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Editorial

Extrasensory Perception – ESP

S.B. one of my colleagues was a fighter, survivor of colon cancer. In February 2022 he told me that something bad is going to happen to him at the end of this year, may be recurrent or metastatic cancer. He remained well till November when he was admitted in hospital with abdominal pain. When he left home, he told his family that he will never comeback. He was investigated in hospital for his abdominal pain. Everyone assured him that it is not recurrent cancer. But next day his conditio... Read More

What If Patients Don’t Stick To Cancer Treatment

Nonadherence with medication is a complex and multidimensional health care problem. The cause may be related to the patient, treatment, and/or health care provider. As a consequence, substantial number of patients do not benefit optimally from pharmacotherapy, resulting in increased morbidity and mortality as well as increased societal costs. There is not just one solution for the nonadherence problem that fits all patients. To improve adherence effectively, there is a need for a tailor... Read More

Incomplete Leader

In today’s world, the executive’s job is no longer to command and control but to cultivate and coordinate the actions of others at all levels of organization. Only when leaders come to see themselves as incomplete – as having both strengths and weakness will they be able to make up for their missing skills by relying on others. Organizations have been becoming less hierarchical and more collaborative. No one person can possibly... Read More

FIRST DO NOT HARM

HIPPOCRATIC OATH - I will prescribe regimens for the good of my patients according to my ability and my judgment and “never do harm” to anyone. The origin of the concept of patient safety is not recent; it is an age old ethical practice in medical field. Hospitals were founded to give care to those who need it and to keep patients safe is their moral duty. The occurrence of adver... Read More

ERAS: IMPROVING PATIENT OUTCOME BY EVIDENCE-BASED MEDICINE

Lack of standardization in perioperative care can negatively impact patient outcome and inflate the cost burden of surgical care. ERAS is an acronym for Enhanced Recovery After Surgery. ERAS protocols are multimodal, multidisciplinary, patient-centric, perioperative care pathways designed to accelerate patient recovery after surgery by standardizing perioperative care. Initially employed for open colorectal surgery, tailormade ERAS protocols for each surgical stream are now available. E... Read More

Good Surgeon – Excellent Surgeon – Great Surgeon!!!

Good surgeon means good education and good training. The education and training should fulfil two main objectives. The first one is to develop good manual dexterity. A surgeon without adequate manual skills is not a surgeon. He should also acquire a wide range of clinical and scientific knowledge relevant to the chosen specialty. Not every trainee who develops high technical skills and acquires sound theoretical knowledge becomes a truly good surgeon. He should have high intellectual po... Read More

HIROSHIMA AND NAGASAKI. Have we learnt anything from nuclear disasters?

A nuclear bomb dropped at 8:15 am on a clear August (1945) morning. Less than a minute later, a blinding flash was followed by a wave of destruction almost beyond human imagination. An estimated 80,000 people were killed instantly by the intense heat of the explosion. Thirteen square kilometres of a city that had been a bustling commercial, military and transportation hub was reduced to rubble. Immense firestorms swept through wood and paper houses. Thousands were dead and injured. A si... Read More

Silent Deaths At Night Why?

In ancient Greek mythology, Sleep was the twin brother of Death, children of the personified gods of Darkness and Night. It seems there has always been an association between sleep and death. When people die in their sleep, it seems like a peaceful and almost idealized way to pass. We spend one-third of our lives asleep, so it should be no surprise that a lot of people die in their sleep. There is an important difference between dyin... Read More

Male Infertility And Cancer

The number of men surviving cancer at a young age has increased dramatically in the past 20 years as a result of early detection and improved cancer treatment. Quality of life has become an important issue in childhood and adult cancer patients. Fertility is often impaired after chemotherapy and radiation therapy. Malignant diseases might influence gonadal function through hormonal alterations and metabolic conditions. Reproductive h... Read More

Can Fertility Be Preserved In Female Cancer Survivors?

Fertility preservation in essence means preserving the ability of an individual or couple to start a family at a time of their choosing. Oncofertility is a term coined for fertility preservation in cancer patients. Improvement in cancer management and increasing survival rates has created a need for oncofertility. Unfortunately, fertility preservation services are rarely offered or even discussed with the patient before starting cancer therapy. Studies ... Read More

Perils of Salvage Surgery

The term “salvage (or ‘rescue’) surgery” has been used to refer to surgical treatment after failure of initial treatment in various scenarios including treatment of delayed neck metastasis, recurrent primary tumors, or even lung metastasis. Undergoing definite RTCT, patients can have two different outcomes: many will achieve a complete response after non-surgical therapy and will not need further treatment, while some of them will have a partial response needing a treatment, t... Read More

Concept of Palliative Care

Palliative care is a health care specialty that is both a philosophy of care and an organized, highly structured system for delivering care to persons with life-threatening illness. WHO defines palliative care as “an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatm... Read More

Evidence Based Medicine vs Evidence Biased Medicine

The concept of EBM (Evidence Based Medicine) came into existence in 1990s to promote a systematic approach to helping clinicians in their practice to be guided by the best available scientific evidence. The philosophy of EBM encompasses five essential principles. First, it is grounded on basic health-care values (value-based medicine). Second, it requires scientific evidence. Third, it recognizes that the scientific evidence is complicated and usually limited. Fourth, it assumes that ot... Read More

Celebrating 25 years of RGCIRC

“Everything starts with an idea, a concept in the mind. A dream is shaped by actions. Actions become reality by sincerity and hard work. People say miracles happen to those who believe in them.” Rajiv Gandhi Cancer Institute and Research Centre is that miracle which was conceptualized by Sh.K.K. Mehta and few like minded people such as Sh. AVM HKL Kapoor, Sh. ACM OP Mehra and Sh. OP Nayar in 1990.... Read More

Empty Nest Syndrome

Mr. X and Mrs. X were admitted in COVID-19 Hospital with fever and cough. After 7 days, hospital authorities informed Mr. X’s son that Mr X has passed away. Mrs. X was not in good health either. Son from Australia arranged funeral services for father’s last rites. No one attended cremation ceremony. There was a feeling of constant worry for his mother lurking at the back of his mind added to a lingering sense of guilt for having left parents behind in India. Read More

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