Debating The Atheist - Sayed Mohammed Baqer Qazwini & Dr. Rabbie Hanna

9 المشاهدات· 24/03/22

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The Life Of Sayeda Zaineb (sa) - Hajjah Nada Najar

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Transcript

[0:56]you you you you you you you you salamualikum' jami an wa

[9:14]rahmatullahi wa barakaatuh smille ar-rahman ar-rahim o salat wa salam ala al

[9:20]anbiya wa l-mursalin say 'i do not wanna be in our Habibi

[9:25]yalla bina Muhammad Allah elevated leaping upon hearing thank you for joining

[9:31]us the Saturday morning for another faith Community Health Initiative presentation before

[9:36]I introduce the guest speakers I just want to give a brief

[9:41]introduction to the committee for those who are first-time attendees my name

[9:45]is Ahmed owada and I am one of the board members of

[9:47]the faith community health initiative located here at the Islamic Institute of

[9:50]America faith community health focuses on the intentional care of the spirit

[9:57]as well as the promotion of holistic health and Prevention or minimization

[10:02]of illness within the context of a faith community we have an

[10:07]amazing committee consisting of multidisciplinary health professionals we all have a passion

[10:12]for helping improve the health and well-being of our faith congregation through

[10:16]providing resources education culturally sensitive trainings and community engagement we will have

[10:24]three tracks to address the needs of the community a wellness and

[10:29]Prevention track a mental health track and an end-of-life and chronic illness

[10:33]track our mission is to advance the physical mental and spiritual health

[10:37]of the Muslim faith community so we can grow a strong healthy

[10:41]community and everyone should have received a survey if you can fill

[10:44]that out on your way out we would greatly appreciate it our

[10:48]session today is titled what to do with a cancer diagnosis presented

[10:52]by dr.

[10:54]Ravi Ahana and dr.

[10:54]Zeta Wahab so we will begin with our first speaker dr.

[10:59]Robbie Hanna did his ob/gyn residency at Wayne State University and Detroit

[11:04]Medical Center followed by fellowship in gynecologic oncology at the University of

[11:10]North Carolina Chapel Hill he is currently a staff gynecologic oncologist starting

[11:14]Henry Ford Health and associate clinical professor at Wayne State School of

[11:18]Medicine please help me welcome him with a loud so allah muhammad

[11:22]wa ala muhammad salam alikom florica to belong solely Allah Muhammad Ali

[11:40]Mohammed so me and my colleague and brother doctors and Wahab we've

[11:44]been friends for masha'Allah almost close to 30 years now both of

[11:50]us are gonna ecological oncologists so we deal with a lot of

[11:53]cancer diagnoses and we have seen that one of the we have

[11:56]with a lot of just our community is how to deal with

[12:01]this cancer diagnosis and what to do what are the backgrounds that

[12:04]some that we would expect what we would want people to understand

[12:09]and know so today we will handle a lot of things that

[12:11]we use in terms that we use and give a simple understanding

[12:15]of what we mean by some of the idioms that we use

[12:17]or words that we use and will kind of allude to some

[12:23]myths or ideas that are in the community about cancer next slide

[12:27]please so basically what is cancer when we talk about cancer it

[12:37]is in an abnormal growth of cells so usually what happens is

[12:44]that our cells when they grow and create the organs or would

[12:48]they repair themselves during our normal a so for example if we

[12:51]think about having an incision a cut on our skin the tumor

[12:56]the cells grow with each other okay until they reach a point

[12:59]where they know they should not grow anymore now we know we

[13:06]see the scar is that's overgrowth a more exaggerated scar is the

[13:11]keloid okay and that's even more gross so that's what how we

[13:16]think about cancer now but with catheters unlimited grow so it keeps

[13:20]on growing and growing and growing it could cause a space L

[13:22]a spatial effect where it causes pressure on the surrounding systems the

[13:27]affected from a space standpoint we could affect it from a pressure

[13:30]standpoint for example if the tumor is growing on the bowel the

[13:38]intestine and then it blocks the intestine or it could affect the

[13:41]function also for example blood cancer would affect the function of the

[13:45]blood of the blood cells next slide please so here for example

[13:51]this is the the center this is where the tumor cells are

[13:54]and these are the normal cells next slide please now with cancer

[14:01]with well not all cancers but with some cancers we have what

[14:06]we call the precancerous lesion so from left to right we will

[14:14]look yes thank you how are you these are normal cells here

[14:17]we see one cell is becoming abnormal we still don't call this

[14:24]cancer here we sell more abnormal cells but they don't cause any

[14:28]effect and they're still not causing cancer but pay attention to this

[14:32]what we call the basement membrane it's kind of a thickened tissue

[14:37]between these two levels of tissue at this level here this is

[14:42]what we call pre cancer or dysplasia if we can identify this

[14:49]beforehand and remove it then we have prevented cancer from growing in

[14:54]that organ now if we miss it for some reason or another

[14:59]and it continues to grow then it goes into forming actual cancer

[15:02]and the management would could become different based on the organ next

[15:10]slide please now screening so we have the ability for some cancers

[15:16]to do a test to find the pre cancer lesion and then

[15:24]prevent cancer from happening next slide please for example cancer of the

[15:28]cervix they who are intolerant we are able to see the cervix

[15:35]on examination we swipe it with certain instruments like a brush and

[15:39]we examined the cells the microscope if there's any cell that represents

[15:44]a precancerous lesion then that tells us to go in and possibly

[15:51]take biopsies or anything so that's one form of screening now screening

[15:55]has guidelines the guidelines are based on what we see nationally for

[16:00]example in America we have certain guidelines we start screening for silver

[16:05]cancer at certain age and so on next slide please for example

[16:09]we have the colonoscopies and not on basically what it is a

[16:16]camera goes in inside the anus and it goes all the way

[16:18]up and examines the entire colon and when the surgeon or the

[16:23]gastroenterologist sees a polyp or a lesion they will take it out

[16:29]most of the time if there's if it's a pre cancer then

[16:31]that could cure it or if it's a cancer they might do

[16:36]something else now of course this one also has guidelines for example

[16:39]for colonoscopies anybody who's 50 years old has to have a colonoscopy

[16:43]if it's normal it's repeated every 10 years some people come and

[16:48]say well I want to do it every year so I make

[16:49]sure there's no cancer it makes sense logically or perceptional II but

[16:54]there's no data to support that so we rely on what is

[17:00]published next slide now how do we diagnose cancer we could develop

[17:06]a suspicion of a cancer presence by physical examination okay if I

[17:10]examine the abdomen and if there's a tumor somewhere that will give

[17:16]me a sense of there's something abnormal I might result I will

[17:21]then that might lead me to biopsies if I see the cervix

[17:25]and there's something on the cervix I will take a cut of

[17:27]that lesion and that will give me an answer if it's a

[17:31]cancer or not I might use some blood work that could give

[17:34]me a reflection is there cancer is there not cancer if there

[17:41]is what is my suspicion some cancers rely solely on the blood

[17:46]and blood work numbers the values and others don't so again I'm

[17:50]just giving a general idea of these and we might do radio

[17:54]tests x-rays CT scans MRIs PET scans one misconception people think that

[18:04]the PET scan which is the most expensive one of these is

[18:07]going to give the best results now there are some cancers where

[18:12]the pest the PET scan is what we need and there are

[18:15]other cancers where the PET scan has limited value when I say

[18:18]limited value we say when you compare a PET scan to a

[18:24]CT scan for that cancer is the is there any information that

[18:30]would change what I do that's what we rely on so we

[18:32]because we don't want to order expensive tests that don't make a

[18:35]difference in what we do next slide please so treatments of cancer

[18:45]it's all dependent on where the cancer is it could be a

[18:49]combinate just the use of surgery it could be a combination of

[18:52]surgery than radiation there could be a combination of chemotherapy and radiation

[18:58]without surgery but all depends on what type of cancer which organ

[19:04]is affected what stage the cancer is coming from next slide please

[19:11]now when the patient and the family go to the doctor and

[19:19]they talk about treatment we always talk about what is the right

[19:23]treatment to do so this is this takes us to the term

[19:28]what is standard of care what that means is that I expect

[19:31]if this patient goes anywhere in the country they will give them

[19:39]the same recommendation of treatment okay that's what we call standard of

[19:43]care and this is where we say we don't recommend treatments on

[19:47]personal experience in the general sense of cancer unless we have certain

[19:53]unique circumstances for example if I have somebody who comes to me

[20:01]and we think we have an ovarian cancer we know nationally and

[20:05]internationally as of now as of today the best treatment is surgery

[20:09]followed by chemotherapy let's say that patient goes to doctor X in

[20:17]a different place and that person says in my experience you're better

[20:22]off doing chemotherapy only that is not considered standard of care okay

[20:28]so when a patient goes and ask for treatments that one of

[20:32]the questions that we ask is is that standard of care meaning

[20:38]are you relying on national guidelines that direct you towards the right

[20:44]treatment without using your personal experience there might be some different options

[20:51]of standard of care that's where the personal experience might be reflected

[20:55]based on the data locally and nationally we also have what we

[21:03]call clinical trials a lot of people think of clinical trials as

[21:06]a negative option because they think they're experimenting on them and this

[21:10]is where we have to break down what a clinical trial is

[21:15]basically a clinical trial it means that we are going to try

[21:18]something new now most clinical trials we look at a standard of

[21:25]care option and compare it to a standard of care option plus

[21:30]something experimental now each scenario each disease state if it's early diagnosis

[21:39]and initial diagnosis or if it's a recurrence those options are that

[21:43]clinical trial might change but the majority of time we revert to

[21:51]clinical trials where we believe the option of experimental drug will make

[21:56]a difference for us and there are some clinical trials that we

[22:00]have evaluated where we believe that we say you know what we

[22:03]don't believe this is appropriate care so we don't use those clinical

[22:10]trials next slide please one of the very very important issues is

[22:14]when we have a diagnosis of cancer is you have a good

[22:22]oncology team now you as a layperson how can you evaluate if

[22:27]that oncology office is a good office for you to follow or

[22:32]not or should you really take your care go somewhere else so

[22:36]it begins from scheduling you will have a good sense of how

[22:40]organized the office is in scheduling your appointments in preparing the paperwork

[22:47]for your appointments and doing their homework to see you for example

[22:52]when I have a new patient come to me my office arrange

[22:58]all the paperwork gets all the studies from the referring physician and

[23:01]I have it beforehand before I see the patient because I want

[23:05]to study about the patient before I meet that patient so and

[23:09]then also look at what are the components of that office meaning

[23:15]who for example when you come in if somebody comes and sees

[23:17]me or doctor's aide who is it who's at the team is

[23:22]it just him by himself that might be too much there might

[23:23]be too much strain that's compared to having nurses and nurse practitioners

[23:27]or assistants and do we have tumor boards what that means is

[23:34]am I going to meet with other people in my specialty in

[23:37]my location and talk about patients or am I just going to

[23:42]give my personal opinion that's very important so we can reach a

[23:45]consensus opinion and of course also is that office going to tell

[23:51]me how I can communicate with them what if I have a

[23:54]question so if my patient leaves the office day and at home

[23:58]they thought of five questions do they have to make an appointment

[24:00]can they call all of that is going to be essential because

[24:06]the communication between visits is very very important so we don't lose

[24:11]any information and then also a lot of people think or believe

[24:15]that if they come and see me and they want to get

[24:20]a second opinion that I would be insulted by getting a second

[24:23]opinion the majority of us we welcome second opinions we welcome third

[24:27]opinions because the our goal is to serve the patient and our

[24:33]ego so next slide please this segues to my brother dr.

[24:40]Sejal Wahab I'm going to interest doctors in Oaxaca document left the

[24:46]room basically dr.

[24:47]Zeile Wahab finished his residency in ob/gyn away State University Detroit Medical

[24:51]Center and then that was followed by a fellowship on gynecologic oncology

[24:56]at Wayne State University at Carr monos and then he is now

[25:03]a senior gynecologic oncologist at Beaumont and he the associate professor at

[25:10]the auckland university beaumont hospital right mashallah colonic I call hanami because

[25:17]he looked up to him so it's okay so next part of

[25:25]the lecture I'll be talking about misconceptions and myths about cancer that

[25:30]commonly we get asked about almost every day or every week and

[25:33]in our offices can we have next slightly so it's cancer a

[25:45]death sentence dad no can you click on it next next so

[25:54]it's not the most important thing with cancer diagnosis is to be

[25:58]able to diagnose it earlier so currently the survival has improved dramatically

[26:02]90% of the patients with the most common cancers like breast cancer

[26:07]or prostate cancer actually survive more than five years after diagnosis the

[26:12]most important thing with cancer is is being able to diagnose it

[26:15]early the earlier the diagnosis of cancer the more chance of cure

[26:20]and the less chance of this cancer coming back again in the

[26:25]future so survival has improved dramatically in the last 2025 years and

[26:29]it's getting better and better every year with new chemotherapy drugs and

[26:35]new medications and treatments for cancer next line will eating sugar make

[26:40]my cancer worse it's a very common question I get asked about

[26:44]it almost every day yeah I get asked about this question everyday

[26:48]okay should I stop sugar with sugar cause my cancer if I

[26:56]stop sugar will can I cure my cancer so the answer is

[27:01]no cancer cells like other any other human cell needs sugar to

[27:05]divide and multiply and grow but the same time other cells in

[27:08]the body also needs the sugar so let's assume theoretically we stop

[27:12]eating sugar for a year okay at the same time we check

[27:17]our blood sugar every day for this entire here blood sugar will

[27:20]stay normal level on the blood okay despite that why because we

[27:26]have our liver which is a very important organ in our body

[27:28]and if we eat fat or we eat protein will automatically sense

[27:33]that is less sugar in the body we'll switch that fat and

[27:35]protein into sugar so even if we stop eating sugar sugar will

[27:40]be a normal level in the blood the only organ in the

[27:42]body that uses sugar only is actually the brain cells and if

[27:48]you know diabetic patients or patients with very low blood sugars they

[27:51]will faint because there is no enough energy to the brain so

[27:56]it's a very common myth get asked almost every day and stopping

[27:59]sugars will not change anything with this next one artificial sweeteners are

[28:06]they dangerous are they healthy the answer we don't have evidence for

[28:11]that you click on it so there is no these are all

[28:17]different types of sweeteners Splenda equal all of them has been they

[28:20]have been studied so far none of them has been known to

[28:25]cause carcinogen or cancer by themselves so so far they are safe

[28:29]unless we have more evidence in the future next slide it's cancer

[28:33]contagious so if someone diagnosed with cancer a family member or a

[28:37]friend or a partner will I get the cancer from that Paris

[28:42]person can you click on it so the answer is no okay

[28:44]cancer cannot spread from one person to another the only theoretic way

[28:50]of cancer going from one person to another is organ donation if

[28:54]someone is donating a liver or kidney to another person and has

[28:58]cancer cells in it the practically that person can pick up that

[29:03]cancer and because of that reason patients who are diagnosed with cancer

[29:07]even if they are cured they are not allowed to donate their

[29:12]organs while they are alive where they are dead okay but at

[29:15]the same can you click the next slide at the same time

[29:19]there are some viruses that can spread among humans and bacteria click

[29:24]again so for example human papilloma virus HPV virus so virus sexually

[29:30]transmitted between partners and there is hepatitis B and hepatitis C can

[29:36]be transferred also sexually transmitted or by IV drug abuse the virus

[29:41]can spread from one person to another it doesn't bring the cancer

[29:47]with them but can cause the infected person to get cancer cervical

[29:53]cancer or liver cancer next question can cancer surgery or tumor biopsy

[29:59]cause the cancer to spread also is a very common misconception that

[30:03]if I go take a biopsy from that cancer would I cause

[30:08]it to spread to other organs well it depends which kind of

[30:12]organ it is for example an ovary if we need to remove

[30:16]it I wouldn't biopsy it I would remove the whole ovary put

[30:19]it in a bag and then send it to the lab so

[30:23]the answer is no but surgeons are well trained and be careful

[30:25]to prevent the spread by putting a needle to get take a

[30:31]biopsy or by removing the entire organ and putting it in a

[30:34]bag before removing it so we'll cancel get worse if exposed to

[30:41]air you take the cancer out or you open the patient belly

[30:44]or lung or any tissue will this code make it worse the

[30:49]answer is no cancer when exposed to air will not grow further

[30:52]will not get bigger it will be the same next question are

[30:59]there herbal products Asha can help to cure cancer the answer is

[31:03]no currently we don't know there are some Chinese medicine has been

[31:07]people think it make your cancer just keep in mind a lot

[31:14]of chemotherapy drug davell Kamiya we're a lot of them actually are

[31:17]extracted from plants so some chemotherapies are actually we got them from

[31:23]plants and the process them and calculate how much the dose we

[31:25]can get the problem with herbal medicine is you don't know what's

[31:35]the dose of that drug so we don't know the dose of

[31:39]the drug plus another problem with taking herbal medicine Asha while getting

[31:44]treatment for example chemotherapy or radiation it can cause more side effects

[31:49]from the from those medications or radiation it can block the effect

[31:54]and make that that treatment not effective by using the herbal medicine

[31:58]Laksha at the same time so currently we don't have specific herbal

[32:02]medicine that can cure cancer next question if someone might and my

[32:10]family had cancer will I get cancer so sometimes for example breast

[32:14]cancer colon cancer the question will be can we can I get

[32:17]the cancer also the answer is not necessarily why because actually about

[32:23]80 to 90% of cancers are sporadic we call them there they

[32:27]are not inherited by families okay only about five or ten percent

[32:34]maximum 20% depends on new studies can run in the family you

[32:36]can suspect there is something going on the family of multiple family

[32:42]members the first second-degree relatives and they have the same cancer for

[32:45]example multiple women in the family their breast cancer or there is

[32:49]colon cancer or ovarian cancer those patients is recommended that family members

[32:54]who had cancer do genetic testing to know there is something running

[32:58]in the family but actually 80 to 90 percent of cancers are

[33:01]not hereditary cancers next question another important one is using the audience

[33:09]will it cause breast cancer the answer is no we don't have

[33:16]evidence right now next question excuse me using a hair dye super

[33:24]sharp will it cause cancer the answer is no but the our

[33:27]studies have shown that barbers get exposed to a lot of chemicals

[33:34]jalapeno a have a increased risk of bladder cancer next question it's

[33:38]cancer a man-made modern disease I get asked this a lot and

[33:44]where was it there before how can you judge Bible and or

[33:47]now because of all the technology we have people are more getting

[33:52]cancer actually it's not there are evidence even checking bones of dinosaurs

[33:58]that they are they some dinosaurs from old relics they had bone

[34:01]cancer and them there are relics from Egypt Egypt and Greek those

[34:08]people had cancer there is an old hero glyph mater here Olivia

[34:11]I mean hot tub is one of the engineers who built one

[34:16]of the big pyramids actually describing a female patient with breast cancer

[34:20]in a way description a mass it's going it's getting deep but

[34:26]he didn't have a treatment for it yes correct yeah for two

[34:34]main reasons first reason is we able to diagnose it now okay

[34:41]so the microscope was discovered 100 to 150 years ago so when

[34:43]I have a tissue I can look at the microscope when I

[34:49]see cancer cells okay 200 500 years ago we didn't have this

[34:52]test to know that okay the other reason also about almost till

[34:59]the last 100 years actually people used to die from other reasons

[35:04]famines major had her boob infections any simple simple flu flu Enza

[35:09]in 1915 killed millions of people for example cholera typhoid plague all

[35:16]different types of infection so began an eyelid Amara Hardy I'm rather

[35:24]witty Hobart Carew bottle ice Popp Australian mote raha in Sun our

[35:29]life expectancy getting longer and longer so we're picking up more cancer

[35:33]because most of the cancers actually happens in more advanced age Janna

[35:36]the older we get the more risk of having cancer so that's

[35:40]the reason I mean it could be someone died for example 300

[35:44]years ago for example and had an infection but the cause of

[35:49]the infection could be cancer but Saku evidence he had a hot

[35:52]table a vomit dinosaur at mixed area no okapi her cancer a

[35:58]tablet his son a hot dad did for I know and the

[35:59]Luna need evidence and no cancer Shamu judicata to ELISA it's a

[36:08]modern disease next one so hookah smoking is it is it safer

[36:11]than cigarette smoking so cigarettes de gaia is the most common preventable

[36:16]cause of cancer and and heart disease death we know very well

[36:21]it's very directed to a lot of cancers of the body there

[36:27]is a misconception that hooker the water pipe will argue ler less

[36:31]risky than that okay next slide so it's very common actually one

[36:37]in five college students now in this country they smoke a different

[36:42]type of hooker you can see here like 60 minutes of hookah

[36:46]smoking is equal to 100 or 200 cigarettes smoking correctly so now

[36:54]we have more exposure to tobacco you know how many carcinogens how

[36:58]many chemicals cause cancer and then one cigarette sixty okay yeah and

[37:02]it's a teen but the Kimmy our veggie garden where the could

[37:06]we have an idea why that so we can sir it's a

[37:09]teen when this area now hooker social smoking sitting you don't know

[37:14]how long you've been there but echo a lot of studies have

[37:19]shown sir entertain and our Gila had an Mia meeting Jakara the

[37:23]Train okay now there are no new studies have shown the unknown

[37:28]stamina stamina and mobile bill are Guinea in my IDO al muazzama

[37:32]sardonically item toss actor mineral vegetable sonic I'm actually actor so bad

[37:38]after so it a movement of so total it tobacco and Jakara

[37:43]idea when the way adequate actually worse than that next slide so

[37:49]vaping another another problem now happening these days for the last 10

[37:53]days so e cigarettes electronics cigarette cigar Ellicott road here theory behind

[37:59]it is with Armada Gaara or it would have been had a

[38:02]nicotine leash my stamina nicotine oh what a Hannah BG garlicy thrown

[38:09]here so should i bill bill electronic cigarette here that you and

[38:14]wash car little chargeable ones will battery replacement was Sheena silently star

[38:20]my bill to guarantee Catania so has glycerin it it really humid

[38:24]the Moodle vacuum Yaya has propylene glycol basically antifreeze messiah hod love

[38:31]Saturday Panama Dido in nicotine Oh nicotine away we are abided by

[38:35]time or I at the neck Hawaiian a highly analyse cigarettes the

[38:42]criminal and sixty five different flavors so the problem we have ll

[38:48]jagdtiger Ellicott rodeo was they start making any China actually in a

[38:52]way to replace animal mutiny magic I'll it recorded together with our

[38:57]garlic atrani hanumana Paulo in which gallantly slaughtered and the whole blood

[39:02]what was that dear colleague art they start smoking it more frequently

[39:06]by H Mikado flavor and the hamsa City flavor harem we cool

[39:15]arrival cool atomically noir October next slide so highly Turkey bill electronic

[39:19]cigarette OG garlic running a coup battery battery a kajita Annabelle Matata

[39:25]then hit area factor into register Harari Amir Ashley in Fahrenheit the

[39:29]river they basically Erica lil vapor by the Atlanta carbon in vapor

[39:37]with a communal vapor harder so Amelia could have highly alien here

[39:41]shuttle a GD that very new thing we don't know a lot

[39:45]about it but we know a lot of those patients or people

[39:47]who smoke cigarettes eventually wants to crave more nicotine later on in

[39:52]life and they have more risk of becoming real tobacco smoker later

[39:55]on in life so actually in the the the goal of preventing

[40:00]smoking actually makes it worse later on in life after GG sub

[40:04]nicotine actor beggarman de han gr DET ronia what a hamsa a

[40:09]scenario with a conjugal ally but but if dr8 elated energy is

[40:16]power a cahal italian Bible Yashiro in Kahala or halcyon michigan mer

[40:21]de Mouton reservable de garlic atrani state of Michigan that are for

[40:26]Hylian so is the annual governor mild Michigan so in suspension completely

[40:30]a little flavored electronic cigarettes right now so could be a pad

[40:36]I accompany honey an American man who I am a loom at

[40:38]an Italian of a chichi did a jig is our Mia meteors

[40:42]and a massive definite no valium attack the e-cigarette is a new

[40:48]thing okay next slide so treatment of cancer alleged cancer Victor Ribera

[40:54]hashish way oh bugger I will follow about treatment for cancer or

[41:01]okay question it's the same risk second-hand smoking area that you I

[41:12]had to guide the vegetation NASA duck energy level so my deduction

[41:18]who are highlighted honest about it I will be enough silver Colonel

[41:22]in nicotine and he'll sit in model Mesaba navigate to the gallon

[41:29]Hadid and for a Abbas the hundred is a wagon hey what

[41:36]if yeah we have it started at parties okay anti-cancer treatment okay

[42:08]we don't have evidence that had they have cancer effect b-17 anywhere

[42:16]I did Martin lived at least seed he actually say night yeah

[42:23]fellow a cyanide hello we're safe really come at them but the

[42:29]summer yeah we don't have evidence I would say right now on

[42:34]under all of it and Michigan there is no research to prove

[42:40]it's working okay so treatment for cancer I mean the main treatments

[42:45]for cancer there are four main things surgery jaha Kim yaoi chemotherapy

[42:50]radiation sha a red light will hormone odd but and wild cancer

[42:56]Tessa's Lee hormone at with an insulin pump restarting with a sudden

[43:03]will raha so sometimes part of the treatment we add hormonal therapy

[43:08]at the same time to block the effects of it treatment can

[43:12]be different from one cancer to another depends on the stage of

[43:15]the cancer where did the cancer go so sometimes surgery she'll cancer

[43:19]remove it surgically sometimes the chemotherapy at waking me out here at

[43:24]waking me away a minute dr.

[43:27]Lipman minhwa ramela aha starlet who had to have some storage it

[43:31]into Cheryl model never attended a shark I could move in this

[43:37]time alone with the photo neural x-ray proton electron can be used

[43:41]animal tarragon the more alkali Sora Tania and Bushkill ahead nobility we

[43:46]are we chemotherapy or radiation lemonade yeah it destroys also normal the

[43:54]body so most of the side effects related to the treatment actually

[43:57]related to damaging other normal cells growing in the body any hair

[44:04]loss can happen diarrhea bladder problems from radiation discharge infections can happen

[44:12]from them now those treatments has been advanced a lot in the

[44:16]last 10 20 years and they became more targeted more focused to

[44:19]target the cancer cells alone instead of destroying or damaging the other

[44:23]parts of the body huh double radiation SS are computerized cat scan

[44:27]3d view ala Moodle barber Tanisha it could hide the dal makhani

[44:34]noir Emily with a clear love Laura Allen lava le how little

[44:38]mckernon well we'll talk more about treatment and okay questions I see

[44:43]no yes okay it's a good question surgery is our makan my

[44:57]dude okay Janna method a method of turtle sauropod prostate okay that's

[45:01]on a panel approach that already Manisha in an album and no

[45:06]matter how hard I am Illya Cooper where she'll bus were available

[45:10]prostate hello you people who are socially isolated there is research that

[50:11]shows that their genetic material becomes shorter and shorter over time they

[50:17]die faster people who are more socially attached to other people surrounding

[50:20]and active those coat those chromosomes or Jerry material stays longer same

[50:25]thing with cancer patient I can tell you from our experience when

[50:29]we see a patient who's fighting cancer they do better when they

[50:32]have a good social environment and also if they are well attuned

[50:40]to their faith system whatever it is a lot of people even

[50:44]just simple yoga and meditation makes a huge difference any other question

[50:57]so there was a slide actually I removed about plastics in microwave

[51:04]so if the plastic says is microwave safe we should be ok

[51:08]ok the problem by using in microwave microwave is just heat so

[51:14]you can you can put that piece of plastic in the oven

[51:15]and cook food with it that plastic will melt and will become

[51:20]part of the food and may have carcinogens those who are microwave

[51:27]safe they should be ok foam is no you can't use foam

[51:30]in the microwave no no yeah you can't it's better not to

[51:38]put anything hot in the phone or even don't put it in

[51:40]a microwave and here I can listen it when you break it

[51:46]down what are you microwaving so if you're microwaving for example your

[51:50]food that you made that is healthy you're just using the physical

[51:54]factor of the microwave to heat it up now but if you

[51:57]microwaving prepackaged frozen food which in itself has a lot of problems

[52:03]that increases your risk of having problems and potentially cancer just because

[52:08]that food is not healthy to start with so it's not the

[52:11]function of the microwave is the function of the food that you're

[52:17]eating yeah then microwave is safe yes that's not good it's not

[52:23]recommended no no yeah yeah yeah and remember when you look at

[52:27]the microwave design it shields the surrounding from the way that is

[52:36]coming from it yeah yes sir so really it relies on multiple

[53:31]factors so if let's say for example if we have a patient

[53:33]who has a growth on the ovary okay we will see the

[53:40]examination and how that growth feels we might do an ultrasound and

[53:44]that would give us some information that hints us towards this most

[53:49]likely looks benign or most likely concerning we might also use additional

[53:53]blood work to help us there and that gives us an idea

[53:57]of what should we do should we go ahead and remove the

[54:02]ovary or not to confirm its cancer or not and that revise

[54:04]also on other variables how old is the patient what symptoms does

[54:08]she have what what's final family history does she have so there's

[54:12]a lot of variables but I can tell you nowadays we are

[54:14]very lucky to have a lot of advanced techniques that we can

[54:19]use to help us differentiate what is what but there are a

[54:22]lot of times when we don't know what it is and we

[54:26]can't go put a needle in it to see what it is

[54:29]because if I put a needle in it I have two possibilities

[54:30]I might go to an area that doesn't have cancer and will

[54:35]give me a false result but I can't take true or if

[54:40]there is cancer I might spread that cancer locally so we might

[54:44]say the only way to do this is to go and surgically

[54:50]and remove that organ uterus ovary bowel whatever it is so it

[55:04]depends on what type of cancer so the best way is definitely

[55:11]doing genetic testing so the best way of doing genetic testing is

[55:15]on the person who has cancer and inertia only under certain hueso

[55:22]we fastened genetics - no yeah no it's more like fishing in

[55:24]the ocean otherwise they suit so much of my head like I

[55:28]saw some jello vassals of junk oh I love for me until

[55:30]I love middle G not oh I love mini Gina Thomas R

[55:35]palla Nemo Judah the Aqua family history for example multilingual breast cancer

[55:40]in the family I cook I adapt my genetics Imogen etic counselors

[55:45]is a will her a pioneer family tree my little adhirata Lila

[55:51]has ever had a calculator koretski so more risk - she went

[55:55]get a Korres kalila a Friday Lila method and they can have

[56:00]breast cancer if the risk is high so in fact their blood

[56:03]test to check for the genes for cancer okay yeah Bessel s

[56:12]helper Italian Martha Sheva Sonya and the cancer hueso in the house

[56:19]whether be positive none of America and first-degree relatives generally a lapidary

[56:26]Judah couldn't be army Luna checkup Allah how the genes specifically and

[56:31]better more fishing of unknown roughness Ruffner how are the gene ID

[56:35]other shuttles can shake mythology nan : Marvin Yanni a part of

[56:41]Garagiola I'd had a chance that's the best way to screen for

[56:44]cancer Marathi Jeana serie so we sometimes we have questions that for

[56:49]example I have a patient who says I am very scared of

[56:56]ovarian cancer my friend just died of ovarian cancer I want to

[57:00]go and remove the ovaries okay so that's an emotional response right

[57:08]it is our duty to come and say do I have anything

[57:10]in that person's history that increases her risk for ovarian cancer and

[57:16]if I do is removing the ovaries good idea or not for

[57:24]example if I judge that persons have a chance of developing cancer

[57:29]based on using certain tables is 8% and she is 40 years

[57:35]old and if I remove her ovaries I've eliminated the 8% chance

[57:40]of developing cancer but I gave her a hundred percent chance of

[57:44]becoming menopausal which has negative effect on her life and we know

[57:50]women who are 40 who take out their ovaries that are not

[57:53]cancerous they die sooner than women who stave say their ovaries so

[57:56]there's a given intake and that's why we were very very careful

[58:02]here to make the decision an educated decision and not an emotional

[58:06]decision any other questions okay thank you very much thank you so

[58:16]much Lanza now now Mohammed one in common so I didn't give

[58:30]a chance to give the background under Thursday he did his residency

[58:33]at Wayne State University in Detroit Medical Center as well he eventually

[58:37]did a fellowship in gynecologic oncology at Carr mannose Cancer Institute and

[58:42]he is currently a staff physician at Beaumont Health Royal Oak in

[58:45]Grosse Pointe and associated preface professor at Oakland University William Beaumont school

[58:50]of medicine I want to thank dr.

[58:53]Zeile Wahab and dr.

[58:53]Wahby Honda for those that great information and I know our turnout

[59:01]here wasn't great but online hamdullah we have over 400 viewers so

[59:04]this was a pilot let's say for for future events like this

[59:11]and we want to let everybody know here and all our online

[59:13]viewers the inshallah we will have more programs with dr.

[59:18]Robbie Hanna and dr.

[59:17]Zeta will have and thank you guys so much for coming assalamu

[59:21]alaikum wa rahmatullah wa barakato

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Debating The Atheist - Sayed Mohammed Baqer Qazwini & Dr. Rabbie Hanna

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Debating The Atheist - Sayed Mohammed Baqer Qazwini & Dr. Rabbie Hanna

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