It's important to have hope and belief when there is cure, compassion and support. This official thought leadership series of Global Hospitals presents some of the most inspiring patient stories, treatment case studies, cutting edge news on prevention, treatment and cure. This is our outreach channel and support group for Healthcare seekers and Patients.
Osteoporosis is like
unavailability of smooth roads for a good driving experience
Starting early can help keep
Osteoporosis at bay
Recently one of my relatives,
a lady in her sixties fell down at home and started complaining
Dr Uday Pawar, Spine Surgeon
of back pain-
mostly while changing positions (like getting up from bed or chair, turning in
bed etc). She was being treated for the usual back pain by many of her doctors
with painkiller medicines without any progress, until an MRI revealed that she
had fractured a bone in her spine. This is the usual story of many women after
their menopause. This is the story of OSTEOPOROSIS.
General myth surrounding
Osteoporosis is that it is lack of calcium in the body. However, Osteoporosis
is more like non-availability of smooth roads for a good driving experience
i.e. poor bone architecture in-spite of availability of calcium. Simply put,
osteoporosis is a disturbance in the bony architecture. It is, as the word
itself says a condition in which your bones become porous (osteo= bone).
Bone strength accumulation
in human beings is a time bound process. Upto the age of 30 you have the
potential to gather as much bone mass as possible. This is called Peak Bone
Mass. After that we start losing bone gradually year by year and it becomes more
pronounced in the twilight years of our lives. This happens equally in males
and females upto 45 years. In ladies, as menopause sets in, this loss of bone
mass is even more pronounced which sets the stage for OSTEOPOROSIS. Men too can suffer from Osteoporosis but
generally after the age of 70.
Bone with osteoporosis
Osteoporosis affects the
spine and the hips most commonly. Bone density test followed by a few blood
tests is one of the ways to assess your risk of developing Osteoporosis.
Osteoporosis could be kept
at bay by accumulating and improving your bone balance (like bank balance). It
can happen if you start early in life. This happens by activities, importantly
sports, which stress or impact the bones (skipping, basketball, gymnastics,
dancing, jogging etc). Encouraging any outdoor sport has beneficial effect on
For rest, all is still not
lost. In women as in men any weight training exercises do positively impact the
muscles and bones. The training has to be supervised to avoid injury. We do
encourage some weight training in women with osteoporosis too, apart from
medicines. Calcium & vitamin supplements are not the treatment for
Post menopause get yourself
evaluated for Osteoporosis regularly.
Uday Pawar, Spine Surgeon, Global Hospitals, Mumbai
Dr Uday Pawar is a Spine
Surgeon, attached to Global Hospitals, Mumbai. He has close to 10 years of
Spine related consulting and surgical expertise.
His areas of interest are minimally
invasive spine surgery, daycare spine surgery.
He is also interested in the
use of technology to help patients and doctors alike. Educating patients and
helping them imbibe informed decision making process is what he likes. He also
writes spine related blogs to help spine patients.
At BGS Global Hospitals Ms. Banumati’s cancer is in complete Remission. Her life is beautiful once again
October 4th, 2014:
Bhanumati, a 43 year old lady from Bangalore came to our hospital
with history of lump in her right breast since 3 months. She was told
about us by one of her friends whose relative was treated by us.
PET-CT (whole body scan) showed there was no spread of the disease anywhere else in the body.
The size of her lump was very big. She was given an
option of Organ preservation that means instead of mastectomy, she could
undergo Neoadjuvant chemotherapy wherein Chemotherapy is given before
the surgery. By doing so, we downsize or shrink the tumour. The patient
who otherwise would have to undergo complete removal of the breast has
now become eligible for Breast conservation surgery.
Bhanumathi underwent 6 cycles of chemotherapy first. The tumour reduced to 2 x3 cms in size.
She then underwent Breast conservation surgery with a
Lattisimus dorsi flap cover to give a very good cosmetic outcome.
Subsequently, she was given TrueBeam STx radiation therapy.
PET-CT after 6 months showed that Bhanumathi is in
complete remission. Her disease has not only been cleared but her
feminity also has been retained.
Banumathi, Breast cancer survivor, said, “Life came
to a standstill, when I came to know I was diagnosed with breast cancer.
But I didn’t lose hope and had the support of my family. My
oncologists, explained the treatment course in detail, which helped me
understand the illness and gave the courage to fight the cancer. Post
treatment, I’m back to normal life and my life is beautiful once again. I
thank the oncologists, at BGS Global Hospitals, for giving me a new
lease of life. I would encourage all cancer patients by telling them not
to give up hope as cancer today is a manageable disease.”
Every patient with cancer wants to hear the
word CURE, from their doctor. But will an Oncologist (cancer doctors) ever use
this word CURE?
A normal cell has a cell cycle. It is born,
it grows in size, it matures, it performs its functions, it reproduces and then
it perishes. When a normal cell changes, it starts growing and reproducing abnormally
and uncontrollably and when it no longer dies it is called as a cancer cell.
Even when treatment for cancer is given
successfully, since the tendency of the cancer cell is to grow and reproduce
one can never be sure if all the cancer cells have been destroyed by the
So what is the
difference between cancer cure and cancer remission? Doctors almost never use
the term cure; rather, they usually talk about remission.
Remission is a term that doctors often use
to refer to a condition when there is absence or no evidence of the disease. It
implies that there is a potential chance for recurrence (relapse). In cancer when the term remission is used it means that there is no
trace of the disease at that point of time. Or the disease may be so small that
it cannot be detected by physical examination or by any scan.
Cure is a term not
normally used when speaking of cancer, because of our inability to very
accurately predict if cancer will come back or not in any given individual.
Remission can be of
Complete remission- means
that after the treatment there are no symptoms and signs in a patient to
indicate the presence of cancer. However, even when a person is in remission,
there may be microscopic collections of cancer cells that cannot be identified
by current investigations. This means that even if a person is in remission, in
the future, can have a recurrence or relapse of their cancer.
Partial remission- means
that a major percentage of the signs and symptoms of cancer disappear, but some
of them may still remain.
Complete remission would therefore be better than partial
remission because with partial remission the chances of recurrence are higher.
Doctors will sometimes refer to 5-year cure rate or a 10-
or more year cure rate. What is really meant by this is a 5- or more year
remission rate. The longer the remission time lasts, the greater the
possibility that the cancer actually has been cured. However there are cases of
cancer recurrence many, many years after remission begins.
So in Breast cancer,
we say when the disease is in stage 1 there is a 95 percent 5-year
cure/remission rate. It means that after five years, 95 percent of people with
that cancer will still be in remission (meaning that one has an extremely high
likelihood of not having a recurrence for at least five years). As the longevity
increases, doctors can now often give remission rates for 10, or even 20 years.
In many ways, the approach to most cancer treatment is to make it a chronic
disease that lasts for many years.
In cancer, can we really talk about cure?
No. We can only talk about remission. But the remission
may be so long or the chances of relapse of the disease could be so low that
one could consider cancer to be completely cured.
All the research that is happening in the field of
Oncology is with an aim of prolonging the remission rate.
With the present,
advanced modalities of cancer treatment the chances of long remission rate is
very high and surely there is a HOPE for all the cancer patients