Participants: Bill Santos
Series Code: IIWC
Program Code: IIWC200805
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00:01 >> BILL: TODAY ON "IT IS WRITTEN" ANOTHER ONE OF
00:02 OUR LIVE HEALTHY PROGRAMS WITH OUR SPECIAL GUEST 00:04 DR. FERREIRA. TODAY'S TOPIC BREAST CANCER. I 00:08 HOPE YOU WILL JOIN US. WE WILL BACK 00:09 IN JUST A MINUTE. 00:16 (MUSIC) 00:23 >> NARRATOR: IT HAS STOOD THE TEST OF TIME. 00:27 GOD'S BOOK THE BIBLE, 00:30 STILL RELEVANT IN TODAY'S COMPLEX WORLD. 00:35 "IT IS WRITTEN" FOUNDED BY GEORGE VANDEMANN, 00:40 SHARING MESSAGES OF HOPE AROUND THE WORLD. 00:45 (MUSIC) 00:54 >> BILL: ON TODAY'S "IT IS WRITTEN" PROGRAM IT IS 00:55 ANOTHER ONE OF OUR LIVE HEALTHY PROGRAMS 00:57 WITH OUR SPECIAL GUEST DR. 00:58 FERREIRA. AH WE'RE TALKING ABOUT BREAST CANCER AND 01:02 STATISTICS INDICATE THAT 1 OUT OF EVERY 9 WOMEN IN 01:08 NORTH AMERICA WILL BE DIAGNOSED WITH BREAST 01:09 CANCER. AND SO I THINK IT'S A TOPIC THAT NEEDS 01:13 TO BE ADDRESSED. AND DR. 01:14 FERREIRA I WANT TO THANK YOU FOR ONCE AGAIN 01:17 ACCEPTING OUR INVITATION TO JOIN US. >> DR. 01:20 VIRIATO FERREIRA: WELL THANK YOU. >> BILL: 01:21 YOU ARE DEFINITELY A FAVOURITE OF OUR, OF 01:22 OUR VIEWERS. AH FOR THE BENEFIT OF THOSE THAT 01:24 MAYBE WATCHING FOR THE VERY FIRST TIME LET'S JUST 01:25 QUICKLY RECAP OR GIVE US A BRIEF OVERVIEW OF WHO 01:28 YOU ARE, YOUR TRAINING AND THEN WE'LL GET RIGHT 01:35 INTO TO, THE TOPIC. >> DR. VIRIATO FERREIRA: WELL 01:36 I'M A MEDICAL DOCTOR. I, I TRAINED QUITE A FEW YEARS 01:41 AGO ALREADY IN SOUTH AFRICA IN CAPETOWN AND 01:42 THEN WORKED IN A FEW PLACES. WORKED IN THE 01:43 U.K., WORKED IN THE U.S. 01:45 AND WE WORK NOW PRESENTLY IN EUROPE, IN LISBON, 01:46 PORTUGUAL AND WE DO A LOT OF HEALTH EDUCATION. I 01:52 SEE PATIENTS AND I SPEAK ALL OVER THE PLACE ABOUT 01:57 PREVENTION, BASICALLY ABOUT PREVENTION AND 01:58 HOW TO USE LIFESTYLE TO PREVENT DISEASE. >> BILL: 02:03 WELL WE APPRECIATE VERY MUCH YOU ACCEPTING THIS 02:07 INVITATION. >> DR. VIRIATO FERREIRA: THANK YOU. 02:08 >> BILL: WE KNOW YOU'RE A BUSY MAN. >> DR. VIRIATO 02:11 FERREIRA: YES. >> BILL: BUT I BELIEVE YOU HAVE A 02:12 SOFT SPOT FOR "IT IS WRITTEN" CANADA. >> DR. 02:13 VIRIATO FERREIRA: YEAH I DO, I DO. >> BILL: ALL 02:15 RIGHT AND WE APPRECIATE THAT. AH WAS I CORRECT IN 02:17 1 OUT OF 9 WOMEN IN NORTH AMERICA? >> DR. VIRIATO 02:18 FERREIRA: THAT'S TRUE, THAT'S TRUE BILL. UM IT 02:20 DOESN'T MEAN -- >> BILL: IT SOUNDS LIKE TOO MUCH. 02:22 >> DR. VIRIATO FERREIRA: IT DOESN'T MEAN THAT IT'S 02:23 1 OUT OF 9 WOMEN THAT WILL DIE FROM BREAST 02:24 CANCER. THEY WILL BE DIAGNOSED WITH BREAST 02:26 CANCER. >> BILL: DIAGNOSED WITH IT, RIGHT. >> 02:27 DR. VIRIATO FERREIRA: SO THAT'S A BIG DIFFERENCE 02:28 BECAUSE MANY OF THE, MANY OF THE WOMEN WE DIAGNOSE 02:30 WITH BREAST CANCER ACTUALLY SURVIVE. >> 02:31 BILL: HMM. >> DR. VIRIATO FERREIRA: AND BUT IT IS 02:33 TRUE. IT'S, IT'S THE MOST COMMONLY DIAGNOSED CANCER 02:36 IN WOMEN PRESENTLY AND IT'S, IT'S JUST SECOND TO 02:37 LUNG CANCER IN THE CAUSE, IN THE CAUSE OF DEATH IN 02:42 WOMEN IN, IN THIS COUNTRY. 02:43 SO WE'RE DEALING WITH A TREMENDOUS UM, IT'S, IT'S 02:46 A VERY COMMON DISEASE. 02:47 IT CAUSES TREMENDOUS SUFFERING. THEIR FAMILIES 02:53 NOW GRIEVING BECAUSE OF THE LOSS OF THEIR LOVED 02:58 ONES BECAUSE OF BREAST CANCER. I REMEMBER WHEN 02:59 I WAS ABOUT 16, 17 ONE OF MY CLOSEST FRIENDS 03:03 MOTHER WENT THROUGH UM THIS TERRIBLE DISEASE OF 03:09 BREAST CANCER. >> BILL: YES. >> DR. VIRIATO 03:10 FERREIRA: AND THEN ACTUALLY EVENTUALLY DIED. 03:11 SO AH BUT FORTUNATELY TODAY THAT WAS QUITE A 03:14 FEW YEARS AGO, SO TODAY THERE ARE MANY SURVIVORS 03:15 THROUGH BREAST CANCER. 03:17 MANY SURVIVORS AND I WOULD LIKE TO EMPHASIZE THAT. 03:18 THERE IS A DISEASE THAT WE'RE DEALING WITH TODAY, 03:20 TODAY THAT THERE IS HOPE FOR IT AND NOT JUST IN 03:23 DIAGNOSING IT EARLY. BUT ALSO IN UM IN TREATMENT 03:24 OPTIONS, SO. >> BILL: NOW IS THIS A PROBLEM THAT 03:32 ONLY WOMEN SHOULD BE WORRIED ABOUT? >> DR. 03:34 VIRIATO FERREIRA: NO, NO UNFORTUNATELY NOT. I JUST 03:35 A FRIEND OF MINE ALSO IT'S NOT JUST COINCIDENCE. 03:38 BUT WELL A FRIEND OF MIN DEVELOPED BREAST CANCER 03:43 MAYBE ABOUT 2 OR 3 YEARS AGO. HE'S ABOUT 40 AND 03:44 1% OF ALL THE CASES IN BREAST CANCER ARE IN 03:49 MEN. >> BILL: HMM. >> DR. 03:50 VIRIATO FERREIRA: SO 99% I'M WOMEN BUT 1% IN MEN. 03:52 SO IT CAN EFFECT MEN AS WELL. >> BILL: NOW TO WHAT 03:55 DO YOU ATTRIBUTE THIS INCREASE OR THIS I MEAN 03:56 THESE ARE ALMOST EP, I MEAN I'M, I'M NOT GONNA 04:04 SAY EPIDEMIC NUMBERS BUT THIS IS A, THESE ARE 04:06 SIGNIFICANT NUMBERS. >> DR. VIRIATO FERREIRA: IT 04:07 IS. IT IS COMING TO THAT. 04:08 YES IT IS. YOU KNOW WE DON'T REALLY KNOW UM 04:10 EVERYTHING. >> BILL: MMM-HMM. >> DR. VIRIATO 04:14 FERREIRA: OF COURSE. 04:15 AND THE MORE I, I STUDY MEDICINE THE MORE I 04:18 REALIZE I DON'T KNOW. 04:19 >> BILL: RIGHT. >> DR. 04:20 VIRIATO FERREIRA: YOU KNOW MOST, AND BREAST 04:21 CANCER IT SEEMS TO BE UM RELATED WITH LIFESTYLE 04:24 FACTORS. >> BILL: HMM. 04:25 >> DR. VIRIATO FERREIRA: THERE'S SOME GENETIC 04:31 FACTORS. UM LIFESTYLE IS COMING TO, TO A VERY 04:38 PROMINENT POSITION IN BREAST CANCER. >> BILL: 04:39 OH IT IS. >> DR. VIRIATO FERREIRA: YOU SEE YOU 04:42 LOOK AT FOR EXAMPLE SOME SOCIETIES THAT CONSUME OR 04:43 EAT A LOT OF PLANT BASED FOODS. >> BILL: HMM. >> 04:45 DR. VIRIATO FERREIRA: OKAY BREAST CANCER IN THOSE 04:50 SOCIETIES USUALLY, USUALLY MUCH LESS COMMON THEN IN 04:54 OUR SOCIETY. AND WHEN THOSE PEOPLE FOR EXAMPLE 04:55 WHEN THEY COME AND LIVE IN THE WEST AND THEY 04:58 CHANGE THEIR LIFE. THEY CHANGE THEIR LIFESTYLE 05:03 BREAST CANCER GOES UP. 05:04 SO IT DEFINITELY HAS A RELATIONSHIP WITH 05:07 LIFESTYLE AND WE'RE GONNA TALK MORE ABOUT THAT IN 05:08 THE PROGRAM. UM BUT I JUST WANT TO SAY THAT MANY OF 05:11 THE BREAST CANCERS YOU KNOW WE DON'T KNOW WHY 05:15 THEY COME UP. >> BILL: HMM. >> DR. VIRIATO 05:16 FERREIRA: AND UM AND ONE THING THAT WHEN I TALK 05:18 ABOUT CANCER I WOULD LIK YOU KNOW THE VIEWERS AT 05:21 HOME TO FEEL THAT UM, UM THAT WE POINTING FINGERS 05:22 OR ANYTHING. YOU KNOW WE TALK, IF WE TALK FOR 05:27 EXAMPLE ABOUT FAT IN THE DIET IT IS TRUE THAT THERE 05:30 IS A RELATIONSHIP BETWEEN FAT AND BREAST CANCER. 05:31 BUT IT DOESN'T MEAN THAT THEIR BREAST CANCER WAS 05:34 CAUSED BY THAT. >> BILL: RIGHT, RIGHT. >> DR. 05:36 VIRIATO FERREIRA: I MEAN THEY, THEY SHOULDN'T FEE 05:37 GUILTY FOR SOMETHING THAT THEY MIGHT BE DOING OR 05:39 HAVE DONE. >> BILL: RIGHT. 05:40 >> DR. VIRIATO FERREIRA: AND, AND THEN SAY WELL I 05:42 GOT BREAST CANCER BECAUSE YOU KNOW IT MIGHT BE 05:44 TRUE. BUT IT MIGHT NOT. 05:45 SO UM AND I THINK WE, WE SHOULD LOOK POSISITIVELY 05:48 AT THIS DISEASE. >> BILL: SURE. >> DR. VIRIATO 05:49 FERREIRA: AND, AND TRY AND PREVENT AND TRY AND 05:51 TREAT THE BEST WE CAN. >> BILL: YES. I MEAN I GUESS 05:54 THAT'S THE FOCUS RIGHT? 05:55 >> DR. VIRIATO FERREIRA: MMM- HMM. >> BILL: WHAT 05:56 ARE SOME OF THE THINGS WE CAN DO TO MINIMIZE THOSE, 05:57 THOSE RISKS? >> DR. 05:59 VIRIATO FERREIRA: THAT'S RIGHT, OKAY YES. >> 06:00 BILL: THOSE RISKS. >> DR. 06:01 VIRIATO FERREIRA: WELL -- >> BILL: WHAT, WHAT 06:02 WOULD YOU SUGGEST? >> DR. 06:03 VIRIATO FERREIRA: WELL LET'S LOOK AT THE CAUSES 06:04 FIRST. >> BILL: SURE. >> DR. VIRIATO FERREIRA: 06:06 LET'S LOOK AT WHAT, WHAT WE FIND IS THAT BREAST 06:07 CANCER IS FOUND MOST COMMONLY IN WOMEN OF HIG 06:08 SOCIO-ECONIMIC STATUS OKAY. >> BILL: SEE THAT'S 06:10 AMAZING TO ME. >> DR. 06:11 VIRIATO FERREIRA: AND WE THINK THAT IT MIGHT HAVE 06:13 TO DO WITH THE DIFFERENT PATTERNS OF REPRODUCTION 06:18 OKAY. LIKE FOR EXAMPLE UM WE KNOW THAT BREAST 06:19 CANCER IS, IS, IS MORE COMMON IN WOMEN WITH 06:24 FEWER CHILDREN. >> BILL: HMM. >> DR. VIRIATO 06:26 FERREIRA: OKAY, IT'S MORE COMMON IN WOMEN THAT 06:27 BREASTFEED OR FOR A VERY SHORT TIME OR NO 06:32 BREASTFEEDING AT ALL. 06:33 UM IT'S VERY COMMON FOR EXAMPLE IN WOMEN WHO HAVE 06:36 AN EARLY MENOPAUSE AND SORRY EARLY -- WHICH IS 06:42 THE FIRST AGE OF THE FIRST MENSTRUAL PERIOD OR 06:43 LATE MENOPAUSE. >> BILL: HMM. >> DR. VIRIATO 06:49 FERREIRA: AND SO THERE ARE PATTERNS RELATED TO 06:51 THAT. BUT COMING BACK TO THE HIGH SOCIO-ECONOMIC 06:52 STATUS YOU KNOW IT'S, IT'S BECOMING MORE AND 06:55 MORE PREVALENT HAVE FEWER CHILDREN IN OUR 06:58 SOCIETIES. >> BILL: RIGHT. 07:00 >> DR. VIRIATO FERREIRA: YOU KNOW ONE OR TWO AND 07:01 IN THE PAST IT WAS VERY COMMON TO HAVE WOMEN WITH 07:02 4, 5, 6 CHILDREN OR EVEN MORE IN SOME SOCIETIES, 07:05 YOU KNOW UP TO 10. SO TODAY WE'RE CHANGING. YOU 07:09 KNOW THE MORE PROFESSIONAL WOMAN, WOMAN WORKING. YOU 07:10 KNOW THE COUPLE DOESN'T REALLY HAVE TIME 07:15 AND SOMETIMES THE OTHER FACTORS PLAY A ROLE HERE. 07:20 BUT SO FEWER CHILDREN IT'S AN, IT'S AN, IT'S AN 07:21 IMPORTANT FACTOR. AND THE OTHER THING IS FOR 07:24 EXAMPLE AGE. WE SEE THAT IT, IT INCREASES SHARPLY 07:27 UP TO THE AGE ABOUT 50 AND THEN IT SORT OF STARTS 07:29 SLOWING DOWN AND BY THE AGE OF ABOUT 80 IT GOES 07:34 DOWN. >> BILL: HMM. >> DR. VIRIATO FERREIRA: SO 07:37 THERE IS A SHARP INCREASE AT AGE OF ABOUT 35 TO 50 07:38 OKAY. >> BILL: THAT'S VERY INTERESTING. >> DR. 07:41 VIRIATO FERREIRA: AND THERE ARE OTHER FACTORS. 07:43 FOR EXAMPLE GENETIC FACTORS. WE KNOW THAT 07:44 THERE ARE SOME MUTATIONS THAT ARE ASSOCIATED WITH 07:47 BREAST CANCER. SO IF, IF MY GENES OR MY WIFE'S 07:53 GENES HAVE THOSE MUTATIONS WE ARE MORE 07:54 LIKELY TO GET BREAST CANCER. >> BILL: SO WOULD 07:59 THAT MEAN THAT IF A WOMAN HAD A MOTHER FOR EXAMPLE 08:03 THAT HAD BEEN DIAGNOSED. 08:04 >> DR. VIRIATO FERREIRA: OH YES. >> BILL: THERE'S, 08:05 THERE'S A GREATER LIKELIHOOD THAT -- >> DR. 08:06 VIRIATO FERREIRA: YES, YES. >> BILL: THAT THEY 08:08 WOULD ALSO -- >> DR. 08:09 VIRIATO FERREIRA: LIKE A MOTHER OR A SISTER 08:10 YES THERE'S A MUCH HIGHER LIKELIHOOD THAT THEY, THEY 08:11 CAN HAVE BREAST CANCER, YES. UM THE OTHER, THE 08:12 OTHER ISSUES THAT ARE IMPORTANT LIKE FOR 08:14 EXAMPLE IF YOU'VE HAD BREAST CANCER BEFORE. OF 08:18 COURSE YOU ARE AT RISK OF HAVING IT AGAIN. >> 08:19 BILL: HMM. >> DR. VIRIATO FERREIRA: OKAY NOT 08:21 JUST THE SAME GROWING SOMEWHERE ELSE, BUT 08:22 ANOTHER BREAST CANCER A NEW ONE OKAY. >> BILL: 08:23 WOW. >> DR. VIRIATO FERREIRA: BUT THEN COMING 08:28 TO THE LIFESTYLE I THINK THAT IS YOU KNOW THIS, 08:30 THIS PROGRAM WE TRY AND HELP PEOPLE YOU KNOW TO 08:31 PREVENT DISEASE AND HOW TO USE LIFESTYLE TO 08:35 ACTUALLY TO GET BETTER. 08:36 >> BILL: YES. >> DR. 08:38 VIRIATO FERREIRA: UM, UM LIFESTYLE IT LOOKS AS IF 08:39 OBESITY IS PROBABLY THE ONE OF THE MOST IMPORTANT 08:42 FACTORS IN BREAST CANCER. 08:43 >> BILL: HMM. >> DR. 08:46 VIRIATO FERREIRA: WE DON'T KNOW EXACTLY WHY. 08:47 BUT IT HAS TO DO WITH THE FACT THAT YOU KNOW IF 08:50 YOU'VE GOT EXCESS WEIGHT YOU KNOW THE ADDED POST 08:55 TISSUE OR THE FAT TISSUE CAN ACTUALLY PRODUCE MORE 08:56 ESTROGEN. WHICH IS ONE OF THE HORMONES UM THAT CAN 09:02 IN HIGHER CONCENTRATIONS IN THE BLOOD PREDISPOSE 09:08 TO BREAST CANCER OKAY. >> BILL: HMM. >> DR. VIRIATO 09:09 FERREIRA: SO OBESITY IS ONE OF THEM. THE OTHER, 09:12 THE OTHER ISSUES FOR EXAMPLE LIKE DIABETES. 09:18 PEOPLE WITH DIABETES, WE BELIEVE DIABETES MAY HAVE 09:19 A SLIGHTLY GREATER RISK OF, OF HAVING BREAST 09:24 CANCER. AND WE DON'T KNOW EXACTLY WHY. ALCOHOL 09:30 CONSUMPTION. >> BILL: YEAH NATURALLY. >> DR. VIRIATO 09:31 FERREIRA: PEOPLE TALK ABOUT ALCOHOL BEING GOOD 09:33 FOR YOUR HEART. >> BILL: RIGHT. >> DR. VIRIATO 09:35 FERREIRA: YOU KNOW IT'S OH BY THE WAY SINCE LAST 09:36 YEAR IN, IN EUROPE THE EUROPEAN UNION ACTUALLY 09:39 BANNED OR FORBADE PEOPLE FROM USING THE IDEA THAT 09:45 ALCOHOL IS GOOD FOR YOU, FOR YOUR HEALTH IN 09:46 ADVERTISING. >> BILL: OH I SEE. >> DR. VIRIATO 09:51 FERREIRA: OKAY SO IT IS NOT TRUE OKAY. IT IS NOT 09:53 TRUE. SO BUT COMING BACK TO BREAST CANCER, 09:54 ALCOHOL, ALCOHOL IS A RISK FACTOR. WE KNOW FOR 09:57 EXAMPLE, YES SORRY. >> BILL: EVEN IN, I WAS JUST 10:02 GONNA SAY EVEN IN MODERATE AMOUNTS? >> DR. 10:03 VIRIATO FERREIRA: EVEN IN MODERATE AMOUNTS. >> BILL: 10:04 EVEN IN MODERATE AMOUNTS. 10:06 >> DR. VIRIATO FERREIRA: YOU KNOW WE TALK ABOUT 10:07 YOU KNOW FOR UM IF A, IF A PERSON DRINKS I'VE GOT 10:09 SOME STATISTICS HERE THAT I WOULD LIKE TO -- >> 10:10 BILL: SURE. >> DR. VIRIATO FERREIRA: JUST TO, JUST 10:13 TO SHOW YOU. 2 DRINKS A DAY, WHICH MEANS ABOUT 30 10:15 GRAMS OF, OF ALCOHOL PER DAY, 2 DRINKS A DAY IT MA 10:17 RAISE THE RISK BY ABOUT 40% OKAY. >> BILL: WOW. 10:20 >> DR. VIRIATO FERREIRA: AND THAT'S SIGNIFICANT. 10:23 >> BILL: YEAH THOSE ARE, THOSE ARE BIG NUMBERS. 10:24 >> DR. VIRIATO FERREIRA: THAT'S PRETTY SIGNIFICANT. 10:27 EVEN ONE DRINK A DAY MAY RISK MAY INCREASE THE 10:28 RISK BY ABOUT 9 TO 10%. 10:29 >> BILL: WOW. >> DR. 10:30 VIRIATO FERREIRA: JUST 1 DRINK A DAY. AND REALLY 10:31 IT'S SO COMMON. YOU KNOW PEOPLE GO OUT AND THEY 10:32 HAVE A DRINK. >> BILL: ABSOLUTELY. >> DR. VIRIATO 10:33 FERREIRA: THEY DON'T EVEN THINK ABOUT THE RISKS 10:35 ASSOCIATED WITH THAT. AND YOU KNOW I'M NOT SAYING 10:38 THAT IT'S ONLY ALCOHOL OR IT'S ONLY OBESITY OR IT'S 10:39 ONLY DIABETES. NO, YOU KNOW CANCER HAS UM IS A 10:44 MULTI-FACTORAL DISEASE. 10:45 YOU KNOW THERE ARE MANY ASPECTS TO IT. AND BUT 10:49 DEFINITELY THESE ONES THAT I'VE, THAT I'VE 10:51 PRESENTED TO YOU TODAY YOU KNOW THEY, THEY ARE 10:52 THE ONES THAT SEEM TO BE THE STRONGEST. THERE'S 10:55 ANOTHER ONE I, I, I JUST THINK OF PHYSICAL 10:58 ACTIVITY OR INACTIVITY. 11:00 >> BILL: INACTIVITY BEING TH CAUSE, BEING ONE OF THE 11:04 TRIGGERS. >> DR. VIRIATO FERREIRA: EXACTLY. 11:05 >> BILL: RIGHT. >> DR. 11:06 VIRIATO FERREIRA: INACTIVITY. NOT JUST 11:07 BECAUSE IT MAY PRE- DISPOSE TO EXCESS WEIGHT, 11:09 WHICH IS OBVIOUS. BUT FOR REASONS THAT WE DON'T 11:14 UNDERSTAND EXACTLY. 11:15 INACTIVITY MAY HAVE TO DO AN INCREASE RISK OF 11:20 BREAST CANCER AS WELL. >> BILL: HMM. >> DR. VIRIATO 11:21 FERREIRA: SO YOU KNOW THESE IT'S JUST 11:24 A SUMMARY OF SOME OF THE MOST IMPORTANT, IMPORTANT 11:27 REASONS. BUT YOU SEE YOU KNOW LIFESTYLE IS A VERY 11:28 IMPORTANT COMPONENT. THEN WE TALK ABOUT GENETICS 11:33 AND, AND YOUR FAMILY HISTORY AND SO WE'VE GOT 11:38 A DISEASE HERE THAT I THINK IT'S CHANGING ITS 11:39 PATTERN BECAUSE WE'RE CHANGING OUR LIFESTYLE. 11:42 >> BILL: INTERESTING. 11:43 I MEAN THE GENETIC PREDISPOSITION IS 11:45 SOMETHING WE PROBABLY CAN'T, WE CAN'T DO 11:49 ANYTHING ABOUT. >> DR. 11:50 VIRIATO FERREIRA: WE CAN'T DO ANYTHING ABOUT 11:51 THAT YES. >> BILL: BUT THE LIFESTYLE ISSUES 11:52 WE DEFINITELY HAVE SOME CONTROL OVER AND PROBABLY 11:54 WANT TO MINIMIZE SOME OF THOSE, SOME OF THOSE 11:58 RISKS. >> DR. VIRIATO FERREIRA: THAT'S RIGHT 11:59 YES, YES. >> BILL: YEAH. 12:00 UM LET'S TALK ABOUT SOME OF THOSE, SOME OF THOSE, 12:02 SOME OF THOSE THINGS. 12:03 SOME OF THOSE WELL LET'S, LET'S I MEAN LET'S 12:05 BACKUP. LET'S TALK A LITTLE BIT ABOUT 12:08 DIAGNOSIS. >> DR. VIRIATO FERREIRA: WELL THAT'S 12:11 IMPORTANT BECAUSE WE CAN PREVENT DISEASE AND, AND 12:12 THAT'S I THINK IT'S THE, THE CORNERSTONE OF 12:16 WHATEVER WE'RE DOING HERE OKAY. IT'S TO PREVENT, TO 12:20 HELP PEOPLE NOT TO HAVE THE PROBLEMS. >> BILL: 12:21 YES. >> DR. VIRIATO FERREIRA: BUT ONE OF 12:23 THE THINGS THAT ARE IS VERY IMPORTANT IN, IN 12:25 COMBATTING DISEASE IS ACTUALLY EARLY DIAGNOSIS. 12:26 BECAUSE IN CANCER THE EARLIER YOU DIAGNOSE THE 12:28 GREATER THE CHANCES ARE OF, ARE OF CURE. >> BILL: 12:33 RIGHT. >> DR. VIRIATO FERREIRA: OKAY. NOW MOST 12:34 PEOPLE FIND OUT THAT THEY'VE GOT BREAST CANCER 12:37 AAND, AND WHY? BECAUSES THEY FOUND A LUMP. A 12:42 LUMP IN THEIR BREAST AND I REMEMBER AS A MEDICAL 12:48 STUDENT YOU KNOW THEY USED TO TELL US YOU 12:49 TEACH WOMEN TO DO SELF- EXAMINATION OF THE BREAST. 12:52 >> BILL: YES. >> DR. 12:53 VIRIATO FERREIRA: AND YOU KNOW MOST OF MY PATIENTS 12:54 ACTUALLY DO THAT AND UM IT TAKES MAYBE 2 MINUTES OF 13:00 YOUR TIME ONCE A MONTH IN FRONT OF A MIRROR JUST 13:01 DOING SELF- EXAMINATION. 13:04 IT'S JUST A PRACTICAL POINT HERE. YOU KNOW FOR 13:05 WOMEN WHO ARE WATCHING THIS PROGRAM DON'T USE 13:08 THE TIPS OF YOUR FINGERS BECAUSE YOU'LL FEEL EVERY 13:11 LITTLE LUMP, WHICH IS IN YOUR BREAST. IT IS NOT 13:12 THE BEST. USE THE, THE, THE FLAT PART OF YOUR 13:15 FINGERS. >> BILL: OH I SEE, OKAY. >> DR. VIRIATO 13:18 FERREIRA: AND THEN JUST EXAMINE WITH, WITH YOUR 13:19 ARM DOWN, WITH YOUR ARM UP. YOU KNOW DON'T FORGET 13:22 THAT THERE IS A LITTLE BIT OF BREAST THAT GOES 13:25 UP TO THE AXILLA OKAY. 13:26 SO IT'S THE BREAST IS NOT ONLY HERE BUT IT ACTUALLY 13:28 GOES UP. SO UM AND THAT'S VERY IMPORTANT. SO MOST 13:29 WOMEN DIAGNOSE, THEY, THEY FIND IF THEY'VE GOT A 13:34 BREAST LUMP. THEN ANOTHER GROUP IS WOMEN WHO HAVE 13:40 MAMMOGRAPHIES, WHICH IS AN, AN X-RAY, A SPECIAL 13:41 X- RAY TEST A QUITE UNCOMFORTABLE ONE 13:44 SO WOMEN TELL ME. AND SO THEY DO THAT AND SOMETIMES 13:49 THEY FIND LITTLE THINGS, LITTLE NODULES. >> BILL: 13:50 MMM-HMM. >> DR. VIRIATO FERREIRA: AND THEN THESE 13:53 ARE THEN FOLLOWED UP AND THEY TURN OUT TO BE MOST 13:55 OF THEM ARE ACTUALLY BENIGN. BUT SOME OF THEM 13:56 ARE ACTUALLY MALIGNANT. 13:58 SO THESE ARE THE TWO MOST COMMON FINDING SIGNS 13:59 OKAY. AND THEN YOU'VE GOT SOMETHING LIKE UM REDNESS 14:03 IN THE SKIN OVER THE LUMP OR UM THE SKIN CAN BECOME 14:10 AND I, I, I DON'T SPEAK FRENCH. WHICH THERE ARE 14:11 MANY PEOPLE HERE MAYBE THOUSANDS AND THOUSANDS 14:14 OF PEOPLE, MILLIONS PERHAPS THAT SPEAK FRENCH 14:17 -- [SPEAKING FRENCH] >> DR. VIRIATO FERREIRA: 14:18 WHICH IS LIKE ORANGE PEEL. YOU KNOW YOU LOOK 14:21 AT AN ORANGE PEEL -- >> BILL: OH OKAY. >> DR. 14:22 VIRIATO FERREIRA: WITH THE LITTLE DOTS OKAY. >> 14:23 BILL: YES, OH OKAY. >> DR. 14:24 VIRIATO FERREIRA: AND SO SOMETIMES THE BREAST GET 14:26 THAT APPEARANCE AND THAT IS A SIGN THAT THERE 14:27 COULD BE PROBLEMS. AND THEN THERE COULD BE A 14:30 DISCHARGE FROM THE NIPPLE, UM A SERIOUS OR BLOODY 14:32 DISCHARGE. THERE COULD BE REDNESS SO ANY CHANGE. 14:38 WHAT I'M SAYING THAT ANY CHANGE IN YOUR BREAST 14:41 ESPECIALLY IF THERE IS THIS LUMP GO -- >> BILL: 14:42 GET IT, GET IT CHECKED, RIGHT. >> DR. VIRIATO 14:46 FERREIRA: GET IT CHECKED AND HOW WHAT WILL THE 14:48 DOCTOR DO? WELL IT DEPENDS. YOU KNOW HE 14:49 MIGHT DO A MAMMOGRAPHY IF YOU'VE GOT A LUMP. OR 14:52 AN ULTRASOUND WHICH IS ANOTHER, A SPECIAL TEST. 14:56 YOU KNOW IT'S THAT ONE IS NOT AS -- >> BILL: HMM. 14:57 >> DR. VIRIATO FERREIRA: JUST PUT A LITTLE MACHINE 14:59 OVER AND, AND SEE THE SEE IT ON THE, THE TV SCREEN. 15:02 AND THEN HE MIGHT DECIDE TO DO A FINE NEEDLE 15:03 EXPLORATION BIOPSY. 15:06 THAT'S, THAT'S A VERY THIN NEEDLE AND GO TO THE, 15:07 GO TO THE LUMP AND TAKE A FEW CELLS AND 15:10 THAT USUALLY GIVES THE DIAGNOSIS. BUT SOMETIMES 15:13 IT'S ALSO DIFFICULT TO GET THE DIAGNOSIS 15:14 FROM FINE, FINE NEEDLE ASPIRATION AND YOU MIGHT 15:17 HAVE TO MAKE A LITTLE CUT AND TAKE THE LUMP OUT YOU 15:20 KNOW FOR DIAGNOSIS. UM WHAT TO DO AFTER THAT? 15:22 WELL THAT DEPENDS. >> BILL: ON, ON WHAT 15:25 THEY FIND. >> DR. VIRIATO FERREIRA: IT DEPENDS WHAT 15:30 ON WHAT THEY FIND. ON WHAT TYPE OF TUMOUR IT IS. 15:31 IT DEPENDS THEN BUT YOU USUALLY HAVE TO GO AND 15:32 EXCISE THAT AND THEN SEE CANCER WHY IS IT SO 15:41 DANGEROUS? BECAUSE IT DOESN'T ONLY GROW 15:42 LOCALLY. >> BILL: HMM. >> DR. VIRIATO FERREIRA: 15:45 MOST OF THEM DON'T. THEY CAN SPREAD AND SO WHAT WE 15:46 LOOK IN BREAST CANCER IS FOR SPREAD PRIMARILY TO 15:47 THE LYMPH GLANDS OF THE AXILLA. >> BILL: I SEE. >> 15:53 DR. VIRIATO FERREIRA: SO UM ASSOCIATED WITH TAKING 15:57 THE, THE, THE TUMOUR YOU NEED TO SEE IF YOUR LYMPH 15:59 GLANDS ARE EFFECTED OR NOT. >> BILL: OKAY. >> DR. 16:04 VIRIATO FERREIRA: OKAY SO IT'S IMPORTANT TO, TO TAKE 16:06 THE LYMPH GLAND SOMETIMES. 16:08 AND THE TREATMENT OF BREAST CANCER IS ACTUALLY 16:11 VERY, VERY REAL, CLOSELY RELATED WITH OUR 16:12 EXPECTATIONS AS A SOCIETY. 16:15 AND THE WOMAN'S EXPECTATIONS AND THE 16:16 MAN'S EXPECTATIONS BECAUSE YOU KNOW 16:18 ONE OF THE MOST COMMON TREATMENTS IS ACTUALLY TO 16:21 TAKE THE BREAST OUT. >> BILL: YEAH. >> DR. VIRIATO 16:22 FERREIRA: A MASTECTOMY. 16:25 >> BILL: HMM. >> DR. 16:26 VIRIATO FERREIRA: BUT IT'S A VERY MUTILATING 16:28 DISEASE. IT'S, IT YOU KNOW THE WHOLE BREAST GOES. >> 16:29 BILL: YES. >> DR. VIRIATO FERREIRA: AND GOES RIGHT 16:33 UP TO THE TOP WITH ALL THE, THE LYMPH NODES. IT'S 16:36 QUITE A MUTILATING DISEASE AND MANY WOMEN 16:37 I WOULD SAY ALL WOMEN UM AND THE SAME FOR MEN. 16:41 WE WOULDN'T LIKE THAT. >> BILL: SURE. >> DR. VIRIATO 16:45 FERREIRA: AND SO, SO THOSE EXPECTATIONS 16:46 ACTUALLY DETERMINE OF WHAT MODALITY. YOU KNOW 16:49 SOMETIMES YOU CAN PLAY AROUND A LITTLE BIT YOU 16:53 KNOW. SOME WOMEN WILL SAY YOU KNOW I REALLY WOULD 16:54 LIKE TO KEEP MY BREAST AND MY TUMOUR IS PROBABLY 16:56 VERY LOCALIZED OR THE TUMOUR INSIDE YOU OKAY. 17:01 AND SO THERE MIGHT BE A CHANCE OF PRESERVING 17:02 THAT. THEY JUST TAKING THE, THE TUMOUR OUT DO 17:06 A, A LYMPH NODE BIOPSY OR EVEN TAKE A CLEARANCE OF 17:10 LYMPH NODES. 17:11 AND SO THAT IS A MODERN A POSSIBILITY. BUT THEN YOU 17:15 KNOW YOU HAVE RADIOTHERAPY AND 17:16 CHEMOTHERAPY. >> BILL: RIGHT. >> DR. VIRIATO 17:17 FERREIRA: SO IT ALL DEPENDS ON THE STAGE OF 17:19 THE CANCER. >> BILL: RIGHT. >> DR. VIRIATO 17:20 FERREIRA: YOU NEED TO TALK TO YOUR DOCTOR 17:22 AND UM BUT VERY IMPORTANT DON'T HIDE IT. DON'T STAY 17:26 AT HOME DOING NOTHING BECAUSE IT MIGHT BE 17:27 BREAST CANCER. >> BILL: YES. >> DR. VIRIATO 17:29 FERREIRA: YEAH. >> BILL: IS THERE ANY WAY TO KNOW 17:31 IF, IF THIS CANCER IS MORE SUSCEPTIBLE TO BEING 17:32 DISTRIBUTED THROUGHOUT THE BODY? IS THERE 17:36 ANYTHING, ANY PARTICULAR CHARACTERISTICS THAT IT 17:38 WOULD EXHIBIT THAT WOULD SAY WELL THIS ONE'S MORE 17:39 LIKELY TO SPREAD VERSUS THAT ONE? >> DR. VIRIATO 17:42 FERREIRA: THERE ARE DIFFERENT TYPES OF CANCER 17:44 OKAY. THERE ARE DIFFERENT OF, OF, OF CELLS THAT CAN 17:45 PRODUCE CANCER. SO YES BUT IT'S, IT'S, IT'S QUITE 17:50 UNPREDICTABLE. >> BILL: IT IS. >> DR. VIRIATO 17:54 FERREIRA: YOU KNOW ITS QUITE UNPREDICTABLE. IF 17:55 IT'S A, IF IT'S A TUMOUR INSIDE YOU THAT 17:56 MEANS A TUMOUR THAT'S VERY LOCALIZED. IT'S STILL IN A 17:58 DUCT OKAY. THAT'S VERY UNLIKELY TO HAVE SPREAD. 17:59 AND WHEN WE TALK ABOUT SPREAD WE NEED TO CLAR, 18:03 CLARIFY WHAT WE MEAN ABOUT SPREAD. SPREAD CAN 18:06 BE FOR EXAMPLE IF I'VE GOT A TUMOUR THAT I FIND 18:07 I'VE GOT A LITTLE LUMP IT COULD HAVE SPREAD TO THE 18:12 FIRST LYMPH NODE. YOU TAKE THE TUMOUR AND YOU 18:15 TAKE THE LYMPH NODE AND YOU COULD BE CLEARED. >> 18:16 BILL: HMM. >> DR. VIRIATO FERREIRA: OKAY, NOW THAT 18:18 IS LOCAL SPREAD. OKAY UM WELL IT COULD ACTUALLY 18:24 SPREAD TO THE TISSUES AROUND. BUT YOU KNOW 18:25 IF YOU GO TO THE LITTLE LYMPH NODE IT COULD BE, 18:27 IT COULD BE UM ITS, ITS QUITE LOCALIZED STILL. 18:30 BUT THEN YOU COULD HAVE METASTATIC SPREAD, WHICH 18:31 IS YOU KNOW TO OTHER PARTS OF THE BODY. >> 18:36 BILL: HMM. >> DR. VIRIATO FERREIRA: AND, AND THEN 18:38 OF COURSE YOU KNOW YOU CAN'T GO CHASING ALL 18:39 THES BITS. YOU DON'T KNOW WHERE THEY ARE. AND YOU 18:41 MAY TAKE 1 OR 2 OR 3 OUT AND YOU COULD HAVE 18:44 HUNDREDS OF OTHERS YOU KNOW COMING UP. >> BILL: 18:45 YEAH. >> DR. VIRIATO FERREIRA: SO AH SO THERE 18:49 ARE TWO DIFFERENT KINDS OF SPREAD. AND SPREAD 18:50 DOESN'T NECESSARILY MEAN THAT IT IS BAD. IF IT'S 18:51 LYMPH NODE SPREAD IT COULD BE CLEARED. >> BILL: 18:55 REALLY? >> DR. VIRIATO FERREIRA: OKAY SO UM, UM 18:57 BUT COMING BACK TO YOUR QUESTION. IT'S QUITE 18:58 DIFFICULT TO PREDICT IF IT'S, IF IT HAS SPREAD OR 19:02 NOT JUST BY LOOKING AT A, AT THE, AT THE LUMP. SIZE 19:05 OF THE LUMP YES OF COURSE. IF IT'S A BIG LUMP 19:06 IT IS MORE LIKELY TO HAVE SPREAD. YOU KNOW WE'RE 19:09 TALKING ABOUT IF IT'S A PEA SIZE. WE'RE TALKING A 19:14 FEW MILLION CELLS ALREADY SO IT'S UM SO AND BECAUSE 19:15 SOMETIMES YOU KNOW THE BREAST TISSUE IS VERY SOFT 19:20 IT CAN GO UNNOTICED FOR A LONG TIME. >> BILL: FOR A 19:24 LONG TIME. >> DR. VIRIATO FERREIRA: YES. >> BILL: 19:25 WOW. UM LET'S LOOK AT SOME PREVENTIVE THAT WE 19:28 COULD, OPTIONS OR SOME SUGGESTIONS THAT IN YOUR 19:35 EXPERIENCE HAVE SHOWN TO POTENTIALLY LOWER THE 19:36 INCIDENCE OF, OF BREAST CANCER. >> DR. VIRIATO 19:38 FERREIRA: WELL VERY IMPORTANT FIRST POINT, 19:43 MAINTAIN A HEALTHY BODY WEIGHT. EASIER SAID THEN 19:44 DONE, EASIER SAID THEN DONE. IF UM IF THERE WAS 19:49 A SOLUTION TO MAINTAINING BODY WEIGHT YOU KNOW WE 19:53 WOULD ALL BE SLIM AND -- >> BILL: HMM. >> DR. 19:54 VIRIATO FERREIRA: EASILY, OKAY. BUT MAINTAINING A 19:58 HEALTHY BODY WEIGHT IS VERY, VERY IMPORTANT. 20:01 PROBABLY ONE OF THE MOST IMPORTANT FACTORS. 20:02 >> BILL: ISN'T THAT INTERESTING. >> DR. 20:04 VIRIATO FERREIRA: OKAY. >> BILL: WOW. >> DR. VIRIATO 20:05 FERREIRA: AND IT HAS TO DO WITH HORMONES MOST 20:06 LIKELY OKAY. SO THAT'S VERY IMPORTANT. SECOND, 20:08 EXERCISE, EXERCISE AND THIS HELPS TO MAINTAIN THE 20:14 BODY WEIGHT. BUT IT ALSO THROUGH MECHANISMS THAT 20:15 WE DON'T KNOW YET ABOUT WHAT THEY ARE IT MAY 20:18 PREVENT THE FATAL CASES OKAY, HAVING THE FATAL 20:24 CASES OF BREAST CANCER. 20:25 SO THERE ARE THINGS IN EXERCISE THAT GO BEYOND 20:27 JUST THE BODY WEIGHT. >> BILL: HMM. >> DR. VIRIATO 20:28 FERREIRA: SO UM, UM THERE'S A LOT MORE 20:32 RESEARCH NEEDED IN THAT AREA. BUT YOU KNOW ITS 20:34 ACTIVITY. YOU TALK ABOUT PEOPLE WHO LIVED 50 YEARS 20:35 AGO AND THEY DID NOT HAVE THE LIFESTYLE THAT WE 20:37 HAVE. WE'LL HAVE ONE PROGRAM ON EXERCISE. I 20:42 CALL IT EXERCISE HALF-AN- HOUR A DAY KEEPS THE 20:43 DOCTOR AWAY. YOU KNOW BUT I WE TALK ABOUT THAT 20:47 IN ANOTHER PROGRAM. BUT EXERCISE IS VERY IMPORTANT 20:51 AND THERE ARE NEW THINGS COMING OUT ON EXERCISE 20:52 THAT THEY TELL US THAT IT'S NOT SO MUCH THE 20:54 VIGOROUS, ACT- ACTIVITY YOU KNOW LIKE GOING TO 20:59 THE GYM. IT'S NOT SO MUCH BUT IT'S THE ACTIVITY, 21:00 THE, THE SORT OF SMALL DETAILS OF YOU 21:02 KNOW GETTING UP TO CHANGE YOUR TV CHANNEL. >> BILL: 21:08 TAKING THE STAIRS RATHER THAN THE ELEVATOR. >> DR. 21:09 VIRIATO FERREIRA: EXACTLY THINGS LIKE THAT. OKAY SO 21:12 THAT IS VERY IMPORTANT. 21:13 THEN ANOTHER ONE IS REDUCED MEAT INTAKE. NOW 21:15 THAT'S A BIG ONE. YOU KNOW MOST OF US, MOST OF US 21:20 TODAY IN OUR SOCIETY ARE NOT VEGETARIANS. BUT 21:21 VEGETARIANS HAVE MUCH UM SMALLER RISK OF HAVING 21:25 BREAST CANCER. BUT OKAY SO REDUCING MEAT INTAKE 21:32 AND IT'S NOT ONLY BECAUSE OF THE FAT THAT, THAT 21:33 MEAT HAS. BUT THERE ARE OTHER FACTORS SOME OF 21:36 THEM STILL UNKNOWN. BUT WE KNOW WE ARE THERE. YOU 21:39 KNOW WE SEE THE DIFFERENCE. >> BILL: HMM. 21:40 >> DR. VIRIATO FERREIRA: BUT AH SO REDUCING 21:42 MEAT INTAKE AND I WOULD RECOMMEND VEGETARIAN 21:43 DIET. I WITHOUT ANY HESITATION. TODAY I 21:45 THINK IT'S THE BEST, IT PROVIDES BALANCE AND IT 21:50 TASTES GOOD. OTHER YOU KNOW WE DON'T FEEL LIKE 21:54 EATING IT. >> BILL: SURE. 21:55 >> DR. VIRIATO FERREIRA: BUT AH AND THEN THERE ARE 21:56 SMALLER THINGS LIKE FOLIC ACID. WE ARE NOT SURE LIKE 21:57 FOLIC ACID'S ONE OF THE VITAMINS OKAY. SO UM 22:01 AH PEOPLE WHO HAVE GOOD LEVELS OF FOLIC ACID SEEM 22:07 TO HAVE MORE OF A PROTECTIVE EFFECT AGAINST 22:09 BREAST CANCER. >> BILL: HMM. >> DR. VIRIATO 22:13 FERREIRA: AND BUT IT DOESN'T MEAN THAT YOU 22:15 SHOULD BE TAKING NOW SUPPLEMENTS OF FOLIC ACID 22:16 BECAUSE IT MAY ACTUALLY TURN AGAINST YOU 22:18 AND INCREASE YOUR RISK. SO YOU KNOW EATING WELL THERE 22:21 ARE SOME GOOD FRUITS HERE. 22:22 YOU KNOW EATING FRUITS AND VEGETABLES WHICH ARE RICH 22:28 IN FOLIC ACID. NOT NECESSARILY GOING FOR, 22:29 FOR, FOR SUPPLEMENTS. AND THEN OF COURSE THE BIG, 22:32 THE BIG ONE IS ALCOHOL. 22:33 ALCOHOL IS SO WIDESPREAD IN OUR SOCIETY THAT AH 22:38 YOU KNOW MOST PEOPLE ARE MODERATE DRINKERS, WHAT 22:45 THEY WOULD CONSIDER MODERATE DRINKING. AND 22:46 UM MODERATE DRINKING IT'S STILL A PROBLEM ESPECIALLY 22:50 FOR BREAST CANCER. 22:51 SO I WOULD SUGGEST CUTTING BACK. >> BILL: ABSTINENCE. 22:55 >> DR. VIRIATO FERREIRA: ABSTINENCE, COMPLETE 22:56 ABSTINENCE FROM ALCOHOL. 22:57 SUBSTITUTE WITH YOU KNOW SOME FRUIT JUICES, 23:01 DILUTED FRUIT JUICES, JUICES ALSO. YOU KNOW BE 23:02 CAREFUL WITH THE CALORIE, WITH THE CALORIES. AND SO 23:05 UM I THINK THESE WOULD BE THE MAIN, THE MAIN POINTS. 23:09 YOU KNOW JUST RECAPPING YOU KNOW MAINTAINING 23:10 YOUR BODY, A HEALTHY BODY WEIGHT. >> BILL: EXERCISE. 23:13 >> DR. VIRIATO FERREIRA: EXERCISE. TURN VEGETARIAN 23:15 OKAY OR IF YOU'RE NOT TURNING VEGETARIAN THEN 23:16 REDUCE CONSIDERABLY YOUR MEAT INTAKE. THAT'S VERY 23:20 IMPORTANT AND THEN A LOW FAT DIET. I FORGOT TO TALK 23:25 TO YOU ABOUT THAT. YOU KNOW A LOW FAT DIET, 23:26 ESPECIALLY VERY LOW IN SATURATED FAT. >> BILL: 23:30 HMM. >> DR. VIRIATO FERREIRA: THAT IS 23:32 EXTREMELY IMPORTANT OKAY. 23:33 SO GO RATHER FOR NATURAL FATS, NATURAL OILS LIKE 23:37 FROM ALMONDS, WALNUTS. 23:38 >> BILL: RIGHT. >> DR. 23:39 VIRIATO FERREIRA: OLIVE OIL. >> BILL: RIGHT. >> 23:41 DR. VIRIATO FERREIRA: AND AND OTHER OILS THAT ARE 23:42 MUCH MORE UM ACCEPTABLE TO THE BODY. SO UM AND 23:43 THEN ALCOHOL AND THEN THINGS LIKE FOLIC ACID, 23:49 VITAMIN C, VITAMN A AS WELL. THOSE ARE THINGS YOU 23:53 CAN DEFINITELY IMPROVE, YEAH. >> BILL: SO 23:54 ALTHOUGH YOU CAN'T ALWAYS ARTICULATE THE, THE 23:57 CAUSAL LINK BETWEEN THE TWO. BUT OBSERVATIONS 24:01 INDICATE THAT -- >> DR. 24:02 VIRIATO FERREIRA: YES. >> BILL: THOSE THINGS HAVE A 24:03 POSITIVE EFFECT. >> DR. 24:04 VIRIATO FERREIRA: YES AND IT'S NOT ONLY FOR 24:05 PREVENTION. BUT FOR PEOPLE WHO ARE GOING, UNDERGOING 24:07 TREATMENT NOW. >> BILL: HMM. >> DR. VIRIATO 24:09 FERREIRA: TO, TO MAXIMIZE THE CHANCES FOR CURE. >> 24:13 BILL: I SEE. >> DR. 24:14 VIRIATO FERREIRA: I THINK THOSE ARE VERY IMPORTANT 24:15 OKAY. SO IT'S NOT JUST, JUST FOR PREVENTION. 24:17 IT'S ALSO FOR LIKE A CO- AGEVENT OR A, A HELP 24:20 IN THE TREATMENT OF BREAST CANCER. >> BILL: WOW, VERY 24:25 INTERESTING. WE HAVE ABOUT 2 MINUTES LEFT. >> DR. 24:27 VIRIATO FERREIRA: YES. >> BILL: AH ANY CLOSING 24:29 COMMENTS, ANY PEARLS OF WISDOM FOR OUR VIEWERS? 24:32 >> DR. VIRIATO FERREIRA: WELL THE PEARLS OF 24:33 WISDOM. YOU KNOW I LEARN, I LEARN A LOT WITH 24:36 MY PATIENTS AND UM AND I'M ALWAYS LEARNING. SOMETIMES 24:40 I THINK THAT I GO TO MY CONSULTING ROOM TO LEARN. 24:41 YOU KNOW I GIVE A LOT BUT I ALSO AH -- >> BILL: 24:45 SURE. >> DR. VIRIATO FERREIRA: LEARN A LOT. UM 24:48 MANY OF OUR PROBLEMS TODAY ARE RELATED TO OUR 24:49 LIFESTYLE, OUR CHOICES. 24:54 NOT JUST WHAT WE EAT OR THE EXERCISE WE DO OR DO 24:55 NOT DO BUT TO THE WAY WE PERCEIVE LIFE. >> BILL: 25:00 HMM. >> DR. VIRIATO FERREIRA: OKAY SO IT'S 25:04 VERY IMPORTANT FOR US TO PAY ATTENTION TO THESE 25:05 PREVENTABLE DISEASES. YOU KNOW WE MIGHT BE YOUNG AND 25:08 OUR RISK MIGHT BE LOWER BUT TIME CATCHES UP. >> 25:14 BILL: YES. >> DR. VIRIATO FERREIRA: OKAY AND 25:15 WE NEED TO INVEST IN OUR HEALTH TODAY. AND THE 25:18 BENEFITS MAY BE SEEN IN 10 OR 20 YEARS TIME AND UM 25:24 BUT IT'S WORTH IT. YOU KNOW IT'S, IT'S SO SAD 25:25 TO SEE PEOPLE COMING YOU KNOW TO 60 OR 70 AND 25:29 SAYING WELL I WISH I HAD DONE THIS. >> BILL: HMM. 25:33 >> DR. VIRIATO FERREIRA: BECAUSE I WOULD LIKE 25:34 TO SEE MY GRANDCHILDREN GROWING UP. >> BILL: YES. 25:36 >> DR. VIRIATO FERREIRA: WOULD LIKE TO SEE THAT 25:37 AND THAT BUT I AM DYING BECAUSE OF WHATEVER COULD 25:38 BE PREVENTED. SO INVEST IN YOUR HEALTH IT'S WORTH 25:40 IT. >> BILL: I HAD SOMEONE SAY HOW YOU LIVE YOUR 25:42 LIFE IN YOUR 20S WILL DETERMINE HOW YOU LIVE 25:43 YOUR LIFE IN YOUR, IN YOUR 40S AND IN YOUR 50S. 25:47 >> DR. VIRIATO FERREIRA: DEFINITELY, YES IT'S TRUE. 25:50 SO IT'S WORTH IT AND YOU KNOW IT'S A GOOD LESSON 25:51 FOR US CAUSE WE NOT, WE NOT IN THE 50S. WE NOT 25:56 IN THE 60S. >> BILL: I'M ALMOST THERE. [LAUGHS] >> 25:58 DR. VIRIATO FERREIRA: WELL WE'RE ALMOST THERE. BUT 25:59 YOU KNOW BUT AH BUT IT'S, IT'S GOOD. IT'S GOOD TO 26:02 INVEST. I'VE GOT YOUNG KIDS AND I WOULD LIKE TO 26:04 BE FOR THEM. >> BILL: ABSOLUTELY. >> DR. VIRIATO 26:05 FERREIRA: AND UM INVEST IN YOUR HEALTH. AND YOUR 26:08 HEALTH IS WORTH IT. >> BILL: THANK YOU VERY MUCH 26:10 DR. FERREIRA. >> DR. 26:11 VIRIATO FERREIRA: YOU'RE WELCOME. >> BILL: WE'RE 26:12 GONNA CLOSE OUR PROGRAM WITH A WORD OF PRAYER. 26:13 FATHER IN HEAVEN WE THANK YOU SO MUCH FOR 26:15 EVERYTHING YOU HAVE DONE AND WE ESPECIALLY THINK 26:17 OF THOSE RIGHT NOW HEAVENLY FATHER THAT 26:18 MAYBE SUFFERING WITH AN ILLNESS. WE PRAY THAT 26:21 YOUR HEALING HAND MAY COME UPON THEM. FATHER WE THINK 26:25 OF THOSE THAT HAVE LISTENED TO THE WISE 26:26 COUNCIL THAT WAS PROVIDED TODAY AND WE PRAY THAT 26:28 YOU WILL GIVE THEM THE STRENGTH AND THE COURAGE 26:31 TO PUT THESE THINGS INTO PRACTICE IN THEIR LIVES. 26:32 WE KNOW THAT YOUR DESIRE IS THAT WE LIVE LIFE 26:36 AND WE LIVE IT MORE ABUNDANTLY. MAKE THAT A 26:39 REALITY FOR EACH AND EVERY ONE LISTENING TO M 26:41 VOICE TODAY. WE PRAY IN JESUS NAME, AMEN. 27:23 YOU KNOW WE HAVE A VERY INTERESTING OFFER FOR YOU 27:24 TODAY, A VERY EXCITING ONE. ONE OF THE 27:26 RECOMMENDATIONS WE HEARD FROM DR. FERREIRA WAS 27:31 THAT A VEGETARIAN LIFESTYLE GOES A LONG 27:32 WAY TO HELPING PREVENT DISEASE. WE HAVE THIS 27:33 MAGAZINE. ITS CALLED VEGETARIAN STARTER KIT. 27:36 WE'D LIKE TO OFFER IT TO YOU AS A GIFT FROM "IT 27:37 I WRITTEN". IT'S FREE OF CHARGE. AND HERE'S 27:39 THE INFORMATION YOU NEED TO GET YOUR COPY. 27:46 >> NARRATOR: AS A CONVENIENCE YOU MAY 27:47 REQUEST TODAY'S FREE GIFT OFFER BY CALLING OUR 27:49 TOLL FREE NUMBER AT -- 28:07 >> BILL: WELL DR. FERREIRA WE'VE COME TO THE END 28:08 OF ANOTHER PROGRAM. I WANT TO THANK YOU FOR YOUR 28:10 PARTICIPATION. >> DR. 28:11 VIRIATO FERREIRA: IT'S BEEN A PLEASURE TO BE 28:13 HERE. >> BILL: WE HOPE TO HAVE YOU BACK REAL SOON. 28:14 I WANT TO THANK YOU ALSO FOR JOINING US AND WE 28:15 WILL BE BACK HERE NEXT WEEK, THE SAME TIME, THE 28:20 SAME STATION. REMEMBER THE WEBSITE IIW.CA. UNTIL NEXT 28:27 WEEK "IT IS WRITTEN" MAN SHALL NOT LIVE BY BREAD 28:28 ALONE BUT BY EVERY WORD THAT PROCEEDS FROM 28:34 THE MOUTH OF GOD. 28:39 $$$$$$$$$$$$$$$$$$$$$$$$$$ |
Revised 2014-12-17