http://WWW.DRGEETAKADAYAPRATH.COM
DRGEETAKADAYAPRATH 546efbec4ec0a40e503fb7e5 False 108 1
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'paradigm shift'
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SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… With improvements in chemotherapy, radiation therapy, hormonal treatment and targeted therapy, breast conservation surgery has now become the treatment of choice in select patients. While it is possible to conserve the breast in early breast cancer, it is possible to offer this treatment in patients with locally advanced breast cancer also, where chemotherapy is administered first to shrink the tumor. If the tumor shrinks towards the centre and is marked while the patient is on chemotherapy, it may be possible to conserve the breast when surgery is performed after completion of chemotherapy. The philosophy behind this paradigm shift is quite obvious- that long term outcomes in terms of disease free survival and overall survival is not different with either surgical procedures. The choice is real and scientific… For more information on breast cancer, please contact Dr Geeta Kadayaprath, Breast Surgeon, Max Cancer Centre, Delhi, India
ANOTHER STEP IN AN EXCITING JOURNEY!! It has been an exciting journey as a surgeon spanning over 21 years.... from an unsure, rebellious senior resident to a muted mature version... Director, Surgical Oncology- Breast Cancer.The journey has been anything but easy but I look back with lot of pride. I chose to take up surgery for my post graduation, a decision certainly emerging from the heart. To step into a male dominated world could only be a prompt from the heart. The brain would have screamed, “Harakiri”! I soon found that out as my immediate senior with my being in residency for a week declared with impunity, ”You will never make a surgeon”!I was discouraged but was not one to give up. I was labelled ‘The Rebel’! I carry that tag still. I am never one to back away from voicing my opinion, which may be uncomfortable but many a times the truth. I will agree that one art that I am yet to master from my male counterparts is their innate ability to be at their diplomatic best in the worst of situations. I have been promoted to Director, Surgical Oncology! I must have done something right to get here but I have been fortunate in several ways as well. The good fortune of having an amazing mentor in Dr Harit Chaturvedi and his confidence in my abilities, a supportive family and the ‘bug’ in my head which keeps pushing me to do more, have got me here.For me, this is an opportunity to lead, to mentor and to leave a legacy.It is also time now to shift gears from not just treatment of breast cancer but to prevention and early detection. I have taken baby steps in that direction but there are miles and miles to go before I sleep.... and the rebel in me is still alive and kicking. All that I can say is that the landing punches are just that much softer!
WHEN THE CHIPS ARE DOWN.... There are times when one feels trapped, not knowing which way to turn. All spaces close in on you as if to smother you. That is the kind of feeling which had crept into this young patient from Kenya. She had undergone two botched up surgeries on her leg for a tumour, which had now, returned with a vengeance. She is to have more surgery but her spirits are dwindling. She is away from home and only has her twin brother for company. The money is drying up quickly and she, an accomplished dancer, is confined mostly to the bed or the wheel chair as the leg fails to take her weight. Today, she was particularly distraught and her tears flowed freely. Our physiotherapist came to me and asked if we could cheer her up by bringing her to the Breast Support Group meeting, where a troupe of youngsters was coming to get our Champions to perform Zumba. I thought it was a great idea and she was carefully shifted on a wheelchair to the building next door where the program was to be held. And right in front of our eyes began the transformation. The girl could not stop clapping and moving to the beat on the chair while her brother kept pace beautifully with the trained Zumba troupe. The 25 odd Champions, doctors and support staff all got going, only stopping to catch their breath or a sip of water.This little girl got caught in a whirlwind of foot tapping music and an all pervading gush of positive energy. She laughed and spoke to the Champions and believed everyone when they said she would be fine. She left with the promise that when she recovers from surgery and is back on her feet, she will come back for a Theme party and she would lead the dance! So when the chips are down.... DANCE!!
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