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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.
It is not rare for me to see patients presenting with locally advanced breast cancer or metastatic cancer. Many times, I would wonder why they came in late. Till a few years back, I would judge the educated ones more harshly and enquire in my mind what education had done for them. I stopped judging them a few years ago especially after scratching their tough exteriors a bit! Six years ago, this elderly lady, speaking in impeccable English almost stumbled into my office. She was pale and weak and her daughter informed me that she had a bleeding ulcer in her left breast. I examined her and found a 15 cm large bleeding, ulcerated mass in her left breast. Her blood tests showed she was awfully low on Hemoglobin. I quickly arranged for a biopsy and also had a PET CT done, almost certain, that her disease would have spread. Thankfully, I was proved wrong. She was given blood transfusions and chemotherapy was started. She was an epitome of courage and went through her chemotherapy, surgery and radiation with a quiet resilience. During the course of her treatment, I asked her why she had presented so late. What she said shook me!She said she had a paralysed husband to look after and she had been doing that for the past 4 years. She knew about the lump and that it was growing. It is just that her husband’s need was greater. That is when the judging stopped. We may boast of a secure social fabric but many times we see these lone wagers, fighting their own battles. Their health becomes secondary. Life is not easy for many. Bless her!She is well. Her dear husband passed away 3 years ago and she runs an NGO to promote forgotten skills among women in rural Haryana. I am truly proud to have known her!
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
Many times, breast cancer patients are apprehensive about biopsies....The myth being that biopsies cause spread of cancer. This myth is unfounded. Biopsy is the starting point for any cancer treatment.There is absolutely no cause for worry. For further details, please contact Dr Geeta Kadayaprath, Head, Breast Surgical Oncology, Max Cancer Centre, Max Superspeciality Hospital, Patparganj, Delhi
Surgery is usually the first treatment for breast cancer, although sometimes chemotherapy or hormone therapy is offered first. This is to begin treating the whole body or to shrink the cancer so that surgery may be less extensive. Dr. Geeta Kadayaprath - Best Breast Cancer Specialist in Delhi
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