What if most of what you've heard about cancer isn't entirely true? Cancer remains a major health challenge worldwide, clouded ...

cancer-unmasked-myths-facts-amp-expert-insights-manipal-hospital-delhi

Cancer Unmasked: Myths, Facts &amp; Expert Insights | Manipal Hospital Delhi

[Music] hello everyone and welcome to today's podcast about cancer awareness today we have with us Dr Shi head of the radiation Oncology Department who will shed some light on cancer awareness and help the youngsters and older people and the upcoming generation how to B cancer and prevent it in their welcome sir thanks for the brief introduction so before head of the Department of tradition oncology I am a general practitioner who is specialized in oncology so we uh you can we start the question thank you so moving forward today we are going to burst some Ms and will talk about some beautiful facts which will definitely Enlighten your day to start with some what is the biggest myth about cancer that people still believe today in your 2025 so in my this practice of 15 years I find the biopsy the biopsy every patient ask biopsy caner fail is it possible without biopsy we can move further for the treatment so the biggest myth is about the biopsy YC does not spread so I I'm very sure that when you see patients in your they very you say that that's that's a yeah so uh so about the diagnosis we initially will clinically examine the patient and the first and foremost step is only about the biopsy so Imaging or for anything else once the biopsy is done and we are sure we are dealing with what kind of cancer or malignant or B so uh can Imaging just replace biopsies and cancer diagnosis or moving forward so this very common question even by the patients also biy so thing is that biopsy [Music] even for example if it is about the breast so we know it is a breast cancer even after having a p toal line of treatment depends on the biopsy and the nature of the so sir earcon screening evaluation or head checks so early detection is very important uh for the treatment point of view and outcome point of viewly detect stage one or stage two it's very easy to treat also it's economically also very uh friendly economically friendly because stage one and stage two have limited uh modalities to treat there is no need many times only with surgery we can treat the patient very early and it was like we had done the surgery and there was not required of any radiation or Cho now she's on hormonal and because it was very early so seem's fortunate enough the only one modality uh is towards the curing the for the same cancer so early early detection is very important because the outcomes are very good like for say if is a stage one the outcome is almost 90 to9 95% cure rate and for stage two it is like around 70 to 80% as the stage increase theity is that if a female is 45 they should go for a memo mogram at least 3 years regularly if after 3 years there is no then they can wait for 2 or 3 years and the same thing is with sexually active females they should go for a p SP like we are celebrating th we celebrated this cical uh month January month so it's very important for screening is for uh mainly for high risk patients and highrisk population and it is important for those who are advancing in the age but clearly says that early detection is very very important yeah plus screening is also very important screening to put in a large extent large population like in India it is not that easy especially it's very difficult for every paent to go for a CT scan and other things but [Music] population so moving forward this that theyned with cancer and they it so is it really true is does does it really matter and this in this era it is not St St stage four metast stage four tumors 5 year 8 years 9 years and as we have seen so treatment wise diagnostic wise cancer treatment and diagnosis has advanced over the time so what are the new advancements that biggest uh change in last 20 years first is about the pet skin that is a very good modality which we should use in our daily practice though in urban setup it is very easy but when the patient is in 2 TI or 3 TI C is there that is little difficult but we should use that one because that help us to decide about about the intent of the treatment and then the advancement if we see in the chemo part so Cho is now much more refined and uh chemo Port is one of the thing which make the things easy when we have to give Kemo for more than 3 months or 5 months or multiple line of Kos or in res where more than two drugs are there so chemo Cod is a very good a it's a complete bless for the patients same thing robotics like the surgery wise robotics is the bless for the patient to time is consigned and in minimum time maximum recovery minimum scar so these advances are there the same thing in radiation also in my radiation like if you see earlier we used to do treat the patients on uh Cobalt now we have modern Linux so mod Linux maybe it's like we say Apple 14 15 16 so same upgrade every 5 to 10 years make upgrade think those patients are completely plus the advancement of hypo fation the advancement SRS SBR there are so much to say it's completely we are moving from one eror to the second eror to the third era it's like the future will be with MX and protons so there is lots of advancement uh in every vertical about either it's about medical like other than chemoimmunotherapy it's a bless for the patients targeted therapies hormonal therapies sa for the surgery Robotics and other things and the same uh same for the radiation that's interesting to know sir that we have so many interesting advancements when it comes to diagnosis and treatment as we talk about cancer uh stress and emotional turn down is something which is very closely closely related so stress and emotions is also directly related to cancer and can see uh they are as as per evidence they are not directly related to any cancer but if your life is stressfree and uh emotionally if you are strong enough then then you are in a good position always if someday if someone detected with any type of cancer if they are good and they are they don't have any stress kind of habit or emotionally they are not low then they will able to C up with the situation much much better than that so it's all about the meditation we should do it the at least twice in a day for at least 5 minutes it's very important because we can go through real St nowadays we can just roll on our phone for the r instead of that we should uh incline towards the meditation that's very important that will definitely reduce your stress level that will reduce your emotionally they will make you more stronger at the same time other than meditation your breathing exercise is very important both the am as we spoke a lot about panes and myths most important thing that we do in a day is having food so I would like to ask you are there certain foods which really causes cancer or it's just so initially when we started our stud at that time initial hours chapters all about iology of the cancer in that we very well read also and even in day today practice also we have observed OB is link to many cancers so so obesity comes that indirectly directly or indirectly comes from the diet so diet directly not related to your cancers but it induce obesity then obesity is one of the ca few diets like if you say red meat they are more for the GI tumors so somewhere they play very good very important role so we should balance the types you should have more of proteins and less of cars and moderate kind of Fs in our diet so that uh we can control our weight and uh we not invite any of the G to our our system that's very important and as sugar consumption seen to be as one of the does it increases cancer growth no it's again it's again suar will just increase your blood in the blood and it is again indirectly induce your obesity and nothing else so sugar moderate sugar is required for the our better our sales but if it is go beyond some consumption whatever uh should be there then definitely it will uh it will going to add some extra weight and then it will induce obesity and obesity will again invite for one or other type of disease heart disease or diabetes or cancer anything the more the comorbidities are there the more the chances of having cancer is there organic foods organic foods better for cancer prevention or how is it no organic food it's okay we should have organic food that's a good thing if it is everything in under your supervision so that's not possible those who are in C life it's not possible for them so organic food is not as such going to prevent or cure any kind of cancer it's just a marketing things okay we should go for the organic and there are other things also there so it's it's okay there is no evidence and does any kind of diet plays a role when it comes to recovery of a patient somebody who is going through Cho or ration yeah definitely definitely diet play very big they go for definely for weeks and for post operation for 6 weeks di plays you know at least for the 6 months it's very stringent diet mainly high protein diet and uh we have to see which side we are going to treat accordingly we we advise them the diet I myself act as a dietician before going for the treatment I optimize the patient and those who want extra help then I attach them to my onod Dian so so that he they can able to have that much needed requirement of calories it's very important diet is important it's the Journey of the treatment it's very very important and even after completion of the treatment it's very important because uh many patients lose weight and many patients not able to walk and their performance strates go down and there are chances of coming to hospital for admissions increase if they they don't have the proper diet so diet plays big big role because during the treatment I advise my patient please don't admit in hospital because of your low intake food diet is very important diet is like medicine you have to have because if you have a proper diet then only you will able to complete a proper treatment very moving forward uh let's talk a little bit about naturopathy Sir can naturopathy be effective when it is compliment to theen so your you are just hitting right C right now naturopathy is coming up after big celebrities are advocating about the naturopathy naturopathy is uh is really good for uh prevention of any prevention of cancer or it is good post treatment but during the treatment naturaly have not a big role as such the main pillars of the treatment is surgical medical and radiation other things under oncology umbrella are different so it will going to become one of the umbrella ofcy umbrella like other things are there psycho psycho oncology or di like that it will definitely will going to play a big role but as such it is not a main field treatment so please think in that way it is uh it helps in the prevention it may it is good for post treatment but during the treatment keep focus on the standard treatment so what could be the risk because we have seen that you know there are people who would rely solely on natural what could be the risk if they do only natur so uh so in radiation especially about talking about the radiation oology like after the surgery patient come for indication come for the radiation then patient after we explain the patient six weeks of radiation will be there head and b or any rest is there for rest 15 days or of the radiation will be there so uh they they feel why to go for the radiation this surgery is doneo is also done so why we go for that let's move for the naturop so is that treatment component they should understand in the initial start of the treatment once the treatment once the cancer is diagnosed they should know what will be the from a to J of the treatment from the from the day one they should they should have in their mind these all components we have to one by one we have to go through from one pillar to the other pillar just because cancer is more treated by one specialist it is treated by two or three speciic one speciic is just a bless for the patient if we treat some like earlier I said initially very early then we can treat it by one specialist but maximum around 70% of patients need all the three species so that is very very important so naturopathy don't play role in that part we can't replace any of the treatment model doing naturopathy naturopathy is really good after completion of treatment and as we talk about early stage detection sir so in that stage also naturaly again again I just repeat my words if it is very early then sometime if patient is really uh lucky then just be treated by one one spes otherwise two or three spaces require no natur can't replace any of the standard so as we spoke about organic foods uh now is the of alkaline water yeah this is again new thing which I listening from my many patients they are asking sir so it is again no complete no alkaline water is not going to uh help in any direction about the the treatment of the cancer so we have to we have to try to change our natural whatever the resources are there we should not rely on that instead of that try to be balanced in everything everything means your exercise your diet your your other habits everything should be in the balanced way if you go everything in a balanced way then you are not inviting any of the disease I'm not talking about right now about the cancer I'm talking about any of the disease any of the means cardia diabetic hypertension or anything will not be inv invited by you if it is come of their own not because of you then it's okay doctors are there treat you try to try to ATT with a good G try to ATT with good Physicians or or doctor related to the disease whatever you diagnosed as we spoke about lot of myths that are around lot of Diagnostics that are around talking in the direction of treatment and Recovery Does chemotherapy do more harm than does good as some people claim no it's not like that chemotherapy like for everything some side effects are there one as I say paraset same for everything same thing for the chemo also if those is defined if a certified medical oncologist is giving the chemo then you are in a very safe but if you go to a qu or you go to a MD medicine here have just one year or two year of experience in chemotherapy then definitely there may be a chance because if they give some extra dose without knowing the side effects much side effects of the chemo then they may land up in some other side effects of the cardiac or some other effects and in the long term they may end up even in the blood cancer but if a certified medical oncologist induce or they give the chemo then they know the very well and now in India we have good number of medical monies where you can go and take a proper Cho no need to approach towards any of like radiation oncologist or surgical oncologist or any other practicing doctors I'm I I advocating that one please and please approach a certified doctor for for certified treatment and Sir can Lifestyle Changes because people would want to go more towards prevention and cure and treatment so can Lifestyle Changes really prevent or maybe cure can what is your definitely definitely I already used the word to balance everything to life lifestyle we have to balance the things we have to balance about our weight we have to always check how much uh like if we check our weight prob know time to time then definitely we are on a safer side the lifestyle also exercise your diet your other habits about if you if you are a smoker if you are alcohol you take alcohol during your social Gathering so everything matters sir as we are nearing to the end of this conversation and the theme of year 2025 is United by unique I would like you to share some light on that so yeah from 2025 to 2027 we are on the theme United by un united means he it's about the active participation of all uh practicing the either it is uh from uh general practitioner from the commun community or theologist who are doing the treatment day and night all the supporting staff all the everyone what we are doing right now it is all about that that word United means we are all United together to prevent the cancer first and to if it is there then to cure the cancer and to create the right kind of aess in the society if Society is aware Society have good uh good education about the disease they know how to approach the things then everything is fine but if Society don't know if they don't know how to go for that if they just by clicking on the Google and searching oh this have the five five ratings we should go there it's not like try to if if it is diagnosed then try to go a comprehensive cancer center wherever you want and if if you have any doubt try to approach any of the clinical oncologist or any of the oncologist to find it out to rule it out as early as possible because if we diagnose early then treatment is very good always and then this is the word United uniqueness uniqueness means personalized treatment it is about if if patient is diagnosed in this era so accordingly we can personalize the treatment so every patient have some uniqueness in their disease and accordingly we can personalize now genetics is coming completely in full picture now in coming era completely there will be a genetic profile of all the patients about the their dnas and rnas how they are working on that and we able to hit more properly before about the treatment it's not about it's things now we are going to customize the treatment tell the treatment about according to the genetic profile of the patient so we are working towards that we are walking fast now towards that and we're definitely going to achieve it in coming uh this era coming this wec about how to completely personalize that's great sir I think we have a listed most of and we have bumped most of so we it's not about the most of the things we need uh like we can talk R and R about all that things it's just uh Society should get aware of the right approach the most important thing is of right approach so for to uh to be uh towards that side they always have to be in a right right hand and right hands are where the complete Under One Roof all the doctors are there radiation oncologist medical oncologist Surgical oologist and other all supporting pillars should be there in under one room there they will definitely get a right treatment it's not about the hospital it's about a comprehensive cancer center wherever they go they should go in that place then definitely the things will be in right uh right order because everywhere the oncologist we go for a tumor board also and we decide their treatment that is behind the curtain we do all that exercise and ultimately we we explain the patient this is the best for you and ACC that's quite extensive of explanation to what in depth a doctor does before they share the treatment with you and I'm sure with the upcoming recent Mones we will have much better treatment options and diagnostic options available thank you so much sir thank you thank you ma'am so much inviting me for this uh crisp about the myths and facts the against and for the greatness thank you so much thank you

Dr.

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