OUR THOUGHT TO TEACH

IN THE PAST 7 YEARS WE HAVE VISITED MORE THAN 150 MUNICIPALITIES SHARING KNOWLEDGE ON HOW TO EMPOWER WOMEN IN THE CARE OF THEIR BREASTS, WOMEN'S RIGHTS AND MOTIVATIONAL CONFERENCES ON THE MEANING OF LIFE.

MORE THAN 25,000 WOMEN, 700 GENERAL DOCTORS, 300 HEALTH PROMOTERS IN ADDITION TO NURSES, CIVIL STAFF OF THE ALCALDIAS, ADMINISTRATIVE STAFF OF HOSPITALS, FACTORIES WITH A MAJORITY OF WOMEN AS FLOWER CROPS, MILK FACTORIES

Not only telemedicine is useful, we have supported for several years rural doctors, nurses, health promoters and especially women in the community that we have trained.

Not only telemedicine is useful, we have supported for several years rural doctors, nurses, health promoters and especially women in the community that we have trained. Our most frequent means of communication, WhatsApp, women and promoters rarely have data. They have written us about clinical cases that we have been able to guide, we receive mammograms and pathologies of women distressed with the result but who have delayed their consultations. We support them, because nobody imagines the anguish of a woman who has a result and does not understand it. Especially the health promoters we have supported when they see women on their rural routes, many pathologies are solved with a good photo of the breast. It is very gratifying. With the help of the Seno de la Gobernación group we have located EPS patients whose action plan is delayed. The last case was a Mesitas patient whose pilosa rural doctor located a woman who had been waiting for her chemo for 6 months. Thanks to her and this group started its management in 48 hours. All these people that we have trained, some 35,000 have the possibility of using WhatsApp with us. Most do not communicate because they feel sorry or find it incredible to be able to do it, but most also know who can do it. We only used PASSION.


THANKS TO THE AIR FORCE WE ATTENDED THE UNIVERSITY OF LOS LLANOS AND WERE ABLE TO SHOW HOW TO TEACH TO TEACH


Teach to teach. Thanks to the Air Force, we had the opportunity to attend the nursing faculty of the Universidad de los Llanos, Villavicencio, showing the model we use of how we can teach senior nursing students to empower women in the care of their We show how to transmit simple, short but impactful information that respectfully addresses the taboos and fears of a woman facing her breasts, with her frequent symptoms and illnesses. The right to be treated with respect. The importance of NOT underestimating your learning capacity, however humble they may be. They learned about the drawings that these women can reproduce showing why a breast hurts, where the cancer we are looking for is located and why it does not hurt. How to speak in public so that when they assume community work and prevention programs they have better communication and leadership tools. The department of Meta is one of those that must make changes to address the increase in the incidence of Breast Cancer, the low performance of self-examination of it, the low coverage of mammography among other aspects regarding breast pathology. Thank you for allowing us to share our experience and vision. Simple ideas for a serious problem.

OUR WOMEN LEARN MORE FROM THEIR BREASTS IF WE TEACH THEM WITH PASSION.


As these are our STUDENTS, humble women, without further training who are able to reproduce our teachings, can draw in a drawing of the breast where the ducts, lobes, lobules are and explain because a cancer does not hurt, in which part it develops, because a breast, which is a cyst, hurts, because a blow is not associated with Cancer, nor many myths, beliefs and fears that after training are able to deduce its veracity or No, I am proud of all these women who teach and motivate me every day to continue using part of my time to teach in municipalities, companies and schools. These days, 2 teenagers from schools in Sopó took this information to their homes (part of a strategy to reach young women who work and do not self-palpate) and managed to motivate their mothers to self-palpate and discover two malignant lesions, more than on time. For their work, one of them fits As a family, I had never attended programs because I was working. Our students today are from Flores Suasuque de Sopó within the Mayor's program for reaching all their women, wherever they are.

If possible, it just takes passion, humility and not underestimating your ability to learn.

SUPPORT ... IT HELPS PROVIDE SIMPLE IDEAS TO IMPROVE THE BREAST CANCER PREVENTION STRATEGY

Sopó for a couple of years was committed to improving the awareness of breast cancer in their women. It was detected that many women never attend programs because they are working, so they teach college students ... One of them motivated their mother to self-palpate and we diagnosed an injury in initial stages. (16% of women with advanced CAM are under 30 years of age in ALatina according to Globocan 2018) To teach in local companies where many women do not self-palpate or go to programs prevention.To teach EMPOWER women.Every year more women attend, today 72% of the trained women in Sopó perform self-palpation. (The regional average is 27% of the trained women who self-palpate) Good for their health personnel , in a photo they themselves adorned the town. Well the participation of local radio and TV. Very well Sopó, really an example. DECIDED TO TEACH BY ALL MEANS.

A doctor who is specializing in Surgery asked for my opinion about what it takes for his work to be noticed by others, among other things, described in the full article. I responded with a letter born from my heart where I simply tell him, be original, live with a passion for your patients, have a sense of belonging, have purposes based more on giving than receiving, have significance, always put yourself in the patient's place and treat it with the respect it deserves, be grateful to everyone, from the humblest person first always. Without the lady of the reds and grooming we cannot be the best, if we do not have a good coffee and we have a clean office. I tell her human stories so that she learns that telling stories about herself and others makes her more credible and she can always edit her life as the best way to permanently improve and reinvent herself. In the end, living with passion and not seeking recognition, he comes alone.

LETTER TO A SURGICAL RESIDENT

A surgical resident asked me in writing "what should I do so that my contributions do not go unnoticed by my company?" What new skills do I need to keep going?
What good questions! They are one of those questions that many of us should ask ourselves frequently, especially when we are still forming our character and we are defining how we want to form the path to wisdom. I decided to reply with a letter that could be addressed by a son, to a young colleague like you or a student.
Respected colleague ...
Living being authentic, not seeking recognition because originality is lost and there is a risk of losing passion.
Acting with passion with my patients always achieved recognition without looking for it and today I have plaques and letters from patients that are worth more to me than the hundreds of certificates, diplomas and fellows accumulated in my life. Living with passion has allowed me to commit to their problems and ask me what they want from me, because sadly many times we give them what we think they should receive because a book says so.
I have seen many times patients who are injured or who are going to have a major surgery, as they "ask" us with our eyes, that we put a hand on their foreheads and tell them that everything will be fine. This increases the paternal feeling of protection, lowers his heart rate, and even cries of tranquility and gratitude at being able to remove accumulated tension. Covering a patient in a breast exam will always get a thank you from her and my students have been able to verify it. For me this is the first part ... You and what it's worth ...
As a human being, have a sense of belonging to your institution, that is impregnated on the skin and if you are sincere, it will make you feel proud ... Without being "over acting", if you are identified with your company, you will notice it, no you will need to have a grown ego. Be critical with respect, because you love your company. That will happen without you intending to. His membership will make him "TEACH TO TEACH", a teacher will make him not only with those who have a relationship with medicine (nurses, bosses, interns, residents, among others) but also with those simple people like those in the toilet, who Serve the reds, without them you can never be the best professional, since without a clean office and a good cup of coffee ... not to mention ... I once wrote a few words of thanks to Carmen, the girl who cleaned the offices and served coffee, in a time when they still belonged to the payroll of the institution, because today they are all OUTSOURSING ... One day he invited me to his house and he had framed and hung my words in the room ... they waited for me eyes, it would be the "only diploma" in his life.
But you will also have the thanks of the colleagues who come after you ... they will "pay" you with an acknowledgment. I say this from experience ... I once taught my students to keep photographic records of patients with clinical cases that they used to teach others. Over the years all the photos they had collected would be part of their wisdom, they would not need photos, sometimes disrespectful, published on non-scientific sites on the Internet. I taught them the importance of not uploading them to this medium, asking permission with respect, indicating to the patient that they would serve for their story and to teach in their talks. Soon after, these young colleagues began to send me photos of their adventures in other hospitals. I then taught them to put Watermarks with their name on them as authors and asked permission to use them, proudly telling them at the time that it would be an honor for me. Phew!! That response with respect, treating them as colleagues returned a few words of thanks that a salary would never compensate.
A second pillar after membership is that you put a purpose to your career, to your life itself ... just think that the best purpose is one that seeks to give more than to receive. Today the social, family and economic pressure sometimes shows that a good purpose is the other way around ... "Mijito, we need more money, the house, it was too small for so much son, the Club, the new office, mijito the school. .. "But do not fall into the trap ... several times I have had a lot of money and after a short time due to various circumstances of violence, illness and more I have had to start again and it is hard to believe me. But it grows again and everything comes when our purposes are about that ... what did I do today for the woman I love? For my faithful dog that always waits for me? For a patient who asked me for help? For a student who wants to know more? Affectionately appreciated the help of a colleague?
I once learned in Africa and in our jungles that all the money in the world does not serve to fill both the soul and the love of others.For a good purpose just act as Halil the Wise, a 1st-century rabbi, told a student who asked him how he could summarize the Torah and he replied, "Get out the door, don't do anything to anyone who doesn't I would like them to do it to you, the rest are side notes. " Always put yourself in the position of your patient ... Understand what he feels, beyond what he says. In women who consult for their breasts it is vital. They may consult for a blow but perhaps their unspoken fear is whether the blow will cause Cancer. Putting yourself in each other's shoes for everything ... lower your ego and lead by example.
Imagine how much good to peace our leaders would do if they applied this? Nelson Mandela, without going to conflict resolution courses learned it in prison, we must respect and put ourselves in the shoes of our enemies to understand them and we will be ready to embrace them ... Ahem ... let's continue is another matter.
As a third pillar, look for transcendence every day for a while, looking at the rain in the window for 5 minutes in silence is enough to lower the ego and lowering it leads us to think more about "us". Now that it is fashionable to "humanize" many do not know what it means, because it is also a paradox, how do we humanize if we are already human? Simple, it is when we lower the Ego and talk about ourselves ...
There is no alternative text for this imageFinally, tell stories from your life. I once amputated both legs of a military man due to trauma from a mine. He got depressed, he threw his life away where those who have no help and advice throw it, the M ... A couple of months later in a control, he caught me inspired, I don't remember what I said exactly and he was more animated. A year later he appeared and came to thank me for having "removed his legs" (I had to remind him just in case it had been a necessity ... we laughed ...)
He had set up a company and employed disabled military and guerrilla fighters. He learned to edit his life and what seemed less good in his life opened his heart and made him see a life with wisdom, based on service to others, under his mistreated Ego ... We all have different stories, JP Sartre said that we should live with what they did to us, it is true, but he forgot to say that we could edit our lives and turn them into stories of wisdom. It is my last advice, when I explain to patients what they have, do it with stories about yourself, your other patients, how they were cured or how they fared, they understand much more than if I told them what the book of Medicine says.
How you will see it is only about love and passion and whatever you do if you have these elements, anyone in your company will notice it and if it still does not happen, which I doubt, I am sure you would be living every day; Snoopy said to Carlitos, when he said that he only lived once ... he said, "no sir, you die once, you live every day ..." And I love it because it's true ... when death has He has been so close, as I have personally seen her so many times, I know it is true ... she will live calmly and those around her will end up noticing it and generating a change ... it all comes down to living with passion.
Says the Latin poet: "Carpe diem quam minimum credula postero memento mori" (seize the day, do not trust tomorrow, remember that you will die).
With all my respect and admiration for wondering things like that ...
Dr Ignacio Castilla

THE BEST PAYMENT TO AN EFFORT TO TEACH TO TEACH

On the 14th we were in Guatavita, a municipality whose motto regarding the prevention of Breast Cancer is CHOOSE TO KNOW. Their attitude of teaching, sharing knowledge that empowers women in the care of their breasts, begins to show results. Of their trained women, 58% are performing their self-palpation, well above the region average (27%) and from the average of countries like Mexico (29%) and Peru (19%). But the greatest reward was to see how a humble woman was able to draw the basic anatomy in a breast, explain where the cancer we are looking for begins and why it does not hurt, to show why a sinus hurts, how a cyst forms. So DO NOT UNDERESTIMATE THE ABILITY TO LEARN THAT ANY WOMAN HAS AS HUMBLE AS IT IS, how proud I was to see this uneducated woman "replace me". If it is possible, that is why we must continue incorporating techniques to improve communication, LEAN techniques to determine the information that is not useful to teach against an epidemiological objective, (that the woman consults in time) NLP to reinforce learning. Be respectful of myths and fears. TEACH TO TEACH our young doctors and regain leadership Simple ideas for the serious problem of Breast Cancer.

SIMPLE IDEAS.


In the photo we see an older woman looking at a cell phone. In rural areas, our women do not have access to data, so the vast number of applications to prevent breast cancer are absolutely inoperative. We have collected enough information about it ... We also know why when they see them they do not use them. the only network used by rural women and through them we send our TIs for neurolinguistic reinforcement for 15 days with the information that we have shared in person. We discovered the enormous potential of this activity. We have the useful information to develop a simple application that could generate a change in the prevention of Breast Cancer. We have tried it and the results with simple ideas have made the information recall up to a year. We have created a pathway where women, rural doctors, health promoters and now medical students consult us and improve their knowledge and allow us to support them in solving problems. It is very simple but exhausting and we are ready to receive cooperation in this regard. We are sure that we have something very important to improve the advanced cancer prevention situation. The photo is beautiful and telling.

ALL WOMEN TAKE CARE OF THEIR BREASTS ...


Breast cancer is not an exclusive disease of the elderly. Today women over 50 with Cancer are almost the same as those under 50. And 12% of women with Cancer They are under 30 years of age, which is why the example of Suesca, Sesquile, Ubaté and Sopó as recent examples are giving great importance to including young women. As we have seen the enormous response in companies where women who have never attended training work They do not participate in the mobilizations because they are working and many are heads of the family. Better yet, we have included schools, radio interviews, specific training for health personnel as hosts forced to have better knowledge about the problem of breast cancer not only in Colombia but in Latin America. Now that it is the month of breast cancer, it is the opportunity not only to carry out the same urban mobilizations but to take a look at the rural area where we are few committed to the 2 million women that we will never be able to cover without the cooperation of the private sector. The mayors have all the interest, they are ready with us but it is time to seek cooperation, we already know why and we are proud of what we can achieve.


FORUM IN PERU DE ROCHE AND AGENCIA EFE

We once again had experiences that reinforced the knowledge that we have acquired over the years about the need to improve breast cancer prevention programs in their methodology to transmit information. A few days ago at a forum in Peru, from Roche and the EFE agency, it was said the need to create more specialized centers. But as we said, more of this without making changes in prevention is to continue treating advanced cancer cases. When we have the opportunity to teach TED.com in style to public and private sector doctors like today in Suesca and we see how we can increase their knowledge by improving their knowledge of benign pathology (90% of the consultation) better communication, better treatment and respect for women, we reinforce our idea that we are ready to seek cooperation in the private sector to train and update doctors with a simple philosophy .. "TEACH THEM TO TEACH '" with a goal, that they lead prevention, acquire leadership in sharing and do not c invest in barriers so that the woman does not consult when she has a mass that does not hurt. If the woman is not satisfied with the care of her common pathology, almost always painful, when she has something that does not hurt and that is more associated with Cancer, she will not consult as it happens today.

HUMILITY AND RESPONSIBILITY

when you trust us as specialists. Something that has motivated me in the municipalities is how, thanks to this credibility, I can help to clarify with respect, all the myths and beliefs that stop a woman from consulting on time. But that need Trusting women is also the motivation to teach rural doctors and nurses how to teach. Changing the way they teach and communicate from the office and prevention programs is vital to improve rates of women arriving with breast cancer. advanced. "Teaching to teach" has become my motto, using neurolinguistics, leadership, passion for what we do. Simple ideas for serious problems like breast cancer in Latin America.