White Paper #1

Prostate Gland Ailment Weakens Tommy

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

Tommy has difficulty urinating, family friends, allies report

Note the urine container attached to a catheter tube

Series 1: Photos taken during the July 7, 2012 birthday of NITO DURANO in DANAO CITY (Courtesy of the Office of the Press Secretary)

Can you not see the urine contraption bulge at his side?

See?

Doctors say: Tom may have difficulty moving around in 11 months

Reputedly afflicted with a common type of prostate cancer detected only in 2010 Symptoms only emerged in 2010 Pain 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

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 body parts, especially in his thigh and pelvic bones and lymph nodes.
Source: Excerpts from TRO medical records, Massachusetts General Hospital, Boston, June 2012 visit

Doctors Prognosis
When Toms normal cells are damaged beyond repair, they are eliminated through apoptosis. Cancer cells, however, avoid apoptosis and continue to multiply in an unregulated manner. Margot turns down major surgery
Source: Excerpts from TRO medical records, Massachusetts General Hospital, June 2012 visit

See the bulge there?

Series 2: With Rep. Luigi QUISUMBING, Photos taken during the July 7, 2012 birthday of NITO DURANO in DANAO CITY (Courtesy of the Office of the Press Secretary)

See?

Series 3: Asking a DURANO family member FOR directions to the rest room, photos taken during the July 7, 2012 birthday of NITO DURANO in DANAO CITY (Courtesy of the Office of the Press Secretary)

See?

See?

Will Tom Run for Mayor Again?

Tommy is being asked to decide a trade-off between the expected and harmful effects in terms of survival and quality of life after major surgery.
Source: Excerpts from TRO medical records (June 2012 visit), Massachusetts General Hospital, Boston

Doctors and family members are discussing whether or not to treat it as a localized prostate cancer (tumor-based) with curative intent.

Impact on 2013 Election Campaign:

Less

visible, reliant on Margot and council-allies Sickly, 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

Tommy Running Out of Options

Compelled by failing health and facing a formidable opposition, TRO positions 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.

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 retrieval system, or transported in whole or in part or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission of the Philippine Institute of Applied Politics.