>> BILL: TODAY ON "IT IS WRITTEN" ANOTHER ONE OF 00:00:01.26\00:00:02.26 OUR LIVE HEALTHY PROGRAMS WITH OUR SPECIAL GUEST 00:00:02.26\00:00:04.60 DR. FERREIRA. TODAY'S TOPIC BREAST CANCER. I 00:00:04.60\00:00:08.90 HOPE YOU WILL JOIN US. WE WILL BACK 00:00:08.90\00:00:09.66 IN JUST A MINUTE. 00:00:09.66\00:00:14.03 (MUSIC) 00:00:16.50\00:00:22.13 >> NARRATOR: IT HAS STOOD THE TEST OF TIME. 00:00:23.63\00:00:26.93 GOD'S BOOK THE BIBLE, 00:00:27.30\00:00:30.40 STILL RELEVANT IN TODAY'S COMPLEX WORLD. 00:00:30.73\00:00:35.03 "IT IS WRITTEN" FOUNDED BY GEORGE VANDEMANN, 00:00:35.40\00:00:39.96 SHARING MESSAGES OF HOPE AROUND THE WORLD. 00:00:40.36\00:00:45.00 (MUSIC) 00:00:45.90\00:00:53.50 >> BILL: ON TODAY'S "IT IS WRITTEN" PROGRAM IT IS 00:00:54.63\00:00:55.76 ANOTHER ONE OF OUR LIVE HEALTHY PROGRAMS 00:00:55.76\00:00:57.86 WITH OUR SPECIAL GUEST DR. 00:00:57.86\00:00:58.40 FERREIRA. AH WE'RE TALKING ABOUT BREAST CANCER AND 00:00:58.40\00:01:02.70 STATISTICS INDICATE THAT 1 OUT OF EVERY 9 WOMEN IN 00:01:02.70\00:01:08.00 NORTH AMERICA WILL BE DIAGNOSED WITH BREAST 00:01:08.00\00:01:08.96 CANCER. AND SO I THINK IT'S A TOPIC THAT NEEDS 00:01:08.96\00:01:13.10 TO BE ADDRESSED. AND DR. 00:01:13.10\00:01:13.56 FERREIRA I WANT TO THANK YOU FOR ONCE AGAIN 00:01:13.56\00:01:17.06 ACCEPTING OUR INVITATION TO JOIN US. >> DR. 00:01:17.06\00:01:20.16 VIRIATO FERREIRA: WELL THANK YOU. >> BILL: 00:01:20.16\00:01:21.10 YOU ARE DEFINITELY A FAVOURITE OF OUR, OF 00:01:21.10\00:01:22.90 OUR VIEWERS. AH FOR THE BENEFIT OF THOSE THAT 00:01:22.90\00:01:24.86 MAYBE WATCHING FOR THE VERY FIRST TIME LET'S JUST 00:01:24.86\00:01:25.90 QUICKLY RECAP OR GIVE US A BRIEF OVERVIEW OF WHO 00:01:25.90\00:01:28.13 YOU ARE, YOUR TRAINING AND THEN WE'LL GET RIGHT 00:01:28.13\00:01:35.30 INTO TO, THE TOPIC. >> DR. VIRIATO FERREIRA: WELL 00:01:35.30\00:01:36.33 I'M A MEDICAL DOCTOR. I, I TRAINED QUITE A FEW YEARS 00:01:36.33\00:01:41.13 AGO ALREADY IN SOUTH AFRICA IN CAPETOWN AND 00:01:41.13\00:01:42.90 THEN WORKED IN A FEW PLACES. WORKED IN THE 00:01:42.90\00:01:43.83 U.K., WORKED IN THE U.S. 00:01:43.83\00:01:45.26 AND WE WORK NOW PRESENTLY IN EUROPE, IN LISBON, 00:01:45.26\00:01:46.26 PORTUGUAL AND WE DO A LOT OF HEALTH EDUCATION. I 00:01:46.26\00:01:52.50 SEE PATIENTS AND I SPEAK ALL OVER THE PLACE ABOUT 00:01:52.50\00:01:57.26 PREVENTION, BASICALLY ABOUT PREVENTION AND 00:01:57.26\00:01:58.36 HOW TO USE LIFESTYLE TO PREVENT DISEASE. >> BILL: 00:01:58.36\00:02:03.20 WELL WE APPRECIATE VERY MUCH YOU ACCEPTING THIS 00:02:03.20\00:02:07.13 INVITATION. >> DR. VIRIATO FERREIRA: THANK YOU. 00:02:07.13\00:02:08.23 >> BILL: WE KNOW YOU'RE A BUSY MAN. >> DR. VIRIATO 00:02:08.23\00:02:11.33 FERREIRA: YES. >> BILL: BUT I BELIEVE YOU HAVE A 00:02:11.33\00:02:12.76 SOFT SPOT FOR "IT IS WRITTEN" CANADA. >> DR. 00:02:12.76\00:02:13.73 VIRIATO FERREIRA: YEAH I DO, I DO. >> BILL: ALL 00:02:13.73\00:02:15.30 RIGHT AND WE APPRECIATE THAT. AH WAS I CORRECT IN 00:02:15.30\00:02:17.56 1 OUT OF 9 WOMEN IN NORTH AMERICA? >> DR. VIRIATO 00:02:17.56\00:02:18.60 FERREIRA: THAT'S TRUE, THAT'S TRUE BILL. UM IT 00:02:18.60\00:02:20.23 DOESN'T MEAN -- >> BILL: IT SOUNDS LIKE TOO MUCH. 00:02:20.23\00:02:22.10 >> DR. VIRIATO FERREIRA: IT DOESN'T MEAN THAT IT'S 00:02:22.10\00:02:23.10 1 OUT OF 9 WOMEN THAT WILL DIE FROM BREAST 00:02:23.10\00:02:24.66 CANCER. THEY WILL BE DIAGNOSED WITH BREAST 00:02:24.66\00:02:26.06 CANCER. >> BILL: DIAGNOSED WITH IT, RIGHT. >> 00:02:26.06\00:02:27.03 DR. VIRIATO FERREIRA: SO THAT'S A BIG DIFFERENCE 00:02:27.03\00:02:28.66 BECAUSE MANY OF THE, MANY OF THE WOMEN WE DIAGNOSE 00:02:28.66\00:02:30.33 WITH BREAST CANCER ACTUALLY SURVIVE. >> 00:02:30.33\00:02:31.20 BILL: HMM. >> DR. VIRIATO FERREIRA: AND BUT IT IS 00:02:31.20\00:02:33.86 TRUE. IT'S, IT'S THE MOST COMMONLY DIAGNOSED CANCER 00:02:33.86\00:02:36.70 IN WOMEN PRESENTLY AND IT'S, IT'S JUST SECOND TO 00:02:36.70\00:02:37.70 LUNG CANCER IN THE CAUSE, IN THE CAUSE OF DEATH IN 00:02:37.70\00:02:42.56 WOMEN IN, IN THIS COUNTRY. 00:02:42.56\00:02:43.10 SO WE'RE DEALING WITH A TREMENDOUS UM, IT'S, IT'S 00:02:43.10\00:02:46.16 A VERY COMMON DISEASE. 00:02:46.16\00:02:46.63 IT CAUSES TREMENDOUS SUFFERING. THEIR FAMILIES 00:02:46.63\00:02:53.80 NOW GRIEVING BECAUSE OF THE LOSS OF THEIR LOVED 00:02:53.80\00:02:58.20 ONES BECAUSE OF BREAST CANCER. I REMEMBER WHEN 00:02:58.20\00:02:59.20 I WAS ABOUT 16, 17 ONE OF MY CLOSEST FRIENDS 00:02:59.20\00:03:03.50 MOTHER WENT THROUGH UM THIS TERRIBLE DISEASE OF 00:03:03.50\00:03:09.16 BREAST CANCER. >> BILL: YES. >> DR. VIRIATO 00:03:09.16\00:03:10.23 FERREIRA: AND THEN ACTUALLY EVENTUALLY DIED. 00:03:10.23\00:03:11.93 SO AH BUT FORTUNATELY TODAY THAT WAS QUITE A 00:03:11.93\00:03:14.00 FEW YEARS AGO, SO TODAY THERE ARE MANY SURVIVORS 00:03:14.00\00:03:15.00 THROUGH BREAST CANCER. 00:03:15.00\00:03:17.50 MANY SURVIVORS AND I WOULD LIKE TO EMPHASIZE THAT. 00:03:17.50\00:03:18.56 THERE IS A DISEASE THAT WE'RE DEALING WITH TODAY, 00:03:18.56\00:03:20.96 TODAY THAT THERE IS HOPE FOR IT AND NOT JUST IN 00:03:20.96\00:03:23.80 DIAGNOSING IT EARLY. BUT ALSO IN UM IN TREATMENT 00:03:23.80\00:03:24.80 OPTIONS, SO. >> BILL: NOW IS THIS A PROBLEM THAT 00:03:24.80\00:03:32.40 ONLY WOMEN SHOULD BE WORRIED ABOUT? >> DR. 00:03:32.40\00:03:34.86 VIRIATO FERREIRA: NO, NO UNFORTUNATELY NOT. I JUST 00:03:34.86\00:03:35.86 A FRIEND OF MINE ALSO IT'S NOT JUST COINCIDENCE. 00:03:35.86\00:03:38.53 BUT WELL A FRIEND OF MIN DEVELOPED BREAST CANCER 00:03:38.53\00:03:43.73 MAYBE ABOUT 2 OR 3 YEARS AGO. HE'S ABOUT 40 AND 00:03:43.73\00:03:44.83 1% OF ALL THE CASES IN BREAST CANCER ARE IN 00:03:44.83\00:03:49.30 MEN. >> BILL: HMM. >> DR. 00:03:49.30\00:03:49.80 VIRIATO FERREIRA: SO 99% I'M WOMEN BUT 1% IN MEN. 00:03:49.80\00:03:52.20 SO IT CAN EFFECT MEN AS WELL. >> BILL: NOW TO WHAT 00:03:52.20\00:03:55.23 DO YOU ATTRIBUTE THIS INCREASE OR THIS I MEAN 00:03:55.23\00:03:56.23 THESE ARE ALMOST EP, I MEAN I'M, I'M NOT GONNA 00:03:56.23\00:04:04.93 SAY EPIDEMIC NUMBERS BUT THIS IS A, THESE ARE 00:04:04.93\00:04:06.80 SIGNIFICANT NUMBERS. >> DR. VIRIATO FERREIRA: IT 00:04:06.80\00:04:07.80 IS. IT IS COMING TO THAT. 00:04:07.80\00:04:08.80 YES IT IS. YOU KNOW WE DON'T REALLY KNOW UM 00:04:08.80\00:04:09.86 EVERYTHING. >> BILL: MMM-HMM. >> DR. VIRIATO 00:04:09.86\00:04:14.10 FERREIRA: OF COURSE. 00:04:14.10\00:04:14.53 AND THE MORE I, I STUDY MEDICINE THE MORE I 00:04:14.53\00:04:18.30 REALIZE I DON'T KNOW. 00:04:18.30\00:04:18.76 >> BILL: RIGHT. >> DR. 00:04:18.76\00:04:20.50 VIRIATO FERREIRA: YOU KNOW MOST, AND BREAST 00:04:20.50\00:04:21.56 CANCER IT SEEMS TO BE UM RELATED WITH LIFESTYLE 00:04:21.56\00:04:24.83 FACTORS. >> BILL: HMM. 00:04:24.83\00:04:25.30 >> DR. VIRIATO FERREIRA: THERE'S SOME GENETIC 00:04:25.30\00:04:31.50 FACTORS. UM LIFESTYLE IS COMING TO, TO A VERY 00:04:31.50\00:04:38.06 PROMINENT POSITION IN BREAST CANCER. >> BILL: 00:04:38.06\00:04:39.06 OH IT IS. >> DR. VIRIATO FERREIRA: YOU SEE YOU 00:04:39.06\00:04:42.33 LOOK AT FOR EXAMPLE SOME SOCIETIES THAT CONSUME OR 00:04:42.33\00:04:43.96 EAT A LOT OF PLANT BASED FOODS. >> BILL: HMM. >> 00:04:43.96\00:04:45.06 DR. VIRIATO FERREIRA: OKAY BREAST CANCER IN THOSE 00:04:45.06\00:04:50.66 SOCIETIES USUALLY, USUALLY MUCH LESS COMMON THEN IN 00:04:50.66\00:04:54.83 OUR SOCIETY. AND WHEN THOSE PEOPLE FOR EXAMPLE 00:04:54.83\00:04:55.80 WHEN THEY COME AND LIVE IN THE WEST AND THEY 00:04:55.80\00:04:58.70 CHANGE THEIR LIFE. THEY CHANGE THEIR LIFESTYLE 00:04:58.70\00:05:03.10 BREAST CANCER GOES UP. 00:05:03.10\00:05:03.60 SO IT DEFINITELY HAS A RELATIONSHIP WITH 00:05:03.60\00:05:07.73 LIFESTYLE AND WE'RE GONNA TALK MORE ABOUT THAT IN 00:05:07.73\00:05:08.76 THE PROGRAM. UM BUT I JUST WANT TO SAY THAT MANY OF 00:05:08.76\00:05:11.56 THE BREAST CANCERS YOU KNOW WE DON'T KNOW WHY 00:05:11.56\00:05:15.36 THEY COME UP. >> BILL: HMM. >> DR. VIRIATO 00:05:15.36\00:05:16.30 FERREIRA: AND UM AND ONE THING THAT WHEN I TALK 00:05:16.30\00:05:18.90 ABOUT CANCER I WOULD LIK YOU KNOW THE VIEWERS AT 00:05:18.90\00:05:21.13 HOME TO FEEL THAT UM, UM THAT WE POINTING FINGERS 00:05:21.13\00:05:22.10 OR ANYTHING. YOU KNOW WE TALK, IF WE TALK FOR 00:05:22.10\00:05:27.40 EXAMPLE ABOUT FAT IN THE DIET IT IS TRUE THAT THERE 00:05:27.40\00:05:30.20 IS A RELATIONSHIP BETWEEN FAT AND BREAST CANCER. 00:05:30.20\00:05:31.20 BUT IT DOESN'T MEAN THAT THEIR BREAST CANCER WAS 00:05:31.20\00:05:34.26 CAUSED BY THAT. >> BILL: RIGHT, RIGHT. >> DR. 00:05:34.26\00:05:36.56 VIRIATO FERREIRA: I MEAN THEY, THEY SHOULDN'T FEE 00:05:36.56\00:05:37.53 GUILTY FOR SOMETHING THAT THEY MIGHT BE DOING OR 00:05:37.53\00:05:39.30 HAVE DONE. >> BILL: RIGHT. 00:05:39.30\00:05:39.83 >> DR. VIRIATO FERREIRA: AND, AND THEN SAY WELL I 00:05:39.83\00:05:42.40 GOT BREAST CANCER BECAUSE YOU KNOW IT MIGHT BE 00:05:42.40\00:05:44.20 TRUE. BUT IT MIGHT NOT. 00:05:44.20\00:05:44.73 SO UM AND I THINK WE, WE SHOULD LOOK POSISITIVELY 00:05:44.73\00:05:48.13 AT THIS DISEASE. >> BILL: SURE. >> DR. VIRIATO 00:05:48.13\00:05:49.10 FERREIRA: AND, AND TRY AND PREVENT AND TRY AND 00:05:49.10\00:05:51.00 TREAT THE BEST WE CAN. >> BILL: YES. I MEAN I GUESS 00:05:51.00\00:05:54.30 THAT'S THE FOCUS RIGHT? 00:05:54.30\00:05:54.93 >> DR. VIRIATO FERREIRA: MMM- HMM. >> BILL: WHAT 00:05:54.93\00:05:56.90 ARE SOME OF THE THINGS WE CAN DO TO MINIMIZE THOSE, 00:05:56.90\00:05:57.93 THOSE RISKS? >> DR. 00:05:57.93\00:05:59.10 VIRIATO FERREIRA: THAT'S RIGHT, OKAY YES. >> 00:05:59.10\00:06:00.10 BILL: THOSE RISKS. >> DR. 00:06:00.10\00:06:01.46 VIRIATO FERREIRA: WELL -- >> BILL: WHAT, WHAT 00:06:01.46\00:06:02.43 WOULD YOU SUGGEST? >> DR. 00:06:02.43\00:06:03.53 VIRIATO FERREIRA: WELL LET'S LOOK AT THE CAUSES 00:06:03.53\00:06:04.50 FIRST. >> BILL: SURE. >> DR. VIRIATO FERREIRA: 00:06:04.50\00:06:06.10 LET'S LOOK AT WHAT, WHAT WE FIND IS THAT BREAST 00:06:06.10\00:06:07.66 CANCER IS FOUND MOST COMMONLY IN WOMEN OF HIG 00:06:07.66\00:06:08.60 SOCIO-ECONIMIC STATUS OKAY. >> BILL: SEE THAT'S 00:06:08.60\00:06:10.13 AMAZING TO ME. >> DR. 00:06:10.13\00:06:10.60 VIRIATO FERREIRA: AND WE THINK THAT IT MIGHT HAVE 00:06:10.60\00:06:13.66 TO DO WITH THE DIFFERENT PATTERNS OF REPRODUCTION 00:06:13.66\00:06:18.06 OKAY. LIKE FOR EXAMPLE UM WE KNOW THAT BREAST 00:06:18.06\00:06:19.03 CANCER IS, IS, IS MORE COMMON IN WOMEN WITH 00:06:19.03\00:06:24.20 FEWER CHILDREN. >> BILL: HMM. >> DR. VIRIATO 00:06:24.20\00:06:26.73 FERREIRA: OKAY, IT'S MORE COMMON IN WOMEN THAT 00:06:26.73\00:06:27.83 BREASTFEED OR FOR A VERY SHORT TIME OR NO 00:06:27.83\00:06:32.60 BREASTFEEDING AT ALL. 00:06:32.60\00:06:33.06 UM IT'S VERY COMMON FOR EXAMPLE IN WOMEN WHO HAVE 00:06:33.06\00:06:36.93 AN EARLY MENOPAUSE AND SORRY EARLY -- WHICH IS 00:06:36.93\00:06:42.80 THE FIRST AGE OF THE FIRST MENSTRUAL PERIOD OR 00:06:42.80\00:06:43.76 LATE MENOPAUSE. >> BILL: HMM. >> DR. VIRIATO 00:06:43.76\00:06:49.46 FERREIRA: AND SO THERE ARE PATTERNS RELATED TO 00:06:49.46\00:06:51.73 THAT. BUT COMING BACK TO THE HIGH SOCIO-ECONOMIC 00:06:51.73\00:06:52.73 STATUS YOU KNOW IT'S, IT'S BECOMING MORE AND 00:06:52.73\00:06:55.86 MORE PREVALENT HAVE FEWER CHILDREN IN OUR 00:06:55.86\00:06:58.93 SOCIETIES. >> BILL: RIGHT. 00:06:58.93\00:06:59.50 >> DR. VIRIATO FERREIRA: YOU KNOW ONE OR TWO AND 00:06:59.50\00:07:01.23 IN THE PAST IT WAS VERY COMMON TO HAVE WOMEN WITH 00:07:01.23\00:07:02.26 4, 5, 6 CHILDREN OR EVEN MORE IN SOME SOCIETIES, 00:07:02.26\00:07:05.83 YOU KNOW UP TO 10. SO TODAY WE'RE CHANGING. YOU 00:07:05.83\00:07:09.80 KNOW THE MORE PROFESSIONAL WOMAN, WOMAN WORKING. YOU 00:07:09.80\00:07:10.86 KNOW THE COUPLE DOESN'T REALLY HAVE TIME 00:07:10.86\00:07:15.10 AND SOMETIMES THE OTHER FACTORS PLAY A ROLE HERE. 00:07:15.10\00:07:20.16 BUT SO FEWER CHILDREN IT'S AN, IT'S AN, IT'S AN 00:07:20.16\00:07:21.30 IMPORTANT FACTOR. AND THE OTHER THING IS FOR 00:07:21.30\00:07:24.46 EXAMPLE AGE. WE SEE THAT IT, IT INCREASES SHARPLY 00:07:24.46\00:07:27.93 UP TO THE AGE ABOUT 50 AND THEN IT SORT OF STARTS 00:07:27.93\00:07:29.06 SLOWING DOWN AND BY THE AGE OF ABOUT 80 IT GOES 00:07:29.06\00:07:34.06 DOWN. >> BILL: HMM. >> DR. VIRIATO FERREIRA: SO 00:07:34.06\00:07:37.13 THERE IS A SHARP INCREASE AT AGE OF ABOUT 35 TO 50 00:07:37.13\00:07:38.13 OKAY. >> BILL: THAT'S VERY INTERESTING. >> DR. 00:07:38.13\00:07:41.16 VIRIATO FERREIRA: AND THERE ARE OTHER FACTORS. 00:07:41.16\00:07:43.46 FOR EXAMPLE GENETIC FACTORS. WE KNOW THAT 00:07:43.46\00:07:44.40 THERE ARE SOME MUTATIONS THAT ARE ASSOCIATED WITH 00:07:44.40\00:07:47.56 BREAST CANCER. SO IF, IF MY GENES OR MY WIFE'S 00:07:47.56\00:07:53.83 GENES HAVE THOSE MUTATIONS WE ARE MORE 00:07:53.83\00:07:54.66 LIKELY TO GET BREAST CANCER. >> BILL: SO WOULD 00:07:54.66\00:07:59.23 THAT MEAN THAT IF A WOMAN HAD A MOTHER FOR EXAMPLE 00:07:59.23\00:08:03.56 THAT HAD BEEN DIAGNOSED. 00:08:03.56\00:08:04.06 >> DR. VIRIATO FERREIRA: OH YES. >> BILL: THERE'S, 00:08:04.06\00:08:05.76 THERE'S A GREATER LIKELIHOOD THAT -- >> DR. 00:08:05.76\00:08:06.66 VIRIATO FERREIRA: YES, YES. >> BILL: THAT THEY 00:08:06.66\00:08:08.36 WOULD ALSO -- >> DR. 00:08:08.36\00:08:08.80 VIRIATO FERREIRA: LIKE A MOTHER OR A SISTER 00:08:08.80\00:08:10.23 YES THERE'S A MUCH HIGHER LIKELIHOOD THAT THEY, THEY 00:08:10.23\00:08:11.53 CAN HAVE BREAST CANCER, YES. UM THE OTHER, THE 00:08:11.53\00:08:12.63 OTHER ISSUES THAT ARE IMPORTANT LIKE FOR 00:08:12.63\00:08:14.16 EXAMPLE IF YOU'VE HAD BREAST CANCER BEFORE. OF 00:08:14.16\00:08:18.46 COURSE YOU ARE AT RISK OF HAVING IT AGAIN. >> 00:08:18.46\00:08:19.43 BILL: HMM. >> DR. VIRIATO FERREIRA: OKAY NOT 00:08:19.43\00:08:21.16 JUST THE SAME GROWING SOMEWHERE ELSE, BUT 00:08:21.16\00:08:22.86 ANOTHER BREAST CANCER A NEW ONE OKAY. >> BILL: 00:08:22.86\00:08:23.86 WOW. >> DR. VIRIATO FERREIRA: BUT THEN COMING 00:08:23.86\00:08:28.16 TO THE LIFESTYLE I THINK THAT IS YOU KNOW THIS, 00:08:28.16\00:08:30.76 THIS PROGRAM WE TRY AND HELP PEOPLE YOU KNOW TO 00:08:30.76\00:08:31.80 PREVENT DISEASE AND HOW TO USE LIFESTYLE TO 00:08:31.80\00:08:35.66 ACTUALLY TO GET BETTER. 00:08:35.66\00:08:36.16 >> BILL: YES. >> DR. 00:08:36.16\00:08:38.43 VIRIATO FERREIRA: UM, UM LIFESTYLE IT LOOKS AS IF 00:08:38.43\00:08:39.40 OBESITY IS PROBABLY THE ONE OF THE MOST IMPORTANT 00:08:39.40\00:08:42.56 FACTORS IN BREAST CANCER. 00:08:42.56\00:08:43.06 >> BILL: HMM. >> DR. 00:08:43.06\00:08:46.80 VIRIATO FERREIRA: WE DON'T KNOW EXACTLY WHY. 00:08:46.80\00:08:47.76 BUT IT HAS TO DO WITH THE FACT THAT YOU KNOW IF 00:08:47.76\00:08:50.83 YOU'VE GOT EXCESS WEIGHT YOU KNOW THE ADDED POST 00:08:50.83\00:08:55.03 TISSUE OR THE FAT TISSUE CAN ACTUALLY PRODUCE MORE 00:08:55.03\00:08:56.13 ESTROGEN. WHICH IS ONE OF THE HORMONES UM THAT CAN 00:08:56.13\00:09:02.20 IN HIGHER CONCENTRATIONS IN THE BLOOD PREDISPOSE 00:09:02.20\00:09:08.10 TO BREAST CANCER OKAY. >> BILL: HMM. >> DR. VIRIATO 00:09:08.10\00:09:09.13 FERREIRA: SO OBESITY IS ONE OF THEM. THE OTHER, 00:09:09.13\00:09:12.80 THE OTHER ISSUES FOR EXAMPLE LIKE DIABETES. 00:09:12.80\00:09:18.10 PEOPLE WITH DIABETES, WE BELIEVE DIABETES MAY HAVE 00:09:18.10\00:09:19.20 A SLIGHTLY GREATER RISK OF, OF HAVING BREAST 00:09:19.20\00:09:24.40 CANCER. AND WE DON'T KNOW EXACTLY WHY. ALCOHOL 00:09:24.40\00:09:30.46 CONSUMPTION. >> BILL: YEAH NATURALLY. >> DR. VIRIATO 00:09:30.46\00:09:31.53 FERREIRA: PEOPLE TALK ABOUT ALCOHOL BEING GOOD 00:09:31.53\00:09:33.46 FOR YOUR HEART. >> BILL: RIGHT. >> DR. VIRIATO 00:09:33.46\00:09:35.56 FERREIRA: YOU KNOW IT'S OH BY THE WAY SINCE LAST 00:09:35.56\00:09:36.56 YEAR IN, IN EUROPE THE EUROPEAN UNION ACTUALLY 00:09:36.56\00:09:39.80 BANNED OR FORBADE PEOPLE FROM USING THE IDEA THAT 00:09:39.80\00:09:45.53 ALCOHOL IS GOOD FOR YOU, FOR YOUR HEALTH IN 00:09:45.53\00:09:46.50 ADVERTISING. >> BILL: OH I SEE. >> DR. VIRIATO 00:09:46.50\00:09:51.80 FERREIRA: OKAY SO IT IS NOT TRUE OKAY. IT IS NOT 00:09:51.80\00:09:53.36 TRUE. SO BUT COMING BACK TO BREAST CANCER, 00:09:53.36\00:09:54.30 ALCOHOL, ALCOHOL IS A RISK FACTOR. WE KNOW FOR 00:09:54.30\00:09:57.20 EXAMPLE, YES SORRY. >> BILL: EVEN IN, I WAS JUST 00:09:57.20\00:10:02.30 GONNA SAY EVEN IN MODERATE AMOUNTS? >> DR. 00:10:02.30\00:10:03.16 VIRIATO FERREIRA: EVEN IN MODERATE AMOUNTS. >> BILL: 00:10:03.16\00:10:04.96 EVEN IN MODERATE AMOUNTS. 00:10:04.96\00:10:05.46 >> DR. VIRIATO FERREIRA: YOU KNOW WE TALK ABOUT 00:10:05.46\00:10:06.93 YOU KNOW FOR UM IF A, IF A PERSON DRINKS I'VE GOT 00:10:06.93\00:10:09.20 SOME STATISTICS HERE THAT I WOULD LIKE TO -- >> 00:10:09.20\00:10:10.20 BILL: SURE. >> DR. VIRIATO FERREIRA: JUST TO, JUST 00:10:10.20\00:10:13.56 TO SHOW YOU. 2 DRINKS A DAY, WHICH MEANS ABOUT 30 00:10:13.56\00:10:15.93 GRAMS OF, OF ALCOHOL PER DAY, 2 DRINKS A DAY IT MA 00:10:15.93\00:10:16.93 RAISE THE RISK BY ABOUT 40% OKAY. >> BILL: WOW. 00:10:16.93\00:10:20.33 >> DR. VIRIATO FERREIRA: AND THAT'S SIGNIFICANT. 00:10:20.33\00:10:23.63 >> BILL: YEAH THOSE ARE, THOSE ARE BIG NUMBERS. 00:10:23.63\00:10:24.70 >> DR. VIRIATO FERREIRA: THAT'S PRETTY SIGNIFICANT. 00:10:24.70\00:10:27.00 EVEN ONE DRINK A DAY MAY RISK MAY INCREASE THE 00:10:27.00\00:10:28.26 RISK BY ABOUT 9 TO 10%. 00:10:28.26\00:10:28.80 >> BILL: WOW. >> DR. 00:10:28.80\00:10:29.23 VIRIATO FERREIRA: JUST 1 DRINK A DAY. AND REALLY 00:10:29.23\00:10:31.50 IT'S SO COMMON. YOU KNOW PEOPLE GO OUT AND THEY 00:10:31.50\00:10:32.86 HAVE A DRINK. >> BILL: ABSOLUTELY. >> DR. VIRIATO 00:10:32.86\00:10:33.90 FERREIRA: THEY DON'T EVEN THINK ABOUT THE RISKS 00:10:33.90\00:10:35.93 ASSOCIATED WITH THAT. AND YOU KNOW I'M NOT SAYING 00:10:35.93\00:10:38.70 THAT IT'S ONLY ALCOHOL OR IT'S ONLY OBESITY OR IT'S 00:10:38.70\00:10:39.73 ONLY DIABETES. NO, YOU KNOW CANCER HAS UM IS A 00:10:39.73\00:10:44.06 MULTI-FACTORAL DISEASE. 00:10:44.06\00:10:44.56 YOU KNOW THERE ARE MANY ASPECTS TO IT. AND BUT 00:10:44.56\00:10:49.00 DEFINITELY THESE ONES THAT I'VE, THAT I'VE 00:10:49.00\00:10:51.83 PRESENTED TO YOU TODAY YOU KNOW THEY, THEY ARE 00:10:51.83\00:10:52.83 THE ONES THAT SEEM TO BE THE STRONGEST. THERE'S 00:10:52.83\00:10:55.83 ANOTHER ONE I, I, I JUST THINK OF PHYSICAL 00:10:55.83\00:10:58.93 ACTIVITY OR INACTIVITY. 00:10:58.93\00:10:59.63 >> BILL: INACTIVITY BEING TH CAUSE, BEING ONE OF THE 00:10:59.63\00:11:04.26 TRIGGERS. >> DR. VIRIATO FERREIRA: EXACTLY. 00:11:04.26\00:11:05.16 >> BILL: RIGHT. >> DR. 00:11:05.16\00:11:06.36 VIRIATO FERREIRA: INACTIVITY. NOT JUST 00:11:06.36\00:11:07.20 BECAUSE IT MAY PRE- DISPOSE TO EXCESS WEIGHT, 00:11:07.20\00:11:09.16 WHICH IS OBVIOUS. BUT FOR REASONS THAT WE DON'T 00:11:09.16\00:11:14.76 UNDERSTAND EXACTLY. 00:11:14.76\00:11:15.23 INACTIVITY MAY HAVE TO DO AN INCREASE RISK OF 00:11:15.23\00:11:20.56 BREAST CANCER AS WELL. >> BILL: HMM. >> DR. VIRIATO 00:11:20.56\00:11:21.60 FERREIRA: SO YOU KNOW THESE IT'S JUST 00:11:21.60\00:11:24.10 A SUMMARY OF SOME OF THE MOST IMPORTANT, IMPORTANT 00:11:24.10\00:11:27.33 REASONS. BUT YOU SEE YOU KNOW LIFESTYLE IS A VERY 00:11:27.33\00:11:28.30 IMPORTANT COMPONENT. THEN WE TALK ABOUT GENETICS 00:11:28.30\00:11:33.46 AND, AND YOUR FAMILY HISTORY AND SO WE'VE GOT 00:11:33.46\00:11:38.03 A DISEASE HERE THAT I THINK IT'S CHANGING ITS 00:11:38.03\00:11:39.03 PATTERN BECAUSE WE'RE CHANGING OUR LIFESTYLE. 00:11:39.03\00:11:42.83 >> BILL: INTERESTING. 00:11:42.83\00:11:43.30 I MEAN THE GENETIC PREDISPOSITION IS 00:11:43.30\00:11:45.83 SOMETHING WE PROBABLY CAN'T, WE CAN'T DO 00:11:45.83\00:11:49.33 ANYTHING ABOUT. >> DR. 00:11:49.33\00:11:49.83 VIRIATO FERREIRA: WE CAN'T DO ANYTHING ABOUT 00:11:49.83\00:11:51.63 THAT YES. >> BILL: BUT THE LIFESTYLE ISSUES 00:11:51.63\00:11:52.56 WE DEFINITELY HAVE SOME CONTROL OVER AND PROBABLY 00:11:52.56\00:11:54.26 WANT TO MINIMIZE SOME OF THOSE, SOME OF THOSE 00:11:54.26\00:11:58.36 RISKS. >> DR. VIRIATO FERREIRA: THAT'S RIGHT 00:11:58.36\00:11:59.33 YES, YES. >> BILL: YEAH. 00:11:59.33\00:12:00.93 UM LET'S TALK ABOUT SOME OF THOSE, SOME OF THOSE, 00:12:00.93\00:12:01.90 SOME OF THOSE THINGS. 00:12:01.90\00:12:03.96 SOME OF THOSE WELL LET'S, LET'S I MEAN LET'S 00:12:03.96\00:12:04.90 BACKUP. LET'S TALK A LITTLE BIT ABOUT 00:12:04.90\00:12:08.66 DIAGNOSIS. >> DR. VIRIATO FERREIRA: WELL THAT'S 00:12:08.66\00:12:11.03 IMPORTANT BECAUSE WE CAN PREVENT DISEASE AND, AND 00:12:11.03\00:12:12.00 THAT'S I THINK IT'S THE, THE CORNERSTONE OF 00:12:12.00\00:12:16.36 WHATEVER WE'RE DOING HERE OKAY. IT'S TO PREVENT, TO 00:12:16.36\00:12:20.30 HELP PEOPLE NOT TO HAVE THE PROBLEMS. >> BILL: 00:12:20.30\00:12:21.30 YES. >> DR. VIRIATO FERREIRA: BUT ONE OF 00:12:21.30\00:12:23.66 THE THINGS THAT ARE IS VERY IMPORTANT IN, IN 00:12:23.66\00:12:25.36 COMBATTING DISEASE IS ACTUALLY EARLY DIAGNOSIS. 00:12:25.36\00:12:26.36 BECAUSE IN CANCER THE EARLIER YOU DIAGNOSE THE 00:12:26.36\00:12:28.83 GREATER THE CHANCES ARE OF, ARE OF CURE. >> BILL: 00:12:28.83\00:12:33.36 RIGHT. >> DR. VIRIATO FERREIRA: OKAY. NOW MOST 00:12:33.36\00:12:34.33 PEOPLE FIND OUT THAT THEY'VE GOT BREAST CANCER 00:12:34.33\00:12:37.03 AAND, AND WHY? BECAUSES THEY FOUND A LUMP. A 00:12:37.03\00:12:42.83 LUMP IN THEIR BREAST AND I REMEMBER AS A MEDICAL 00:12:42.83\00:12:48.46 STUDENT YOU KNOW THEY USED TO TELL US YOU 00:12:48.46\00:12:49.53 TEACH WOMEN TO DO SELF- EXAMINATION OF THE BREAST. 00:12:49.53\00:12:52.16 >> BILL: YES. >> DR. 00:12:52.16\00:12:52.60 VIRIATO FERREIRA: AND YOU KNOW MOST OF MY PATIENTS 00:12:52.60\00:12:54.56 ACTUALLY DO THAT AND UM IT TAKES MAYBE 2 MINUTES OF 00:12:54.56\00:13:00.30 YOUR TIME ONCE A MONTH IN FRONT OF A MIRROR JUST 00:13:00.30\00:13:01.30 DOING SELF- EXAMINATION. 00:13:01.30\00:13:04.73 IT'S JUST A PRACTICAL POINT HERE. YOU KNOW FOR 00:13:04.73\00:13:05.70 WOMEN WHO ARE WATCHING THIS PROGRAM DON'T USE 00:13:05.70\00:13:08.50 THE TIPS OF YOUR FINGERS BECAUSE YOU'LL FEEL EVERY 00:13:08.50\00:13:11.16 LITTLE LUMP, WHICH IS IN YOUR BREAST. IT IS NOT 00:13:11.16\00:13:12.13 THE BEST. USE THE, THE, THE FLAT PART OF YOUR 00:13:12.13\00:13:15.53 FINGERS. >> BILL: OH I SEE, OKAY. >> DR. VIRIATO 00:13:15.53\00:13:18.26 FERREIRA: AND THEN JUST EXAMINE WITH, WITH YOUR 00:13:18.26\00:13:19.40 ARM DOWN, WITH YOUR ARM UP. YOU KNOW DON'T FORGET 00:13:19.40\00:13:22.96 THAT THERE IS A LITTLE BIT OF BREAST THAT GOES 00:13:22.96\00:13:25.43 UP TO THE AXILLA OKAY. 00:13:25.43\00:13:26.03 SO IT'S THE BREAST IS NOT ONLY HERE BUT IT ACTUALLY 00:13:26.03\00:13:28.06 GOES UP. SO UM AND THAT'S VERY IMPORTANT. SO MOST 00:13:28.06\00:13:29.10 WOMEN DIAGNOSE, THEY, THEY FIND IF THEY'VE GOT A 00:13:29.10\00:13:34.76 BREAST LUMP. THEN ANOTHER GROUP IS WOMEN WHO HAVE 00:13:34.76\00:13:40.43 MAMMOGRAPHIES, WHICH IS AN, AN X-RAY, A SPECIAL 00:13:40.43\00:13:41.46 X- RAY TEST A QUITE UNCOMFORTABLE ONE 00:13:41.46\00:13:44.80 SO WOMEN TELL ME. AND SO THEY DO THAT AND SOMETIMES 00:13:44.80\00:13:49.66 THEY FIND LITTLE THINGS, LITTLE NODULES. >> BILL: 00:13:49.66\00:13:50.63 MMM-HMM. >> DR. VIRIATO FERREIRA: AND THEN THESE 00:13:50.63\00:13:53.00 ARE THEN FOLLOWED UP AND THEY TURN OUT TO BE MOST 00:13:53.00\00:13:55.23 OF THEM ARE ACTUALLY BENIGN. BUT SOME OF THEM 00:13:55.23\00:13:56.16 ARE ACTUALLY MALIGNANT. 00:13:56.16\00:13:58.46 SO THESE ARE THE TWO MOST COMMON FINDING SIGNS 00:13:58.46\00:13:59.43 OKAY. AND THEN YOU'VE GOT SOMETHING LIKE UM REDNESS 00:13:59.43\00:14:03.83 IN THE SKIN OVER THE LUMP OR UM THE SKIN CAN BECOME 00:14:03.83\00:14:10.86 AND I, I, I DON'T SPEAK FRENCH. WHICH THERE ARE 00:14:10.86\00:14:11.90 MANY PEOPLE HERE MAYBE THOUSANDS AND THOUSANDS 00:14:11.90\00:14:14.80 OF PEOPLE, MILLIONS PERHAPS THAT SPEAK FRENCH 00:14:14.80\00:14:17.90 -- [SPEAKING FRENCH] >> DR. VIRIATO FERREIRA: 00:14:17.90\00:14:18.90 WHICH IS LIKE ORANGE PEEL. YOU KNOW YOU LOOK 00:14:18.90\00:14:21.00 AT AN ORANGE PEEL -- >> BILL: OH OKAY. >> DR. 00:14:21.00\00:14:22.80 VIRIATO FERREIRA: WITH THE LITTLE DOTS OKAY. >> 00:14:22.80\00:14:23.76 BILL: YES, OH OKAY. >> DR. 00:14:23.76\00:14:24.73 VIRIATO FERREIRA: AND SO SOMETIMES THE BREAST GET 00:14:24.73\00:14:25.70 THAT APPEARANCE AND THAT IS A SIGN THAT THERE 00:14:25.70\00:14:27.23 COULD BE PROBLEMS. AND THEN THERE COULD BE A 00:14:27.23\00:14:30.93 DISCHARGE FROM THE NIPPLE, UM A SERIOUS OR BLOODY 00:14:30.93\00:14:31.96 DISCHARGE. THERE COULD BE REDNESS SO ANY CHANGE. 00:14:31.96\00:14:38.83 WHAT I'M SAYING THAT ANY CHANGE IN YOUR BREAST 00:14:38.83\00:14:41.60 ESPECIALLY IF THERE IS THIS LUMP GO -- >> BILL: 00:14:41.60\00:14:42.56 GET IT, GET IT CHECKED, RIGHT. >> DR. VIRIATO 00:14:42.56\00:14:46.26 FERREIRA: GET IT CHECKED AND HOW WHAT WILL THE 00:14:46.26\00:14:48.06 DOCTOR DO? WELL IT DEPENDS. YOU KNOW HE 00:14:48.06\00:14:48.96 MIGHT DO A MAMMOGRAPHY IF YOU'VE GOT A LUMP. OR 00:14:48.96\00:14:52.80 AN ULTRASOUND WHICH IS ANOTHER, A SPECIAL TEST. 00:14:52.80\00:14:56.26 YOU KNOW IT'S THAT ONE IS NOT AS -- >> BILL: HMM. 00:14:56.26\00:14:57.30 >> DR. VIRIATO FERREIRA: JUST PUT A LITTLE MACHINE 00:14:57.30\00:14:59.66 OVER AND, AND SEE THE SEE IT ON THE, THE TV SCREEN. 00:14:59.66\00:15:02.36 AND THEN HE MIGHT DECIDE TO DO A FINE NEEDLE 00:15:02.36\00:15:03.30 EXPLORATION BIOPSY. 00:15:03.30\00:15:06.66 THAT'S, THAT'S A VERY THIN NEEDLE AND GO TO THE, 00:15:06.66\00:15:07.70 GO TO THE LUMP AND TAKE A FEW CELLS AND 00:15:07.70\00:15:10.53 THAT USUALLY GIVES THE DIAGNOSIS. BUT SOMETIMES 00:15:10.53\00:15:13.86 IT'S ALSO DIFFICULT TO GET THE DIAGNOSIS 00:15:13.86\00:15:14.76 FROM FINE, FINE NEEDLE ASPIRATION AND YOU MIGHT 00:15:14.76\00:15:17.90 HAVE TO MAKE A LITTLE CUT AND TAKE THE LUMP OUT YOU 00:15:17.90\00:15:20.96 KNOW FOR DIAGNOSIS. UM WHAT TO DO AFTER THAT? 00:15:20.96\00:15:21.93 WELL THAT DEPENDS. >> BILL: ON, ON WHAT 00:15:21.93\00:15:25.16 THEY FIND. >> DR. VIRIATO FERREIRA: IT DEPENDS WHAT 00:15:25.16\00:15:30.16 ON WHAT THEY FIND. ON WHAT TYPE OF TUMOUR IT IS. 00:15:30.16\00:15:31.30 IT DEPENDS THEN BUT YOU USUALLY HAVE TO GO AND 00:15:31.30\00:15:32.66 EXCISE THAT AND THEN SEE CANCER WHY IS IT SO 00:15:32.66\00:15:41.20 DANGEROUS? BECAUSE IT DOESN'T ONLY GROW 00:15:41.20\00:15:42.06 LOCALLY. >> BILL: HMM. >> DR. VIRIATO FERREIRA: 00:15:42.06\00:15:45.30 MOST OF THEM DON'T. THEY CAN SPREAD AND SO WHAT WE 00:15:45.30\00:15:46.76 LOOK IN BREAST CANCER IS FOR SPREAD PRIMARILY TO 00:15:46.76\00:15:47.76 THE LYMPH GLANDS OF THE AXILLA. >> BILL: I SEE. >> 00:15:47.76\00:15:53.50 DR. VIRIATO FERREIRA: SO UM ASSOCIATED WITH TAKING 00:15:53.50\00:15:57.90 THE, THE, THE TUMOUR YOU NEED TO SEE IF YOUR LYMPH 00:15:57.90\00:15:59.00 GLANDS ARE EFFECTED OR NOT. >> BILL: OKAY. >> DR. 00:15:59.00\00:16:04.90 VIRIATO FERREIRA: OKAY SO IT'S IMPORTANT TO, TO TAKE 00:16:04.90\00:16:06.93 THE LYMPH GLAND SOMETIMES. 00:16:06.93\00:16:07.50 AND THE TREATMENT OF BREAST CANCER IS ACTUALLY 00:16:07.50\00:16:11.13 VERY, VERY REAL, CLOSELY RELATED WITH OUR 00:16:11.13\00:16:11.96 EXPECTATIONS AS A SOCIETY. 00:16:11.96\00:16:15.80 AND THE WOMAN'S EXPECTATIONS AND THE 00:16:15.80\00:16:16.63 MAN'S EXPECTATIONS BECAUSE YOU KNOW 00:16:16.63\00:16:18.80 ONE OF THE MOST COMMON TREATMENTS IS ACTUALLY TO 00:16:18.80\00:16:21.80 TAKE THE BREAST OUT. >> BILL: YEAH. >> DR. VIRIATO 00:16:21.80\00:16:22.86 FERREIRA: A MASTECTOMY. 00:16:22.86\00:16:25.86 >> BILL: HMM. >> DR. 00:16:25.86\00:16:26.33 VIRIATO FERREIRA: BUT IT'S A VERY MUTILATING 00:16:26.33\00:16:28.00 DISEASE. IT'S, IT YOU KNOW THE WHOLE BREAST GOES. >> 00:16:28.00\00:16:29.06 BILL: YES. >> DR. VIRIATO FERREIRA: AND GOES RIGHT 00:16:29.06\00:16:33.26 UP TO THE TOP WITH ALL THE, THE LYMPH NODES. IT'S 00:16:33.26\00:16:36.16 QUITE A MUTILATING DISEASE AND MANY WOMEN 00:16:36.16\00:16:37.06 I WOULD SAY ALL WOMEN UM AND THE SAME FOR MEN. 00:16:37.06\00:16:41.53 WE WOULDN'T LIKE THAT. >> BILL: SURE. >> DR. VIRIATO 00:16:41.53\00:16:45.60 FERREIRA: AND SO, SO THOSE EXPECTATIONS 00:16:45.60\00:16:46.56 ACTUALLY DETERMINE OF WHAT MODALITY. YOU KNOW 00:16:46.56\00:16:49.03 SOMETIMES YOU CAN PLAY AROUND A LITTLE BIT YOU 00:16:49.03\00:16:53.23 KNOW. SOME WOMEN WILL SAY YOU KNOW I REALLY WOULD 00:16:53.23\00:16:54.36 LIKE TO KEEP MY BREAST AND MY TUMOUR IS PROBABLY 00:16:54.36\00:16:56.80 VERY LOCALIZED OR THE TUMOUR INSIDE YOU OKAY. 00:16:56.80\00:17:01.66 AND SO THERE MIGHT BE A CHANCE OF PRESERVING 00:17:01.66\00:17:02.63 THAT. THEY JUST TAKING THE, THE TUMOUR OUT DO 00:17:02.63\00:17:06.43 A, A LYMPH NODE BIOPSY OR EVEN TAKE A CLEARANCE OF 00:17:06.43\00:17:10.73 LYMPH NODES. 00:17:10.73\00:17:11.06 AND SO THAT IS A MODERN A POSSIBILITY. BUT THEN YOU 00:17:11.06\00:17:15.23 KNOW YOU HAVE RADIOTHERAPY AND 00:17:15.23\00:17:15.93 CHEMOTHERAPY. >> BILL: RIGHT. >> DR. VIRIATO 00:17:15.93\00:17:17.93 FERREIRA: SO IT ALL DEPENDS ON THE STAGE OF 00:17:17.93\00:17:19.83 THE CANCER. >> BILL: RIGHT. >> DR. VIRIATO 00:17:19.83\00:17:20.76 FERREIRA: YOU NEED TO TALK TO YOUR DOCTOR 00:17:20.76\00:17:22.46 AND UM BUT VERY IMPORTANT DON'T HIDE IT. DON'T STAY 00:17:22.46\00:17:26.70 AT HOME DOING NOTHING BECAUSE IT MIGHT BE 00:17:26.70\00:17:27.63 BREAST CANCER. >> BILL: YES. >> DR. VIRIATO 00:17:27.63\00:17:29.93 FERREIRA: YEAH. >> BILL: IS THERE ANY WAY TO KNOW 00:17:29.93\00:17:31.43 IF, IF THIS CANCER IS MORE SUSCEPTIBLE TO BEING 00:17:31.43\00:17:32.43 DISTRIBUTED THROUGHOUT THE BODY? IS THERE 00:17:32.43\00:17:36.40 ANYTHING, ANY PARTICULAR CHARACTERISTICS THAT IT 00:17:36.40\00:17:38.56 WOULD EXHIBIT THAT WOULD SAY WELL THIS ONE'S MORE 00:17:38.56\00:17:39.53 LIKELY TO SPREAD VERSUS THAT ONE? >> DR. VIRIATO 00:17:39.53\00:17:42.40 FERREIRA: THERE ARE DIFFERENT TYPES OF CANCER 00:17:42.40\00:17:44.36 OKAY. THERE ARE DIFFERENT OF, OF, OF CELLS THAT CAN 00:17:44.36\00:17:45.40 PRODUCE CANCER. SO YES BUT IT'S, IT'S, IT'S QUITE 00:17:45.40\00:17:50.56 UNPREDICTABLE. >> BILL: IT IS. >> DR. VIRIATO 00:17:50.56\00:17:54.60 FERREIRA: YOU KNOW ITS QUITE UNPREDICTABLE. IF 00:17:54.60\00:17:55.60 IT'S A, IF IT'S A TUMOUR INSIDE YOU THAT 00:17:55.60\00:17:56.83 MEANS A TUMOUR THAT'S VERY LOCALIZED. IT'S STILL IN A 00:17:56.83\00:17:58.60 DUCT OKAY. THAT'S VERY UNLIKELY TO HAVE SPREAD. 00:17:58.60\00:17:59.56 AND WHEN WE TALK ABOUT SPREAD WE NEED TO CLAR, 00:17:59.56\00:18:03.60 CLARIFY WHAT WE MEAN ABOUT SPREAD. SPREAD CAN 00:18:03.60\00:18:06.76 BE FOR EXAMPLE IF I'VE GOT A TUMOUR THAT I FIND 00:18:06.76\00:18:07.73 I'VE GOT A LITTLE LUMP IT COULD HAVE SPREAD TO THE 00:18:07.73\00:18:12.30 FIRST LYMPH NODE. YOU TAKE THE TUMOUR AND YOU 00:18:12.30\00:18:15.53 TAKE THE LYMPH NODE AND YOU COULD BE CLEARED. >> 00:18:15.53\00:18:16.53 BILL: HMM. >> DR. VIRIATO FERREIRA: OKAY, NOW THAT 00:18:16.53\00:18:18.96 IS LOCAL SPREAD. OKAY UM WELL IT COULD ACTUALLY 00:18:18.96\00:18:24.16 SPREAD TO THE TISSUES AROUND. BUT YOU KNOW 00:18:24.16\00:18:25.20 IF YOU GO TO THE LITTLE LYMPH NODE IT COULD BE, 00:18:25.20\00:18:27.86 IT COULD BE UM ITS, ITS QUITE LOCALIZED STILL. 00:18:27.86\00:18:30.80 BUT THEN YOU COULD HAVE METASTATIC SPREAD, WHICH 00:18:30.80\00:18:31.80 IS YOU KNOW TO OTHER PARTS OF THE BODY. >> 00:18:31.80\00:18:36.30 BILL: HMM. >> DR. VIRIATO FERREIRA: AND, AND THEN 00:18:36.30\00:18:38.16 OF COURSE YOU KNOW YOU CAN'T GO CHASING ALL 00:18:38.16\00:18:39.06 THES BITS. YOU DON'T KNOW WHERE THEY ARE. AND YOU 00:18:39.06\00:18:41.60 MAY TAKE 1 OR 2 OR 3 OUT AND YOU COULD HAVE 00:18:41.60\00:18:44.80 HUNDREDS OF OTHERS YOU KNOW COMING UP. >> BILL: 00:18:44.80\00:18:45.76 YEAH. >> DR. VIRIATO FERREIRA: SO AH SO THERE 00:18:45.76\00:18:49.13 ARE TWO DIFFERENT KINDS OF SPREAD. AND SPREAD 00:18:49.13\00:18:50.63 DOESN'T NECESSARILY MEAN THAT IT IS BAD. IF IT'S 00:18:50.63\00:18:51.63 LYMPH NODE SPREAD IT COULD BE CLEARED. >> BILL: 00:18:51.63\00:18:55.30 REALLY? >> DR. VIRIATO FERREIRA: OKAY SO UM, UM 00:18:55.30\00:18:57.46 BUT COMING BACK TO YOUR QUESTION. IT'S QUITE 00:18:57.46\00:18:58.43 DIFFICULT TO PREDICT IF IT'S, IF IT HAS SPREAD OR 00:18:58.43\00:19:02.36 NOT JUST BY LOOKING AT A, AT THE, AT THE LUMP. SIZE 00:19:02.36\00:19:05.70 OF THE LUMP YES OF COURSE. IF IT'S A BIG LUMP 00:19:05.70\00:19:06.66 IT IS MORE LIKELY TO HAVE SPREAD. YOU KNOW WE'RE 00:19:06.66\00:19:09.76 TALKING ABOUT IF IT'S A PEA SIZE. WE'RE TALKING A 00:19:09.76\00:19:14.30 FEW MILLION CELLS ALREADY SO IT'S UM SO AND BECAUSE 00:19:14.30\00:19:15.33 SOMETIMES YOU KNOW THE BREAST TISSUE IS VERY SOFT 00:19:15.33\00:19:20.50 IT CAN GO UNNOTICED FOR A LONG TIME. >> BILL: FOR A 00:19:20.50\00:19:24.06 LONG TIME. >> DR. VIRIATO FERREIRA: YES. >> BILL: 00:19:24.06\00:19:25.10 WOW. UM LET'S LOOK AT SOME PREVENTIVE THAT WE 00:19:25.10\00:19:28.66 COULD, OPTIONS OR SOME SUGGESTIONS THAT IN YOUR 00:19:28.66\00:19:35.06 EXPERIENCE HAVE SHOWN TO POTENTIALLY LOWER THE 00:19:35.06\00:19:36.03 INCIDENCE OF, OF BREAST CANCER. >> DR. VIRIATO 00:19:36.03\00:19:38.80 FERREIRA: WELL VERY IMPORTANT FIRST POINT, 00:19:38.80\00:19:43.70 MAINTAIN A HEALTHY BODY WEIGHT. EASIER SAID THEN 00:19:43.70\00:19:44.70 DONE, EASIER SAID THEN DONE. IF UM IF THERE WAS 00:19:44.70\00:19:49.06 A SOLUTION TO MAINTAINING BODY WEIGHT YOU KNOW WE 00:19:49.06\00:19:53.23 WOULD ALL BE SLIM AND -- >> BILL: HMM. >> DR. 00:19:53.23\00:19:54.23 VIRIATO FERREIRA: EASILY, OKAY. BUT MAINTAINING A 00:19:54.23\00:19:58.13 HEALTHY BODY WEIGHT IS VERY, VERY IMPORTANT. 00:19:58.13\00:20:01.23 PROBABLY ONE OF THE MOST IMPORTANT FACTORS. 00:20:01.23\00:20:02.20 >> BILL: ISN'T THAT INTERESTING. >> DR. 00:20:02.20\00:20:04.20 VIRIATO FERREIRA: OKAY. >> BILL: WOW. >> DR. VIRIATO 00:20:04.20\00:20:05.80 FERREIRA: AND IT HAS TO DO WITH HORMONES MOST 00:20:05.80\00:20:06.80 LIKELY OKAY. SO THAT'S VERY IMPORTANT. SECOND, 00:20:06.80\00:20:08.56 EXERCISE, EXERCISE AND THIS HELPS TO MAINTAIN THE 00:20:08.56\00:20:14.46 BODY WEIGHT. BUT IT ALSO THROUGH MECHANISMS THAT 00:20:14.46\00:20:15.46 WE DON'T KNOW YET ABOUT WHAT THEY ARE IT MAY 00:20:15.46\00:20:18.90 PREVENT THE FATAL CASES OKAY, HAVING THE FATAL 00:20:18.90\00:20:24.63 CASES OF BREAST CANCER. 00:20:24.63\00:20:25.26 SO THERE ARE THINGS IN EXERCISE THAT GO BEYOND 00:20:25.26\00:20:27.90 JUST THE BODY WEIGHT. >> BILL: HMM. >> DR. VIRIATO 00:20:27.90\00:20:28.90 FERREIRA: SO UM, UM THERE'S A LOT MORE 00:20:28.90\00:20:32.76 RESEARCH NEEDED IN THAT AREA. BUT YOU KNOW ITS 00:20:32.76\00:20:34.53 ACTIVITY. YOU TALK ABOUT PEOPLE WHO LIVED 50 YEARS 00:20:34.53\00:20:35.53 AGO AND THEY DID NOT HAVE THE LIFESTYLE THAT WE 00:20:35.53\00:20:37.76 HAVE. WE'LL HAVE ONE PROGRAM ON EXERCISE. I 00:20:37.76\00:20:42.26 CALL IT EXERCISE HALF-AN- HOUR A DAY KEEPS THE 00:20:42.26\00:20:43.23 DOCTOR AWAY. YOU KNOW BUT I WE TALK ABOUT THAT 00:20:43.23\00:20:47.66 IN ANOTHER PROGRAM. BUT EXERCISE IS VERY IMPORTANT 00:20:47.66\00:20:51.06 AND THERE ARE NEW THINGS COMING OUT ON EXERCISE 00:20:51.06\00:20:52.03 THAT THEY TELL US THAT IT'S NOT SO MUCH THE 00:20:52.03\00:20:54.93 VIGOROUS, ACT- ACTIVITY YOU KNOW LIKE GOING TO 00:20:54.93\00:20:59.10 THE GYM. IT'S NOT SO MUCH BUT IT'S THE ACTIVITY, 00:20:59.10\00:21:00.16 THE, THE SORT OF SMALL DETAILS OF YOU 00:21:00.16\00:21:02.70 KNOW GETTING UP TO CHANGE YOUR TV CHANNEL. >> BILL: 00:21:02.70\00:21:08.13 TAKING THE STAIRS RATHER THAN THE ELEVATOR. >> DR. 00:21:08.13\00:21:09.13 VIRIATO FERREIRA: EXACTLY THINGS LIKE THAT. OKAY SO 00:21:09.13\00:21:12.80 THAT IS VERY IMPORTANT. 00:21:12.80\00:21:13.30 THEN ANOTHER ONE IS REDUCED MEAT INTAKE. NOW 00:21:13.30\00:21:15.80 THAT'S A BIG ONE. YOU KNOW MOST OF US, MOST OF US 00:21:15.80\00:21:20.83 TODAY IN OUR SOCIETY ARE NOT VEGETARIANS. BUT 00:21:20.83\00:21:21.76 VEGETARIANS HAVE MUCH UM SMALLER RISK OF HAVING 00:21:21.76\00:21:25.76 BREAST CANCER. BUT OKAY SO REDUCING MEAT INTAKE 00:21:25.76\00:21:32.40 AND IT'S NOT ONLY BECAUSE OF THE FAT THAT, THAT 00:21:32.40\00:21:33.40 MEAT HAS. BUT THERE ARE OTHER FACTORS SOME OF 00:21:33.40\00:21:36.60 THEM STILL UNKNOWN. BUT WE KNOW WE ARE THERE. YOU 00:21:36.60\00:21:39.76 KNOW WE SEE THE DIFFERENCE. >> BILL: HMM. 00:21:39.76\00:21:40.66 >> DR. VIRIATO FERREIRA: BUT AH SO REDUCING 00:21:40.66\00:21:42.36 MEAT INTAKE AND I WOULD RECOMMEND VEGETARIAN 00:21:42.36\00:21:43.93 DIET. I WITHOUT ANY HESITATION. TODAY I 00:21:43.93\00:21:44.83 THINK IT'S THE BEST, IT PROVIDES BALANCE AND IT 00:21:44.83\00:21:50.03 TASTES GOOD. OTHER YOU KNOW WE DON'T FEEL LIKE 00:21:50.03\00:21:54.30 EATING IT. >> BILL: SURE. 00:21:54.30\00:21:54.83 >> DR. VIRIATO FERREIRA: BUT AH AND THEN THERE ARE 00:21:54.83\00:21:56.70 SMALLER THINGS LIKE FOLIC ACID. WE ARE NOT SURE LIKE 00:21:56.70\00:21:57.86 FOLIC ACID'S ONE OF THE VITAMINS OKAY. SO UM 00:21:57.86\00:22:01.40 AH PEOPLE WHO HAVE GOOD LEVELS OF FOLIC ACID SEEM 00:22:01.40\00:22:07.93 TO HAVE MORE OF A PROTECTIVE EFFECT AGAINST 00:22:07.93\00:22:08.83 BREAST CANCER. >> BILL: HMM. >> DR. VIRIATO 00:22:08.83\00:22:13.50 FERREIRA: AND BUT IT DOESN'T MEAN THAT YOU 00:22:13.50\00:22:15.36 SHOULD BE TAKING NOW SUPPLEMENTS OF FOLIC ACID 00:22:15.36\00:22:16.33 BECAUSE IT MAY ACTUALLY TURN AGAINST YOU 00:22:16.33\00:22:18.36 AND INCREASE YOUR RISK. SO YOU KNOW EATING WELL THERE 00:22:18.36\00:22:21.13 ARE SOME GOOD FRUITS HERE. 00:22:21.13\00:22:21.83 YOU KNOW EATING FRUITS AND VEGETABLES WHICH ARE RICH 00:22:21.83\00:22:28.73 IN FOLIC ACID. NOT NECESSARILY GOING FOR, 00:22:28.73\00:22:29.73 FOR, FOR SUPPLEMENTS. AND THEN OF COURSE THE BIG, 00:22:29.73\00:22:32.63 THE BIG ONE IS ALCOHOL. 00:22:32.63\00:22:33.13 ALCOHOL IS SO WIDESPREAD IN OUR SOCIETY THAT AH 00:22:33.13\00:22:38.26 YOU KNOW MOST PEOPLE ARE MODERATE DRINKERS, WHAT 00:22:38.26\00:22:45.23 THEY WOULD CONSIDER MODERATE DRINKING. AND 00:22:45.23\00:22:46.16 UM MODERATE DRINKING IT'S STILL A PROBLEM ESPECIALLY 00:22:46.16\00:22:50.36 FOR BREAST CANCER. 00:22:50.36\00:22:50.76 SO I WOULD SUGGEST CUTTING BACK. >> BILL: ABSTINENCE. 00:22:50.76\00:22:55.20 >> DR. VIRIATO FERREIRA: ABSTINENCE, COMPLETE 00:22:55.20\00:22:56.86 ABSTINENCE FROM ALCOHOL. 00:22:56.86\00:22:57.36 SUBSTITUTE WITH YOU KNOW SOME FRUIT JUICES, 00:22:57.36\00:23:01.73 DILUTED FRUIT JUICES, JUICES ALSO. YOU KNOW BE 00:23:01.73\00:23:02.70 CAREFUL WITH THE CALORIE, WITH THE CALORIES. AND SO 00:23:02.70\00:23:05.70 UM I THINK THESE WOULD BE THE MAIN, THE MAIN POINTS. 00:23:05.70\00:23:09.23 YOU KNOW JUST RECAPPING YOU KNOW MAINTAINING 00:23:09.23\00:23:10.20 YOUR BODY, A HEALTHY BODY WEIGHT. >> BILL: EXERCISE. 00:23:10.20\00:23:13.90 >> DR. VIRIATO FERREIRA: EXERCISE. TURN VEGETARIAN 00:23:13.90\00:23:15.56 OKAY OR IF YOU'RE NOT TURNING VEGETARIAN THEN 00:23:15.56\00:23:16.56 REDUCE CONSIDERABLY YOUR MEAT INTAKE. THAT'S VERY 00:23:16.56\00:23:20.80 IMPORTANT AND THEN A LOW FAT DIET. I FORGOT TO TALK 00:23:20.80\00:23:25.60 TO YOU ABOUT THAT. YOU KNOW A LOW FAT DIET, 00:23:25.60\00:23:26.53 ESPECIALLY VERY LOW IN SATURATED FAT. >> BILL: 00:23:26.53\00:23:30.40 HMM. >> DR. VIRIATO FERREIRA: THAT IS 00:23:30.40\00:23:32.30 EXTREMELY IMPORTANT OKAY. 00:23:32.30\00:23:32.83 SO GO RATHER FOR NATURAL FATS, NATURAL OILS LIKE 00:23:32.83\00:23:37.60 FROM ALMONDS, WALNUTS. 00:23:37.60\00:23:38.10 >> BILL: RIGHT. >> DR. 00:23:38.10\00:23:38.56 VIRIATO FERREIRA: OLIVE OIL. >> BILL: RIGHT. >> 00:23:38.56\00:23:41.06 DR. VIRIATO FERREIRA: AND AND OTHER OILS THAT ARE 00:23:41.06\00:23:42.60 MUCH MORE UM ACCEPTABLE TO THE BODY. SO UM AND 00:23:42.60\00:23:43.60 THEN ALCOHOL AND THEN THINGS LIKE FOLIC ACID, 00:23:43.60\00:23:49.30 VITAMIN C, VITAMN A AS WELL. THOSE ARE THINGS YOU 00:23:49.30\00:23:53.50 CAN DEFINITELY IMPROVE, YEAH. >> BILL: SO 00:23:53.50\00:23:54.40 ALTHOUGH YOU CAN'T ALWAYS ARTICULATE THE, THE 00:23:54.40\00:23:57.43 CAUSAL LINK BETWEEN THE TWO. BUT OBSERVATIONS 00:23:57.43\00:24:01.10 INDICATE THAT -- >> DR. 00:24:01.10\00:24:01.73 VIRIATO FERREIRA: YES. >> BILL: THOSE THINGS HAVE A 00:24:01.73\00:24:03.50 POSITIVE EFFECT. >> DR. 00:24:03.50\00:24:04.16 VIRIATO FERREIRA: YES AND IT'S NOT ONLY FOR 00:24:04.16\00:24:05.83 PREVENTION. BUT FOR PEOPLE WHO ARE GOING, UNDERGOING 00:24:05.83\00:24:07.00 TREATMENT NOW. >> BILL: HMM. >> DR. VIRIATO 00:24:07.00\00:24:09.46 FERREIRA: TO, TO MAXIMIZE THE CHANCES FOR CURE. >> 00:24:09.46\00:24:13.43 BILL: I SEE. >> DR. 00:24:13.43\00:24:13.90 VIRIATO FERREIRA: I THINK THOSE ARE VERY IMPORTANT 00:24:13.90\00:24:15.90 OKAY. SO IT'S NOT JUST, JUST FOR PREVENTION. 00:24:15.90\00:24:17.00 IT'S ALSO FOR LIKE A CO- AGEVENT OR A, A HELP 00:24:17.00\00:24:20.20 IN THE TREATMENT OF BREAST CANCER. >> BILL: WOW, VERY 00:24:20.20\00:24:25.93 INTERESTING. WE HAVE ABOUT 2 MINUTES LEFT. >> DR. 00:24:25.93\00:24:26.96 VIRIATO FERREIRA: YES. >> BILL: AH ANY CLOSING 00:24:26.96\00:24:29.96 COMMENTS, ANY PEARLS OF WISDOM FOR OUR VIEWERS? 00:24:29.96\00:24:32.83 >> DR. VIRIATO FERREIRA: WELL THE PEARLS OF 00:24:32.83\00:24:33.73 WISDOM. YOU KNOW I LEARN, I LEARN A LOT WITH 00:24:33.73\00:24:36.20 MY PATIENTS AND UM AND I'M ALWAYS LEARNING. SOMETIMES 00:24:36.20\00:24:40.66 I THINK THAT I GO TO MY CONSULTING ROOM TO LEARN. 00:24:40.66\00:24:41.70 YOU KNOW I GIVE A LOT BUT I ALSO AH -- >> BILL: 00:24:41.70\00:24:45.40 SURE. >> DR. VIRIATO FERREIRA: LEARN A LOT. UM 00:24:45.40\00:24:48.66 MANY OF OUR PROBLEMS TODAY ARE RELATED TO OUR 00:24:48.66\00:24:49.70 LIFESTYLE, OUR CHOICES. 00:24:49.70\00:24:54.36 NOT JUST WHAT WE EAT OR THE EXERCISE WE DO OR DO 00:24:54.36\00:24:55.36 NOT DO BUT TO THE WAY WE PERCEIVE LIFE. >> BILL: 00:24:55.36\00:25:00.16 HMM. >> DR. VIRIATO FERREIRA: OKAY SO IT'S 00:25:00.16\00:25:04.86 VERY IMPORTANT FOR US TO PAY ATTENTION TO THESE 00:25:04.86\00:25:05.86 PREVENTABLE DISEASES. YOU KNOW WE MIGHT BE YOUNG AND 00:25:05.86\00:25:08.60 OUR RISK MIGHT BE LOWER BUT TIME CATCHES UP. >> 00:25:08.60\00:25:14.20 BILL: YES. >> DR. VIRIATO FERREIRA: OKAY AND 00:25:14.20\00:25:15.13 WE NEED TO INVEST IN OUR HEALTH TODAY. AND THE 00:25:15.13\00:25:18.16 BENEFITS MAY BE SEEN IN 10 OR 20 YEARS TIME AND UM 00:25:18.16\00:25:24.16 BUT IT'S WORTH IT. YOU KNOW IT'S, IT'S SO SAD 00:25:24.16\00:25:25.13 TO SEE PEOPLE COMING YOU KNOW TO 60 OR 70 AND 00:25:25.13\00:25:29.90 SAYING WELL I WISH I HAD DONE THIS. >> BILL: HMM. 00:25:29.90\00:25:33.53 >> DR. VIRIATO FERREIRA: BECAUSE I WOULD LIKE 00:25:33.53\00:25:34.46 TO SEE MY GRANDCHILDREN GROWING UP. >> BILL: YES. 00:25:34.46\00:25:36.10 >> DR. VIRIATO FERREIRA: WOULD LIKE TO SEE THAT 00:25:36.10\00:25:37.50 AND THAT BUT I AM DYING BECAUSE OF WHATEVER COULD 00:25:37.50\00:25:38.66 BE PREVENTED. SO INVEST IN YOUR HEALTH IT'S WORTH 00:25:38.66\00:25:40.53 IT. >> BILL: I HAD SOMEONE SAY HOW YOU LIVE YOUR 00:25:40.53\00:25:42.66 LIFE IN YOUR 20S WILL DETERMINE HOW YOU LIVE 00:25:42.66\00:25:43.63 YOUR LIFE IN YOUR, IN YOUR 40S AND IN YOUR 50S. 00:25:43.63\00:25:47.10 >> DR. VIRIATO FERREIRA: DEFINITELY, YES IT'S TRUE. 00:25:47.10\00:25:50.30 SO IT'S WORTH IT AND YOU KNOW IT'S A GOOD LESSON 00:25:50.30\00:25:51.30 FOR US CAUSE WE NOT, WE NOT IN THE 50S. WE NOT 00:25:51.30\00:25:56.40 IN THE 60S. >> BILL: I'M ALMOST THERE. [LAUGHS] >> 00:25:56.40\00:25:58.46 DR. VIRIATO FERREIRA: WELL WE'RE ALMOST THERE. BUT 00:25:58.46\00:25:59.53 YOU KNOW BUT AH BUT IT'S, IT'S GOOD. IT'S GOOD TO 00:25:59.53\00:26:02.10 INVEST. I'VE GOT YOUNG KIDS AND I WOULD LIKE TO 00:26:02.10\00:26:04.53 BE FOR THEM. >> BILL: ABSOLUTELY. >> DR. VIRIATO 00:26:04.53\00:26:05.56 FERREIRA: AND UM INVEST IN YOUR HEALTH. AND YOUR 00:26:05.56\00:26:08.33 HEALTH IS WORTH IT. >> BILL: THANK YOU VERY MUCH 00:26:08.33\00:26:10.10 DR. FERREIRA. >> DR. 00:26:10.10\00:26:10.70 VIRIATO FERREIRA: YOU'RE WELCOME. >> BILL: WE'RE 00:26:10.70\00:26:12.63 GONNA CLOSE OUR PROGRAM WITH A WORD OF PRAYER. 00:26:12.63\00:26:13.76 FATHER IN HEAVEN WE THANK YOU SO MUCH FOR 00:26:13.76\00:26:15.23 EVERYTHING YOU HAVE DONE AND WE ESPECIALLY THINK 00:26:15.23\00:26:17.56 OF THOSE RIGHT NOW HEAVENLY FATHER THAT 00:26:17.56\00:26:18.43 MAYBE SUFFERING WITH AN ILLNESS. WE PRAY THAT 00:26:18.43\00:26:21.53 YOUR HEALING HAND MAY COME UPON THEM. FATHER WE THINK 00:26:21.53\00:26:25.13 OF THOSE THAT HAVE LISTENED TO THE WISE 00:26:25.13\00:26:26.00 COUNCIL THAT WAS PROVIDED TODAY AND WE PRAY THAT 00:26:26.00\00:26:28.63 YOU WILL GIVE THEM THE STRENGTH AND THE COURAGE 00:26:28.63\00:26:31.40 TO PUT THESE THINGS INTO PRACTICE IN THEIR LIVES. 00:26:31.40\00:26:32.36 WE KNOW THAT YOUR DESIRE IS THAT WE LIVE LIFE 00:26:32.36\00:26:36.40 AND WE LIVE IT MORE ABUNDANTLY. MAKE THAT A 00:26:36.40\00:26:39.93 REALITY FOR EACH AND EVERY ONE LISTENING TO M 00:26:39.93\00:26:40.86 VOICE TODAY. WE PRAY IN JESUS NAME, AMEN. 00:26:40.86\00:26:46.63 YOU KNOW WE HAVE A VERY INTERESTING OFFER FOR YOU 00:27:23.06\00:27:24.10 TODAY, A VERY EXCITING ONE. ONE OF THE 00:27:24.10\00:27:26.66 RECOMMENDATIONS WE HEARD FROM DR. FERREIRA WAS 00:27:26.66\00:27:31.13 THAT A VEGETARIAN LIFESTYLE GOES A LONG 00:27:31.13\00:27:32.00 WAY TO HELPING PREVENT DISEASE. WE HAVE THIS 00:27:32.00\00:27:33.36 MAGAZINE. ITS CALLED VEGETARIAN STARTER KIT. 00:27:33.36\00:27:36.10 WE'D LIKE TO OFFER IT TO YOU AS A GIFT FROM "IT 00:27:36.10\00:27:37.06 I WRITTEN". IT'S FREE OF CHARGE. AND HERE'S 00:27:37.06\00:27:39.46 THE INFORMATION YOU NEED TO GET YOUR COPY. 00:27:39.46\00:27:41.40 >> NARRATOR: AS A CONVENIENCE YOU MAY 00:27:46.40\00:27:47.20 REQUEST TODAY'S FREE GIFT OFFER BY CALLING OUR 00:27:47.20\00:27:49.50 TOLL FREE NUMBER AT -- 00:27:49.50\00:27:50.56 >> BILL: WELL DR. FERREIRA WE'VE COME TO THE END 00:28:07.66\00:28:08.70 OF ANOTHER PROGRAM. I WANT TO THANK YOU FOR YOUR 00:28:08.70\00:28:10.56 PARTICIPATION. >> DR. 00:28:10.56\00:28:11.03 VIRIATO FERREIRA: IT'S BEEN A PLEASURE TO BE 00:28:11.03\00:28:13.36 HERE. >> BILL: WE HOPE TO HAVE YOU BACK REAL SOON. 00:28:13.36\00:28:14.33 I WANT TO THANK YOU ALSO FOR JOINING US AND WE 00:28:14.33\00:28:15.30 WILL BE BACK HERE NEXT WEEK, THE SAME TIME, THE 00:28:15.30\00:28:20.76 SAME STATION. REMEMBER THE WEBSITE IIW.CA. UNTIL NEXT 00:28:20.76\00:28:27.86 WEEK "IT IS WRITTEN" MAN SHALL NOT LIVE BY BREAD 00:28:27.86\00:28:28.86 ALONE BUT BY EVERY WORD THAT PROCEEDS FROM 00:28:28.86\00:28:34.53 THE MOUTH OF GOD. 00:28:34.53\00:28:37.93 $$$$$$$$$$$$$$$$$$$$$$$$$$ 00:28:39.30\00:28:41.93