Thursday, September 27, 2012

A GOOD DOCTOR OR A GOOD HOSPITAL....!!!!



When we are fumed with critics across the wee around us we always end getting wrong suggestion or often we become victims of misleading. people across the city or state have different opinions for different doctors and same for hospitals. A few things today i want to discuss with you all is how , why, and when should you be looking for solutions.



As said earlier it is a bewildered as-semblance of thoughts and suggestions that came my way too while deciding a perfect doctor for my mother. I relied more on outside information rather than practical aspects of treatments. I was new this world of doctors who are known as gods and more often they stand podium of Colosseum watching there accounts fill with money. I swear i hate such doctors. India recently came across various dark artifacts about the doctors there chains and plans to kill with PILLS & BILLS, through a show known as satyamev jayate.

 The episode was completely dedicated to the ill-works and attitudes doctors carry these days.


Finding a right doctor rather than finding a right hospital helps patient to earn is health early than expected.

So how do we find a right doctor for us or our loved once?

Here are some tips that i would like to share with you, which i used to practice often.

During my tenure with hospitals and doctors i learn`t a few things around and which i feel , be shared with every one.

1. Know your decease.

 Many of us rely on the information that we receive from the medical world and often we believe them and there process. I am not asking to simply have disbelief in them but what i want you guys is to apply your own brains. The reason is that when a doctor speaks to you regarding his concerns towards you, you are already aware of few things just because you had had this knowledge of about your pains.


2. Be well informed.

Education is nothing with out application, thats what i feel. And i believe that when you are literate don`t let others take advantage of yourself. There are N number of sites and thousand of information available with the internet where you can generate your information and concerns.
Wikipedia,Google,medicine.net are such website which will help you boost ya knowledge over various aspects of whatever decease you or your loved once have. This in return boosts your confidence toward your know-hows and also gives you an understanding of what you are suffering from and what should be your do`s and don`ts. 

3. Perfect doctor

A perfect doctor always gives a wise decision over treatment rather than giving you 11th hour headaches. Always look for his experience in the field and check his background through various sources. If you are unable avail the information then have a word with people going through his treatments.More often people who are already under his scanners are the best one to give you right suggestions. 

4. Point of view.

Whenever you appoint a doctor make sure you try to understand the treatment from the doctors point of view along with yours. Its necessary for you to know him and what way he is trying to treat the decease. When i started using my net facilities on mobile itself i used to inform my mother well in advance about would be the consequences of the following injections or tablets, because of which she used to be prepared.

5. Humble approach

More often we loose our temper during treatment mess ups. We often criticize the doctors and start disbelieving them. Its necessary to trust them and there ability. If by any means you feel that they are not good enough change your doctor and ask  them to relieve you with proper health or stability. Bursting in emotions doesn`t help.

 6 Second opinion

Always prefer to have a second opinion regarding the problem you face during treatments. Cancer treatments are painful and time consuming, we often loose our patience and do things that we don't need to.Have  a second opinion from a doctor you trust and look out for experienced doctors rather than new comers.

7 Choosing the hospital

Choosing a right hospital doesn't mean that you did a right thing, more then a hospital it is important to have right doctor who can treat you or ya loved once better. There are hospitals which are known for looting the patients with renowned names and battered doctors.

8 Talk to Experts

Thanks to one my of my friends who contributed for the above point which i forgot to mention. Talking to experts was a subject matter of exchanging treatment results or reports with the doctor for me. But to be fair when you struggle in exchanging information from hand to hand, be informed that there are doctors who will definitely reply to your mails. I know its a busy world out there but believe me they do help you out. 

Hope my write up would help you people to know a few things. M a little novice in subject matter but i feel this is the best communication to educate people round the world.


CHEERS TO LIFE.

Sunday, September 9, 2012

Treatments on Multiple myeloma.

During my tenure with hospital along with my mother , as i have said previously i kept kept on googling the various terms and aspects of this decease known as multiple myeloma, Apart from being shocked of how easily it carries its functions in body without even letting the patient know its presence, multiple myeloma (MM), is a kind of cancer which now a days has become quite treatable. 

I couldn`t have rejoiced much when i  heard Kathy Glusti CEO and founder of MMRF saying that MM is treatable and there are so many advancements that the patients life expectancy has increased more than what it used ti before.

Since MM is quite a cancer to be worried about,but most doctor say that "ITS A GOOD CANCER TO HAVE THAN TO HAVE A DIFFERENT ONE"........... Abnormal statement i know!!

lets see why ?
Picture of normal plasma cells that help protect the body from germs and other harmful substances.
Myeloma begins when a plasma cell becomes abnormal. The abnormal cell divides to make copies of itself. The new cells divide again and again, making more and more abnormal cells. These abnormal plasma cells are called myeloma cells.
Picture of myeloma cellsIn time, myeloma cells collect in the bone marrow. They may damage the solid part of the bone. When myeloma cells collect in several of your bones, the disease is called "multiple myeloma." This disease may also harm other tissues and organs, such as the kidneys.
Myeloma cells make antibodies called M proteins and other proteins. These proteins can collect in the blood, urine, and organs. Need to know more about multiple myeloma click here.


The following data has been taken from the website Medicinenet.com, which by far has given illustrations on any medical explanations. 

Types Of Treatments.

 

Induction therapy

Many different types of drugs are used to treat myeloma. People often receive a combination of drugs, and many different combinations are used to treat myeloma.
Each type of drug kills cancer cells in a different way:
  • Chemotherapy: Chemotherapy kills fast-growing myeloma cells, but the drug can also harm normal cells that divide rapidly.
  • Targeted therapy: Targeted therapies use drugs that block the growth of myeloma cells. The targeted therapy blocks the action of an abnormal protein that stimulates the growth of myeloma cells.
  • Steroids: Some steroids have anti tumor effects. It is thought that steroids can trigger the death of myeloma cells. A steroid may be used alone or with other drugs to treat Myeloma.
You may receive the drugs by mouth or through a vein (IV). The treatment usually takes place in an outpatient part of the hospital, at your doctor's office, or at home. Some people may need to stay in the hospital for treatment.
The side effects depend mainly on which drugs are given and how much:
  • Blood cells: When a drug used for myeloma treatment lowers the levels of healthy blood cells, you're more likely to get infections, bruise or bleed easily, and feel very weak and tired. Your health care team will check for low levels of blood cells. If your levels are low, your health care team may stop therapy for a while or reduce the dose of drug. There are also medicines that can help your body make new blood cells.
  • Cells in hair roots: Chemotherapy may cause hair loss. If you lose your hair, it will grow back, but it may be somewhat different in color and texture.
  • Cells that line the digestive tract: Chemotherapy and targeted therapy can cause poor appetite, nausea and vomiting, diarrhea, constipation, or mouth and lip sores. Ask your health care team about medicines and other ways to help you cope with these problems.
The drugs used for myeloma may also cause dizziness, drowsiness, numbness or tingling in hands or feet, and low blood pressure. Most of these problems go away when treatment ends.

Stem cell transplant
Many people with multiple myeloma may get a stem cell transplant. A stem cell transplant allows you to be treated with high doses of drugs. The high doses destroy both myeloma cells and normal blood cells in the bone marrow. After you receive high-dose treatment, you receive healthy stem cells through a vein. (It's like getting a blood transfusion.) New blood cells develop from the transplanted stem cells. The new blood cells replace the ones that were destroyed by treatment.
Stem cell transplants take place in the hospital. Some people with myeloma have two or more transplants.
Stem cells may come from you or from someone who donates their stem cells to you:
  • From you: An autologous stem cell transplant uses your own stem cells. Before you get the high-dose chemotherapy, your stem cells are removed. The cells may be treated to kill any myeloma cells present. Your stem cells are frozen and stored. After you receive high-dose chemotherapy, the stored stem cells are thawed and returned to you.
  • From a family member or other donor: An allogeneic stem cell transplant uses healthy stem cells from a donor. Your brother, sister, or parent may be the donor. Sometimes the stem cells come from a donor who isn't related. Doctors use blood tests to be sure the donor's cells match your cells. Allogeneic stem cell transplants are under study for the treatment of multiple myeloma.
  • From your identical twin: If you have an identical twin, a syngeneic stem cell transplant uses stem cells from your healthy twin.
There are two ways to get stem cells for people with myeloma. They usually come from the blood (peripheral blood stem cell transplant). Or they can come from the bone marrow (bone marrow transplant).
After a stem cell transplant, you may stay in the hospital for several weeks or months. You'll be at risk for infections because of the large doses of chemotherapy you received. In time, the transplanted stem cells will begin to produce healthy blood cells.

Second opinion
Before starting treatment, you might want a second opinion about your diagnosis and treatment plan. Some people worry that the doctor will be offended if they ask for a second opinion. Usually the opposite is true. Most doctors welcome a second opinion. And many health insurance companies will pay for a second opinion if you or your doctor requests it.
If you get a second opinion, the doctor may agree with your first doctor's diagnosis and treatment plan. Or the second doctor may suggest another approach. Either way, you have more information and perhaps a greater sense of control. You can feel more confident about the decisions you make, knowing that you've looked at your options.
It may take some time and effort to gather your medical records and see another doctor. In most cases, it's not a problem to take several weeks to get a second opinion. The delay in starting treatment usually won't make treatment less effective. To make sure, you should discuss this delay with your doctor. Some people with multiple myeloma need treatment right away.