1st scene ( Entrance ) carol of the bells

-GRAND ENTRANCE -

K & T: Have Yourself A Merry Little Christmas – lyrics

Say hello to merry doctor Christmas,

Let your heart be light
From now on,
your troubles will be out of sight

Say hello to merry doctor Christmas,

Make the disease fade,
From now on,
your troubles will be miles away.

J:Greetings! I am Doctor Jesus Christmas. And we are here, me and my beautiful nurses, to
help you be aware of some preventive measures on different kinds of diseases.
K: Yes, that’s definitely true. Dr. Christmas will be here in your community to give you more
knowledge about these diseases. Right nurse therese?
T: Yes, nurse Khisha. Now everyone gather around and pick a spot as Dr. Christmas will
begin..

J: To start with this seminar I will be discussing to you some of the most common diseases in
our community. I will be discussing about metabolic, cerebrovascular and occupational
diseases.
Metabolic disorder:
It occurs when abnormal chemical reactions in your body disrupt this process. When this
happens, you might have too much of some substances or too little of other ones that you
need to stay healthy and one of its certain hereditary condition is diabetes.

Eris: Excuse me Doctor, I’m diabetic how can I manage Diabetes?

J: keep your glucose level with in normal, you must exercise at least 150 min/week, take the
prescribed medicines and avoid too much of food rich in carbohydrates and cholesterol.

J: CEREBROVASCULAR DISEASE
a group of brain dysfunctions related to disease of the blood vessels supplying the brain.
Hypertension is the most important cause; it damages the blood vessel lining, endothelium,
exposing the underlying collagen where platelets aggregate to initiate a repairing process
which is not always complete and perfect. Stroke is one of its certain hereditary conditions.

K: Also to add to what Dr. said, “Sustained hypertension permanently changes the
architecture of the blood vessels making them narrow, stiff, deformed, uneven and more
vulnerable to fluctuations in blood pressure.” To prevent stroke, Given the disease burden of
strokes, prevention is an important public health concern. Conversely, aspirin prevents
against first stroke in patients who have suffered a myocardial infarction or patients with a
high cardiovascular risk. Because stroke may indicate underlying atherosclerosis, it is
important to determine the patient's risk for other cardiovascular diseases such as coronary
heart disease

J: we also have, OCCUPATIONAL DISEASES

An occupational disease is a health problem caused by exposure to a workplace health
hazard.
Your workplace should be healthy for your body and mind. You can help to keep yourself and
your workplace healthy by being aware of health hazards in your environment.

J: These workplace health hazards can cause an occupational disease:

• dust, gases, or fumes
• noise
• toxic substances (poisons)
• vibration
• radiation
• infectious germs or viruses
• extreme hot or cold temperatures
• extremely high or low air pressure

K: and doctor, I would also like to add one or two more things of my knowledge about some
diseases common in our communities. I would be talking about Acute and chronic non-
communicable respiratory diseases.

K: Respiratory diseases can be classified in many different ways: by the organ involved, by
the pattern of symptoms or by the cause of the disease. The main thing is to always be
careful around food because some foods can cause allergic reactions and incite breathing
difficulties.
Some common examples include sea foods prawns, some fatty fish, peanuts,
bananas, grapes, etc. In summer, bad weather condition mean sandy and dusty weather or
some may affect in winter also, but unfortunately we do not experience that in the
Philippines.
Non-communicable diseases are those diseases that are not caused by
a pathogen and cannot be shared from one person to another. may be caused by either the
environment, nutritional deficiencies, lifestyle choices, or genetic inheritances. This.is now
responsible for the leading causes of death in both developed and some developing
countries.

T: and I would like to add some essentials of diagnosis. Which are:

 History of cigarette smoking

 Chronic cough and sputum production (in chronic bronchitis)
 Dyspnea (in emphysema)
 Rhonchi, decreased intensity of breath sounds, and prolonged expiration on physical
examination
 Airflow limitation on pulmonary function testing that is not fully reversible and most
often progressive

Jordan: Before we proceed, Do you have any concerns regarding your physical health?
Barte: Doctor, mom told me im obese, i dont want to be big, fat, and ugly no more, doctor
please help me, what should i do??

Jordan: Dont cha worri my dear lil' chubby fella. Here listen carefully to what i say... *singing
using a diff kind of tune* put your left foot in left foot out left foot in and shake it all around
with a thumbs in elbows out knees bend feet apart tongue out turn around and smileeeeeee.
Hahaha just do some puckering exercises and eat foods of low-fat, high-complex
carbohydrate & high fiber diet, and here! a calling card for the most renowned (OE) Obese
Expert of the whole wide world, it's a life changing moment actually :]

Barte: You just made me lose tons & tons of fat! hehehe! Oh thanks doctor, it's such a great
pleasure, im definitely be there and meet this Obese Expert.. thank you doctor, you're such
an angel in disguise. Have A Merry Christmas.

Jordan: sure thing, merry Christmas too :]

SING AND DANCE BARTE AND EILEEN 

Eris:What may be some of the serious consequences of vehicular accidents?

Therese:

Brain injuries - such as a concussion, post-concussion syndrome, closed head injury,

traumatic brain injury.

Head injury that may bring about: permanent personality changes, motor control
deficits, short and long-term memory problems, and language problems.

Shoulder and Arm Injuries - such as a laceration, sprain, strain, fracture, dislocation,
rotator cuff injury.

Back Injuries - such as a sprain, strain, fracture, disc injury, thoracic spine injury, lumbar
radiculopathy, lumbar spine injury.

Psychological Injuries - such as a post traumatic stress disorder.

Death

KR: MY TURN!!!! What should you do if you suspect that you have been injured in
a car accident?

Therese: You should be examined by a doctor if you have any symptoms of an injury
during the first week or two after your car accident, even if it was a fairly low speed impact
or a small damage collision.

Eris: What can you do to prevent gum disease?

Therese: Brush your teeth twice a day (with a fluoride toothpaste)

Floss every day

Visit the dentist routinely for a check-up and professional cleaning

Don't smoke

KR: What are the things needed to keep children safe at home?

Therese: Electrical outlet covers

Cabinet locks

Toilet lock

Doorknob covers

T: So, we will now proceed. Other than hospitals another likely place for health care
treatment are rehab centers. A way of obtaining information is by asking somebody through
interviews. Nutritionist are the professionals that are part of planning comprehensive health
plans who help with dietary needs. A way of data gathering that involves filling out forms is
through surveys.

Eileen: In case we get sick, is there any emergency service we can count on?

Ki: Yes, it’s emergency medical services. It is an emergency service dedicated to providing
out of hospital acute medical care and/or transport to definitive care, to patients w/ illnesses
and injuries w/c the patient or the medical practitioner believes constitutes a medical
emergency.

Eileen: What’s Geographic Information System (GIS) all about?

Ki: A geographic information system (GIS) is a technological tool for comprehending

geography and making intelligent decisions. During an outbreak, GIS provides tools that
speed the collection of accurate field data.

Eileen: What is EPIC program all about?

Ki: EPIC program is to educate and train participants on core all hazards emergency
preparedness and response from the perspective of public health infectious disease
emergencies.

Eileen: Are there programs for early detection of diseases?

Ki: Emergency Preparedness and infection control (EPIC) program and Geographic
Information system (GIS)

Allaine: Doctor, my wife here is pregnant as you see, I would like to know if there are risks
of maternity growth and development?

Jordan: Many women are preparing their physical and mental health for conception and
pregnancy knowing that often these factors can be controlled. Many unforeseen and
currently uncontrollable risks associated with pregnancy and stillbirth, such as chromosomal
abnormality, affect women below the age of 35 too. However the following risks are
recognised:

Medical

 Genetic

 Miscarriage

Birth

Physical

Maternity

ALLAINE: I know there are also some problems in previous pregnancy. Which are, A
premature baby An underweight baby A baby that weighed more than 10 pounds A baby
with birth defects A previous miscarriage.

JORDAN: some also are A late (post term) delivery (after 42 weeks of pregnancy), Rh
incompatibility that required a blood transfusion to the fetus, Labor that required a cesarean
delivery, A baby who died shortly before or after birth (stillbirth).

Everybody CLAPS 

Allaine: (handshake Jordan and KT) we’re really grateful for the time that you have spent
with us here in our community, but may we ask what has triggered your visit?

Barte: I KNOW! I KNOW!! You are here to teach our community on how to prevent illness
through public education.

Eris: (INSERT PUSHES BARTE) you are also here to motivate us through setting our goals so
that we can achieve ans maintain healthy body.

KRISHIA: (goes infront) you are also here to give free consultations for our community
health.

JORDAN: you kids are good! That’s the exact reason why we are here!!

EVERYONE: HOORAYYY!!!!

Jingle Bell Rock

Prevention, prevention is better than cure

Prevention, prevention’s the name.

We have gifts of preventive measures

Cause prevention’s better than cure.