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Dr. Dharma Ram Poonia - Oncologist, Jodhpur

Dr. Dharma Ram Poonia

88 (33 ratings)
MS, DNB (Surgical Oncology)

Oncologist, Jodhpur

4 Years Experience  ·  500 at clinic  ·  ₹200 online
Dr. Dharma Ram Poonia 88% (33 ratings) MS, DNB (Surgical Oncology) Oncologist, Jodhpur
4 Years Experience  ·  500 at clinic  ·  ₹200 online
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Dharma Ram Poonia
He has been a practicing Oncologist for 4 years. He has completed MS, DNB (Surgical Oncology). Book an appointment online with Dr. Dharma Ram Poonia on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 29 years of experience on Lybrate.com. Find the best Oncologists online in Jodhpur. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MS - SP Medical college, Bikaner - 2013
DNB (Surgical Oncology) - Rajiv gandhi cancer Institute & Research centre, New Delhi - 2017
Languages spoken
English
Hindi

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Dr Dharma Ram Poonia

C 151/ A KAMLA NEHRU NAGARJodhpur Get Directions
  4.4  (33 ratings)
500 at clinic
...more
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"knowledgeable" 6 reviews "Very helpful" 5 reviews "Thorough" 2 reviews "Well-reasoned" 3 reviews "Professional" 1 review

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Age: 47 BUCCAL MUCOSA T4B CANCER TREATMENT: 3 CHEMO & 5 RADIO (TRIAL) DOCTOR ASSESSMENT: NOT TREATABLE (4 months max) No further chemo and radio MY QUESTION: what should I do, some say go for AYURVEDA please anyone give your honest opinion.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hello. If doctor says incurable that means no practical chance of cure, but doesn't means end of life. There are form of mild chemo therapy like methotrexate n some targeted drugs might give painless life. These helps to to prolong life n suffering provided general condition permits. Ayurvedic I'm not sure, about its benefit but one can try if you manage to get confidence.
4 people found this helpful
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My aunt is 64 year old and she is suffering from gall bladder cancer from 6 months and cancer is in fourth stage. It can be treat or not. Please give reply. We have all ready return from AIIMS delhi. But not relief.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
My aunt is 64 year old and she is suffering from gall bladder cancer from 6 months and cancer is in fourth stage. It ...
Hello Stage 4 gall bladder cancer is incurable. If patient is fit than one can give palliative chemotherapy. The intent of this treatment is reduce the suffering. Good luck.
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What are the possible treatments for Squamous Cell Carcinoma (skin cancer) without side effects. My father is having on on the lower lips. Chemo is bit costly and risky. Can radiation be given? Or is targeted therapy safe?

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
What are the possible treatments for Squamous Cell Carcinoma (skin cancer) without side effects. My father is having ...
Hello, lybrate-user The treatment of lip cancer depends on the stage of the disease, which means the extent of spread. For early stage and resectable case, it has to either surgery or radiotherapy, depending on many factors. For advised case, where we can't achieve a cure, we refer the patient for chemo. Talking about the cost, targeted is the most costlier option and still not many indications on Head and Neck cancer cases. You can move to General hospitals oncology departments to get the cheap but indicated treatment. The useful treatment modality has to be as per guidelines, and not the option which one can choose amongst the available choice. Good luck.
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Hello Dr. I have a lump in my left side breast. It is over and Its size around 1.5 cm- 2 cm. I was tested FNAC test and result is it is fibroadenoma. It is never pain. But sometimes like if I press forcefully or sometime automatically pain started. Please suggest me some oil or home remedies for remove this lump.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hello Dr. I have a lump in my left side breast. It is over and Its size around 1.5 cm- 2 cm. I was tested FNAC test a...
Hello lybrate-user, As you mentioned you are suffering from Fibroadenoma of the breast. It happens due to hormonal changes at your age and it is very common. It need not to remove as it is completely innocuous. As in your case, it is painful, you can get it removed. The procedure itself will be minor and can be done under local anesthesia. There has been the role of evening primrose oil, which is available in chemist shops in capsule form, and to be started at 1gm 4 times a day with Vitamin E capsules. These remedies can be tried, but in your case, surgical removal would be rather simple and curative option. Good luck.
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My dad is suffering from GI junction cancer with liver Mets from Feb 2016. Had 3 cycle of chemotherapy where his numbers and size of tumours reduced by 30 percent. Then after 2 more cycles it reduced by more 50 percent. Then in the month of December it increased by 33 percent. Again dctr advised for chemo. After 3 cycles it reduced slightly but pleural effusion and ascites are seen. Again after 3 cycle secondary cancer increased. Pleural effusion increased. Ascites increased. My question how after chemo cancer is increasing? What are the chances of survival here.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
HI lybrate-user, As per your history disease of GI Junction with Liver metastasis, I Presume you want to say about GE junction, Post 2 lines of Chemotherapy and progressive. The overall picture is not happy, it will be advisable to meet the surgical Oncologist if I assume the ascites and pleural effusion is not disease related. If Ascites and Pleural effusion are disease related, which is more a possibility as per case scenario, there are limited options. One vital option would be targeted therapy, with Herceptin if not already instituted in case of Her 2 +ve cancer. Overall with limited information, I feel the picture is quite gloomy. Having said that, ultimate power is GOD, so don't lose hope and Keep fighting. Good luck.
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What are the symptoms of breast cancer in females when they at the age of 20 to 30. Is cancer is irrespective of age.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Breast cancer can happen in any age but it's likelihood increase as the age increases. Young age patient have often hereditary cancers which means it is based on some genetic defect and often have history of cancer in family. The symptom is painless lump or swelling in breast. Other symptom is nipple indrawing of recent onset. It is always advisable to meet a surgical oncologist or general surgeon by the age of 25 years or 10 year less than the age of cancer in family in case of hereditary cancers. In case of no family history of patient should meet to clinical for rourine screening by 30 years age and mammogram (x ray) of both the breasts by 40 years. It should always consult as and when one noted any symptom of the breast with special alarming are above mentioned symptoms. Hope this will help you.
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Sir doctors have done recently breast cancer surgery. My question is, can cancer can be completely cured by chemotherapy. Or only stops growing cancer cells?

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hello Mr. lybrate-user, The cure is based on the stage and their molecular profile and patients profile etc. So talking about cure without much information is misleading. I Understand with your question is that probably she is having early stage disease and underwent surgery already. Now the Oncologist is advising for Chemoth. This form of chemotherapy is given with the intention to address the microscopic cancer cells in the body and chemo drugs will kill cancer cells. I hope it should help you understand the matter. But please provide complete details than only one can talk in depth. Good luck.
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My father has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lung and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. The medicine oncologist has however said that the gene profiling of the primary tumour tissue is not sufficient for starting Targeted Therapy and gene profiling of a tissue obtained from any of the metastatic site is necessary for the same. Three procedures have been undertaken to obtain tissue sample from the metastases site, twice from the liver and once from the pleural deposits, and all the three times the cancerous tissue could not be obtained. Due to non-availability of conformed cancerous tissue from the metastases site, a firm treatment plan has yet not been made for my father. In the meantime, the doctor has recently started my father on Erlotinib 150 mg OD as there has been considerable delay in his next phase of treatment due to non availability of metastases cancerous tissue. Could you please help me by answering the following:- 1.Can you suggest anything towards treatment of my father? 2.Is gene profiling of tissue from a metastases site absolutely necessary for starting targeted therapy for my father? 3.I read online that Erlotinib or Afatinib can be used as Targeted Therapy for patient with EGFR Lung cancer mutation. Is this true? If yes, will a daily tablet of these drugs be sufficient for his next phase of treatment, or a concurrent conventional chemotherapy is also required? 4.Can 65 session of Hyper-basic Oxygen Therapy at 2.4 ata given at a stretch of about 80 days, with a daily dose of 02 hour be a cause of his cancer? I have read it online that the oxygen free radical produced during HBOT treatment can cause cancer.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR targeted medicines, which includes Erlotinib/Gefitinib or Afatinib. Usually patients with such mutation as in your case responded but unfortunately not for the indefinite period but averagely 6 to 10 months. On progression, you have to get the gene profiling to see the change in the mutational status. You can refer to NCCN guidelines or American cancer society information. 3. Your father should receive, targertd therapy only, no chemotherapy for sure. It is proven better than chemotherapy in terms of Quality of life and progression free survival (average duration to progress on Treatment) 4. Regarding etiology or causation of lung cancer, HBOT not implicated for such cancers. And more so any carcinogen if cause cancer, it has a reasonable time to show its effects, like you must have seen chronic (long term) smokers will develop lung cancer. HBOT cause local hypervascularization and produce free radicles, so many studies tried see its role as a carcinogen, but tilll date it is not proven carcinogen as per ICAR. Hoping it solves your query. It is nice to see a son is keen and read in-depth about his father's illness. Good luck for further treatment.
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