Abbygale “Abby” Arenas de Leon, a former beauty queen and a certified image professional, shares her story as a breast cancer survivor. Despite leading a relatively healthy lifestyle and having no family history of cancer, she was shocked to learn after a biopsy that she had been diagnosed with Stage 3 HER2+ breast cancer, an aggressive type.

Determined to fight, Abby underwent neoadjuvant chemotherapy and targeted therapy followed by modified radical mastectomy, radiation therapy, and hormone therapy, as part of her personalized treatment plan. Now cancer-free since January 2021, she uses her platform to serve as a beacon of hope for women battling breast cancer and joins ‘Hope From Within,’ a cancer advocacy campaign by MSD in the Philippines, as its newest ambassador.

Emphasizing the value of innovative cancer care, Abby highlights that it allows cancer patients to spend more time with their loved ones, focusing on survival, quality of life, and family rather than treatment costs and challenges. She advocates for personalized treatment plans, innovation in treatments to increase survival rates and better outcomes, and the importance of a multidisciplinary team in managing breast cancer.

*Breast cancer survivor Abbygale “Abby” Arenas-de Leon*

The diagnosis came despite her living a relatively healthy lifestyle and having no history of cancer in the family. Despite the sad news, Abby was determined to fight. She didn’t perceive cancer to be a death sentence, but rather a test of strength for her to survive in the face of adversity.

Now, Abby uses her platform to serve as a beacon of hope for women in the battle against breast cancer. In celebration of Breast Cancer Awareness Month this October, she joins ‘Hope From Within’, a cancer advocacy campaign by healthcare company MSD in the Philippines, as its newest ambassador.

Survival over cost, quality of life over money

Abby knew from day one that the only way to get better was to trust her doctors and follow their treatment advice. Although, one of her biggest questions to her doctors then was, “How much will it cost?”

The financial anxiety had Abby and her husband, veteran photographer Jun de Leon, navigated the possibility of selling their only home. While a house is indispensable for a middle-income family like the De Leons, Jun’s words were found reassuring by Abby. “We can buy another house, we can never buy another you.”

With the support of her loving husband and two kids, Abby went on with her personalized treatment plan which consisted of neoadjuvant chemotherapy and targeted therapy followed by modified radical mastectomy, radiation therapy, and hormone therapy.

“Neoadjuvant chemotherapy was necessary for Abby since her cancer was discovered in a locally advanced stage,” said breast oncology surgeon, Dr. Diana O. Cua. “We needed to downsize her cancer to allow us for clear margins during surgery. This also let us see if she responded well to treatments, and served as a guide for future therapies,” added Dr. Cua.

Dr. Cua also explained that each breast cancer is different and unique. “This is why innovative approaches to breast cancer treatment have proved to increase survival rates and better outcomes, reduce side effects or complications to enhance the patient’s quality of life during and after treatment as well as minimize recurrence for long term survival.”

Meanwhile, Abby explained that spending time with family is what cancer patients would most value if treatments allowed them to live for longer. “There’s a real need for innovative cancer care because it’s a question of tradeoffs. It’s about survival over cost. It’s quality of life over money. It’s more time spent with your loved ones over getting caught up with the challenges of cancer.”

Moving forward: Life after cancer

Breast cancer is a complex disease that affects various aspects of a patient’s health. It’s vital that a multidisciplinary team of doctors assess a patient’s case, to come up with a comprehensive and personalized treatment plan targeted to one’s cancer type.

After 14 months of undergoing a series of therapies, Abby de Leon was finally deemed cancer-free in January 2021. She now maintains her health with the help of hormone therapy.

Abby’s journey through cancer was a proclamation of the love and support surrounding her. Many of their loved ones expressed their support, both morally and financially, that Abby and Jun de Leon were able to cover all treatment expenses while keeping their home.

As an ambassador for Hope From Within, Abby leads individuals, organizations, and communities to come together and raise awareness of the most common cancer types among women.

This breast cancer awareness month, her message is simple yet powerful: there is hope from within, and it’s stronger than any adversity.

In the lead up to the opening of classes, MSD in the Philippines collaborated with Kythe Foundation to help pediatric patients get ready for another year of learning, with “MSD Gives Back 2 School.”

Employees of MSD in the Philippines donated learning and wellness kits to 100 pediatric cancer and chronically ill patients in Metro Manila. Through the volunteer program MSD Gives Back, they contributed their time, thought, and care-filled efforts in purchasing and assembling the school kits, and visiting the pediatric wards of Quirino Memorial Medical Center (QMMC) and the Philippine Orthopedic Center (POC) to engage with and lift the spirits of the Kythe kids.

MSD employees led by Andreas Riedel, President and Managing Director, turn over school kits to Kythe Foundation represented by Janice Cuevas, Partner Relations Manager, and Jem Benzon, Volunteer Program Officer.

Boosting the spirit of brave kids

“We, at Kythe Foundation, are deeply grateful for the continuous partnership with MSD for the past years. The vibrant energies and support of the MSD volunteers are seen and felt during activities like this. We are sincerely grateful for the time, effort, and donations that each of you have contributed to ensure that the children patients are well-equipped to learn and grow even when confined in the hospital. These kits give them a chance to explore and develop their skills in writing and drawing, perhaps creating poetry or songs too. Through this, they reminded that their illness and hospitalization cannot hinder their capacity to continue learning, and that they are not alone in their battle against cancer and other chronic illnesses.” – Janice Cuevas, Kythe’s Partner Relations Manager, on the relevance of such interaction for children with cancer.

MSD volunteers made sure to encourage the kids’ love of learning during the delivery of the school kits, which contained notebooks and pens, as well as art materials, and wellness kits. The hospital visit ended on a fun-filled note, as volunteers interacted with the kids and their guardians, exchanging notes on their favorite school activities, and wishing them a great school year ahead.

MSD employees hand-delivered school kits for the pediatric cancer patients at the Philippine Orthopedic Center (POC) together with Jem Benzon, Kythe Volunteer Program Officer, Charm Mercado, Kythe Child Life Coordinator for POC, and Fely Zafranco, RSW – POC OIC, Medical Social Work Service

Patients first

MSD champions volunteerism by encouraging employees to find meaningful ways to give back to the community. Through the volunteerism and skills share program, MSD Gives Back, employees participate in programs that promote a healthier society, advance education, foster the arts, address the welfare of animals, and preserve the environment.

“At MSD, we aim to help build healthier communities by putting patients first in everything we do. Through MSD Gives Back, our employees are empowered to make an impact through meaningful volunteerism opportunities, such as our collaboration with Kythe Foundation, for the benefit of children with cancer and other chronic illnesses.”

The company has been a long-time supporter of Kythe Foundation, a non-stock, non-profit organization dedicated to the health and well-being of children with chronic illness, such as cancer. In recognition of the company’s contributions, in 2022, Kythe Foundation named MSD Philippines as Corporate Volunteer Group of the Year.

Sharing a human moment that serves as a balm to the soul contributes to the healing process. This is where company policies on volunteerism and individual acts of kindness can make a difference, by encouraging and empowering children and their families to fight cancer and letting them know that they are not alone in their journey.

Patients

MSD in the Philippines and The Carewell Community hold wellness talk for cancer patients

June 29, 2023

Global healthcare company MSD in the Philippines recently collaborated with The Cancer Resource and Wellness (Carewell) Community Foundation, a nonprofit foundation that provides support, education, and hope to persons with cancer and their loved ones, to hold a wellness discussion called Talk to Doc: Well, Well, Wellness!

The event aimed to enable cancer patients from The Carewell Community, to focus on their overall health and well-being, as they battle the disease.

MSD turns over wellness packs for cancer patients and caregivers. L-R: Gina Evangelista, Carewell volunteer; Andreas Riedel, President and Managing Director, MSD in the Philippines; Oliver Calasanz, Managing Director, Carewell; Marie Ganir, Carewell programs assistant; and Jane Beate, Carewell art instructor

The two-part discussion, which covered physical and mental wellness, was hosted by MSD’s Dr. Orven Dumaoang, and facilitated by MSD Medical team led by Dr. Maan Galang Escalona, together with guest speaker, Dr. Ephraim Leynes.

Part I. Nurturing the body throughout the journey

Good nutrition is crucial for patients as it helps maintain a healthy immune system and body weight, reduce side effects of cancer treatments, and improve the quality of life. Eating a well-balanced diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats can provide the necessary nutrients to support the body’s healing process. Additionally, adequate hydration is important to prevent dehydration and aid in digestion.

Dr. Davidson Pastrana highlighted that cancer and its treatments can cause changes in appetite and digestion, making it challenging to maintain good nutrition. Therefore, consulting with a registered dietitian or healthcare provider can help cancer patients develop a personalized nutrition plan to support their recovery.

Dr. Nicole Tenorio discussed how good hygiene, skin care, and bathing are essential for cancer patients to maintain their overall health and prevent infections. Cancer and its treatments can weaken the immune system, making patients more susceptible to infections. Regular hand washing, oral care, and proper wound care can reduce the risk of infection. Cancer treatments can also cause skin dryness, irritation, and sensitivity, making it important to use gentle, fragrance-free products for skin care and bathing. Moisturizing regularly can help prevent skin cracking and infection. Patients should also avoid sharing personal items such as towels, razors, and toothbrushes to prevent the spread of germs. Consultation with a healthcare provider or dermatologist can provide guidance on skincare and hygiene practices for cancer patients.

Regular exercise can benefit cancer patients in many ways. It can improve physical function, reduce fatigue and other side effects of cancer treatment, and lower the risk of cancer recurrence. Dr. Claudio Valdes suggested some forms of exercises to help patients maintain a healthy weight and reduce the risk of other health problems such as heart disease and diabetes. Additionally, exercise can have psychological benefits, such as reducing anxiety and depression, and improving overall quality of life.

Part II. Nurturing the mind

Dr. Ephraim Leynes, a Family Medicine specialist, addressed mental health issues among cancer patients. He emphasized that mental health is integral in the overall support for cancer patients because a cancer diagnosis can cause significant psychological distress. Counseling, support groups, and other interventions can help patients manage emotions, improve well-being, enhance coping, and improve adherence to treatment and overall health outcomes. Healthcare providers must recognize the importance of addressing mental health issues and appropriately support cancer patients.

It takes a community to support patients through the cancer journey

Annually, MSD employees worldwide volunteer their time and resources to support and empower communities through the MSD Gives Back program.

“We at MSD feel honored to support The Carewell Community’s mission of upholding the well-being of Filipino cancer patients and caregivers, by empowering them to lead fulfilling lives, throughout their journey, through MSD Gives Back” said Andreas Riedel, President and Managing Director, MSD in the Philippines.

“This talk on wellness for cancer patients is more than just providing information. It is an opportunity to create a supportive environment where patients can share their experiences, learn from others, and feel empowered to take control of their health. The talk fosters a sense of community among cancer patients and their loved ones, where they can find comfort and strength through shared knowledge and understanding. By coming together in this way, we can help patients navigate the challenges of cancer treatment and improve their quality of life,” noted Oliver Calasanz, Managing Director, The Carewell Community Foundation.

MSD Gives Back! Employee volunteers prepare wellness kits for The Carewell Community

MSD’s partnership with Carewell in holding the wellness forum for cancer patients is a testament to MSD’s commitment to supporting organizations that promote the health and well-being of communities in need. By organizing events like this, MSD and its partners can empower cancer patients to lead fulfilling lives and provide the necessary resources to improve their overall health and well-being.

When the pandemic struck, a recovering cancer patient and his oncologist decided to strike back, holding onto hope that he will stay alive and thrive.

“Rufino” (name was changed upon the request of the patient) is no stranger to life’s adversities, having survived three strokes, on diabetes maintenance therapy, and also battling stage 4 lung cancer in his 70s. After several starts and stops, his oncologist, Dr. Katherine Hernandez says Rufino’s cancer is now “stable.” Years ago, Dr. Hernandez offered him another treatment option after his cancer progressed while undergoing chemotherapy.

She adds that “the results of his immunotherapy treatment are very encouraging because the pulmonary lesions have decreased in size. Already, Rufino’s quality of life has improved and so have his chances of living longer.”

A cancer patient amid a pandemic

Prior to the COVID pandemic, he was responding well to his treatment: his hair grew back, and he even decided to match it with a moustache, plus he was already grocery shopping from a wheelchair. Dr. Hernandez shares “There were no longer the side effects like weakness, fatiguability, alopecia, and others, as he previously experienced. And even as a stroke survivor, he was stronger, and even walking faster than before. He was very happy!”

Then 2020 came and the unprecedented COVID-19 pandemic upended life as we know it. Rufino, a family man and businessman, is among the many cancer patients whose day-to-day lives were affected by the health crisis. “Madaming challenges, unang-una ‘di ka makalabas. Kahit na pasyal, takot akong bumaba,” Rufino recounts. “We had to enforce strict protocols at home, like we do not allow visitors, and everyone in the household wears a mask. Even in our business, we really made sure to follow safety protocols.”

Despite the anxiety brought about the pandemic, Rufino didn’t let COVID hamper his health progress. Ever the fighter, Rufino, guided by his oncologist pushed through with the treatments despite great constraints. “The threat of COVID-19 is real but what I’ve learned is that us cancer patients have to balance this with continued cancer care and not delaying treatment,” Rufino says.

Dr. Hernandez explains why this is so important: “Any delay or termination of treatment could mean ‘the end of the road’, so to speak. In medical language, no treatment would mean progression of cancer which could eventually lead to early death.”

The importance of implementing innovative, patient-centered strategies cannot be overemphasized given that cancer patients might be at increased risk for COVID-19 infection. To help ensure continued care, the delivery of cancer management needed meaningful adjustments, including changes in treatment protocols that prioritize patient safety, and fostering a health ecosystem that encourages coordination of care.

In Rufino’s case, since the hospital where he was receiving treatment before the pandemic suddenly became overrun with COVID-19 cases, Dr. Hernandez decided to look for a different hospital that would enable them to carry on with the therapy. She adds, “I continued to communicate with him and check his condition via teleconsult. He resumed his infusions in a secondary private hospital. He underwent RT-PCR prior to each treatment and received treatment in the outpatient department chemo unit.”

Digital media as public health tool

The role that digital media plays is also crucial. Telemedicine, which was not in widespread use prior to the pandemic, become a convenient tool to help patients receive health care advice while sheltering in place. Even with drawbacks like insufficient infrastructure, socio-cultural resistances, and legal considerations, ever since the pandemic happened, patients like Rufino have experienced the advantages of being able to talk in real time with their doctors in the comfort of their own homes.

Especially during this time of social distancing, social media somehow helps alleviate the loneliness and isolation that so many cancer patients feel. Rufino beams when he says that since the pandemic, he has become hooked on social media particularly messaging and online shopping applications. By connecting online with kin and friends who pray for hope and healing, he stays motivated to keep his eyes on the goal.

“Order din ako nang order ng food! Like other normal people, I search online to buy avocados, bananas, watermelons… Because of social media, kahit pandemic, may nakakausap ako at buhay na buhay ang isip ko. I don’t feel alone,” he shares.

From responsive and coordinated healthcare to teleconsultation and social media kumustahan, maintaining open lines of communication is paramount to the continued delivery of cancer care during an outbreak.

“Constant communication between the medical oncologist and the cancer patient is a very important mechanism to monitor the progress of treatment. And this can be achieved via telemedicine to lessen the hospital visits and hospital exposure,” Dr. Hernandez reiterates.

Keeping the hope from within alive

With or without pandemic, the most crucial lesson in navigating one’s cancer journey is to keep moving forward. Rufino said that his cancer experience enabled him to inspire other patients battling with the disease, sharing with them how he too grappled with his own mortality and ended up having a greater appreciation for life: “Talagang lumalaban ako. Kasama na diyan yung patuloy na pagpapagamot dahil gusto ko pa mabuhay.”

Rufino also wants to inspire other cancer patients to not lose hope. He says this is the reason why he takes time to put forward his story through the help of Hope From Within, an advocacy campaign spearheaded by MSD in the Philippines.

Rufino notes that the welfare of his family and his employees also serves as motivation for him to keep fighting the disease. “Iniisip ko, kung mawala [ako], ano nang mangyayari sa mga tauhan [ko] na may mga pamilya ring nakadepende sa akin.”

“I don’t yearn for what I used to enjoy before the pandemic,” Rufino reveals. “My attitude is to live in the present and look forward to tomorrow. When is my next schedule for infusion? ‘Yun ang priority ko. Lagi din ako nakikinig sa mga doktor.”

Dr. Hernandez describes the case of Rufino as a very encouraging story. “His continuous treatment has made him stronger and more alive. Mang Rufino is the perfect example of a cancer survivor who is full smiles and hope despite being challenged by Covid-19 pandemic.”

This coming December, Rufino will mark another personal milestone as he turns 75 years old. There will be ups and downs along the cancer journey especially during an ongoing pandemic, yet valiantly, he urges patients and their families to keep up the good fight. And it is an advice worth listening to, coming from a cheerful survivor of stage 4 lung cancer who now wears a bigger sized shirt from having regained appetite for food and for life.

For more details on how to reduce the burden of cancer-related mortalities amid the pandemic, visit http://www.hopefromwithin.org/ or like the official Facebook page at https://www.facebook.com/Hopefromwithinph/.

Patients

Melissa de Leon shares hopeful tomorrows for Breast Cancer Patients

January 25, 2022

Melissa de Leon-Joseph is known to many as a versatile actress and host of popular TV programs in the early 2000’s. In 2005, her life took a dramatic turn.

Melissa discovered a lump in her breast. Her doctor removed the lump, which turned out benign. The following year, a mass was detected again and she was asked to do a needle biopsy. She shrugged the idea. At that time, she was at the peak of her health, career, and family life. Four months later, in December 2006, a pronouncement from her physician changed everything. She was diagnosed with stage 2b breast cancer in 2006.

“Siguro if I followed that first doctor, siguro stage 1 or stage 0 lang ako. I felt the world fell on my shoulders. My kids were very little at that time. I couldn’t believe that it was happening to me. I was thinking very much of my children,” Melissa said.

Melissa’s words echo the sentiment of many Filipinas. To the newly diagnosed, cancer may be feared as a sentence of misery, suffering, or even death.

According to the 2020 World Health Organization (WHO) report, there were 2.3 million women diagnosed with breast cancer and 685 000 deaths globally. As of the end of 2020, there were 7.8 million women alive who were diagnosed with breast cancer in the past 5 years, making it the world’s most prevalent cancer.

In the Philippines, Globocan 2020 report showed that more than 9,900 Filipinos died of breast cancer making it the 3rd leading cause of death due to cancer and the number one leading site of cancer with more than 27,000 new cases.

Acceptance and getting treatment

Melissa saw the wisdom in heeding her doctor’s advice, getting the right information, and moving forward with treatment.

“It is very important to trust your surgeon. Whatever he recommends, you follow. Once you have decided on a doctor and you know that you can trust him, you really have to submit and listen,” she admitted.

Cancer patients undergo different treatment options. Every patient’s treatment program varies depending on the type of cancer and the patient’s medical history. Depending on the status of the patient, medical oncologists may shift from one type of treatment to another, over the course of a patient’s journey.

Melissa underwent a mastectomy and six sessions of chemotherapy intended for stage 4 cancer patients because her cancer diagnosis was an aggressive type. In the middle of her treatment, the mass was tested again. She went to three hospitals for a biopsy.

The results revealed that her cancer was not as aggressive as previously reported and that she wouldn’t have to go through the additional and costly treatment after chemotherapy.

“The biggest challenges for me were not knowing exactly what is it that I will encounter, and the expenses. I didn’t know that it was going to be very expensive. I also had to deal with a wrong diagnosis,” she recalled. “There is also the challenge of accepting that I have no more breasts. I was able to go through it because my husband was very supportive and it was ok with him, as long as I am well and ok. He assured me that it doesn’t matter, and it will not make me less of a woman.”

Celebrating life after cancer

“There’s life after cancer. It’s been 15 years. I still believe that the best is yet to come. In this life we are journeying, we must be able to know who we should hang on to. The

important thing for me is knowing who our strength is and where we are getting it from. Surviving or conquering this journey is something that I can and will continue to talk about. I don’t think I will be able to get through it well if not because of my spiritual relationship with our Lord,” Melissa expressed.

Melissa thanked her husband, her family, friends, and all the people who prayed for her during her fight with cancer.

“I believe in the power of prayer. Whenever I go out with my bandana, somebody would approach me and say, ‘Melissa, I’m praying for you. This is so wonderful. There are people who are very much concerned. You need that when you’re going through something. Just a message of encouragement is very precious,” she added.

To help other women who are battling breast cancer and their families, Melissa started Project Pink Cancer Support Group.

“The mission of Project Pink is to be able to provide emotional, spiritual, and psychological support to the patients, caregivers, and their families. We help them go through government assistance. We hope to multiply effective cancer treatment. So that stigma that happens to the person will be overcome. Spread the good news that there’s life after cancer,” Melissa explained.

When her cancer treatment ended, Melissa opened a new chapter in her life – a life filled with hope and happiness by sharing her journey and inspiring others with her spirituality.

Patients

Empowering cancer patients during a health crisis

December 28, 2021

The COVID-19 pandemic has crippled almost every nation around the world. We’ve witnessed economies slowing down, businesses struggling to survive, and healthcare systems overwhelmed by the unprecedented impact of the pandemic. The impact on individuals is likewise all-encompassing. Very few can say their economic, social, mental and physical well-being were not affected in any way. How much more for the vulnerable? One of the most high-risk groups during the pandemic are the cancer patients.

Those with active cancer are classified as immune-compromised. The risk among cancer patients is based on the type of cancer they have, the type and timing of treatment, underlying health conditions, and the age of the patient.

COVID-19 has also abruptly and radically changed the landscape of cancer care delivery in the country. Most cancer institutes of hospitals scaled down their operations to allow sufficient time for proper patient screening and to comply with social distancing guidelines. At the Philippine General Hospital (PGH) Cancer Institute alone, patient visits to the Medical Oncology Clinic went down by 90% when it re-opened last April 2020.

The missed consultations and treatments may also mean missed opportunities for many patients who would otherwise have a better chance of adding years to life and life to years.

Ensuring the safety and continuity of cancer care amidst the current pandemic and proactive assistance are needed to guide and support patients and caregivers. This includes sharing information on what hospitals and clinics are ready to receive patients for consultation, testing or treatment, how to contact their medical oncologists, and where to seek support throughout their journey.

Hope from Within, an advocacy group dedicated to promoting cancer awareness, together with the Philippine Society of Medical Oncology (PSMO), compiled an infographic which summarizes the list of hospitals nationwide currently accepting cancer inquiries.

Cancer Care Hospitals during COVID

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Here are some questions cancer patients, along with their companion or family, can ask:

How will my treatment regimen be, moving forward? Do we continue, or can we reschedule?
How many cycles away am I from completion?
What will be the effects of delaying my therapy?
What again are my treatment goals? Does delaying therapy still meet those goals?
Is telehealth (health consultations through telecommunications) an option for me?

When Visiting Hospitals

It is still advisable to limit physical contact and practice social distancing even during the GCQ period, since cancer patients are immuno-compromised, making them more vulnerable or high-risk to get infected by the virus. It is highly recommended to call your oncologists prior to your scheduled check-ups/ treatment appointment to lessen hospital visits. If you are required to go to a hospital, please be extra careful and take preventive measures as well to protect yourself:

Wear a mask and your personal protective equipment or PPE.
Always handwash and sanitize. If possible, you may bring your own hygiene kit which includes alcohol, liquid handwash or soap, pocket tissue or wet wipes to avoid further contact with any object in the hospital.
Avoid the crowd.
Follow and keep in mind hospital measures.
Avoid public transportation. As much as possible, have your own service or if you are having a hard time, you may want to check out Cancer Coalition Facebook page for scheduled services. They offer services to cancer patients around the Metro for now.

Resources for Access to Cancer Treatment

Access to cancer treatment is a major challenge that is encountered by all cancer patients. But we do not let their hope subside especially during this tough time. Cancer patients in need of support may seek financial assistance by reaching out to the following:

Department of Health (DOH) Medical Assistance Program for Cancer
Office of the President (for guarantee letters)
Office of the Vice-President (guarantee letters up to Php 5k)
Philippine Charity Sweepstakes Office’s (PCSO) Individual Medical Assistance Program (IMAP)
Department of Social Welfare and Development (DSWD) Assistance to Individuals in Crisis Situations (DSWD AICS)
Legislative funds for healthcare (for guarantee letters if in public hospital)
Local Government Units (mayor’s guarantee letters)
SSS, GSIS, and Pag-IBIG loans
Foundations & Private Organizations

Everyone is also highly enjoined to sign the DOH’s Cancer Assistance Fund to Support the National Integrated Cancer Control Act to make quality cancer care accessible to more Filipinos.
Get the right support you need throughout your cancer journey in this time of pandemic. Visit Hope From Within website at https://hopefromwithin.org/ and Facebook page https://www.facebook.com/Hopefromwithinph.