La doctora Jane Méndez, FACS, cirujana oncóloga especializada en trastornos del seno, explico que el cáncer de seno es el cáncer número uno en las mujeres siendo uno de los más peligros.
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00:30Today is Friday, March 7th, 2025.
00:35As always, I am very grateful that you allow us to enter your homes,
00:40to that audience of which I feel very proud.
00:43And like every Friday, I thank God for lending me life and health.
00:48Tomorrow is Women's Day, that's why I have to mention it today.
00:51Every day should be Women's Day, because the woman is not a progenitor.
00:57But as the Bible says, you abandon your father and mother and join a woman.
01:03So, the life of a man is accompanied by a woman.
01:07At the beginning of the mother, then the wife, the daughters.
01:12So, my hug on Women's Day.
01:15Ladies and gentlemen, recently the young congressman Rogelio Genao,
01:21the son of Rogelio Genao, that legendary reformist legislator,
01:27submitted a bill aimed at reducing exemptions, which is crazy.
01:36That is, in the fiscal reform project that failed,
01:40which was submitted by the government last year,
01:43exemptions were eliminated to tourism, to the franca zone,
01:49practically to all sectors, and that collapsed.
01:53So, in this moment, where there is uncertainty worldwide,
01:59because we do not know, finally, what will be the economic policy of President Trump
02:04and to what extent it could affect the Dominican Republic and the global economy,
02:09that is crazy.
02:11Fortunately, there are sensible people,
02:15and the government party itself, through the Minister of the Presidency,
02:19said no, that they do not agree with that.
02:22Also, Alfredo Pacheco, President of the House of Representatives, said the same,
02:27and there is a generalized concept that this has to be stopped.
02:32This is not the time for you to touch on the exemptions of sectors such as tourism,
02:38which are the backbone of the Dominican economy or the franca zone.
02:43On the other hand, yesterday I dealt with the case of the young Aida Nicole Reyes.
02:51She was passing through Winston Churchill Avenue in her Jeep,
02:56and a drunk driver passed the traffic light in red.
03:03That is Aida Nicole Reyes.
03:07She was graduating in April from Mercado Técnico, a brilliant student at INTEC.
03:13She was drunk and passed the traffic light in red.
03:18She hit the jeep.
03:20The jeep overturned and, unfortunately, she died.
03:26There is no protocol for this type of thing.
03:32The lady was tested for alcohol, for alcoholemia, and they gave her a very high score,
03:37but she could not be presented as a test in the coercion process
03:42because she was not officially picked up.
03:46And today the lady is released.
03:49I hope she looks for professional help because a person, a single, drunk woman,
03:56must have serious problems.
03:58In addition, her conscience must be weighing her down because of her irresponsibility.
04:03In Prudencia, a valiant young woman died.
04:07Nothing will happen to her because she is released on bail.
04:10Here, when someone is released on bail, the majority of cases remain like this,
04:16unless the family insists.
04:18What we ask of the Lord is that He gives strength to the family in the face of such a lamentable loss.
04:27Now, those who did not have that luck were the owners of an agency
04:34whose customs van was full of weapons, weapons that were going to Haiti.
04:44And it is once again proven that the Haitian gangs use weapons that come from the United States
04:54and that transitory come to the Dominican ports and from there on land they go to Haiti.
05:03They imposed a year of preventive detention on two individuals.
05:12They claim that they did not know what was in the container, and that is a lie.
05:17An agency that manages a container has to know what it contains.
05:22There is a very lucrative trade of weapons from the United States to the Dominican Republic and Haiti,
05:29and that is why the Haitian gangs have weapons.
05:32There is a photo in Diario Libre.
05:34Very sophisticated weapons, weapons of war.
05:37That is why it is so difficult to face and destroy the gangs that have destroyed that country
05:44and that affect the Dominican Republic so much.
05:47On the other hand, yesterday, and this is important news,
05:52because everything that happens in the United States affects the whole world,
05:56President Donald Trump spoke with Mexican President Claudia Chimbao
06:01and gave another extension of a month, the second that he gives,
06:06on the subject of the aranceles to Mexico.
06:10Canada is not mentioned, but obviously it also influences Canada.
06:15The United States of Mexico has a free trade treaty,
06:18the NAFTA, which President Trump himself renegotiated in his first government
06:24and became the T-MEX.
06:26But that indefinition causes damage to the North American economy
06:33and causes a loss of confidence of consumers and also of investors.
06:39At this time, no investor dares to invest in Mexico or Colombia or the Dominican Republic
06:47because he does not know what treatment he will have, if he will have aranceles,
06:52because the reality is that President Trump wants them to settle in the United States
06:56to generate employment in his country.
06:59On the other hand, with such bad news, I want to present the video of a ...
07:05I already presented it this week, but this kind of thing has to be promoted.
07:10There is a boy named Samuel Garcia in Valle Ive
07:15and there is a famous Italian director, Gianni Bergamo,
07:22who decided to retire to the Dominican Republic.
07:26Sometimes foreigners see in our country things that we do not see
07:30and he was told about that boy, there appears Gianni Bergamo,
07:34and he got him a scholarship, two years in Italy and now he is touring Europe.
07:40That was a presentation in Switzerland.
07:43Let's listen to Samuel, who is only 13 years old.
07:46He is a prodigy on the piano.
07:48Let's listen for a few minutes to Samuel Garcia, a boy from Valle Ive.
08:04Samuel Garcia, a boy from Valle Ive
08:22Can you imagine how many prodigy children there are here in the country,
08:25in many areas, how many scientists are waiting for someone to discover them
08:30and help them go abroad to prepare.
08:34Let's go now to the pet segment with Alejandra Ramírez.
08:38And do not miss the interview, today is Friday of health.
08:41We have a personality, Dr. Jane Mendez.
08:44She is an oncologist, but she is nothing more and nothing less than the head
08:49of the area of breast surgery of the Batis Health Miami Cancer Institute,
08:55to which many Dominicans go, who fortunately have their international insurance.
09:00We are going to talk about a terrible disease.
09:03Everyone knows that my wife died of cancer and I have a lot of respect for that disease.
09:08But today everything is preventable, there are treatments, medicine has advanced a lot.
09:15And we are going to talk about this topic with Dr. Jane Mendez.
09:19Do not miss the interview.
09:21Let's go now to the segment dedicated to pet owners.
09:25Good morning, today I am going to talk about the benefits that your pet eats high or at its height,
09:51that is, higher than the floor level.
09:53There are numerous benefits for pets to be fed higher than the floor level.
09:59And today I am going to mention some of those benefits.
10:02In the case of the cat, the idea is that it has to go up to a table or any higher surface to get the food.
10:09Since apart from the fact that the animal has to make an effort to get it,
10:13it avoids overweight by easy access.
10:16On the floor it will be eating all the time and at the same time the food can be contaminated.
10:21In nature they would have to struggle a little to get that food.
10:25Also, raising the feeder helps with the posture of the cat,
10:29prevents digestive disorders, among many other benefits.
10:33In the case of the dog, it helps a lot with the posture and avoids having to force the neck and joints,
10:40especially in these breeds that are very large.
10:42It also helps with digestion, since dogs tend to eat very fast.
10:47And some tend to lie down to eat.
10:50Also, in the case of certain pathologies or pathological risks, such as esophageal disease,
10:55reduced mobility, among others, this can be very beneficial,
10:59and your veterinarian can recommend it to you personally.
11:02There may be cases where there are more recommendable feeders,
11:06depending on the pathology, that is why it is very important that it be recommended
11:09or socialized with your veterinarian.
11:11And remember that if you want a personalized consultation,
11:15you can find me at the Veterinary Park on Romulo Betancourt Avenue, 1216,
11:20arriving at the church. Thank you very much.
11:44Thank you very much.
12:14The Telematudin 11 interview is about important people and important issues.
12:41And what is more important than health?
12:43That is why at the Telematudin 11, on Friday, we dedicate it,
12:46and today we feel very honored with the participation of an eminent doctor,
12:52Dr. Jane Mendez.
12:54She is visiting the country at a congress.
12:56We are going to talk about that.
12:57She is an onco-surgeon, and she is the Director, Chief of Surgery,
13:02of the Batis Health Miami Center Cancer Institute,
13:07but with a training in Harvard, in Long Catering.
13:12And with her, we are going to learn a lot about breast cancer.
13:16Doctor, we are very honored to have your participation,
13:19and we thank the people who served as intermediaries,
13:22so that you are here with us today.
13:24It is a pleasure to be with you, Mr. Ramon.
13:26Doctor, breast cancer is still one of the most important,
13:32or number one, in the case of women.
13:34Yes, it is.
13:35It is the number one cancer in women,
13:37and the second cause of death from cancer in women.
13:40So, it is certainly very important for all of us.
13:44And previously, it was a kind of death sentence.
13:49So, if I told a 20-year-old woman,
13:51I would tell her, you have breast cancer, and that's it.
13:53But the medicine has advanced.
13:56Nowadays, it is always used in surgery, in mastectomy,
14:00or there are alternative treatments in some cases,
14:04in some states, where the tumor is not so advanced.
14:09It is incredible how breast cancer treatment has evolved.
14:13I have been in this for 30 years, and it is incredible to see...
14:17Like a young man.
14:18Oh, yes.
14:20So, it is interesting to see how the options have evolved,
14:24the treatments, that multidisciplinary treatment.
14:28Nowadays, it is not a death sentence.
14:31Nowadays, if there is early detection, which is what we advocate,
14:35we expect 99% of survival in 10 years.
14:3999%?
14:4099%.
14:41But if it is detected in time.
14:42If it is detected in time.
14:43That is why the key is early detection.
14:45That is why I love the opportunity to disseminate information.
14:49Because if you don't take care of yourself, who is going to take care of you?
14:52So, prevention is number one.
14:54So, the more people do detection studies,
14:58the sooner we can detect it, and we have very good results today.
15:03Detection has always been said that the first thing is a simple touch of the breast
15:09to determine a tumor.
15:13That still works.
15:14We still ask all women to do their self-examination.
15:18Because, certainly, if you don't know your body,
15:21how are you going to detect it?
15:22It has changed.
15:23You have to wait once a year to see your head doctor
15:26or get your mammography or sonography done.
15:29So, being aware of your body is very important in this process,
15:33and that's how you can seek medical help.
15:36So, we do urge everyone to do their self-examination.
15:40At the same time, the ultrasound mammogram should be done from the age of 40 annually.
15:47From the age of 40 annually.
15:48From the age of 40 annually.
15:51For those women who have family members or other conditions
15:55that increase their risk in a conversation,
15:58because that is required before the age of 40.
16:01But those are the recommendations for early detection.
16:05And detected early, I almost ask the question,
16:09is the mastectomy done or can you go to, I don't know, radiotherapy or chemotherapy?
16:14Yes.
16:15So, I like to discuss with patients when the time comes
16:19that there are four main tools to cure breast cancer.
16:23And we try to personalize the appropriate treatment
16:26based on the patient's age, based on the state of the patient's cancer
16:32and what the patient wants to do.
16:34Because, obviously, it's a conversation.
16:37But from a surgical point of view, one option is the mastectomy
16:41and the other is breast conservation,
16:44which is just doing a lumpectomy, partially removing the tumor
16:48and combining it with radiation.
16:50And some patients, depending on the state,
16:54may benefit from chemotherapy.
16:57But that's not necessarily for all patients.
17:00And today, one of the most important advances
17:05has been that understanding of biology.
17:09Well, all breast cancers are the same.
17:12Some that respond to estrogen and others that don't.
17:16And others that have other special characteristics
17:19that we have...
17:20Estrogen is the female hormone, right?
17:22Correct.
17:23So, for those patients who have those tumors that respond to estrogen,
17:28we can give them something called endocrine therapy,
17:32which is blocking or suppressing the production of estrogen in the mammary tissue
17:38to prevent the cancer from returning.
17:41For those women who don't have that characteristic,
17:44it's not something that will benefit them.
17:46So, that personalization of the treatment is key
17:50and it has to be personalized for the patient and what the patient wants.
17:55And also, in that context,
17:58we've had a lot of progress in the genetic tests
18:02and we can also see if the cancer is the product of a genetic mutation
18:07that the patient has.
18:08Well, not only does it help us identify and have implications for treatment,
18:13but also for prevention.
18:15And in the case of genetic mutations,
18:17I imagine that the descendants also have to...
18:20The daughters have to...
18:21Totally.
18:22The granddaughters have to...
18:23Yes, we have to emphasize, however,
18:25that only 5% of patients with breast cancer
18:29that we identify as a mutation.
18:31The majority of breast cancers occur sporadically, 85%.
18:37So, the majority are not due to genetic reasons
18:42and 10% are due to reasons that there is a family descendant,
18:48but a mutation that we can identify.
18:51So, in those patients that there is a genetic mutation,
18:54it is very important that the other family members
18:58take the genetic test.
19:00Why?
19:01Because then we can prevent it.
19:03Depending on the mutation that is identified,
19:06there are different aspects that we have to worry about.
19:09But the progress has been so incredible
19:12that it is no longer a death sentence for the patient or his family.
19:18But this type of...
19:20For example, in your hospital, which is of the first level,
19:23it is multidisciplinary, right?
19:25Completely.
19:27Well, I can't do all the work alone as a surgeon.
19:30Obviously, we need the radiation component,
19:34the component of the oncologists of medicine,
19:37of endocrine therapy, immunotherapy.
19:40There are patients in chemotherapy.
19:43At the same time, we want to maximize the cure,
19:47but at the same time we have to maintain the quality of life.
19:50So, that treatment plan is different for each patient.
19:56Just like you have experienced cancer in your life and your family.
20:02And that also defines how you, as a patient,
20:05how you are going to react to the diagnosis.
20:08Some patients want to be very aggressive
20:11and others want to minimize what they have to do for the cure.
20:16So, it is a very long conversation that one has to have with the patient.
20:21The doctor has to be the pros and cons of each treatment.
20:23Totally.
20:24Because one, as a patient, has to be educated in his options.
20:27How am I going to know?
20:29And with that knowledge, at the same time,
20:32at the same time that one understands a little better his prognosis,
20:36the options he has, and also how one feels,
20:41that then defines what kind of treatment is for that individual.
20:46So, it is a very personal decision.
20:51Sometimes I can't predict how the patient is going to react
20:55or what he is going to decide.
20:57But it is nice to be able to provide that patient with the options they have
21:02so that it is the best for their health.
21:04But it must also be difficult for the doctor to recommend a way
21:08and that way does not give the results.
21:11And then you have to change the treatment.
21:13That must happen with some prejudice.
21:15It happens.
21:16But the worst thing is the following.
21:18When I know that it is something that can be cured,
21:21someone has an early stage and decides not to receive treatment.
21:25That is very difficult.
21:27Because especially young women,
21:30who because of incorrect ideas or information,
21:34or little information,
21:36make decisions that are not the best for their health.
21:40And that hurts more than someone receiving treatment
21:44and not having the result that one expected.
21:47Sometimes it happens that they go for natural medicine.
21:50Yes, and there is no problem with natural medicine.
21:53Once it complements traditional treatment.
21:57But today many people do not want to receive traditional treatment
22:02and they just want to treat it naturally.
22:05And unfortunately, I see the results at the end of the day
22:10when many times there is a much more advanced stage
22:15that then we do not have so many options.
22:18And the prognosis is not so good.
22:21Doctor, you mentioned immunotherapy.
22:23I knew that treatment 10 years ago.
22:26It was experimental.
22:28But it is already a treatment that is given.
22:30Explain to the public what immunotherapy consists of.
22:33Well, since we have understood much more about the different types of cancer
22:37and the characteristics of the types of cancer,
22:40like some cancers also have genetic components,
22:46we can emphasize this treatment, which is much more specific,
22:51usually monoclonal,
22:54which acts on a very specific characteristic of that tumor.
22:58Usually immunotherapy, because it is so specific,
23:01is tolerated very well with very few side effects.
23:05And since it is based on biology, it has effects that last
23:10and are very effective.
23:13So in general, immunotherapy has revolutionized what we do many times.
23:18Immunotherapy continues for a very long time,
23:22provided the patient is tolerating it well
23:25and provided there are no side effects.
23:28So it has been a great addition.
23:30Does every patient qualify for immunotherapy?
23:32No, because it is based on specific characteristics that the tumor may have.
23:37So different types of cancer,
23:39we verify certain characteristics to see if there is any type of immunotherapy
23:44that applies to that patient,
23:46but it is not for all different types of cancer, no.
23:49With your permission, Dr. Mendy, the kind television,
23:51we are going to a short commercial break.
23:53No, thank you.
23:54We return because now we have issues of interest
23:57in relation to breast cancer and surgery
24:00and all this with this brilliant specialist in that area.
24:33Breast Cancer Surgery
24:54We continue with Dr. Jane Mendes.
24:56She is the Chief Surgeon at the Battery Health Miami Cancer Institute,
25:01a well-known institution by the Dominicans
25:04who have international medical insurance.
25:07The doctor is in the Dominican Republic
25:10participating in an event that we are going to talk about.
25:13But doctor, as a surgeon,
25:15there are cases in which it is definitely the extirpation of the breast
25:20or of both breasts, that is already inevitable.
25:23And that's where you come in.
25:25Yes, that's where I come in.
25:27And you also have to do the extirpation of the breast of the plastic surgeon
25:31to do the reconstructive part as well.
25:34Because certainly, if it is necessary to do the mastectomy,
25:38you have to discuss with the patient what they want to do
25:42for that reconstructive process
25:44or if they do not want any reconstruction and want to stay flat.
25:48In fact, it is a movement that has taken place in the United States.
25:52Many women today decide that they do not want to have reconstruction.
25:55So it is a process to explain to the patient.
25:58I believe that here it is the opposite.
26:00Here people want reconstruction, women.
26:02And yes, because in fact there is a cultural aspect.
26:05And it is interesting to compare.
26:08I was part of my career in the city of Boston
26:11and in Miami, just two years in Miami,
26:14I had done more reconstructions than I had done in five years in the city of Boston.
26:19So that cultural aspect is very important.
26:22Exactly.
26:23Because in front of other types of cancers,
26:26the breast is part of the image of the woman.
26:29And it is certainly a very important psychological component
26:32that we cannot ignore as part of the treatment and the discussion.
26:36And today we also have many reconstructive options.
26:40So our plastic surgeons, from our point of view,
26:44we take into consideration anatomical factors and oncological factors
26:49to see why today, in some women,
26:52we can preserve the breast and the areola as part of the mastectomy.
26:57So from a cosmetic point of view,
26:59it is a very superior result for the woman
27:02if she can preserve everything and put the implant or the expansion.
27:06And there are also reconstructions that can be done with the woman's own tissue,
27:11an autologous reconstruction.
27:13So the options are unlimited,
27:15but everything depends on the patient's condition,
27:18the patient's body,
27:20and the oncological factors that we have to take into consideration.
27:24Doctor, and when they do the mastectomy,
27:27they extract ganglions,
27:30and it turns out that in the biopsy there are infected ganglions.
27:34What happens there?
27:36The handling of the axil is very important.
27:39And the reason why the ganglions are examined
27:41is because we have to see at what stage the cancer is reached.
27:44Obviously, the breast cancer,
27:46the first place where it is watered or metastasized is under the arm.
27:51So we have to check those ganglions to see that it has not been watered there.
27:56Why?
27:57If it has been watered under the arm,
27:59then we have to worry if another part of the body has been distant metastasized.
28:04The first place where the distant breast cancer is watered is the bones,
28:08followed by the liver, lungs, or brain.
28:12And it also depends on the type of cancer it is,
28:15where it is usually metastasized.
28:17So certainly when we reach that level,
28:21and the ganglion has already been watered,
28:24we have to remove all the ganglions,
28:26make an axillary base,
28:28which then can cause in the future
28:33what is called lymphedema or arm inflammation
28:36in approximately 20% of patients.
28:40So we know that this can affect the quality of the patient immensely.
28:44So today, unless it is 100% necessary,
28:48we are not going to remove all the ganglions for that patient.
28:51And when the ganglion is there, what stage is defined?
28:54Usually depending on the size of the tumor,
28:58it can be stage 2 or stage 3.
29:01The stage is usually based on the size of the tumor,
29:06if the ganglions are wrapped or not,
29:09and finally, if it has been watered or not, if it is metastasized.
29:13If it is already metastasized in another part of the body,
29:17beyond the axilla, it is a stage 4.
29:20And if the axilla is metastasized,
29:22depending on the size of the tumor,
29:24it can be stage 2 or 3.
29:26But the key, Mr. Ramón, is early detection.
29:31Because if the ganglions have not been metastasized,
29:36we do not have to have this longer conversation.
29:39But already in the cases of stage 4,
29:41survival decreases significantly, I imagine, right?
29:47When there is already metastasis to the bones,
29:49or to the brain, as you point out,
29:51obviously it is a really complicated case.
29:55Curiously, the prognosis, the patients in stage 4,
30:01have also improved a lot.
30:04Why?
30:05Because we have many treatments to focus the biology of the tumor.
30:11Today there are more than a million patients
30:16living with stage 4 in the United States.
30:19For example, if the bones have been metastasized,
30:23we have many treatments to keep that metastasis under control.
30:28For example, chemotherapy.
30:30Exactly.
30:31For example, if it is the dorsal spine,
30:33focused radiotherapy can be done.
30:36We have in our center what is called Gamma Knife,
30:39that we can focus the treatment directly
30:42where the dorsal spine injury is in the bone.
30:45So it requires that multidisciplinary treatment
30:49even in stage 4.
30:51In stage 4, usually there is not necessarily a role
30:55for surgery as such.
30:57I feel that the oncology aspect of medicine and radiation
31:01is more important to maintain the patient's quality of life
31:05and minimize the side effects of the treatment.
31:09But today, thanks to science and technology,
31:13even in stage 4 we can also have a prognosis
31:17that is suitable for the patient.
31:20Those are good news.
31:21Very good news.
31:23I think it is a testament to science, technology,
31:29clinical trials that many women have given their lives,
31:33their time to participate in clinical trials
31:36in order to advance science.
31:38And certainly opportunities like this,
31:42to disseminate information to many other people
31:46so that they can benefit.
31:49And we obviously continue to inform the public
31:53to get to where we are today.
31:55Doctor, does the type of diet, lifestyle,
32:01the issue of tobacco, alcohol, play a role
32:05in preventing this and all cancers?
32:07Yes, it is a very important role.
32:10And when we look at the risk factors of breast cancer,
32:14they can be divided into two categories.
32:17Those that cannot be modified,
32:19and those that we can modify.
32:21And I think the biggest impact we can make
32:23is on those that we can modify,
32:25including diet, very important food.
32:27But what are those that cannot be modified?
32:29Those that cannot be modified,
32:31number 1 and number 2,
32:33the most important factors of breast cancer in women,
32:37age, because as we age,
32:41the incidence of breast cancer increases,
32:45and number 2, being a woman,
32:47which we cannot control.
32:49So those two are not modifiable now,
32:52when you have a family incident,
32:55when you have a genetic mutation,
32:57when you have high-risk pathological conditions
33:01that predispose to greater risk of breast cancer.
33:04People who are exposed to radiation,
33:07like Chernobyl or Hiroshima,
33:09which are atomic explosions,
33:12those cannot be modified.
33:15But what we can modify is diet,
33:18exercise, cigarettes, alcohol,
33:22the use of hormones or hormone therapy,
33:25which is something that many women want to keep young,
33:29with menopause,
33:31I know that this is a very important discussion on this topic.
33:35Can hormonal treatment cause cancer?
33:38There are many studies that have questioned
33:42the chronic use of replacement therapy,
33:46especially in menopause,
33:48and how that can impact the risk of breast cancer.
33:52Today, if possible,
33:54we try to avoid chronic use,
33:58let's say more than 10 years,
34:00because we know that it is a risk factor
34:02that increases breast cancer.
34:05But at the same time,
34:07a limited use,
34:09because one has symptoms
34:11and wants to improve their quality of life,
34:13that is not so problematic.
34:15But this is an area of great interest,
34:18because many women today want to stay young,
34:22and with bone density,
34:24they want to be more attentive
34:27in all aspects of social life,
34:31and who does not want to look younger,
34:34who wants to have more vitality.
34:36But this is a conversation that we have to have,
34:39about the risks and benefits
34:41of that hormonal replacement.
34:43And from my point of view,
34:46I try to inform patients of the possible risk
34:50when I evaluate them,
34:52and we discuss the risk of cancer
34:54in those circumstances especially.
34:57But does cancer appear in the case of young women?
35:00Yes.
35:01It is interesting that you ask me that question,
35:04because we have seen an increase
35:06in women with breast cancer
35:08in the range of 45 and under,
35:12to the point that today,
35:14in fact this month,
35:16we have opened a program
35:18that will emphasize
35:20young women with breast cancer.
35:22Why?
35:23Because they are very different issues
35:25than when a woman is diagnosed
35:27at a more advanced age.
35:30For example,
35:31how to reintegrate into social life.
35:33The genetic component is much more important
35:36to discuss,
35:37because the younger the patient is diagnosed,
35:40the greater the predisposition
35:42to a genetic mutation,
35:43and we have to review it.
35:45Also fertility.
35:46How are you going to preserve fertility
35:48if you have not had children
35:49and do not have a family?
35:51Also the aspect of the image,
35:53the psychological aspect,
35:55because one does not expect
35:57to be diagnosed with breast cancer
35:59at such an early age.
36:00These are very different issues
36:02and concerns
36:04that we have to focus on.
36:06But yes, there is an increase,
36:07and also here in the Republic
36:09there has been an increase
36:10in younger women being diagnosed.
36:13And usually biology
36:16can be one of the most aggressive,
36:19which is usually the triple negative,
36:22which is usually the one
36:23that does not respond to hormones,
36:25so it is a little more difficult
36:27to treat it specifically.
36:30But yes,
36:31we are in an area of great interest
36:33that we have to continue investigating
36:36to see how we are going to maximize the cure
36:38for younger patients.
36:40But doctor,
36:41it is rare,
36:42but there are cases of men
36:43who have breast cancer.
36:45Also,
36:461% of breast cancers
36:48we see in men,
36:50and stage by stage
36:52they have the same prognosis
36:54as a woman with breast cancer.
36:56Certainly,
36:57there is not the same awareness
36:59about breast cancer in men
37:01as there is in women.
37:03But those men
37:04who have a genetic mutation
37:07that predisposes them,
37:09such as BRCA1 or BRCA2,
37:11we know that it can also cause cancer
37:13in breast cancer,
37:15they should be aware
37:17and know it before in their families,
37:20so that if there is a predisposition,
37:22they can take action.
37:24But we have seen it,
37:26and in recent years
37:28we have also seen an increase
37:30in breast cancer in men.
37:32You are participating here
37:34in a fourth Latin American Congress
37:36of Women Leaders in Oncology.
37:38What does it consist of?
37:40That is a very exciting conference,
37:42all these women from all over Latin America
37:44who have come to present.
37:46Oncologists.
37:47Oncologists.
37:48So,
37:49obviously,
37:50we will continue to expose
37:52all these advances that we have discussed
37:54to see how we can continue
37:56to benefit our patients
37:58in Latin America.
38:00And I believe that Latin America
38:02has certain challenges in itself,
38:04since we are a mixture.
38:06We are a mixture of all the cultures
38:08that came from Europe,
38:10from Africa,
38:11and our indigenous cultures.
38:13So,
38:14from that point of view,
38:16apart from science,
38:18we have to focus.
38:20So, it will be nice to see
38:22what comes out of this conference
38:24and all that we will learn
38:26to contribute to our patients
38:28in Latin America.
38:29Doctor,
38:30and a Dominican woman
38:32who enjoys an international medical insurance,
38:34what does she do to be able to be treated
38:36in Body Health South Florida?
38:38Well, here we have the joy
38:40of having a regional manager,
38:42her name is César Fermín,
38:44who is here in the studio.
38:46He is known
38:48in half of the Dominican Republic.
38:50And it is obviously
38:52to contact our office
38:54here in Santo Domingo.
38:56We also have another office
38:58in Santiago.
39:00So, here we are to serve you.
39:02We have many Dominican patients.
39:04We are very close.
39:06And it is nice to be able
39:08to provide that service
39:10and obviously the treatments
39:12of our Dominican patients.
39:14So, César is always available
39:16and it is a jewel
39:18that we have here
39:20in the Dominican Republic.
39:22I have attended in Houston
39:24and my wife,
39:26which is so far,
39:28because it requires two flights.
39:30Miami is a shot from an hour and a half.
39:32That is very easy,
39:34it is very easy to get there.
39:36We try to coordinate everything
39:38in an efficient way
39:40for our patients who come
39:42because we know
39:44that it is a different experience.
39:46Sometimes the treatments
39:48require a little more time,
39:50so you do not have to stay
39:52or stay in Miami for some time,
39:54but we can facilitate
39:56all those things as well.
39:58Hotel facilities in the area.
40:00Hotel facilities, accommodation,
40:02apartments, everything that is necessary.
40:04We have international representatives
40:06who are very kind
40:08and try to coordinate
40:10all those things.
40:12Why? Because in itself,
40:14going through a cancer experience
40:16is something that one does not want
40:18and if we can do it in some way,
40:20something more pleasant
40:22or less frustrating,
40:24that would be our goal.
40:26Magnificent, doctor.
40:28We thank you very much
40:30in everything that goes.
40:32You are a great communicator.
40:34Thank you for the opportunity.
40:36I would not like to be patient,
40:38but it is very important
40:40to have an empathy
40:42with your doctor
40:44in a disease of that nature.
40:46For me that is very important
40:48and I put myself in the position
40:50of the patient,
40:52because if I do not know
40:54what is happening to me,
40:56how am I going to be able
40:58to make decisions?
41:00So for me that is number one.
41:02Thank you very much,
41:04Dr. Jane Mendez,
41:06for being with us today,
41:08for visiting us frequently.
41:10We thank you in everything that goes
41:12and to Yuvel and the people
41:14who served us as intermediaries
41:16to count on your participation
41:18in the only interview
41:20that will be given
41:22in the Dominican Republic.
41:24Thank you very much.
41:26It was a pleasure.
41:28See you later.
41:30Exactly.
41:32Thank you very much.
42:04We have closed with a gold brooch,
42:24because we have had
42:26important and interesting comments,
42:28but the gold brooch
42:30was given by Dr. Jane Mendez,
42:32who is a professional
42:34of very high qualification.
42:36She is of Puerto Rican origin,
42:38but if you look at her CV,
42:40she did the pre-medical
42:42at Harvard University.
42:44To enter a university like Harvard,
42:46you have to have some grades.
42:48And then she did
42:50her studies
42:52at MAMC,
42:54which is also another
42:56very important institution,
42:58and specialized in
43:00Sloan Kettering in New York.
43:02In the United States,
43:04there are two hospitals,
43:06which are the main hospitals
43:08for cancer,
43:10which are Sloan Kettering
43:12in New York,
43:14which many Dominicans
43:16have attended,
43:18and MD Anderson
43:20in Houston.
43:22So we have had
43:24an interesting day.
43:26I wish you a happy
43:28summary of the
43:30main information,
43:32and we have as a guest Dr.
43:34Trajano Vidal Potentini,
43:36who is president of the
43:38Law School, and we are going to discuss
43:40many topics of interest,
43:42including the policies of Tron
43:44and its impact on the Dominican Republic,
43:46but legal issues
43:48that were discussed this week,
43:50such as the decree
43:52that was going to apply
43:54Lelitevis
43:56to digital platforms,
43:58and we are going to see
44:00the approach that Dr.
44:02Vidal Potentini gives
44:04that this is illegal.
44:06We have seen from the point of view
44:08of the threat of President Tron,
44:10but a decree cannot
44:12establish a tax. It is the Congress.
44:14And like that, we are also going to see
44:16the decree that declares
44:18Haitian gangs as terrorists.
44:20So, a topic of
44:22great interest, we are going to discuss.
44:24Remember that the interview
44:26and the comments are
44:28on our YouTube channel,
44:30Telematutino11RN,
44:32on my social media,
44:34and also on Facebook,
44:36you will find the interviews,
44:38and also on the YouTube channel,
44:40and on Hoy Digital,
44:42you click
44:44on the bottom,
44:46on the final part of Hoy Digital,
44:48and there will also appear
44:50the interview.
44:52May the Lord bless you.
44:54Take care of the traffic accidents,
44:56the main cause of death
44:58in the Dominican Republic.
45:00How do you take care?
45:02Well, walking slowly, taking precautions.
45:04Unfortunately,
45:06you do not have control
45:08of the drunk driver,
45:10of the timid driver,
45:12of the motorist who gets in the way.
45:14Those are
45:16imponderable things. But nothing,
45:18we are going to enjoy the weekend
45:20and all the beautiful things
45:22that life offers us,
45:24and that the Lord offers us.
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