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Cancer is often viewed as the end of the road in many ways, especially for the young afflicted with cancer. While the diagnosis of cancer, in itself, can be devastating for them, the consequences of treatment can actually push them further into a corner. One such situation arising out of treatment is infertility, a topic which was rarely broached with the young and old alike, till the recent past. With due care and sensitivity to these needs of the patients, it is possible to reverse a lot of wrong that treatment can bring in its wake! That brings me to the story of this young Champion I wish to share with you.The main protagonist of this story is a young Doctor diagnosed with breast cancer aged 26 years about 6 years ago. She was devastated! She was engaged to her sweetheart- a young Doctor training to be a surgeon. She was looking forward to a beautiful life when she was struck by breast cancer. This was more than what any girl her age could take. But she was different!She had spunk and was not willing to let go, of the life she had dreamt of. She soon collected herself to ask the right questions of her doctors. She wanted to preserve her fertility and after consulting an infertility specialist, had her ova preserved. She underwent treatment, thereafter and had breast conservation surgery followed by chemotherapy, radiation and 5 years of hormonal treatment, supported by her fiancé who stood by her like a rock.She was married to him soon after treatment. She is on follow up and all is well. The story doesn’t end here. She called me last week to share a piece of good news. She had given birth to a healthy baby boy two months ago. I was besides myself with joy and both of us laughed merrily over the phone. She came over two days ago with her bundle of joy cradled in her arms, her eyes overflowing with the selfless love of a mother. I could imagine what it meant to her. And this had happened naturally!! However bad the situation, life does turn up trumps on many occasions. These Champs give a new meaning to hope and I am wiser for it. If I am optimistic, you know where it comes from!! #health #breast cancer # breast conservation surgery #infertility #Max Hospital #Patparganj
Ernst & Young Global Shared Services, India has awarded Dr. Geeta Kadayaprath for Cancer Awareness Session.
The alarms go off when one sees breast cancer happening in young women. We analysed our data at Max Patparganj and found that 12.9% of 511 patients operated in the last 3 years were under 40 years of age..Unfortunate, but the good news is only 5% have succumbed to the disease so far! Breast Cancer in the Young- the theme of the 18th Delhi Breast Oncology Group Meeting!!
Yesterday I visited my niece and was on the phone talking to my patients, sorting things for them. When I finished, she asked me, ‘Isn’t your profession stressful?’ I was quick to say NO. The conviction in my tone has taken many years to come. I recall my early days as an oncologist and in particular, this vivacious young lady who had a relatively advanced colorectal cancer with involvement of her ovaries. She had undergone surgery elsewhere, 4 weeks prior to coming to our unit. Her abdominal wound lay open and was pouring out fecal matter and abrasive intestinal juices, consuming her skin.I could not come to terms with the unfairness of the situation, then. Why was this young lady with the most sparkling, hopeful eyes dealing with this horror? I wanted to pull her out of this mess and diligently did my best to improve her nutrition, take care of her wound and her medication. She and I would talk a lot- her dreams, her aspirations, her twins, her loving husband, her family...we became good friends! Her surgery was planned and executed well. She was recovering well and she wanted to be home to celebrate her twins’ birthday. I assured her she would. And then that day arrived, when she walked. She walked for the first time after 8 weeks. I was thrilled and went home thinking she would be out of the ICU the next day. I was going up to the hospital the next day when I got a call that she had had a cardiac arrest. I thought I had heard wrong. I ran up to the ICU and before I reached, she was gone. Pulmonary embolism had taken her away. I was distraught and I cried, rather howled, like I had lost one of my own.An elderly physician put an arm on my shoulder and said, ’ This is certainly not the last time you will have to deal with this. Don’t get attached to the outcome of what you do. Do your best but remain detached from the outcome’. Those words have stuck and I have grown since. My focus is entirely on what I can do for the person who sits across the table and entrusts his or her life to me. I do my best to understand the problem, execute treatment, handhold them and try and do whatever I can to make the experience as seamless as possible. Cancer outcomes are never a 100%. You do lose some at the end of the day but if I have contributed to making their life easier through their suffering, I have done something worthwhile. While it is easy to be overwhelmed by these difficult situations, I need to remain detached from them so that I can do more for those who need help. I have come a long way since, but it is not as if I am not affected by what happens to my patients, anymore. It is just that I have taken better charge of the emotional me and replaced it, not entirely, with the professional me!
SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… When 32 year old Neena, an HR consultant in an MNC, walked into my clinic, accompanied by her husband and parents, I could sense an air of hopelessness surrounding this good looking young lady. The papers that were laid in front of me carried a needle biopsy report, which confirmed the diagnosis of breast cancer. Fortunately, for her, the size of the lump was about 2cms and there were no lymph nodes that I could feel in the armpit. There was no evidence of spread to the other organs on imaging. I soon realized she had been through the discussion of surgery and she had come to me for a second opinion. I soon found out why she had decided to come for a second opinion. She had been advised a modified radical mastectomy (complete removal of the breast along with the lymph nodes in the armpit). She was a successful career woman with everything going for her till yesterday and today she was grappling with this tough predicament- losing an organ, an integral part of her feminity to cancer- it was almost cruel!.......... ....To be continued.....watch this space for more.......
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