CIMS. fulmkh rðþu»k. Volume-4 Issue-47 June 25, Care Institute of Medical Sciences. Price : ` 5/-

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1 News Price : ` 5/- fulmkh rðþu»k 1

2 News fulmkh þwt Au? MkkËe ¼k»kk{kt fneyu, íkku fulmkh fku»kkulkku hkuøk Au. fku»kku ykãkýkt þheh{kt ÃkkÞkLkwt fk{ fhu Au. fulmkh yux u fku»kkulke yrlkþtrºkík ð]rø. ymkkäkhý y u yrlkþtrºkík ðäkhklku fkhýu fulmkhlke økktxlkwt rlk{koý ÚkkÞ Au. Ëhuf økktx fulmkhlke nkuíke LkÚke. fulmkhlke økktxku þhehlkkt MðMÚk ¼køkLkkt ytøkku ylku fku»kkulku hkuøkøkúmík çklkkðe þfu Au ylku yk heíku ½ýeðkh þhehlkkt çkeò ¼køkku Ãký hkuøkøkúmík çklku Au. MkeBMk nkuâmãkx fulmkh {kxu nt{uþk fkþohík Au. (1) hurzþuþlk hurzþuþlk ÚkuhkÃke îkhk ûk-rfhýku (x-ray) ËËeoLku yãkkþ Au. yk ûk rfhýku [ku Mk {kºkk{kt ylku [ku Mk søþkyu ykãkðk{kt ykðu Au sulkkúke fulmkhøkúmík ËËeoLkku hkuøk {xkze þfkþ Au íkúkk þhehlkkt çkeò fku»kkulku LkwfþkLk Úkíkwt çk[kðe þfkþ Au. íku rfhýku þhehlkkt fulmkhøkúmík fku»kkulkku Lkkþ fhu Au. þhehlkkt çkkfelkkt ykðhýku ([k{ze yúkðk íkku ytøkku su{ktúke rfhýku ÃkMkkh fhðklkk nkuþ Au) hurzþuþlk {þelk íkulku æþklk{kt hk¾elku çklkkðkþw Au fu, {kºk fulmkhøkúmík yúkðk ykmkãkkmk «MkhðkLke þõþíkk Ähkðíkk ¼køkLkkt fku»kkulke s Mkkhðkh ÚkkÞ ylku çkkfelkkt ¼køkLku LkwfþkLk Lk ÚkkÞ íkulke syhe íkfuëkhe uðk{kt yúkðk rf{ku ÚkuhkÃke ylku hurzþkuúkuhkãke ËËeoLke fulmkhlke økktxlkku íkçk ku òue Lk e fhðk{kt ykðu Au. hurzþuþlk{kt MkkhðkhLke ÃkØrík u Palliative Care u 2D u 3D CT u IMT u VMAT u IGT u SS/ST u HD Brachytherapy Brachytherapy Machine (2) rf{ku ÚkuhkÃke rf{ku ÚkuhkÃke fulmkhlke MkkhðkhLkku yuf ¼køk Au, su{kt fulmkhlke økktxkulkku Lkkþ fhðk ËðkykuLkku WÃkÞkuøk ÚkkÞ Au. su ËðkykuLku ELsuõþLk îkhk fu økku e YÃku ËËeoLku hkuøk «{kýu yãkkþ Au. sqlkk Mk{Þ{kt rf{ku ÚkuhkÃke Äe{uÄe{u fulmkhlkkt fku»kkulku {khðk {kxu ðãkhkíke níke. su nðu fulmkhlkkt fku»kku {khðk yrík {níðlke økýkþ Au. CANCE IS NOT INFECTIOUS Is cancer contagious or infectious? No. Since cancer is not caused by a germ, it is not "catching", and cannot be transmitted from one person to another. Linear Accelerator ykðu Au. swëk-swëk fulmkh{kt hurzþuþlk ÚkuhkÃke swëe-swëe heíku ðkãkhðk{kt ykðu Au. hurzþuþlk ÚkuhkÃke {kuxk ¼køku sxe økktxlkk fumk{kt ymkhfíkko Au. fulmkh {xkzðk {kxu hurzþuþlk yúkðk Mksohe ÃkAe hurzþkuúkuhkãke 2

3 News xkøkuoxuz ÚkuhkÃkeyu yuf yuðku rf{ku ÚkuhkÃkeLkku «fkh Au. su þhehlkkt Mkk{kLÞ fku»kkulku ymkh fþkoo ðøkh fulmkhøkúmík fku»kkulku Võík ymkh fhu Au. (3) ykuãkhuþlk (Mksohe) Mksohe yu fulmkh ÃkuþLx Ãkh fhkíke {níðlke «r Þk Au, sulkkúke fulmkhøkúmík ¼køkLku Ëqh fhe þhehlkkt çkeò ¼køkku{kt [uãk Úkíkku y x f k ð ð k { k x u {ËËYÃk ÚkkÞ Au. Mksohe fhíkk Ãknu k çkkþkuãmkelkku heãkkuxo fhe fþk «fkhlkk fulmkhlke økktx Au íku [fkmkðk{kt ykðu Au ylku íku økktx ÃkhÚke fulmkh fþk íkçk klkwt Au íku òýe þfkþ Au. fux kf rfmmkk{kt Mksohe îkhk ËËeoLku MktÃkqýo hkuøk{wõík fhe þfkþ Au. (4) Palliative Care (Best Supportive Care) ßÞkhu rçk{khe ðäe økþu nkuþ íþkhu ËËeoLku ËËo{wõík fhðk {kxu Ãku eþuxeð fuh ¾qçk s yøkíþlkku ¼køk ¼sðu Au. yk ÃkØrík{kt þkherhf, {klkrmkf, ÄkŠ{f y u Mkk{kSf heíku ËËeoLku MkkY køku íku{ fhðk{kt ykðu Au. yk ÃkØríkLkk WÃkÞkuøkLkku MkeÄku nuíkw ËËeoLke SðLkþi e MkwÄkhðkLkku Au. yk ÃkØrík îkhk ËËeoLku {klkrmkf ÂMÚkh ÚkkÞ ylku ÃkkuíkkLke òíklku Mkk{kLÞ økýu íkuðku WÆuþ Au. fux kf rfmmkkyku{kt, kufkulku y{wf MktMÚkkyku fulmkh ËËeo MkkÚku {kºk syhe íkçkeçke MknkÞ ykãkðk{kt s {klku Au Ãký MkeBMk{kt yuðw LkÚke. y{u, MkeBMk Ãkrhðkh yuðwt {klkeþu Aeyu fu, fulmkhlke Mkkhðkh {kºk þkherhf «r Þk s Lknª. {klkrmkf «r Þk Ãký Au. yksu fulmkhlku rðï{kt ¾hkçk {klkðk{kt ykðíkwt LkÚke. fulmkhlkku hkuøk ÍzÃkÚke nðu Ãkfze þfkþ Au. yu çkes ðkík Au fu, ËËeoyu Mk{ks{ktÚke fulmkh rð»ku MkkY-LkhMkw Mkkt¼éÞwt nkuðkúke ËËeo {klkrmkf íklkkð ylku çku[ulke ylkw¼ðu Au. ykðe Lkfkhkí{f çkkçkíkkulku {Lk{ktÚke fkzðk MkeBMk Ãkrhðkh fulmkhlkkt ËËeoLku çkes ½ýe Mkuðkyku ykãku Au. sulkkúke ËËeoLke Mkkhðkh nfkhkí{f çklku Au. Þkuøkk: Þkuøkk fhðk {kxu MkeBMk nkuâmãkx {kt ¾kMk Y{ çklkkôþku Au, suúke ËËeoLkwt þheh ylku {Lk MðMÚkíkk ylkw¼ðu. fkhý fu fulmkhlkkt ËËeo {kxu {klkrmkf ÂMÚkhíkk syhe nkuþ Au su Þkuøkk îkhk W k{ Ãkrhýk{ { Au. ykxo ÚkuhkÃke: yk ÃkØrík îkhk ÔÞÂõík ÃkkuíkkLkk {LkLkku zh y u ytëhlkkt nkð¼kð fkøk Ãkh Wíkkhu sulkkúke {LkLkku ¼Þ ¼køke òþ. MkeBMk Ãkrhðkh ykxo ÚkuhkÃke îkhk íklkkð {wõík ÚkðkÞ yu ðkíklku Mk{ÚkoLk ykãku Au ylku ÿzíkkãkqðof {klku Au fu ËËeoLke {LkLke ytëh [k íke økwt[ðýku Ëqh fhðk ykxo ÚkuhkÃke ¾qçk {níðlke Au. MktøkeíkLkkt {kæþ{ îkhk Mkkhðkh su heíku þheh MðMÚk hk¾ðk Þkuøkk {níðlkkt Au íkus heíku {Lk{kt nfkhkí{f rð[khku kððk Mktøkeík {níðlkwt Au. Mktøkeík Mkkt¼ ðkúke {Lk «¼wÂÕ ík ÚkkÞ Au. MktøkeíkLkkt {kæþ{úke fulmkhlkkt ËËeoLke hkuøk «ríkfkhf þâõík, Ëw¾kðku, SðLkþi e, ÌËÞLkk ÄçkfkhkLkwt «{ký ylku ç z «uþh Ãkh MkkYt Ãkrhýk{ {u ðe þfkþwt Au. ykúke ynª Mktøkeík ÚkuhkÃke Ãký ËËeoLku Mkkhðkh Ëhr{ÞkLk ykãkðk{kt ykðu Au. Ãkku»kýûk{ yknkhlke Mk{s fulmkhlkkt ËËeoLkkt SðLk {kxu Ãkku»kýûk{ yknkh ¾qçk s {níðlkku ¼køk ¼sðu Au. MkeBMk nkuâmãkx Lkkt LÞwxÙeþLk yuõmkãkxo ËËeoLku Mkkhðkh Ëhr{ÞkLkLkk íkçk u þhehlku syhe ík{k{ rðxkr{lk, «kuxelk { e hnu íku {kxu zkþxeþeþlklkwt {køkoëþo Ãký ykãku Au. íkçkeçke Mkk{kSf fkþofh: MkeBMk fulmkh MkuLxhLkkt íkçkeçke Mkk{kSf fkþofhku ËËeo ylku íku{lkkt MkøkkLku nwtvk w ðkíkkðhý Ãkwhw Ãkkzu Au, sulkkúke íku{lkku {klkrmkf íklkkð ykuaku ÚkkÞ. ð e, íku{lku hkuøk rð»ku MktÃkwýo {krníkøkkh fhu Au. sulkkúke MkkY SðLk ËËeo Sðe þfu. MkkisLÞ zku. Ëuðktøk ¼kðMkkh MBBS, MD (adiation Oncology) hurzþuþlk ykulfku kusmx ({ku) dr_bhavsar@cimshospital.org zku. rfts òlke MBBS, MD (Gold Medalist) hurzþuþlk ykulfku kusmx ({ku) kinjaljani@cimshospital.org 3

4 News Cancer Center ' CANCE CENTE' is a new comprehensive Cancer Care center providing all state-of-the-art facilities under one roof with a vision of world class quality care. Cancer care requires multidisciplinary approach including radiation oncology, surgical oncology, medical oncology, pathology, radiology, rehabilitation, nursing care and many other ancillary services. We took the mission of providing all facilities under one r o o f a n d s u c c e e d e d i n establishing it in a record time span. All though it's new in structure, but it is 'old' in terms of experience; as the most experienced minds in the field of oncology in Ahmedabad have joined the hands to fulfill this mission. With the dream of providing world class treatment facility to our patients, we looked for the best linear Accelerator currently available. We are proud to announce the first radiation center in the India to commission and start clinical use of the latest Linear Accelerator VESA HD ; which is also the first of its kind in Asia. Versa HD gives clinicians the adiation Waiting Area flexibility to deliver conventional therapies to treat a wide range of tumors throughout the body, while also enabling treatment of highly complex cancers that require extreme targeting precision. With this ground breaking combination, clinicians can now, for the first time, take full advantage of higher dose rate delivery, potentially enabling even greater capabilities for sophisticated therapies, including stereotactic radiosurgery (SS), stereotactic body radiotherapy (SBT) and volumetric arc therapy (VMAT). Treating a cancer patient is just half the story. It is a complete care package which ultimately heals the patient. At CANCE, We deliver 'CAE' with holistic & humanitarian approach with our trained & gentle staff. Ancillary care comprises significant importance in the cancer care rehabilitation for example speech therapy, swallowing, physiotherapy, stoma-care, colostomy-care, lymphedema care, psychological support, pain management, etc. It is a duty to not only treat the Cancer but also t o s p r e a d a w a r e n e s s about cancer in OPD Waiting Area the society as early detection can make a huge difference in the treatment and it also reflects in improved outcome of treatment, survival & increase chances of cure. The screening programs are an integral part of the CANCE CAE which includes pap smear, mammography & colonoscopy. One of the burdens of the family seeking cancer treatment is stay and transport during treatment time. We help them seeking stay near the hospital & provide free transport facilities to and fro from the hospital while patient is on adiation treatment. H2H (Hospital to Home) Service is an established service of hospital; now we are extending it in Cancer care facilities. Patient will get home visit after treatment completion by our trained doctors and nurses. CANCE is determined to provide complete cancer care starting from awareness, screening, diagnosis, treatment, follow up & rehabilitation to the community. Courtesy : adiation Oncology Team u Dr. Devang Bhavsar u Dr. Kinjal Jani u Dr. Maulik Bhensdadia u Dr. Malhar Patel 4

5 News One of the largest Cancer Team of India adiation Oncologist Dr. Devang Bhavsar Dr. Kinjal Jani Surgical Oncologist Dr. Dhaval ajde Dr. Jayesh J. Patel Dr. Ashok Patel Dr. Jayesh Prajapati Dr. Chaitanya Shroff Dr. Mukul Trivedi Dr. Natubhai Patel Dr. Jayesh D. Patel Dr. Jayesh V. Patel Dr. Darshan Bhanshali Dr. Laxmidhar Murtuza Dr. Jayvirsinh Jhala Dr. Shakuntala Shah Dr. Brijesh Patel Dr. Kiran Kothari Dr. Shailesh Patel Dr. T arang Patel Dr. Pinakin Shah Dr. Somesh Chandra Dr. ajen T ankshali Dr. Darshit Dalal Dr. Jasmin V asavada Dr. Mahesh Patel Dr. Devendra Parikh Dr. Natwar Gupta Dr. Bhavna Parikh Dr. oopesh Modi Medical Oncologist Dr. Chirag Desai Dr. ahul Jaiswal Dr. Abhishek Kakroo Dr. Mithun Shah Dr. Sandip Shah Dr. Bhavin Shah Dr. Dileep Srinivasan Dr. Shailesh T alati Dr. Deepa Trivedi Gynec Oncologists Dr. Anjana Chauhan Dr. Ava Desai Dr. Meeta Mankad Pediatric Onco-surgeon Dr. Sumit Kumar Seven Danger Signals of Cancer: 1 Change in bowel or bladder habits ONE OUT OF EVEY 8 INDIANS GETS CANCE A Sore that does not heal Unusual bleeding or discharge Thickening or lump in breast or elsewhere Indigestion or difficulty in swallowing Obvious change in wart or mole MOE THAN 80% OF CANCES TODAY AE COMPLETELY CUABLE IF TEATED EALY. 7 Nagging cough or hoarseness You should at once consult a doctor upon the appearance of any signs 5

6 News adio Surgery for Bilateral Acoustic Schwannoms Neurofibromatosis Type II is a genetic disease. It is also known as MISME Syndrome (Multiple Inherited Schwannomas, Meningiomas, and Ependymomas). The main manifestation of the disease is the development of symmetric, non-malignant brain tumors in the region of the cranial nerve VIII, which is the "Vestibulo-cochlear nerve". NF II is caused by mutations of the "Merlin" gene. The mutation is noted on the chromosome 22 band q It has an Autosomal Dominant mode of transmission. Incidence of the disease is about 1 in 60,000. Presentation 90 % of NF II patients have Bilateral Acoustic N e u r o m a s (Schwannomas). It is well appreciated on MI. They also tend to develop Meningiomas or tumor with other cranial nerves. 90 % of patients also present with eye problems. The most common is juvenile subcapsular cataract. Patients usually presents with following symptoms: hearing loss (98%), tinnitus (70%), 6 dysequilibrium (67%), headache (32%), facial numbness and weakness (29% and 10% respectively). Treatment Surgical removal of the tumor is the treatment of choice. There are different approaches for surgery like retrosigmoid, translabyrinthine, middle fossa approach or endoscopic surgery. a d i o s u r g e r y i s a conservative alternative to cranial base or other intracranial surgery. With conformal radiosurgical techniques, therapeutic radiation focused on the t u m o u r, s p a r i n g exposure to surrounding normal tissues. Although radiosurgery can seldom completely destroy a tumor, it can often arrest its growth or reduce its size. adiation is less immediately damaging than conventional surgery. Case eport 27 year old female presented to us with Bilateral hearing loss. On MI with contrast it showed she had bilateral small acoustic schwannomas. She was treated on Versa HD (the Latest Linear Accelerator) at Hospital. She was treated with Stereotactic adiosurgery. High dose of radiation given to both the schwannomas, sparing normal brain and normal ear (cochlea ). Courtesy : Dr. Kinjal. Jani MD (Gold Medalist) Consultant adiation Oncologist Cancer Center Mobile : kinjaljani@cimshospital.org

7 News MkeBMk nkuâmãkx, y{ëkðkë fulmkh Mkk{u rðsþ... yuf Lkðe ykþk MkeBMk fulmkh MkuLxh kðu Au rðïlke yíþkäwrlkf xuflkku kus su fulmkh Mkk{u hûký ykãkðk{kt ík{lku {ËË fhþu yurþþk{kt «Úk{ ð¾ík, Versa-HD hurzþuþlk ÚkuhkÃke su rðþk uýelke økktx y u srx «fkhlkk fulmkhlke Mkkhðkh fhþu yíþkäwrlkf xuflkku kus fwþ ykulfku kusmx fkþoûk{ ylku ÔÞÂõíkøkík fulmkhlkk Wfu ku fulmkhlkwt sõëe rlkëklk ylku Mkkhðkh fulmkh MÃku~Þk exe Âõ rlkf u {kutzk ylku øk klkk fulmkh u MíkLk fulmkh u nkushe y u fku kuhuõxh u «kumxux y u {qºkkþþlkwt fulmkh u çkk fkulkwt fulmkh u çkkulk fulmkh u økkþlkuf fulmkh u {økslkwt fulmkh u VuVMkkLkwt fulmkh MkeBMk fulmkh yuõmk«umk hurzþkuúkuhkãke / rf{kuúkuhkãke / Mksohe flmk xuþlk, çkeò yr¼«kþ {kxu hurzþuþlk ykulfku kusmx zkì. Ëuðktøk Mke. ¼kðMkkh ({ku) zkì. rfts ykh. òlke ({ku) íku s rëðmku yuãkkulx{ulx Mkkhe Mkuðk ykãkðk {kxu Ëhhkus ykuãkeze (Mkku{ðkh Úke þrlkðkh) Mkðkhu 9 Úke hkºku 8 f kf MkwÄe yuãkkulx{ulx {kxu VkuLk fhku , {u : cims.cancer@cimshospital.org MkeBMk nkuâmãkx At... we care Green Hospital NABL þwflk {ku LkSf, ykuv MkkÞLMk Mkexe hkuz, Mkku k, y{ëkðkë VkuLk : (5 kelk) VuõMk : info@cims.me yubçþw LMk y u {hslmke : , ,

8 News News egistered under NI No. GUJBIL/2010/39100 th Published 25 of every month st egistered under Postal egistration No. GAMC-1813/ valid upto 31 December, 2016 th th issued by SSPO s Ahmedabad City Division, permitted to post at Ahmedabad PSO on 30 to 5 of every month st Licence to Post Without Prepayment No. CPMG/GJ/102/2014 valid upto 31 December, 2016 If undelivered Please eturn to Hospital Nr. Shukan Mall, Off Science City oad, Sola, Ahmedabad Phone : (5 lines) Mobile : , Subscribe News : Get your News, the information of the latest medical updates only ` 60/- for one year. To subscribe pay ` 60/- in cash or cheque/dd at Hospital Pvt. Ltd. Nr. Shukan Mall, Off Science City oad, Sola, Ahmedabad Phone : / Cheque/DD should be in the name of : Hospital Pvt. Ltd. Please provide your complete postal address with pincode, phone, mobile and id along with your subscription 8 Care AtHomes home your doorstep For complete medical care at home Medical l Nursing l Caregiver l ehabilitation services First time in Gujarat Hospital : Nr. Shukan Mall, Off Science City oad, Sola, Ahmedabad Ph. : (5 lines) Fax: info@cims.me Web : Hospital Pvt. Ltd. CIN : U85110GJ2001PTC info@cims.me Printed, Published and Edited by Preeta Chag on behalf of the Hospital Printed at High Scan Pvt. Ltd., 'Hi Scan Estate', Sarkhej-Bavla Highway, Changodar. Ahmedabad Published from Hospital, Nr. Shukan Mall, Off Science City oad, Sola, Ahmedabad High quality medical care for safer recuperation 24-hour services, including all holidays and weekends Highly trained & experienced healthcare professionals If any of your patients require these services, just give them this number or we will take care of the rest. 1 day to 1 month or more home health care JUST A SINGLE PHONE CALL TO TAKE CAE OF YOU NEEDS