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

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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/Apoptosis
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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?

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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.