Tambuling Batangas Publication October 17-23, 2018 Issue | Page 5

OPINYON October 17-23 , 2018 Museo ng Katipunan: Revisiting the birth of Philippine Independence By Jimmyley E. Guzman IN the heart of the city of San Juan, lies a museum in a place called “Pinaglabanan” in honor of our brave Katipuneros who shed blood and fought for the freedom of our motherland. The Battle that Started it All Determined to overthrow the country’s Spanish colonial regime, Supremo Andres Bonifacio and his troops marched toward San Juan del Monte on the night of August 29, 1896, and by daybreak, they attacked El Polvorin (Ammunition Depot) and El Deposito de Aguas (Water Reservoir). Armed with homemade guns (paltik) and bolos, the Katipuneros courageously and fiercely faced the Spanish forces despite being outgunned and outnumbered by the enemy. According to the National Historical Commission of the Philippines (NHCP), though the Battle of San Juan del Monte crippled the Katipunan’s forces, their heroism and fortitude fueled the resolve of other Filipino patriots in the surrounding provinces to take up arms and support the Philippine Revolution. Museo ng Katipunan, Pinaglabanan Memorial Shrine The five-hectare Pinaglabanan Memorial Shrine was declared a National Shrine on August 1, 1973 through Presidential Decree No. 260. With the initiative of the Pinaglabanan Commemorative Commission, created under Proclamation No. 263 series of 1957 as amended and by virtue of PD No. 1, it was declared as a national shrine. On August 30, 1996, the centennial of the Battle of Pinaglabanan, the Museo ng Rebolusyon was inaugurated. Ten years after, the Museo ng Rebolusyon was changed to Museo ng Katipunan. On August 27, 2013 the modernized Museo ng Katipunan was opened to the public, which presents a fusion of traditional and hands on interactive exhibits. The museum is supervised, and maintained under the jurisdiction of the NHCP. Retelling the Story, Immortalizing History The Museo ng Katipunan features the story of Bonifacio’s secret society, the Katipunan, and visually narrates Philippine Revolution through significant artifacts: reproduction of archival documents such as cedulas, oath, and membership forms used during initiation rites, and medals worn by Katipunan Included also are variety of “anting-anting” or magic amulets made of metal, paper, and cloth written with cryptic Latin prayers and symbols, and several types of bladed weapons used by the Katipuneros. Throughout the museum galleries are large-scale artworks created by renowned Filipino artists. Central to the exhibition are the entwined lives of Supremo Andres Bonifacio and his lieutenant and confidant, Emilio Jacinto. An interactive map traces their beginnings in Tondo. Their principles are outlined in the “Kartilya and Dekalogo ng Katipunan,” while holographic images and audio recordings of Bonifacio’s poem, “Pag-ibig sa Tinubuang Lupa” evince his and the Katipunan’s love of country. Portraits of other Katipuneros are also presented in monochrome pastel drawings. The museum has also an e-learning room where students can enjoy learning through computer games and quizzes. Likewise, a stereoscopy room can be seen that features a stereopticon viewer and late 19th century photographs. The Museo ng Katipunan is open from Tuesdays to Sundays, from 8:00 am to 4:00 pm. Admission is free. For booking of educational tours, please call at telephone numbers (02) 576- 4336. (NHCP/PIA-NCR/JEG/ PIA-NCR) The Museo ng Katipunan in San Juan and the Pinaglabanan Memorial Shrine (right). (photos by jeg/pia-ncr) Immunotherapy: New hope for Hodgkin lymphoma AT A cancer-treatment forum held in Quezon City recently, hematologist Dr. Daryl Tan, the Director of Research at the Raffles Hospital in Singapore, narrated a bleak tale: a 25-year- old woman, in the prime of her life, was losing her battle against a blood cancer called Hodgkin lymphoma. “It’s a common cancer in her age group,” said Tan, “but most patients—up to 80 percent—usually respond very well to chemotherapy. Unfortunately for this patient, she was one of the 20 percent who do not respond well. After she completed chemotherapy, she relapsed. Her cancer came back.” Having experienced little success with chemotherapy, the patient received the standard next line of treatment in Singapore for her condition: stem cell transplant. The treatment, however, was unsuccessful. The patient’s disease continued to progress, and a huge tumor grew in her chest. Tan dubs this scenario a “medical futility,” where a patient degenerates despite medical efforts. At this juncture, the Director of Research at Raffles Hospital said that specialists would normally shift to a different strategy where the aim is to let the patient go peacefully. Fortunately at that time, a new type of treatment for Hodgkin lymphoma was approved in Singapore. It was called immunotherapy – and in this particular situation, it was applied through an immune checkpoint blocker called Pembrolizumab. This treatment was prescribed to the patient at a time when there were almost no options. “After two months, her tumor resolved. Since then, she has been continuously receiving immunotherapy and has been experiencing its medical benefits for one-and-a- half years. Now, we are happy to say she is back at work,” Tan reported. What is Hodgkin lymphoma? Hodgkin lymphoma is a cancer of the lymphocyte, one of the five main types of white blood cells. The cancer is most common among adults in their 20s and 30s, and unlike lung cancer, which has been very clearly linked to smoking, its precise cause is still unknown. In its early stages, Hodgkin lymphoma may show no symptoms, but when it does, they are usually in the form of swollen lymph nodes. “Patients usually come to us because they feel a lump in their neck, and then we send patient for lab tests, and that’s when we find the cancer,” Tan said. Before immunotherapy was introduced, the conventional method of treating Hodgkin lymphoma was chemotherapy which uses drugs that are toxic to cancer cells. However, these drugs can also affect healthy cells, elevating the risk of side effects such as hair loss and diarrhea. I m m u n o t h e r a p y, on the other hand, helps the body’s own immune system and strengthens it to fight the cancer. “We found that in Hodgkin lymphoma, the body is unable to fight the cancer because the cancer produces a protein that suppresses the patient’s immune cells and prevents them from fighting the cancer. What immunotherapy does is it breaks this interaction between that protein and the immune cells, so now the immune system is again able to engage and attack the cancer cells,” Tan explained. A new treatment option A l t h o u g h Pembrolizumab has only been approved for the treatment of Hodgkin lymphoma less than two years ago, it has already been around for more than four years and has been earlier approved for the treatment of lung cancer and melanoma. “We found, though, that people with Hodgkin lymphoma respond even better to immunotherapy than patients with melanoma or lung cancer,” he said. The current recommendation is for patients to continue receiving treatment until they and their doctor see that the cancer has not progressed for two years. Depending on the cancer though, some doctors have reported stopping at six doses and finding that the effects of the drug endure. In other words, the cancer does not come back. Tan elaborates, “Studies on immunotherapy drugs have shown success rates of over 70 percent where tumors become smaller, and some patients have complete remission, meaning there is no evidence of the tumor left in the body. For patients like mine, where we have run out of options, a drug like this that is able to give a 70 percent response, is a most welcome major advancement in medicine.” In the Philippines, immunotherapy is already approved for the treatment of non-small cell lung cancer. Efforts to bring knowledge of it to the public, as well as to push for increased access to the treatment, have been steadily strengthened by concerned groups and organizations, which include members of the medical community and advocate patient groups. For example, immunotherapy advocates, such as the “Hope From Within” coalition, a multi-stakeholder collaboration that elevates the fight against cancer, is working on its new game plan that would include promoting awareness, prevention, screening, and immunotherapy treatment for Hodgkin lymphoma, advanced melanoma, and head and neck cancers. Members of this coalition include the Department of Health, Philippine Society of Oncologists, Philippine Society of Medical Oncology, Philippine Alliance of Patient Organizations, and healthcare company MSD in the Philippines.