Each year on World Cancer Day, we reflect on the global impact of cancer, the advancements in treatment, and the unwavering support of family and caregivers. At SUT Hospital, we understand that cancer is not just a medical condition—it affects every aspect of a patient’s life, from their emotional well-being to their physical strength. This day serves as a reminder of the progress we've made and reinforces the importance of standing together in the fight against cancer.

 Advancements in Cancer Treatment: A New Era of Hope

Over the past decade, cancer care has witnessed groundbreaking progress. Targeted therapies, immunotherapies, and personalized medicine have transformed treatment approaches, offering patients new hope with fewer side effects. These innovations not only improve survival rates but also enhance the quality of life for those undergoing treatment.

Early detection has also been a game-changer in cancer care. Advanced screening methods now allow for the identification of cancers at earlier, more treatable stages, significantly increasing the chances of recovery. Personalized medicine is revolutionizing treatment by tailoring therapies to an individual’s unique genetic makeup, ensuring greater efficacy and fewer risks.

The Silent Pillars of Strength: Family and Caregivers in Cancer Care

While medical advancements play a crucial role, the emotional and physical support provided by family members and caregivers is just as vital. The journey through cancer is filled with uncertainty, fear, and physical challenges, and caregivers serve as anchors of stability and strength during this difficult time.

 Emotional Support: A Shoulder to Lean On

Cancer can be emotionally overwhelming, not just for the patient but for their entire support system. During such times, a simple act of kindness—a listening ear, a reassuring presence, or a gentle hand to hold—can make a world of difference. Caregivers become a source of encouragement, offering comfort and motivation when hope seems distant.

 Managing the Journey: Practical and Logistical Support

Beyond emotional support, caregivers play a crucial role in managing medical appointments, coordinating treatments, ensuring medications are taken on time, and assisting with daily activities. They often serve as the bridge between healthcare teams and patients, ensuring that treatment plans are followed and that medical decisions are well-informed.

Caregivers do not just offer physical assistance—they provide mental and emotional resilience, helping patients navigate the unpredictable journey of cancer with courage and determination.

 Recognizing the Caregiver’s Role

Caregiving is a challenging, yet a deeply meaningful responsibility. It requires patience, strength, and selflessness. As we continue to make strides in cancer treatment, we must acknowledge that the battle against cancer is not fought alone. From scientific research to the unwavering support of loved ones, every contribution matters.

On World Cancer Day, we not only celebrate medical advancements but also honor the silent warriors—family members and caregivers—who stand beside cancer patients through every hurdle. By fostering awareness, supporting research, and ensuring compassionate care, we can make a difference in the lives of those affected by cancer.

Every cancer diagnosis carries a deeply personal journey, woven with grief, pain, strength, and hope. At SUT Hospital, we believe in a care model that goes beyond medicine—one that is centered around empathy, compassion, and understanding. Because true healing comes not just from treatment, but from the love and support that surrounds a patient every step of the way.

Together, we can make a difference.

Col. Rajeev Mannali 

Chief Executive Officer

SUT Hospital, Pattom

 

Does talking openly about reproductive health with a friend or loved one make you uneasy? Have you ever had the chance to have that conversation? Even today, discussions around reproductive health remain taboo in many communities across India, despite their direct impact on the well-being of individuals, families, and future generations. Staying silent doesn’t just lead to misinformation — it leaves those facing challenges feeling isolated and alone. Here’s why speaking up matters and how it can lead to healthier, happier lives.

Stigma Silences Support

One of the most harmful effects of stigma around reproductive health is the isolation it creates. Many people keep their struggles with infertility, menstrual disorders, or hormonal imbalances hidden, fearing judgment or unwanted advice. This silence can take a toll on their emotional, mental, and physical well-being. But here's the truth: it only takes a little courage to break that silence. When people open up, they realize they’re not alone — and that science offers solutions to many of these challenges.

Misinformation Thrives in Silence

When reproductive health is treated as a taboo topic, myths and misconceptions spread unchecked. Beliefs like "infertility is only a woman's issue" or "contraceptives cause permanent infertility" stop people from seeking the right care at the right time. Open, expert-led conversations can debunk these myths and provide people with accurate, science-based information, empowering them to make informed choices about their health.

Early Intervention Saves Lives

Talking about reproductive health encourages people to seek timely medical advice. Early diagnosis and treatment significantly improve outcomes. Despite advancements in reproductive healthcare, many women in India still face unmet healthcare needs. For instance, studies show that a significant number of women lack access to fertility-related care, underscoring the need for greater awareness and access to services.

A Path to Stronger Relationships

Talking openly about reproductive health is just as important in relationships as it is in clinics. Conversations about family planning, menstrual health, or fertility treatments can strengthen bonds and foster mutual understanding. Couples often grow closer when they navigate fertility challenges together, learning to support one another through honest communication. Breaking the stigma paves the way for deeper emotional connections and shared decision-making.

How We Can Start the Conversation

Here are some simple ways to start breaking the silence around reproductive health:

Educate Yourself: Learn about reproductive health and share your knowledge with others. Understanding the facts builds confidence to talk about sensitive topics.

Ask, Don’t Assume: If someone shares their story, listen without judgment or giving unsolicited advice. Offer credible information if they seek help.

Normalize Health Check-Ups: Encourage yourself and your loved ones to get regular reproductive health check-ups.

Support Open Dialogue: Advocate for comprehensive reproductive health education in schools and workplaces.

Address Misinformation: In the plethora of information available on the internet, it's crucial to challenge myths and misconceptions. Share accurate, credible knowledge to help others distinguish facts from fiction and build a supportive, informed community.

Start Young: Encourage age-appropriate conversations about reproductive health in schools and colleges. Early education fosters awareness, breaks taboos, and empowers individuals to make informed choices throughout their lives.

A Future Without Stigma

Imagine a world where talking about reproductive health is as normal as chatting about fitness or nutrition. A world where people seek care without fear of judgment, where facts replace myths, and where empathy triumphs over silence.

It starts with us — every conversation we dare to have, every myth we challenge, and every hand we extend to those in need. By doing so, we not only improve individual lives but help create a healthier, more informed, and compassionate society.

Authored By: Dr. Maunica Sorakayalapeta, IVF Specialist, Ferty9 Fertility Center, L.B. Nagar

By: Dr Sandeep Nayak, Director, Department of Surgical Oncology, Fortis Hospital, Bannerghatta Road, Bengaluru

A cancer diagnosis can be devastating at any stage of life, but for young patients, it presents unique emotional and psychological challenges. Beyond the physical toll, it disrupts plans, creates uncertainty about the future, and places immense strain on relationships, careers, and family responsibilities. This burden is magnified for young parents or professionals as they wrestle with fears about their loved ones and their ability to maintain their roles in their personal and professional lives. 

This article highlights the emotional struggles of two young cancer patients—a 34-year-old mother battling ovarian cancer and a 40-year-old professional recovering from oral cancer. Their journeys illustrate how cancer affects not just the body but the mind and heart, reshaping their priorities and introducing new concerns about their families and futures. 

Case 1: A 34-Year-Old Mother Battling Ovarian Cancer

Diagnosed with ovarian cancer in November 2024, this young mother is currently undergoing treatment. For her, the physical challenges of chemotherapy and other therapies are overshadowed by a singular concern: her 4-year-old child. 

Every time she visits her doctor or undergoes treatment, her primary question is, “What will happen to my child?” This worry is not just about her health but about ensuring her child is cared for, loved, and provided for if her treatment takes a toll. 

For her, the idea of not being there for her child’s milestones—the first day of school, birthdays, or even small daily moments—causes immense emotional pain. 

Cancer doesn’t just affect her—it impacts her entire family. Her spouse juggles caregiving responsibilities, work, and managing the household, all while trying to support her emotionally. Extended family members often step in to help, but the uncertainty surrounding her health weighs heavily on everyone. 

The child, though young, senses the changes in routine and the emotional strain in the household, adding another layer of guilt and worry for the mother. 

Despite her illness, she tries to maintain some sense of normalcy for her child. However, the fatigue, side effects, and frequent hospital visits make this difficult. This constant struggle adds to her psychological burden, leaving her feeling torn between focusing on her treatment and being present for her child. 

Case 2: A 40-Year-Old Professional Recovering from Oral Cancer

In December 2024, this young professional completed surgery for *oral cancer*. While the physical recovery is progressing well, his emotional recovery is a different story. His main concerns revolve around his appearance, his ability to advance in his career, and his family. 

Oral cancer surgery often affects the face, mouth, or jaw, leaving scars or changes in appearance. For someone in a professional setting, this can lead to self-consciousness and a fear of being judged. He worries about how colleagues and clients perceive him and whether his physical changes will impact his confidence and ability to communicate effectively. 

Before his diagnosis, he was excelling in his career. Now, he’s uncertain whether he’ll be able to maintain that momentum. He questions whether his recovery will affect his productivity or whether his colleagues will see him as less capable. These fears, while often self-imposed, are common among cancer survivors and can significantly affect mental well-being. 

As the primary breadwinner, he feels an added pressure to ensure his family’s stability. The financial strain of treatment and the possibility of future health issues weigh heavily on his mind. He wants to ensure his family is secure, but the uncertainty surrounding his long-term health creates anxiety. 

The Psychological Impact of Cancer on Young Patients

The journeys of these two individuals highlight some of the key psychological challenges faced by young cancer patients: 

Family Concerns:

   - For the 34-year-old mother, her primary worry is her child’s well-being. 

   - For the 40-year-old survivor, it’s about being able to support his family financially and emotionally. 

   Cancer forces young patients to confront difficult questions about their ability to care for and provide for their loved ones, creating immense emotional strain. 

Career and Identity:

   - The oral cancer survivor is worried about his professional growth and whether his appearance will affect how others perceive him. 

   - Many young patients, especially professionals, struggle with the fear of losing their identity or being seen as "less capable" due to their diagnosis or treatment. 

Uncertainty About the Future:

   Both patients are grappling with the unknown—whether it’s the mother worrying about her ability to raise her child or the survivor fearing a recurrence of cancer. This uncertainty can lead to anxiety, depression, and a sense of helplessness. 

Impact on Relationships:

   Cancer affects not just the patient but their entire family. Spouses, children, and even extended family members often take on caregiving roles, which can lead to emotional burnout, financial stress, and changes in family dynamics. 

How to Support Young Cancer Patients

Addressing the psychological burden of cancer requires a holistic approach that prioritizes emotional, social, and practical support: 

Counseling and Therapy:

   - Professional therapy can help patients navigate their fears, build resilience, and process their emotions. 

   - Family counseling can also help loved ones better understand and support the patient while addressing their concerns. 

Support Groups:

   - Joining support groups with other young cancer patients can provide a sense of community and reduce feelings of isolation. Sharing experiences can help patients feel understood and less alone in their journey. 

Parenting Support:

   - For young parents like the 34-year-old mother, parenting support programs or childcare assistance can ease some of the burden. 

   - Open communication with children in an age-appropriate manner can help them feel secure and reduce their anxiety. 

Career Support:

   - For professionals like the oral cancer survivor, career counseling or mentorship programs can help rebuild confidence and provide strategies for returning to work. 

   - Employers can play a crucial role by offering flexible work arrangements or accommodations during recovery. 

Body Image and Confidence Building:

   - Programs that address self-esteem, such as counseling or reconstructive surgery options, can help patients regain confidence in their appearance. 

   - Support groups that focus on body positivity can also be empowering. 

Mindfulness and Stress Management:

   - Practices like yoga, meditation, or mindfulness can help patients manage anxiety and focus on the present moment. 

   - Relaxation techniques can also be beneficial for families dealing with the emotional strain of caregiving. 

Cancer is not just a physical battle—it is a deeply emotional journey that impacts every aspect of a young patient’s life, from family responsibilities to career aspirations. The stories of the 34-year-old mother with ovarian cancer and the 40-year-old oral cancer survivor illustrate the profound psychological burden that young patients face.

For the mother, the overwhelming worry about her child’s future adds an emotional layer to her already demanding treatment. For the professional, the fear of being judged by his appearance and the uncertainty about his ability to grow in his career weigh heavily on his mind. 

These challenges are real and valid, but with the right support—counseling, therapy, support groups, and understanding from loved ones and workplaces—young cancer patients can navigate these struggles and rebuild their lives. Cancer may change their journey, but it doesn’t define their destination. With compassion, resilience, and guidance, they can find their way to a brighter future.

Ramona (Name changed), a 30-year-old international patient, arrived at Wockhardt Hospitals, Mumbai Central, during her 6th month of pregnancy. She had been diagnosed with a large uterine fibroid measuring 15 x 12 cm and was advised in her home country to undergo a hysterectomy at the time of delivery. Concerned about this recommendation, particularly as this was her first pregnancy, the patient sought expert care in India under the supervision of Dr. Indrani Salunkhe, Consultant Gynaecologist at Wockhardt Hospitals.

Challenges Identified
Upon admission, Ramona was closely monitored through biweekly check-ups. The challenges in her case included:

·  Presence of multiple fibroids: The anterior fibroid measured 15 x 12 cm, while a second posterior fibroid of 5 x 6 cm was later identified during the cesarean.

·   Risk of preterm labor: The size and location of the fibroids restricted space for fetal growth, leading to increased risk of early delivery.

·  Nutritional concerns: The baby’s weight was initially below expected levels, necessitating protein supplements.

Treatment Approach
Dr. Indrani Salunkhe and her team adopted a proactive treatment strategy:

1.  Preventing Preterm Labor: The patient was started on biweekly injections to stop uterine contractions and additional injections to accelerate fetal lung maturity in case an early cesarean became necessary.

2.   Nutritional Support: The mother was given protein supplements to optimize fetal weight gain.

3.   Close Monitoring: Regular sonography ensured continuous assessment of both the baby’s development and fibroid growth.

Delivery and Outcome
At 32 weeks (8th month), Ramona developed severe pain and minimal vaginal discharge, indicating preterm labor. Despite attempts to control contractions, the team decided to proceed with a cesarean section. The challenges during surgery included:

· Fibroid obstruction: The fibroids prevented access to the lower uterine segment, necessitating a classical (vertical) uterine incision.

·  Placental positioning: The placenta was near the os, causing controlled bleeding during the procedure.

Dr. Indrani Salunkhe successfully delivered a 1.8 kg female baby. The newborn cried immediately at birth but was admitted to the Neonatal Intensive Care Unit (NICU) for 10 days due to mild respiratory distress and for weight gain. Post-surgery, the mother recovered without complications and did not require a blood transfusion.

Speaking about the case Dr. Indrani commented “This case was particularly challenging due to the presence of large fibroids, which obstructed the baby’s growth and complicated access during delivery. The decision to perform a classical cesarean section ensured the safety of both mother and baby. Post-delivery, the fibroids were not removed due to increased blood supply during pregnancy. However, we advised follow-up after 6 months to 1 year, as fibroids can be managed laparoscopically in most cases without open surgery.”

Postpartum Recovery and Follow-up
Ramona stayed in India for 2 months post-delivery to ensure both she and her baby were in stable health. The fibroids were closely monitored, and she was advised to undergo a follow-up sonography to assess their regression and decide on further treatment if necessary.

Key Learnings

1.     Fibroids during pregnancy can lead to complications such as restricted fetal growth and preterm labor, depending on their size and location.

2.     Proper monitoring and timely intervention, including advanced neonatal care, can significantly improve outcomes for both mother and baby.

3.     Surgical expertise plays a critical role in managing complex cases, as demonstrated through the successful delivery performed by Dr. Indrani Salunkhe.

Conclusion
This case highlights Wockhardt Hospitals’ commitment to providing world-class medical care for high-risk pregnancies. Through meticulous monitoring, nutritional support, and expert surgical intervention, the patient and her baby achieved a successful outcome, ensuring Ramona returned to her home country with her child in good health.

Dr. Aashish Chaudhry, Managing Director - Aakash Healthcare

Delhi's pollution has become an ongoing issue. We are seeing pollution levels rise earlier than usual in November, resulting in more illnesses. This year, however, a new pollution center has formed in the capital's relatively 'green' region - Dwarka, which has frequently reported greater levels of pollution than Anand Vihar.

This raises a crucial question: Could the growing aviation activity near the Indira Gandhi International Airport be a major contributor?

Aviation Emissions Under the Spotlight

Every month, six more aircraft are introduced to Indian airspace. In 2006-07, 60 million people traveled by plane in the nation, with half preferring other routes until five years ago. The aviation industry is increasing rapidly. 

According to a study conducted by the Massachusetts Institute of Technology (MIT) on the impact of aircraft on air quality, the most significant changes in air quality caused by aircraft are carbon dioxide (CO2), nitrogen oxides (NOx), and water vapour from condensation trails that are released when flying at cruising speeds. 

In addition to affecting air quality, aviation emissions contribute to climate change. With the present level of commercial air traffic in the world's skies, aviation emissions are projected to account for 5% of the gases contributing to anthropogenic climate change, which causes the planet to overheat as a result of human activity.

These damages, together, make aviation a problem for future air mobility. To fulfill its commitment to sustainability, it must reach objectives for decreasing air quality contaminants and drastically reducing airplane noise. 

Why Dwarka?

Despite its green cover, Dwarka’s proximity to the airport makes it particularly vulnerable. The frequent takeoff and landing of planes mean constant exposure to pollutants. Combined with other factors like vehicular emissions and construction dust, the situation becomes more severe.

Should we fly less?

As it is currently difficult to cut emissions from this industry, traveling less is the only method to reduce emissions in the key decade preceding 2030. Flying less may imply adopting a more sustainable form of transportation, such as a train, or shifting your destination to one that can be reached by a less carbon-intensive method. 

During the COVID-19 epidemic, the ease with which many employees adjusted to being at home and flying less indicated that long-held beliefs about the necessity to fly for business were no longer valid. Reducing corporate travel is a simple approach to lower aircraft emissions. 

By lowering business travel to 50% of pre-COVID levels, we can reduce CO2 emissions by up to 32.6 MtCO2 in Europe by 2030, the equivalent of taking 16 million polluting automobiles off the road. 

Demand reduction should not be a taboo issue, regardless of how it is achieved. The sector's emissions are increasing at an alarming rate, and policymakers should at the very least refrain from foolishly promoting unending aviation expansion while also acknowledging how difficult it is to decarbonize the sector.

The Bigger Picture

Dwarka’s rising AQI levels are a stark reminder that even areas with better green cover are not immune to pollution. The role of aviation fuel cannot be ignored, but it is part of a larger ecosystem of urban challenges. The growing demand for air travel must be balanced with sustainability to ensure healthier living conditions for communities like Dwarka.

As we look to the future, the question remains: Are we prepared to make the changes needed to address this rising threat, or will we let our skies and cities become even more polluted? The time to act is now.

Dr. Aashish Chaudhry, Managing Director of Aakash Healthcare, is a leading orthopedic surgeon and Head of Orthopaedics at Aakash Healthcare Super Speciality Hospital, New Delhi. With over 15 years of experience, he specializes in robotic-assisted knee and hip replacements, using minimally invasive techniques for faster recovery.

Authored by: Dr. Amit Jhala, Sr. Consultant Spine Surgeon, HCG Hospitals, Ahmedabad

The spine is the backbone of human anatomy. It provides structural support, enables flexibility, and protects the spinal cord, the main communication highway between the brain and the body. However, the spine often faces challenges due to poor posture, sedentary lifestyles, injuries, or age-related degeneration. Of many conditions, chronic pain in the spine tends to cause more discomfort, and conditions like herniated discs, spinal stenosis, or scoliosis can significantly impact mobility and quality of life. Various treatment options are available to manage chronic spinal pain, but spinal fusion stands out as a unique approach that often provides enhanced comfort and stability.

What Is Spinal Fusion?

Spinal fusion involves joining two or more vertebrae using bone grafts, screws, rods, or plates and the goal is to eliminate movement between the affected vertebrae, reducing pain and preventing further damage. Over time, the fused vertebrae grow into a single solid bone, offering enhanced stability.

What are the Common Conditions Requiring Spinal Fusion?

Spinal fusion is not a first-line treatment but is reserved for severe conditions, such as:

• Degenerative Disc Disease: When the cushioning discs between vertebrae break down, it can lead to pain and instability.

• Scoliosis: In cases of severe spinal curvature, spinal fusion helps realign and stabilize the spine.

• Spinal Stenosis: Narrowing of the spinal canal can compress nerves, causing pain, weakness, and numbness.

• Spondylolisthesis: This condition occurs when one vertebra slips over another, causing instability and nerve irritation.

• Fractures or Tumors: Severe trauma or tumors in the spine may necessitate spinal fusion to restore structural integrity.

When Is Spinal Fusion Necessary?

Spinal fusion is considered when:

• Non-surgical treatments Fail: Physical therapy, medications, and injections have not provided sufficient relief.

• Chronic Pain Persists: Pain significantly impacts the quality of life and daily activities.

• Spinal Instability Exists: Movement between vertebrae causes pain or nerve damage.

• Neurological Symptoms Appear: Weakness, numbness, or loss of bowel/bladder control due to nerve compression.

Risks and Considerations

Like any major surgery, spinal fusion poses inherent risks that patients should consider carefully. Potential complications include infection, blood clots, and nerve damage, which could result in numbness, weakness, or chronic pain. Another significant concern is adjacent segment disease, a condition where the vertebrae near the fused segment bear increased stress, potentially leading to degeneration over time. Recovery from spinal fusion is a gradual process, often requiring a prolonged rehabilitation period. Patients may need to undergo physical therapy to restore strength, improve mobility, and adapt to the changes in spinal mechanics. Adherence to post-surgical guidelines is crucial to achieving optimal outcomes and minimizing long-term complications.

What are the Advances in Spinal Fusion?

Modern surgical techniques, such as minimally invasive procedures, have improved outcomes and reduced recovery times. Innovations in imaging and navigation technologies ensure greater precision, enhancing the success rate of the surgery.

Conclusion

Spinal fusion is a highly effective solution for individuals suffering from debilitating spinal conditions. However, it is essential to weigh the benefits against potential risks and consider them only after exhausting non-surgical options. Consulting with a spine specialist is crucial for determining the best course of action based on individual needs and circumstances.