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Treatment of Cone Biopsy
Treatment of Treatment of Breast Cancer
I was a Prostate Cancer Patient stage 4, metastatized to Lymph Nodes and PSA 560. I underwent Orchidectomy Surgery and PSA steadily came down to 8 in 3 Months, 3 in 6 months, 2. in 9 months and 1.2 in ONE YEAR. Am I Cancer FREE or Cancer Cured or Cancer Controlled? What Further should I do to Prevent it from Recurrence?
My mother had a bleeding from right brest nipple. So she had an operation by general surgeon 2 months before. Then in biopsy test it found cancer. Then we consulted dr.in jaipur. He had done surgery to remove full breast. Now he said there is no need to have any treatment because in IHC report Er.
I have been smoking regularly for 40 year, I want to get some test done to check my health and the early risk of cancer (if any). What tests should I go for?
I have prostate mild enlargement and weight is 31gms. So what can I do for this problem? If it's neccesory to surgery? Or avoid by tablets?
I am 20 years old girl, suffering from leukemia is there any cure/ treatment/ medicine for improving my health?
Respected sir, I would like to the best chemotherapy for the lungs cancer. Kindly suggest the side effect of the chemotherapy. And which hospital we need to refer.
It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.">
With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.
The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.
Aspects of palliative care: Once the disease is identified to be in terminal stages, then the following become considerations:
- Stay at home or hospital
- Withdraw chemotherapy and radiation?
- Withdraw feeding tube
- Spiritual discussions
- Reduce anxiety
- Good quality time with the family
- Reduce pain and suffering
As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering:
- Physical: Pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.
- Social: Depression (learn the ways to handle depression), anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.
- Legal: There could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.
- Spiritual: Looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better. "Why did this happen to me?" is a question most people keep asking and while there is no answer, some solace can be provided through talks.
It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.