 My name is Emmy Ortega Anderson, your host for Pinoy Power Hawaii. I would like to welcome you to another episode of Pinoy Power Hawaii here on Think Tech Hawaii. But first and foremost, we'd like to thank you, our loyal followers, who look forward to watching our show here on Think Tech Hawaii. Thank you so much. Maraming salamat. Today we have another interesting, close, and intimate show. And you folks might find it very, very interesting. Para kadakayong ag sag sagaba kira ito yung acondition. And we brought with us the expert. Kira ito laga maka mo itir aramida nan may panggup kira ito yung situation. And he's been around. He is well known in his field of expertise. And we are featuring him at the TLC Medical Center as an extended part of their medical services. So we welcome Dr. Danilo Canete. Thank you, Emmy. First doctor, I know that many women, especially, would like to hear of the good news that you're going to share with them. We'd like to hear about who is Dr. Danilo Canete, a little bit about you. OK. So I was born and raised in the Philippines. I'm Visayan from Cebu. Visayan. From Cebu. And then I went to UST Medical School. And did all my training in the East Coast. And my first job as chief of a cardiac cath lab at a hospital in Chicago. So in Chicago when I was there, President Johnson decided that he was going to conscript, draft all doctors. So I didn't want to go to Vietnam, so I signed up. So I signed up with the Navy. And then spent 24 years in the Navy Reserves. Essentially, part of my career has been Navy. Wow. Very patriotic, serving our country. On the water, right? You could say that. Actually, being a doctor, you don't have to be in a hospital. You don't have to be in a ship. Oh, OK. But your services are very much wanted, especially in your field of cardiology. So close to the heart. It is in the heart, yes. So tell us, what got you interested? So cardiology was moving really fast when I was still in training. I trained at Albert Einstein. And they were trying to talk me into the fellowship and pulmonology and gastroenterology. The heart just kind of took my interest. Pacemakers, we're just starting at that time. And so I did my fellowship and finished it, and then got the job in Chicago. Wow. Very, very appropriate, Dr. Shempre, the center of our thing. How would you describe it? Well, the heart's the center of everything, right? Yes, including love. But I can't fix broken hearts. Oh, you can't do that? So the reason I wound up in Hawaii was I got discharged at Pearl Harbor. And I was based in Guam during the Vietnam War. And I was a big rock, 32 miles long, four miles wide. So when my family moved here, my wife was going to have it's another rock, but we decided to stay on. And I signed up with the front clinic and stayed with them for a long time and then went out on my own a few years later. So you've been practicing cardiologists? Yes. And part-time administration, I was the CEO of the Hawaii Medical Center. So if you remember, St. Francis Hospital was going bankrupt. So I got 120 doctors together to put up some real money. To buy out the hospital. We were asking 90 million at the time. 90 million? Wow. So I raised some significant money and I found a partner in Kansas. And we put the money together, bought the hospital and renamed it Hawaii Medical Center. And I was CEO of that hospital for a long time. But spent my years as CEO, hiring people. We had 1500 employees when I took over. And by the time we were done, we had 800 left. Wow. There were sad times that I wasn't proud of those times. But 90 million is such a big, not to crack, Doc. It's a big amount of money. Yeah, right. I can't associate 90 million because the owner of Overstock.com, Patrick, had just sold his interest. I'm just trying to relay numbers, but 90 million. Yeah. Not to Trump though, that's nothing. Not to Trump? No. It's a Trump card. Okay. That's pocket change. That's true. Yeah. I wish I could be a benefactor of some of that crumbs. It was changed. It's not really, happiness is not really about money. I know a lot of rich people are very unhappy. And I know a lot of poor people are very happy. You can tell when my patients go to ICU, the rich ones, nobody visits. It'll be the third wife, or the fourth wife. Oh, look at that. You know the poor ones? Like so many people are in there visiting them. Everybody comes. Yeah. Because they have a good heart. Of course, love. The poor ones, right? The poor ones cause, you know, they... So it's not about money. Okay. Thank you for explaining that and reminding me and putting me back into the center. It doesn't buy happiness. Ayan, I totally agree with you, Doc. Okay. You know, the subject that we're talking about is close to women, especially those that really want to look good all over, right? Yes. Malikin problema iyan, para sa mga women, right? Right. Tell me how did you get into doing the vein? Okay. So being a cardiologist, I use catheters. Mm-hmm. And I put catheters up into the heart and in 2007 I decided I was getting too old to be called by the emergency room to go open a black coronary artery from a guy who's having a heart attack. Mm-hmm. So they have to go there at 3 o'clock in the morning, put a stent in, open the... But you're badly needed, Doc. Open the vessel. True. But many times I wouldn't even get paid. Oh. At 3 o'clock in the morning. It's not all about money. True. But I was under risk for being sued if I had a misadventure. Oh. And then I found out that doing veins paid me the same, if not more. Mm-hmm. And it only took 10, 15 minutes. Really? Yeah. Wow. And I can do it in the office instead of in the hospital. Oh. So you're hearing all kinds of problems now with Green's hospital and the doctor's not happy. Mm-hmm. So I didn't want to be a doctor in a hospital being sued by them telling me how I should live my life. Mm-hmm. So in my office... Mm-hmm. We run a really good shop. We've been doing veins for 12 years. And I think we do. We can compare with anybody in the country. Mm-hmm. So on the average, how many you would perform per day or per week? We do a lot. We can do nine, 10 cases in one day. Mm-hmm. And so I'm done in your office. I have two offices. One is in Waipahu. This is my main office. Okay. Then we have one at the Honolumen Spa in Liliha Street. That's my medical place that I go. So we started talking about the vein business. Mm-hmm. So the most common vein problem that women have and one of every two females actually has it. One out of two. Correct. It's called spider veins. Those are the bluish veins that you see in the legs and the thighs. Sometimes red, Diba, doc. But they look like spiders, right? Oh. So a lot of women hide them by wearing pants or stockings or long dresses. But sometimes when I'm in escalator, and there's a lady in front of me with lots of spiders, I feel like tapping her on the shoulder and saying, Come see me. You know what? I can fix that. Really? Problema lang. With the spider veins, it's not paid by insurance. Oh. Because it goes mad, eh? I would say it goes mad again. Yeah. So it's not covered. Yeah. It's not covered and it takes us an hour. And sometimes there's so many we can't even do it within the hour. And we can only give so much medicine to the body at any one time. So we have to bring them back. And then we have to pay again because it's more of our time and the medicine's expensive. Oh. But we are able to get rid of it. If you go to our website, that's hawaiivaincenter.org. You'll see that we have very good results. We have a Facebook page, Hawaii Vein Center. And there's plenty of information there. Wow. So anybody could just Google Hawaii Vein Center for more information. So when do women start having problems or? The spider veins actually can start at any age. I had a cute 29-year-old girl from Kauai who flew in at 10 o'clock in the morning with her boyfriend, also a cute guy. And she had a little patch on her thigh. And I was going to charge her a lot of money for that little patch. And I said, you know, why even treat it? Is it because we're bathing suit all day? We're going to hotel in this swimming pool. And I don't want to show this to the people around. And that made sense. OK. Wow. It seems like a very, very simple procedure, but it's all cosmetic. All cosmetic. We really don't need it, right? Right. So if you feel like you'd rather keep the money and keep your veins, your spider veins, that's fine. But as a rule, most women are vain. You're so vain. The title of our show? And they would like that removed. So if they can't afford it, I tell them to wait until Christmas or birthday and somebody who loves them might be able to pay for it. And actually, a lot of the 35, 40-year-old women have their children pull their money together. Because the kids are not working, right? They're in their 20s. They pull their money together and pay for the procedure for mommy. That's a great way. Christmas is around the corner, Doc. And I'm sure that sometimes there are women that are hard to purchase a gift for. Sure. It's a good gift. That would come in handy if they're into veins. They are all veins. What was some of... We're going to stick to the spider veins and then the second part of our show, we're going to go into the more serious. Serious. So could that result from injury or sports? No. Actually, the way the vein works is, there's no heart in your legs to pump the blood back up, right? So the way the blood goes back up is when you squeeze your muscles in the legs, it squeezes the veins. And when the veins are squeezed, the blood moves up. Right. The valves in the vein that prevents it from falling back down. So it's always going up and down. So it opens close, opens close. When the valves are bad, that's when you start showing the veins on the outside. So even those little veins have valves. And that's what happens. And I don't know why women specifically for spider veins, we don't know the answer to that one yet. So there are clues that something is wrong with... And we can prove it by ultrasound. You can get free ultrasound screening in my office, just call. You can walk in and all my staff do screening. So that screening for the vein duct, is that the same system for screening of the heart if your arteries are clogged or is that totally different? It's the same machine, different probe. So the ultrasound probe is different from the heart probe because it's a little more superficial and the heart's a little deeper. And they're looking for different things in the heart. They're looking for heart valves, looking for the size of the vessels. Here we're just looking for whether the vein valves are opening or closing and how big the vein is. So for spider veins, the size doesn't matter because we don't have to ask insurance companies to pay for it anyway. But with varicose veins, insurance companies, it's expensive. So the insurance companies have to see whether the size is correct and whether the valve disease is bad enough. Okay. Or it's crucial to extend their life. But we also do other veins, not just the varicose veins, like the veins in the hands that are really, really bad so that the people who own those hands... Looks like they've got worms. Yeah. So they want those fixed. And we fix those. Again, that's cosmetic. Okay. There are people with very prominent frontal veins and temporal veins. We can also fix those. Again, cosmetic. Cosmetic. So it's not covered like the varicose vein that we'll be talking about in the second part of our show. We're going to take a short sponsor break. Dr. Danilo Canete is the master. I call him the master because you have developed a procedure that makes it easy. You make it look so easy. It's like one, two, three, right? Thank you. We're going to come back with more varicose veins with Dr. Danilo Canete after the short messages. Thank you again for being here. Aloha. I'm your host Sharon Thomas Yarbrough of Sister Power here at ThinkTech of IE. And Sister Power is all about motivating, empowering, educating, and inspiring all people. And we have various subjects here. Sister Power is here at ThinkTech every other Thursday at 4 p.m. Again, my name is Sharon Thomas Yarbrough, host of Sister Power. We look forward to seeing you. If you have any questions, feel free to contact me at sistersinpowerandcavaii at gmail.com. Look forward to chatting with you soon. Aloha. Aloha. My name is Becky Sampson, and I'm the host of It's About Time on the ThinkTech Hawaii, a digital nonprofit organization that's raising public awareness. Join us on Wednesday at 2 p.m. where we talk about real issues, some of the topics will include entrepreneurship, health, life skills, and growing your business. So once again, this is Becky Sampson on It's About Time on Wednesday at 2 p.m. on ThinkTech Hawaii. Mahalo. Welcome back to the second portion of our program titled You're So Vayne. And that's because we have with us the leading or the master, especially here in Hawaii for veins. If you wanted to get rid of your veins so that you're not so vain, you need to see or have a consultation with Dr. Danilo Cagnete. So, doctor, I've been informed, educated, and I'd like to know more. This is about the big V vein, right? Yes. And if we could have a display, there you go. The varicose vein. This is more common than the spider vein? No, the spider veins are more common, but this is the one that causes the most problems. Because people come to see me, not because they're ugly, although they're very ugly in some cases. They see me because they have severe leg cramps, keeping them up at night. And have you ever had leg cramps where it just doesn't go away? I have Jolly Horse. Jolly Horse. It's exactly the same thing. Yeah. So, you might want to have your vein scanned just to make sure. Okay. And they also have heavy legs. It's just hired all day or itchy. And at the end of the day, if you don't get fixed, you can develop ulcers. So, that's why the insurance companies are willing to pay for this because of the symptoms, not because they're ugly. But insurance companies are very strict about the rules as to why they would pay for it. So, they require the patients to wear compression stockings for three months. To make sure that the process is successful, right? And if a few percentage of cases, the symptoms go away, but the varicose veins do not go away. And insurance companies are hoping that if the symptoms go away, the patients will decide not to have the procedures done and save them money. Save them money. But 99% of the patients still end up getting the procedures done. So, it's a temporary relief for three months. Temporarily fixed. Correct. How expensive is the procedure, Doc, if we can talk numbers or is that something you want to keep private? No. It's an open known number. Insurance companies pay up to $3,000 per leg. Okay. So, you can see that for patients who have to pay cash, and I've had patients that pay cash, it's a lot of money. But to be rid of leg cramps and itchy legs, then maybe it's worth it. But we try to give a discount for cash patients. Okay. If they mentioned that they saw it on Pinoy Paro Hawaii, would you be able to extend the discount? Yes. Definitely. Okay. I mean, just mention Pinoy Paro Hawaii and I'm sure Dr. Danilo Canete will extend the discount. In fact, I'll add to that. If you mentioned that you saw us on Pinoy Power, we'll give you 50% off on compression stocking. Wow. I like it already. Could I buy a pair, Doc? There you go. 50% off. Thank you. Thank you so much. You know, since you're the expert on the heart and circulation, it worries me sometimes about aneurysm. How does that relate to your field of cardiology and the vein? So I actually see aneurysms as well and they're not related to veins because that's the arterial system. Oh, okay. So those are the big arteries like the aorta that goes all the way down to your legs and divide. And if they're enlarged, it's called aneurysm. They can burst and people die very suddenly. Yes. So part of the ultrasound equipment that we use to do the vein can also do the heart and can measure those vessels. So we have guidelines. If it's that big, then we follow it every year and do the ultrasound every year. Once it gets a certain size, we send them to the surgeon for surgery. And now they're able to put in a balloon to protect the inside. So it's not open anymore. I cast it there in and insert the balloon that way. So it makes it... But the more, in my cardiology field, the more dangerous is something called atrial fibrillation. Okay, explain that. That's when you feel your heart beating fast. And if you have that, you can actually get a stroke. My mother had that and had a stroke. I have it. I've had it since 2012. But mine is like 30 minutes once a year. So beating fast, is that like you can compare it to maybe drinking too much coffee? No. Okay, so the heart has a system with synchronous beating between the atrium and the ventricle. It's always going like this. That's steady. And if you're exercising, it will faster. But it's always in sequence. In atrial fibrillation, the top goes crazy and it just goes irregular. And this one is trying to catch up. This one, that beating normally that now the blood there is just going around and around and around and it'll cause a clot. And when the clot goes up to the brain, you get a stroke. So I have a machine called a zeol. It's a patch that you can wear for two weeks. You can shower with it, but you can't go swimming. And I record every single heartbeat for two weeks. And I found at least two, three times a week a brand new atrial fib patient. Atrial fib is very common in the older population, especially in people who have sleep apnea. People who snore, and you don't have to be fat to have sleep apnea. I'm a snorer. If you snore, you should get a sleep study. And if you fail the sleep study and you have sleep apnea, you should get the zeol because you'll probably have atrial fib. So is that covered by insurance? Oh yeah. All covered by insurance. I better come and get it. So if you look at my Facebook page, you'll see a lot of stories because every time I see one, I post it. And it's more, I have 3,500 followers on Facebook. And it's more like, you guys, watch this, if you have palpitations, come see me or your nearest cardiologist and get a check. Yeah, that could take your life. Before you get your stroke. Oh, interesting. I had a young lady who was complaining of dizzy spells and she had, when we put this thing on, she had her heart stopped for like 4 seconds. Can you imagine, if she was driving behind you and you're in a stop light and she'd like boom, right into your back. We put a pacemaker on her the same day. She was in New York, we called her. That's different from skipping a heartbeat. That's different. Correct, that's called, yeah, that's the heart totally stopping. She was traveling, she was in New York, we called her. And I told her not to go see your cardiologist because it'll take 2 months to see one over there. So you go to the emergency room and then have the emergency room doctor call me. So she did. The air doctor called me and I said, I told him what was going on and I sent him the data. She had a pacemaker the same day. Wow, save her life, huh? You bet. Or mine. She was driving next to me. Wow. So is this like a common thing? Yes. Now because of this new tool I'm using and I've only been using it for the last 4 months. Okay. I'm finding so many and I'm thinking, my God, this has been there all along and nobody knew it. And I'm finding them, saving their life, obviously. Yeah, tell us again, Doc, so that we can remember. So atrial fibrillation, the whole key is if you're dizzy or if you have palpitations. Irregular palpitations. Correct, see me or your nearest cardiologist. Because you're in love. No. That's the different kind of palpitations. Seeing a pretty girl pass by. That's another. This one is really unusual. Correct. Heart beat that can't seem to stop. Does this feel like you're having indigestion? No, so the chest pain pattern actually, especially in women, would be totally different. The men's classic chest pain is severe, pressure, he's sweaty, short of breath. This pain going up the neck and down the arm. That's classic. Okay. It doesn't happen in women. Oh. That's why women have more heart attacks that get undiagnosed. Women die more from heart attacks because men doctors just poop with their symptoms and say, just another female complaining. So I'm very, very aggressive with women. They just say that they get short of breath, no chest pain. I'll study the hell out of them. Make sure it's not the heart. Just to make sure. Yep. And I'm finding them because they're percent with atypical symptoms. So proper early detection is what we're talking about. It's always the case. Remember health is wealth. Yes. It's not all the money in the world, right, Doc? Okay. Wow. I really learned a lot today. The things that we can do. We can be our own doctor and detect. So actually, if you have the money buy a watch like this. Okay. How fancy is that, Doc? This is the Apple Watch Series 4. And I can do my own EKG by doing this. Okay. And so I can know what my rhythm is just by watching the EKG. Wow. That's ahead of technology. The new Series 5 is good for diabetics because the back of this watch is staying over here. There's a sensor for blood sugar. Oh. You don't have to get blood tests anymore. You can just get your watch tell you what your sugar is. You know, how expensive is that? No pricey. Okay. I gotta wait for Christmas, right? There you go. Well, it's been a very educational show. Doctor Canelo Canyate. Okay, Vika, you're calling me so I can take your number. I can get my early detection. But when you get the money, you can save your life. Ways that we can save our lives by having this early detection. And you want to be sure. They want to come to you and make an appointment so that you could do your expertise, your magic, doctor, and look into their vein and their heart. Because the expert is Doctor Canelo Canyate. I'm a cardiologist. I'm a surgeon. And with that, I want to thank you from the heart, doctor, for spending this quality time with us and powering us. So again, we have a mission. We aim to enrich and lighten, educate, entertain, and we hope to empower you by sharing this very pertinent information about being well and healthy. Thank you again, doctor. Maraming salamat. This wraps up another edition of Pinai Power Hawaii. I want to thank each one of you again for being with us. And we say, mabuhay maraming salamat po.