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WOMEN SHOULD BE ALLOWED TO MAKE THEIR CHOICES.............. I see a lot of lady patients in my practice since I deal with breast cancer and other breast related conditions all the time. What has struck me as the rule rather than the exception, is that, women don't have a complete say in matters dealing with not just their breasts but their life.....whether she should keep her breast or sacrifice it, whether she should go for chemotherapy or not, how much should she be told about the disease etc. etc.The people involved in these crucial decisions involve men ranging from a husband to the father-in-law to a second degree male relative or sometimes even an 'educated' male neighbor. Women empowerment is the only answer....her issues are her own, her body, mind and intellect are all her own.Only she must be allowed the right to decide what is good for her, with gentle gestures of support from her immediate family.
How tough is the job of an oncologist? I am often asked this question and I have probably never admitted the whole truth. An oncologist is a strange amalgam of extremes of emotions....it is a never ending balancing act.While he or she has to create that environment of positivity to enable the patient to make the right choices for his/her treatment, without being overwhelmed by the side effects of treatment, he or she also has to ride the see saw of ups and downs that are likely to happen during the course of treatment with the patient. Being cheerful in the face of adversity yet remaining detached from the outcome of treatment is learnt painstakingly over years. The troubles don't end here. The oncologist is subject to scrutiny all the time....an innocuous expression could be read by the attendant or patient as despair or hopelessness, a phone call for another seriously ill patient could be extrapolated to one's own self by the patient across the table, a slight drop in the wattage of your smile could be interpreted as doomsday......and so on.It is a tough life but it becomes worth the effort when patients defy statistics, come back to meet you, year after year, treat you like a part of their extended family contributing to crucial personal decisions..... and threaten to outlive you! For more details, please contact Dr Geeta Kadayaprath, Head Breast Surgical Oncology, Max Cancer Centre, Patparganj, Delhi, India
Decisions about surgery depend on many factors. You and your doctor will determine the kind of surgery that’s most appropriate for you based on the stage of the cancer, the "personality" of the cancer, and what is acceptable to you in terms of your long-term peace of mind. Dr. Geeta Kadayaprath - Best Breast Cancer Consultant in Delhi
One of the first decisions you may have to make is which type of operation you'll have. You may be offered a choice of breast-conserving surgery, (usually referred to as lumpectomy or wide local excision) or a total mastectomy (removal of all the breast tissue including the nipple area). Sometimes it can be helpful to talk through your choices with your breast care nurse and discuss how each would affect you. Dr. Geeta Kadayaprath - Breast Cancer Treatment in Delhi
Breast cancer can catch anyone by surprise. Why I say that is because the usual history is a lump felt in the breast over a few weeks to a month or two or more. Apparently innocent as it caused no pain or upset the rhythm of life. It was just there! I identify with this extremely unpleasant feeling of being caught out or cornered or ganged up against, when this innocuous lump is declared cancer, almost everyday. How could a lump which was just there till yesterday change life indelibly? The grief that accompanies the diagnosis is unfathomable in most. The denial that follows and the unfairness of the situation is quite hard hitting. I, as a Clinician, after so many years of being witness to this familiar response, still find it hard to say something sensible to console, especially if the affected is young. It is almost as if I am on their side, a part of their family, going through this heart- wrenching sequence. When I am at a loss, the best I do, is hold their hands and say everything will be alright. I want it that way and no other way, as every doctor would. And it works! I liken the situation to being in quicksand. If you struggle too much with the situation, you get pulled in, the brain gets clouded and wrong decisions are made. If you reach out to a helping hand, gently ease yourself out with coaxing and cajoling coming from your loved ones, you make it! How one handles the situation has a large part to play in what the final outcome would be. We do not choose situations in life and some situations do catch you unawares. What you can choose, is your response to the situation- accepting it, making light of it, taking it in your stride and going through treatment with the desire to heal and bounce back, is usually what winners do!!
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