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Today, the first Delhi Breast Oncology Group (DBOG) CME was held in Max Patparganj, Delhi. There is a palpable enthusiasm in the creation of this group which will be one of the subspecialty arms of the Oncology Forum. The meeting started with myself introducing the proposed functional unit of DBOG. The proposal was to have coordinators for various tasks assisted by committees.There will be stock taking at each CME to be held on the first saturday, every two months. The Secretary will coordinate the pre-CME meetings at each of the CMEs. The CME itself was an academic feast with 3 case discussions and review of literature relevant to each topic. Dr Vineeta Goel, Radiation Oncologist at Max Cancer Centre, Patparganj, presented the relevance of radiation in 1-3 positive axillary nodes. Dr Randeep Singh, Medical Oncologist at Max Cancer Centre, Patparganj, presented a case of metastatic triple positive breast cancer and the current treatment options and Dr Rohan Khandelwal, Breast Surgeon at Max Cancer Centre, Saket presented a case of Triple negative breast cancer and brought in Dr Amit Verma, Genetic consultant, to unravel the rogue pathways involved in Triple negative breast cancer. The meeting ended with Dr Vaishali Zamre, Senior Consultant, Surgical Oncology, Action Balaji Hospital, Delhi, accepting the responsibility of holding the next meeting at Action Balaji Hospital. The presence of 80 attendees at this CME was a reaffirmation of the fact that like minded people need to work together to achieve larger goals.A beginning has been made.....and there is a lot to do to make big strides in the right direction. I thank all the participants for being part of this endeavor and hope to see you all on 7th March, 2015 at Action Balaji. For further details, please contact Dr Geeta Kadayaprath, Head, Breast Surgical Oncology, Max Cancer Centre, Patparganj Delhi
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!
Swelling on the same arm( lymphedema) as the operated breast is a real possibility in patients of breast cancer who have had lymph nodes removed from the armpit. To learn all that is there to know about lymphedema......preventive measures, exercises, hands on bandaging techniques etc will be discussed with the expert in an interactive workshop on 7th Feb 2015 from 11am to 4pm at Max Cancer Centre, Max Hospital, Patparganj. Please do not miss this opportunity! For further details, please contact Dr Geeta Kadayaprath, Head, Breast Surgical Oncology, Max Cancer Centre, Max Hospital, Patparganj
ARE YOU PURSUING A DNB IN SURGICAL, MEDICAL OR RADIATION ONCOLOGY? Are you a surgeon or physician aspiring to be an oncologist? If yes, then this is for you! ‘Max institute of Cancer Care, Patparganj and Vaishali presents C4.... Challenging Case Capsules in Cancer.. The competition , on 18th March 2018, at the Russian centre for Science and Culture, 24, Firozshah Road, New Delhi. This is your opportunity to learn and interact with potential examiners from around the country Know what to say and how much to say in an exam Test your preparedness in the Quiz prelims and stand a chance to play in the Final Quiz- Adrenalin Rush Each of you stands to win a prize! This is as good as it gets with many surprise prizes to win throughout the day and Cash prizes for the winners’ Here is the link to the Event https://youtu.be/vIMkQCpBtBo For free on line registrations please visit https://goo.gl/forms/FAMUNtwh9eyEjfne2
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!
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