The First Visit For Chemotherpy

It Is Recommended That Each Patient Allows A Full Day For Their First Visit And They Bring A Friend Or Relative. The Friend Or Relative Can Stay With The Patient For The Chat That Staff Have With Patients Before Starting Chemotherapy. When The Patient Is Having Their Treatment, Friends Or Relatives Can Wait In The Waiting Area, Use Hospital Cafes Or Return Later To Collect The Patient At The End Of That Days Treatment. At This Visit, Staff May:

Introduce The Patient To The Team Who Will Look After Them

Take Some Blood Samples

Check Patients Height And Weight

Discuss The Treatment With The Patient And Answer Any Questions They May Have

Check Each Patient Is Happy For The Treatment To Go Ahead And Whether They Have Signed Consent Form

Look At The Veins On The Patients Hands And Forearms (if They Are Having Chemotherapy Into A Vein).

If Staff Has Any Concerns About The Veins They Will Discuss This With The Patient And Possibly Suggest Ways To Make It Easier For The Patient To Have Treatment.

Give The Patient Their Future Appointment Times

Check The Patient Has Transport To And From The Hospital Check If The Patient Is Taking Any Other Medication.

All Patients Are Requested To Bring All The Medicines They Are Currently Taking Including Over-the Counter And Alternative Remedies

Why Us?

Comfortable Drug Administration With Dedicated Chemotherapy Room To Enhance Patient Comfort Well Equipped With Latest Machinery And Gadgets Not Only To Enhance Patient Care But Also To Manage Rare But Serious Side Effects.

Perosnalised Patient Attention And Customised Theories For Each Patient Round The Clock Available Expert Advice For Any Treatment Related Complication

Facilities

Dedicated Chemotherapy Beds In A Special Ward:

Provide Clean Personalized Area To Administer Chemotherapy Medication. The Most Important Highlight Of This Ward Is Entirely Dedicated Only For Chemotherapy Patients

Use Of Infusion Pump:

Chemotherapy Is Administered Over Controlled And Pre-planned Span Of Time For Maximum Efficacy And Benefit To Patient

Special Room:

It Is Equipped With Multi - Parameter Monitoring And Dedicated Nursing Staff For:

Patients Requiring Intensive Monitoring Isolation Required For Leukemia Patients Lounge Area For Relatives A Dedicated Area Is Provided For Relatives Of Patients Taking Chemotherapy

. Out Patient Clinic Most Importantly, Outpatient Clinic Of Dr. Ashish Joshi Is Available In Same Premises , So His Personal Prescnec Adds Immense To The Quality Of Care Delivered By Us Sevices:

Diagnostic

Bone Marrow Aspiration. Bone Marrow Biopsy. Cerebrospinal Fluid Examination. Ascitis Fluid Cytology.

Therapeutic

Intravenous Chemotherapy. Intra - Thecal Chemotherapy. Targeted Therapy. Hormonal Therapy. Pain Management. Side Effect Management Therapeutic Pleural And Ascitic Tapping.

What Are The Benefits Of Radiotherapy?

The Purpose Of Radiotherapy Is To Destroy The Cancer Cells While Causing As Little Damage As Possible To Normal Cells. It Can Be Used To Treat Many Kinds Of Cancer In Almost Any Part Of The Body. Curative Treatment, Which Is Sometimes Called Radical Treatment , Aims To Give Long-term Benefits To People. Sometimes Radiotherapy Is Given On Its Own Or It May Be Given Alongside Other Treatment. Radiotherapy May Be Given Before Surgery To Shrink A Tumour Or After Surgery To Stop The Growth Of Cancer Cells That May Remain. It Can Also Be Given Before, During, Or After Chemotherapy (anti-cancer Drugs) To Improve Treatment Results. Palliative Treatment Aims To Shrink Tumours And Reduce Pain Or Relieve Other Cancer Symptoms. While A Cure Is Not Likely Palliative Radiotherapy May Also Prolong Life.

What Are The Risks Of Radiotherapy?

Radiotherapy Can Damage Or Destroy Normal Cells As Well As Destroying Cancer Cells And Cause Treatment Side Effects. Most Side Effects Are Temporary And These Are Discussed On Pages 17–19. Your Doctor Will Not Advise You To Have Any Treatment Unless The Benefits – Control Of Disease And Relief From Symptoms – Are Greater Than The Known Risks.

Any Side Effects, Which Occur During Treatment, Are Usually Temporary.There May Be A Small Risk Of Long Term, Or Late, Permanent Effects From Radiotherapy. However, Side Effects Are Rarely Severe. Your Doctor Will Tell You About Your Treatment, How It May Affect You And Any Possible Late Effects. You May Be Given Additional Written Information. If You Have Any Questions Or Concerns, Please Ask. A List Of Suggested Questions That You May Want To Ask Your Doctor Can Be Found On Pages 20–21.

You Should Not Become Pregnant Before Or During Radiotherapy Because Radiotherapy May Injure The Foetus, Especially In The First Three Months Of A Pregnancy. Please Discuss With Your Doctor If You Think You May Be Pregnant. Your Doctor Will Also Be Able To Advise You On How Long You Should Wait Before Becoming Pregnant.

Some Doctors Advise Men Against Fathering A Child During Radiotherapy And For A Few Months Afterwards. Again, Your Doctor Will Be Able To Discuss This With You.

Anemia:

Anemia, Which Means Reduction In The Haemoglobin Levels, Is One Of The Common Symptoms In Blood Cancer. Patients Who Are Anemic Become Pale. They Are More Tired And May Develop Breathlessness Even On Doing Day To Day Activities.

Anemia Is Due To Number Of Causes And The Most Common Cause In Our Country Is Iron Deficiency Anemia. It Is Very Easy To Confirm This Type Of Anemia By Simple Blood Tests And Most Of The Time, There Is No Need For Blood Transfusion. Another Common Type Of Anemia In Our Country Is Due To Increased Red Blood Cell Destruction.

This Is Called Hemolytic Anemia, And The Treatment Will Depend On The Cause Of Destruction. Here Also Many Of Them May Not Need Blood Transfusion.

Anemias Due To Other Vitamin Deficiencies Such As B12 And Folate Are Also Easy To Detect And A Blood Transfusion Is Not Required

. Anemia Due To Blood Cancer Is Rare In The Population, However It Is Very Important, As Missing A Diagnosis In The Early Stages, Will End Up In Loss Of Bone Marrow Reserves And Lead On To Severe Infections. Hence Early Identification Becomes Very Crucial.

So, When Someone Has Anemia, The Basic Test Called Complete Blood Count Is Mandatory. Also Examination Of The Blood Smear By An Experienced Person Is Also Essential. These Two Simple Tests If Done Properly, In Addition To Clinical Evaluation Of The Patient Will Certainly Help In Ruling Out Blood Cancers In All Patients.

Key Points To Remember:

Iron Deficiency Is Still The Commonest Cause Of Anemia, But It Is Not The Only Cause Of Anemia

Definite Reason For Anemia Is Very Easy To Find Out In Most Of The Patients By Simple But Dedicated Examination.

Unnecessary Blood Transfusions Can Be Avoided If We Know The Cause With Certainty

If Anemia Is Due To Blood Cancer, No Time Should Be Lost For Proper Treatment

INSTRUCTIONS FOR PATIENTS WITH NEAUTROPENIA

Use Mouth Washes Regularly 3-4 Times A Day After Every Food

Peri-anal Region Should Be Cleaned With Soap Water And Betadine Applied Twice Daily

Daily Bath Should Be Taken If Ambulant Hospital Clothes Should Be Used. If Not, Clothes Should Be Washed And Drycleaned Daily.

Please Avoid Dhoby-wash.

Nails Should Be Cut Carefully. Shaving Need Not Be Done

Avoid Eating Salads, Fruits With Skin Such As Grapes, Guaya Etc. Always Eat Fresh Steam Cooked Foods (in Pressure Cooker). Only Oranges And Bananas Can Be Taken Non Vegetarian Foods Are Better Avoided Except For Eggs

It Is Better To Eat Semi-solid Foods Than Soups And Juices To Avoid Constipation Avoid FRESH Fruit Juices, Honey, Cheese, Cream Biscuits, Raw Vegetables, Half Boiled Eggs.

Any Food Bought From Streets Or Stored Foods Should Not Be Given Ice Creams And Cold Items Can Be Used, If Prepared At Home Hygienically

There Is No Need To Force Food Intake, As Increase Food Intake Will Not Help In Increasing The Blood Counts Avoid Taking Any Flowers , Fur Clothes/teddy Bears Inside The Room All Attenders Should Wash Their Hands With Soap And Water, Wear Mask Before Entering In.

Avoid Entering, If There Is Common Cold Or Cough. All Attenders Should Inform Nurses Before Entering The Room.

Do Not Bring Unnecessary Items From Home. If You Bring Any, It Should Be Cleaned By Nurses Before Taking In. The Doors Should Always Be Closed.

The Windows Should Be Covered All The Times.

Only Use Sterile, Water For Drinking And Bathing (cooled Hot Water) Attenders If They Want To Sit Inside Should Wear An Apron

Attenders Should Not Shake Hands Or Hug The Patients

Do Not Leave Any Wastes Or Unused Food Inside The Room.

If There Is Any Shivering, Or If You Are Feeling Hot, Inform The Nurse Immediately As You May Need Blood Culture.

Do Not Panic If There Is Bleeding From Nose Or If You Have Black Or Bloody Stools.

All You Have To Do Is To Inform The Nurse Immediately And Ask The Nurse For Help.