight cancer-care/how-cancer-treated/
• The possible side effects of each drug chemotherapy/what-chemotherapy
• Any other medical conditions one has
• Previous cancer treatments
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Chemotherapy may be given in several different
CANCER ways.
TREATMENT? • Intravenous (IV) chemotherapy
• Oral chemotherapy

• Injected chemotherapy
• Chemotherapy into an artery
• Chemotherapy into the peritoneum or
https://www.cancer.net/
abdomen navigating-cancer-care/how-
• Topical chemotherapy cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Types of chemotherapy (drugs)
CANCER Chemotherapy for cancer includes more than a
TREATMENT? 100 different drugs.

Main types of chemotherapy:

•Alkylating agents
•Antimetabolites
•Anti-tumor antibiotics
https://www.cancer.net/
•Topoisomerase inhibitors navigating-cancer-care/how-
•Mitotic inhibitors cancer-treated/
•Plant alkaloids chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Chemotherapy in combination with other cancer
CANCER treatments:
TREATMENT? • Hormone therapy
• Immunotherapy
• Targeted therapy

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Chemotherapy in combination with other cancer
CANCER treatments:
TREATMENT?
Hormone therapy - type of cancer treatment that
removes, blocks, or adds specific hormones to the
body. It is also called hormonal therapy or
endocrine therapy.
https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST Chemotherapy in combination with other cancer
CANCER treatments:
TREATMENT?
Immunotherapy - type of treatment that helps
the body's natural defenses fight the cancer.

Targeted therapy - these treatments target and

disable genes or proteins found in cancer cells
https://www.cancer.net/
that the cancer cells need to grow. navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST How long is the chemotherapy?
CANCER Chemotherapy is often given for a specific time,
TREATMENT? such as 6 months or a year. Or one might receive
chemotherapy for as long as it works.

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST How long is the chemotherapy?
CANCER Side effects from many anti-cancer drugs are too
TREATMENT? severe to give treatment every day. Doctors
usually give these drugs with breaks, so one has
time to rest and recover before the next
treatment. This lets one’s healthy cells heal.

https://www.cancer.net/
navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY
IN BREAST How long is the chemotherapy?
CANCER
TREATMENT? For example, one might get a dose of
chemotherapy on the first day and then have 3
weeks of recovery time before repeating the
treatment.
Each 3-week period is called a treatment cycle.
Several cycles make up a course of chemotherapy.
https://www.cancer.net/
A course usually lasts 3 months or more. navigating-cancer-care/how-
cancer-treated/
chemotherapy/what-
chemotherapy
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY Common side effects:
IN BREAST •Fatigue
CANCER •Hair loss
TREATMENT? •Easy bruising and bleeding
•Infection
•Anemia (low red blood cell counts)
•Nausea and vomiting
•Appetite changes
•Constipation https://www.cancer.org/
cancer/managing-cancer/
•Diarrhea treatment-types/
•Mouth, tongue, and throat problems such as chemotherapy/
sores and pain with swallowing chemotherapy-side-
effects.html
 CAN ONE SKIP What is chemotherapy?
CHEMOTHERAPY Common side effects:
IN BREAST •Peripheral neuropathy or other nerve problems,
CANCER such as numbness, tingling, and pain
TREATMENT? •Skin and nail changes such as dry skin and color
change
•Urine and bladder changes and kidney problems
•Weight changes
•Chemo brain, which can affect concentration
and focus https://www.cancer.org/
•Mood changes cancer/managing-cancer/
treatment-types/
•Changes in libido and sexual function chemotherapy/
•Fertility problems chemotherapy-side-
effects.html
 CAN ONE SKIP What is chemotherapy in breast cancer
CHEMOTHERAPY treatment?
IN BREAST
CANCER
TREATMENT?
 CAN ONE SKIP What is chemotherapy in breast cancer
CHEMOTHERAPY treatment?
IN BREAST
CANCER • Use of drugs to destroy breast cancer cells.
TREATMENT?
• Is a systemic medication. This means it travels
through the bloodstream and reaches all parts
of the body.
• Usually parenteral (IV) at times, oral.

• May be or usually used in combination with

hormonal therapy, targeted therapy and
immunotherapy
 CAN ONE SKIP What is chemotherapy in breast cancer treatment?
CHEMOTHERAPY
IN BREAST May be used:
CANCER • As the primary treatment. This might be called "curative
TREATMENT? chemotherapy.“ USUALLY, EARLY STAGED BREAST CANCERS.
• Before other treatments. This can be called "neoadjuvant
chemotherapy.“ USUALLY, ADVANCED STAGED BREAST CANCERS.
• After other treatments. This is called "adjuvant chemotherapy.“ EARLY
and ADVANCED STAGES.
• To slow the progression of cancer and relieve
symptoms. Chemotherapy used for these purposes is sometimes
called "palliative chemotherapy.“ FOR ADVANCED STAGES (recurrent /
metastatic)
 CAN ONE SKIP What is chemotherapy in breast cancer
CHEMOTHERAPY treatment?
IN BREAST
CANCER Indications:
TREATMENT? • Usually in advanced stages of breast cancers
• Those with lymph node metastasis
• Those with distant metastasis
• Those with biomarkers for poorer prognosis
such as triple negative (ERA, PRA, and HER-2-
NEU) and positive HER-2-NEU
 CAN ONE SKIP Can one skip chemotherapy in breast cancer
CHEMOTHERAPY treatment?
IN BREAST
CANCER
TREATMENT?
 CAN ONE SKIP Can one skip chemotherapy in breast cancer treatment?
CHEMOTHERAPY
IN BREAST YES –
CANCER • If one has early stage breast cancer, especially with negative axillary
TREATMENT? lymph node metastasis
• If one has early stage breast cancer, especially with positive ERA /
PRA and negative HER-2-NEU
• If there is / are medical conditions in a patient that will cause severe
complications with chemotherapy
• one does not want to for one reason or another –such as mindset and
does not believe in the usefulness of chemotherapy (no physicians
can force any patients to have chemotherapy)
 CAN ONE SKIP Can one skip chemotherapy in breast cancer treatment?
CHEMOTHERAPY
IN BREAST NO –
CANCER • If there are valid indications for the chemotherapy (will offer benefits
TREATMENT? in turn of better chance for remission)
• If one has advanced stage breast cancer
• If one has advanced breast cancer, especially with triple negative
(negative ERA / PRA and negative HER-2-NEU)
• If one has advanced breast cancer, especially with positive HER-2-NEU
• If there is / are NO medical conditions in a patient that will cause
severe complications with chemotherapy and there are more benefits
than harm
 CAN ONE SKIP Can one skip chemotherapy in breast cancer
CHEMOTHERAPY treatment?
IN BREAST
CANCER General Recommendation:
TREATMENT? “Except for small, very early stage cancers that
haven’t spread to the lymph nodes, most people
with triple-negative and HER2-positive breast
cancer require chemotherapy. This gives them the
best chance of not having their cancer spread or
return.”
https://www.healthline.com/health/breast-cancer/when-is-it-
possible-to-skip-chemotherapy-in-breast-cancer-
treatment#future-research
 CAN ONE SKIP Can one skip chemotherapy in breast cancer
CHEMOTHERAPY treatment?
IN BREAST
CANCER Strongest Recommendation:
TREATMENT?
If anyone wants to avoid chemotherapy in the
breast cancer treatment, in case one develops,
have a personal strategy to catch the breast
cancer early enough, such as monthly breast self-
examination and early consult and treatment.
 CAN ONE SKIP Contents
Summary
CHEMOTHERAPY • What is chemotherapy?
• What is chemotherapy in breast cancer Take Away
IN BREAST
CANCER treatment?
TREATMENT? • Can one skip chemotherapy in breast cancer
treatment?
 CAN ONE SKIP Be always in touch with reliable medical
Take Away in
CHEMOTHERAPY information on WHETHER ONE CAN SKIP
CHEMOTHERAPY IN BREAST CANCER TREATMENT. relation to
IN BREAST
Patient
CANCER
Knowledge is power; it gives power. Empowerment
TREATMENT?
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on
WHETHER ONE CAN SKIP CHEMOTHERAPY
IN BREAST CANCER TREATMENT as part of
your health management.
 Empowerment This ends my PEP
objective - for laypeople TALK today on:
to have an essential CAN ONE SKIP
CAN ONE SKIP
understanding on CHEMOTHERAPY IN
CHEMOTHERAPY
WHETHER ONE CAN BREAST CANCER
IN BREAST
SKIP CHEMOTHERAPY TREATMENT?
CANCER
IN BREAST CANCER
TREATMENT?
TREATMENT as part of
their health
management.
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:
50 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
 ROJOSON’S REQUEST:
Empowerment
objective - for laypeople FEEDBACK TO THIS
to have an essential PEP TALK!
CAN ONE SKIP
understanding on
CHEMOTHERAPY
WHETHER ONE CAN Pls. type in your
IN BREAST
SKIP CHEMOTHERAPY feedback in the chat
CANCER
IN BREAST CANCER box during the open
TREATMENT?
TREATMENT as part of forum and before we
their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START Q&A AND
to have an essential INTERACTIONS!
CAN ONE SKIP
understanding on
CHEMOTHERAPY
WHETHER ONE CAN Pls. turn on your
IN BREAST
SKIP CHEMOTHERAPY video!
CANCER
IN BREAST CANCER Show your face!
TREATMENT?
TREATMENT as part of
their health
management.