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BANGKOK BREAST CANCER SUPPORT GROUP

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Other residents may be locals to Bangkok and have social issues ... Mammotome for breast biopsy, mammogram guided Unit 3. Two high resolution ultrasound units. ... – PowerPoint PPT presentation

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Title: BANGKOK BREAST CANCER SUPPORT GROUP


1
  • BANGKOK BREAST CANCER SUPPORT GROUP

2
THAILAND
  • Population
  • 60 Million

3
BANGKOK
Population 10 Million
4
SLUM PROJECT AND OUTREACH
  • Itinerant workers come to Bangkok from rural
    areas seeking supplementary work.
  • Wages are usually sent back to family in the
    provinces.
  • They often stay in the slum areas.

5
  • Other residents may be locals to Bangkok and have
    social issues which have forced them to live in
    these cicumstances.

6
  • Life in the slums is complex, it has its own
    leadership and social network.
  • We contacted well established non-government
    organisations, in some cases established for over
    30 years to liaise with the women and to invite
    them to meet us and attend informal talks on
    breast cancer awareness.The talks were in Thai
    and led by Thai volunteers.
  • We were advised that the presence of too many
    foreign volunteers would lead to high
    expectations of financial support.
  • Meetings take place on Sundays and Friday
    evenings when the women are available and can
    bring their children. Help is at hand for child
    care.

7
BBCs Slum Outreach
8
Outreach seminar
9
Volunteer Oncology Nurse
10
Slum Project Phase 2
  • A team of doctors from the Breast Cancer Centre
    at Chulalongkorn Hospital Bangkok, a government
    hospital and medical school, will link up with
    the BBCs and assess a large group of women in the
    slums.They will be selected by the non-government
    organisation with whom we are closely
    associated.This will ensure the women who really
    need asssistance will be taken care of and our
    funds used wisely.
  • Histories and examinations will be carried out.
  • Women of the appropriate age and women with
    suspicious lesions will be taken to the Breast
    Centre,for mammography and ultrasound and any
    required follow up assessment and treatment.

11
FUNDING
  • Donations from
  • BBCsactivities
  • appeals to outside organisations.
  • The THAI Government operates a fixed price of 30
    BAHT 1 U.S.dollar for the care of all ailments
    in a government hospital.
  • BUT
  • The patient has to be in his or her own official
    home - often this is upcountry and in many cases
    the patient cannot afford to go home.

12
The Breast Cancer Centre,Chulalongkorn Hospital
Bangkok.
  • ADDITIONAL AID
  • BBCs funding is allocated to the research
    nurse at the Breast Centre.
  • Screening of women who may need additional help
    with their diagnostic/assessment fees, is
    carried out.
  • Records and receipts are given to BBCs for
    financial accounting.

13
ALLIANCE OF BBCs WITH THE BREAST CENTRE AT
CHULALONGKORN HOSPITAL
  • A CENTRE OF EXCELLENCE IN BREAST CANCER IN THE
    REGION
  • A MODEL OF EXCELLENCE IN CARE
  • PROMOTES AND HAS PIONEERED BREAST PRESERVATION
    WHEREVER POSSIBLE.
  • COHESIVE AND CLOSE TEAM APPROACH TO PATIENT CARE.
  • STATE OF THE ART EQUIPMENT AND TRAINING.

14
Team members
  • Three surgeons
  • Three radiologists.
  • Two radiotherapists.
  • Two pathologists.
  • Two nurse counselors.
  • One research nurse.
  • BBCs VOLUNTEERS

15
Equipment
  • Mammography GE Unit 1
  • Full-field whole breast digital
  • mammography Unit 2
  • first to be installed in Asia.
  • Mammotome for breast biopsy, mammogram guided
    Unit 3
  • Two high resolution ultrasound units.

16
Therapeutic Equipment
  • Linear Accelerator
  • 3 Cobalt Units
  • Top quality control for diagnostic film
    development is ensured by being kept separate
    from all other specialty development eg. Limb
    x-rays.

17
9 month projection for equipment
  • 3 Dimensional Linear Accelerator.
  • Additional Linear Accelerator purely for breast
    cases, ensuring the best possible cosmetic
    result.
  • 2 extra high resolution ultrasound units.One for
    the operating theatre,for ultrasound guided
    mammotomes
  • Operating theatre for breast cancer work only.
  • Interoperative radiation to be introduced.
  • Rooms for pain control and complementary therapy

18
9 Month Projection
  • Lecture theatre
  • Teaching Rooms
  • Prayer Room

19
  • The response was excellent and audiences ranged
    from 30 for the leadership groups up to 200 for
    larger groups.Information covered, basic breast
    awareness,practical advice on self-examination.
    The aim of all the talks is to help overcome the
    fear and shame associated with cancer.It some
    instances it is considered a transmittable
    disease from close contact.Many women hide breast
    lumps out of shame or shyness.Often an unmarried
    woman would not think herself a relevant
    candidate for assessment.A Thai Buddhist belief
    is that the present life experiences ,including
    health are dependent on previous behaviour in
    former lives.Many women believe they deserve an
    illness to 'pay for these bad actions'.One
    example is PI May, a very wealthy,sophisticated
    woman with 4 children and a caring husband. She
    felt she had poisoned people in her previous life
    in the 17 century, her under 1 cm lesion which
    was highly treatable was left to fungate.We try
    to encourage women to see that they deserve the
    best possible care , as it is available, then
    perhaps they do afterall, deserve to take
    advantage of it.We are sensitive and respectful
    to any of the religious beliefs we encounter and
    are far from dismissive.We are very aware that
    the psychological well-being and the spiritual
    side of the woman is vital, but we have to retain
    the fact that our role is to help with emotional
    support and education.
  • By taking breast cancer survivors along to
    discuss issues openly has proved a very effective
    method of decreasing fear levels.
  • It also gives us the opportunity to discuss
    modern treatment methods and to encourage women
    not to pursue
  • an unproven method of treatment, but to stick
    with conventional methods alongside complementary
    treatment if they so chose.
  • OR, TO BE PROACTIVE ABOUT THEIR BREAST CARE

20
  • Thank you for the invitation and the chance to
    share what the Bangkok Breast Cancer Support
    Group ,the BBCs, is achieving in Thailand.
  • We are a very young group and the first in
    Thailand.We established ourselves formally in
    2002, when we came under the umbrella of the Thai
    Red Cross, which offers us credibility and the
    chance to do fund raising with tax exemption.It
    has allowed us to establish ourselves without
    having to form a foundation at this stage, which
    is expensive and complicated.
  • We have also associated ourselves with a centre
    of excellence in breast cancer care,The Breast
    Centre at Chulalongkorn Hospital, Bangkok, which
    follows a model of care that we advocate and of
    which we are also a part.
  • However we are an independent group open to any
    woman in Thailand.
  • Crystal Cuddyre our co-chair is representing the
    expatriot community and I am representing the
    Thai community as a long term resident.Together
    we represent all women in Thailand.
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