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7/31/2019 White Paper No. 1 - Health Concerns Plague Tommy Osmena Mayoral Campaign
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White Paper #1Prostate Gland Ailment Weakens Tommy
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Underlying concerns:
Tommys age (64 years
old) Not a low-risk tumor
Present state of health
Extent of metastasis
Effect in mobility
Cancer cell appearance in
microscope
Response to initial
treatment
Source: Excerpts from TRO medical records,
Massachusetts General Hospital, Boston;Bethesda Hospital, Los Angeles, CA
7/31/2019 White Paper No. 1 - Health Concerns Plague Tommy Osmena Mayoral Campaign
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Tommy has difficulty urinating, family
friends, allies report
Series 1: Photos taken during
the July 7, 2012 birthday of
NITO DURANO in DANAO
CITY (Courtesy of the Office of
the Press Secretary)
Note the urine
container
attached to a
catheter tube
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Can you not see the
urine contraption
bulge at his side?
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See?
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Doctors say: Tom
may have difficulty
moving around in
11 months
Reputedly afflicted
with a common type ofprostate cancer
detected only in 2010
Symptoms only
emerged in 2010Pain in the groin
Difficulty urinating
Erectile dysfunction
Prostate adenocarcinoma (acinar type) Gleason
Pattern #4, as was shown by his prognosis
summary at Massachusetts General Hospital in
Boston
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Impact on Leadership
Capability in the Next
Three Years
2nd-stage prostate cancer
arising from a tumor near his
male reproductive system
Local, slow-growing type,
moving into third stage in
which cancer cells
metastasizes (spread) from
the prostate to other bodyparts, especially in his thigh
and pelvic bones and lymph
nodes.Source: Excerpts from TRO medical records, Massachusetts General
Hospital, Boston, June 2012 visit
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When Toms normal cells
are damaged beyondrepair, they are eliminated
through apoptosis.
Cancer cells, however,
avoid apoptosis and
continue to multiply in an
unregulated manner.
Margot turns down majorsurgery
Source: Excerpts from TRO medical
records, Massachusetts General
Hospital, June 2012 visit
Doctors Prognosis
http://en.wikipedia.org/wiki/Apoptosishttp://en.wikipedia.org/wiki/Apoptosis7/31/2019 White Paper No. 1 - Health Concerns Plague Tommy Osmena Mayoral Campaign
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Series 2: With Rep. LuigiQUISUMBING, Photos taken
during the July 7, 2012
birthday of NITO DURANO in
DANAO CITY
(Courtesy of the Office of the
Press Secretary)
See the
bulge there?
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See?
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Series 3: Asking a DURANO
family member FOR
directions to the rest room,
photos taken during the July7, 2012 birthday of NITO
DURANO in DANAO CITY
(Courtesy of the Office of the
Press Secretary)
See?
7/31/2019 White Paper No. 1 - Health Concerns Plague Tommy Osmena Mayoral Campaign
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Will Tom Run for Mayor Again?
Tommy is being asked
to decide a trade-off
between the expected
and harmful effects interms of survival and
quality of life after
major surgery.
Source: Excerpts from TROmedical records (June 2012
visit), Massachusetts
General Hospital, Boston
Doctors and family
members are discussing
whether or not to treat it asa localized prostate cancer
(tumor-based) with curative
intent.
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Impact on 2013 Election Campaign:Less visible, reliant on Margot and council-alliesSickly, impatient, restless, and grumpy
Use money to buy votes
Pressure allies for access to voters
Impact on Governance if Elected:City spending more for his medicines
Frequent hospitalization
Loss of focus on governance
Inability to discharge mayoral duties
Unable to implement important programs
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Tommy Running Out of OptionsCompelled by failing health and facing a formidable opposition, TROpositions ABELLANOSA (avoiding a showdown with CUENCO) and
consolidating his preparation early for the mayoralty contest. If weakened
by prostate cancer by October 2012, he may let Margot run for mayor and
capitalize on his illness to gain popular support for her.
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Rama keeps lead, LP survey shows
This white paper is meant
to shed light over the
discussion of important
politico-economic issues. It
may not be reproduced,
stored in a retrievalsystem, or transported in
whole or in part or by any
means, electronic,
mechanical, photocopying,
recording or otherwise
without prior writtenpermission of the
Philippine Institute of
Applied Politics.
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