Complexities In Upgrading Surgical Skills

However experienced a surgeon is, upgrading skills is always important. There is always something new to learn. One must be humble in order to keep learning, because anyone can be a teacher – from seniormost colleagues to juniormost students, from operating theatre nurses to technicians. Last week, my learning was through an animal – a … Read more

Ringing In The New Year!

Celebrations foster togetherness.  People working together get to know each other better in an informal setting, building companionship and trust. I was reminded of this during an impromptu get-together of the Departments of Surgical Oncology and Medical Oncology at Manipal Comprehensive Cancer Center last week to mark the New Year. Thanks to my colleague Dr … Read more

Decision Making In Cancer Treatment – One Size Does Not Fit All

In the current era of multi-modal cancer therapy, designing a personalized treatment plan for cancer is challenging. Patients, their families, and oncologists have to contend with a multitude of factors. These factors come under three categories – disease factors, patient factors, and environmental factors. Disease factors: the primary site of cancer, stage at diagnosis, type … Read more

“But I Have No Symptoms Of Cancer At All”

41-year-old Ravindran had come down to Bangalore from San Francisco for a family visit. When he took his father for an annual health check-up, he thought he may as well get one himself. To his and his family’s surprise, a routine abdominal ultrasound showed that Ravindran had a 4 cm tumor in his right kidney, … Read more

Learning Never Ends

I have been attending surgical conferences since the late 1990s. Early in my career, I would attend them with the sole intention of learning from leaders and pioneers in my field. For me, a three-day event would be crammed with attending early morning to late evening lectures and seminars, often juggling talks happening simultaneously at … Read more

Expanding Roles, Extended Collaborations

After having spent several rewarding years at Manipal Hospital, Miller’s Road (formerly Vikram Hospital), I am happy to share that I am now taking on the additional role of Consultant Surgical Oncologist, at Manipal Hospital, Old Airport Road. I shall also continue to provide my services at Manipal Hospital, Miller’s Road, ably supported by Dr. … Read more

Rectal Cancer Treatment In The Present Day: Organ Conservation And Beyond

A little over a century ago, cancer of the rectum was incurable. Not only was the disease fatal, but in later stages, it was often accompanied by profound physical agony and pain, apart from indignity caused by incontinence to stools. In 1907, the English surgeon Ernest Miles described an operation for rectal cancer which removed … Read more

The Emotions Under The Surgeon’s Mask

“Alone we can do so little. Together we can do much.” – Helen Keller Last week, I had the privilege of operating alongside Dr Narendra, a cardiothoracic surgeon and my friend of 30 years. It was a challenging surgery – the patient, a young girl had a cancerous tumor going from her neck down into … Read more

“Can an Ovarian Cancer disappear without treatment?”

“Can an Ovarian Cancer go away on its own?” Mrs. Shalini was very distressed. She had come in for a consultation because an ultrasound scan done as part of a routine health check-up showed that she had a large ovarian mass. “Doctor, I have been scouring the internet about my condition. I came across a … Read more