Combining medical excellence, courage to conquer and fight against cancer and faith to bring a new life to this world, Fortis Cancer Institute successfully treats a Nigerian lady of her breast cancer during pregnancy. 26 year old John Kalzi who was diagnosed of breast cancer on her 6th month underwent complete cancer treatment and delivered a normal baby.

Ms John Kalzi found a lump in her breast and later a biopsy at Nigeria confirmed she was suffering from breast cancer. Knowing about a cancer screening camp organized by Fortis Hospitals Ms Kalzi decided to go to the camp to consult the specialist for a second opinion. Dr. Arun Bhel, Consultant Onco Surgeon who evaluated Kalzi confirmed her of breast cancer (right breast) and she advised her to undergo surgery.

Dr. Arun Bhel, Consultant Onco Surgeon Fortis Hospitals said “In view of the pregnancy being in the 6th month with associated Breast cancer there was a dilemma as to how to treat her and save the baby at the same time. We suggested her for a removal of cancerous tumor. We also informed that all attempts will be made not only to treat the cancer but also to try and protect the baby. After understanding her condition and need to get treated as early as possible, Kalzi decided to come to Fortis Cancer Institute for further treatment.”

Kalzi was screened by a team of specialists at Fortis Cancer Institute and a treatment strategy was further planned. Utmost care was taken to protect the baby during evaluation and protect the fetus from any sort of radiation. She underwent a mastectomy whereby her right breast which was affected of cancerous tumor was removed.

After the mastectomy Kalzi was put on chemotherapy for further treatment. As Dr. Boman Dhabar, Medical Oncologist, Fortis Cancer Institute elaborates, “Since Ms Kalzi was pregnant it was decided to give inj cyclophosphamide & inj Adriamycin which was found be safe while chemotherapy during pregnancy (as they do not cross the placenta) and gave her 4 cycle of chemotherapy (spread over 21days).”

Dr. Atul Ganatra, Gynaecologist at Fortis Hospitals was actively involved in the process of treating Kalzi. She delivered a normal Baby boy (weighing 3.5 Kg) on 29th Sep 2010. Kalzi was not advised for breast feeding as chemotheraphy drugs could affect the baby.

Dr. Atul Ganatra, Gynaecologist, “Patient was given Epidural Anesthesia (painless delivery injection) to make the process painless as she had suffered a lot of mental and physical trauma for breast cancer and its treatment”

Ms John Kalzi narrates, “I was worried and reluctant initially as I thought chemotherapy could affect my child. But the doctors assured me that they will take extra care while treating me. I trusted the team of doctors and they helped me deliver a normal baby boy. I and my family were so overwhelmed that we decided to name the baby as “Miracle”. I heartily thank the whole team of Fortis doctors to give me the happiness of having Miracle in my life and conquering cancer with faith.”

Post delivery after 2 weeks Ms Kalzi was again given a 4 cycle of chemotherapy and is now undergoing radiation.

Dr. Mohan Keshavamurthy

MS (General Surgery), M Ch (Urology), FRCS(C), FASTS
Consultant Urologist and Transplant Surgeon

Dr. Mohan Keshavamurthy is an eminent urologist and transplant surgeon with over 16 years of extensive surgical experience. He is a pioneer in laser Urology as well as an expert in complex reconstruction of the urinary tract and major uro-oncological procedures in both adult and paediatric age groups.

He has performed over 250 Laser enabled Transurethral prostate Vaporization procedures (LASER TURP), 1500 laser fragmentation of kidney(RIRS) and ureteric stones(URS), 1600 kidney transplants, and 75 pancreas transplant. He is an acknowledged expert in implantation of flexible and inflatable penile prosthesis & penile lengthening procedures.

Professional qualification

A meritorious and award-winning student, Dr. Mohan, after completing his MS in general surgery finished his M Ch urology from the prestigious KEM Hospital, Mumbai. He then completed his fellowship in urogynaec-oncology from Tata Memorial Hospital, Mumbai. Besides these, he has done advanced training leading to a Fellowship in solid organ transplantation from QE II HSC, Halifax, Canada and Fellowship of American Society of Transplantation thereafter.

Dr. Mohan has contributed more than 100 articles in various peer reviewed journals like Transplantation Proceedings, The Canadian Journal of Urology, British Journal of Urology International to name a few. Apart from being the Chief Investigator-Middle East for Neoral MOST study, he contributed significantly to the medical fraternity by presenting on various topics at different international conferences like Congress of the International Pediatric Transplant Association, American Transplant Congress, Transplant Odyssey, etc.

A drop of blood from a newborn’s heel could provide a comprehensive picture of the baby’s health, helping doctors detect over 140 disorders through tests. In most cases, early diagnosis through such tests could alone save the child from serious and potentially debilitating diseases leading to organ failure and mental retardation, doctors say. “These tests can often mean the difference between life and death,” said Dr S Suresh, director of the Fetal Care Research Foundation, a non-profit group.

Recognizing the benefits of “heel” blood tests, the foundation has asked the government that the screening be made mandatory in all hospitals. Dr Suresh, who also heads Mediscan, a private diagnostic laboratory, has submitted a recommendation on this to the state health department.

The Indian Council for Medical Research (ICMR) has initiated a multi-centric trial in the country to see if such heel blood tests should be made compulsory. As a part of this effort, Dr Suresh and his team screened over 21,000 babies born in the Government Hospital for Women and Children in Egmore for two common disorders — congenital hypothyroidism and adrenal hyperplasia.

In Egmore, three out of 1,000 were found afflicted with hypothyroidism. This is a condition of thyroid hormone deficiency, which if left untreated could lead to physical and mental retardation. The global estimation for the disorder is one in 4,000 babies.

An equal number of children were found to have congenital adrenal hyperplasia, a disorder of the adrenal gland. The global prevalence of the disease is less than 1 in 15,000 births. Such babies are born without an enzyme that is required for the adrenal gland to make hormones, such as cortisol and aldosterone. Without these hormones, the body produces more of the male sex hormone androgen.

Girls born with congenital adrenal hyperplasia usually have male genitals along with normal female reproductive organs. Boys with the condition may enter puberty when they are three or even two years old.

Dr Suresh adminstered thyroid hormones to babies afflicted with hyperthyroidism. These hormones may need to be given lifelong. Children with adrenal hyperplasia need to be given steroids every day. In some cases, they may need to undergo cosmetic surgeries to correct physical damage. “With medication, the quality of life of these children can be improved,”

source : TimesofIndia.com

Fortis Hospital is all set to deal with emergencies and provide medical facilities to the “high-profile” guests, players, team managements and other dignitaries during the India-Pakistan clash in the second semi-final of the World Cup cricket at PCA stadium, Mohali, on Wednesday.

Besides, fully-equipped ambulances with trained crew, emergency gadgets and medicines have been stationed at the stadium. Special doctors, anaesthetists, surgeons and technicians are part of the ambulances.

For the 28,000 odd general spectators, medical and first aid facilities have been put in place at Civil Hospital, Phase VI, here besides all other hospitals and dispensaries across the district.

Also, PGIMER, Chandigarh, and other health institutions will be all set to deal with any emergencies arising out of the match.

Divulging a number of medical arrangements put in place for the match, a Fortis Hospital spokesperson said extensive and round-the-clock medical and physiotherapy arrangements have been made for both the teams. Besides a special medical room, the services of a physiotherapist were also being provided during the practice session of the two teams.

indianexpress

Dr. Rupal Chheda is a radiation oncologist who has done her training at the Tata Memorial Hospital, Mumbai.

Professional Qualifications

1999 : MBBS
2003: MD Radiology ( TMH ) Tata Main Hospitals
2009-2010: Associate Radiation Oncologist, Bombay Hospitals
2005-2008: Associate Radiation Oncologist, Lady Ratan Tata Medical research Center

Areas of Interest/Special expertise

Pathology of Breast Cancer and conservation of breast
Contra lateral breast cancer in BCT patients
Genetics of Familial Cancer
Head and Neck Cancer
Brachytherapy in Cervix Cancer
Concomitant Chemo Radiotherapy vs Radiotherapy

Presentation and Publications

Oncology Challenges in developing countries-2nd SAARCC Conference on Clinical Oncology, Nepal March 2003
Challenges in the practice of evidence based oncology in developing countries. ESTRO International Symposium, TMH Feb 2005
Extra remal wilms Tumor:L IS it different? Brief report in pediatric Nephrology, April 2006, Vol 21 Num4
“Radiotherapy in Breast Cancer “: Gynecological Cancers 2006 Role of Radiotherapy in Post Transplantation Lymphoproliferative Disorders” post Transplantation Lymphoproliferative Disorders, 2010

For enquiries and Consultations  click here  write to us at enquiries@fortishospitals.in

About FortisCancerInstitute , Mumbai

The Fortis Cancer Institute is a premier centre dedicated to providing comprehensive treatment and promoting research in cancer care.
This is one of the few centre’s in India to offer end­to­end cancer care from diagnostics to rehabilitation. All cancer treatments – radiotherapy, chemotherapy, onco­surgery, reconstructive surgery…are housed in one world class facility. Fortis Cancer Institute has also attracted top medical talent to offer these treatments. These full time doctors, leaders in their field, are ably supported with sophisticated equipment, trained technicians, physicists and nursing professionals to offer the best cancer care.

Not just to make you cancer free but to restore your lifestyle

To know more and set up Oppointments and Consultations visit : FortisCancerInstitute.com