10 Questions to Ask Your Doctor (oncologist) 


Asking the right questions can help you understand important information about your cancer diagnosis. Here are 10 questions to ask your oncologist:

1. What types of diagnostic testing do you perform? An accurate diagnosis is critical because it is the basis upon which your treatment plan will be determined. For example, PET/CT scans help determine the precise location of cancer in the body to accurately plan treatment. Tumor molecular profiling identifies a tumor’s unique blueprint to choose targeted chemotherapy drugs. It’s important to have access to advanced diagnostic tests, as well as physicians who are experienced in performing them.

2. What does my diagnostic testing tell me?

The information you should receive from diagnostic tests includes: where the cancer originated, the size of the tumor, the stage of cancer and whether or not it has spread to the lymph nodes or other parts of the body.

3. What treatment options are available? What do you recommend and why? Many types of cancer have a variety of treatment options available. Your doctor should be able to explain the potential benefits of each to help you understand your options, even if he or she doesn’t perform a specific treatment.

4. What happens if a treatment approach doesn’t work for me? At any point, you should feel comfortable asking your doctor about the status of your treatment. When choosing a care team, you may want to consider doctors willing to try new therapies, depending on your response. Look for professionals who will tailor treatments to your specific diagnosis, and who are willing to pursue other options if your treatment isn’t progressing as expected.

5. What are the side effects of treatment, and how often do your patients experience them?

No two people will have the exact same response to cancer treatment, and side effects may vary depending on what type of treatment you choose. Ask your doctor what side effects you might experience, so that you can plan ahead and choose with all of the information you need.

6. How will you help me manage side effects?

Integrative therapies can help prevent or manage side effects, so you stay strong and avoid treatment interruptions. Some therapies that can support your wellness during cancer treatment include: nutrition therapy, naturopathic medicine, mind-body medicine, acupuncture, oncology rehabilitation, spiritual support and pain management. Ask your doctor if any of these are available at your hospital, and how they can be incorporated into your treatment plan.

7. How many patients have you treated with my type and stage of cancer, and how successful have you been?

Ask how much experience your doctor has treating your type and stage of cancer and whether he/she is a board-certified specialist. You may also want to ask about his/her facility’s treatment results so you can see how successful they have been in treating your cancer type.

8. Who will be involved in my care, how often will they meet and who is my main point of contact?

An integrated care team including a surgical, medical, and/or radiation oncologist; dietitian; naturopathic oncology provider; clinical nurse and medical advocate (often a nurse care manager) can ensure you get support for your entire well-being during treatment. If you don’t already have a team like this in place, talk to your doctor about assembling a multidisciplinary team.

9. Where will all my treatments, appointments, tests, etc., take place?

When looking for a treatment facility, consider the coordination and convenience of your treatment. Having appointments and procedures in one location can make treatment less stressful for you, and it may allow you to start treatment sooner.

10. How will you help me balance my cancer care with the demands of my normal life? Your cancer treatment should adapt to your individual needs, and family and professional obligations. Talk to your doctor about your personal needs, so that all aspects of your life are considered when choosing a treatment plan.

For more information on getting a second opinion on  your treatment contact us on http://www.GrandOpinion.com .


Is Surgery the Only Option?

A lot of doctors now recommend surgery to their patients but is surgery really the only option??

It is indeed overwhelming to see the kind of development India has seen in the field of medicine. From bringing in the latest technology for diagnosis and surgeries to having internationally qualified doctors, India has become a medical hub and people from across the globe come here for treatment. Despite all this development, people are still misguided into unecessary tests and surgeries.


Surgery 1

Image- http://www.timesofindia.com

According to a study done by the Times of India a resident of Kandivili, Gautam Sharma had severe left shoulder pain and was advised cardiac surgery the very next day itself. But he has a feeling it had nothing to do with the heart but to do with the shoulder bone itself. He took a second opinion and sent his ECG to a doctor in the US who in turn connected him to an orthopaedic surgeon there. The orthopaedic surgeon said his bones were not aligned properly and that was causing the pain. He was taught some exercise and today his pain is much better and he is leading a normal life.

According a study done by an organisation specializing in second opinions in Mumbai on 12,500 patients almost 44% of the patients were advised against surgery when they went in for a second opinion. This is the situation in India, but that does not mean that doctors in USA do not recommend surgery. According to a study done by USA Today (www.usatoday.com), Jonathan Stelly a pro baseball player fainted once while playing and was rushed to a cardiologist. The cardiologist said he needed a pacemaker if he wanted to live even till 30. He underwent the surgery and had a pacemaker implanted but months later he heard that the cardiologist had been arrested for unnecessary surgeries. He also learnt that all he needed was blood pressure medication! The doctor had not just put him through an unnecessary surgery but also taken away the love of his life baseball. According to US Today in the US unnecessary surgeries account for 10 t0 20% of the surgeries done every year in some fields including cardiac, knee, spine surgeries and hysterectomies.


Surgery 2


An overdose of surgeries has been commonly seen in the field of orthopaedics especially in terms of knee replacement surgeries. The Indian Society of Hip and Knee Surgeons reports that 66,352 total knee replacements were done  in the country in 2013, compared to merely 9,951 cases reported by it in year 2008. Dr C S Yadav, professor, department of orthopaedics at AIIMS says that nearly 30 to 35% of knee replacement surgeries done in India are unnecessary and so patients at AIIMS are being educated about lifestyle modifications and exercises which can help them avoid surgery.


Surgery 3

Image- http://www.whale.to

Another surgery which has become increasingly common in India is a hysterectomy or surgical removal of the uterus. This is usually recommended in women of menopausal age who have excessive bleeding, fibroids, cysts etc. Many women across the country have undergone unnecessary hysterectomies and later regret it. According to a survey done by Oxfam in a village in Rajasthan, out of 285 women investigated to, 258 had undergone hysterectomies in 6 months and the youngest amongst these was just 18 years old. These surgeries simply exploit the rural women who really don’t need surgeries and are threatened into having these surgeries putting fear of cancer into them.

Surgeries and Cancer

Being diagnosed with cancer itself is a very stressful situation and if you are advised surgery it is going to worry you even more. Please relax and understand why the doctor is advising surgery. According to the Mayo Clinic the doctor advises surgery for cancer to-

  • Firstly diagnose the cancer and see of the tumour if benign
  • Surgery is also preventive if you have developed any tissues or extra growths.
  • To determine the stage in which your cancer is and to decide the line of treatment.
  • As a mode of primary treatment especially if your cancer is in the initial stages
  • Debulking- removing as much of the cancereous tissue as possible so chemotherapy and radiation are effective
  • To relieve stress and pain especially if you have a tumour pressing on a nerve.

Why Unnecessary surgeries?

Surgeries are becoming so common these days that it has become important to understand the reason behind this attitude of doctors and why they are prescribing so many unnecessary surgeries.

  • High levels of medical interventions- including tests which costs a lot and then telling people that surgery is the only option
  • Lavish and unnecessary use of medical technology to do tests and surgeries.
  • Defensive medicine or playing it safe and convincing patients that surgery is the best option
  • Failure to counsel patients on whether the surgery is necessary or not.
  • Aggressive marketing my companies and hospitals regarding surgical procedures.
  • Incentives provided by companies to doctors for performing surgeries.

The patient should decide on whether he or she needs to have a surgery after having-

  • A complete check up by the phyisican or family doctor to decide whether the surgery is required or not.
  • Discussed with the doctor about alternate lines of treatment which can help avoid surgery.
  • Understood the whole procedure of the surgery and why he or she needs to undergo it
  • Understood the benefits of the surgery
  • Taken a second opinion that also indicates the need for a surgery.


Surgery 4

Image- http://www.kingbrand.com

Surgeries are traumatising regardless of what surgery one is undergoing and how good the doctor is. How can one avoid a surgery?

  • Hysterectomy– Menstrual problems like heavy bleeding can we dealt with medicines easily. Simpler procedures like monomyectomy for fibroids, knife free procedures for endometriosis and other lesser invasive procedures are today available for uterine problems and can help avoid surgery.
  • Cardiac procedures– Angioplasties and bypass surgeries have become so common these days. Even for a heart burn doctors tend to misguide the patients that they have a heart problem and first do an angiogram and then say there are blocks and surgery is needed. Instead modifying life style, eating healthy and taking the right medications can help restore cardiac health.
  • Orthopaedic procedures- replacement surgeries are commonly prescribed these days for knee, hip, spine and shoulder problems. Meeting a good physiotherapist and learning the right exercise, losing weight, wearing proper foot wear can all help in avoiding these surgeries.


Surgery 5


 So, your doctor has just broken the news to you that you have a major problem and require surgery and now you are going through that trauma.

Well! Rather than being distressed get up and look around yourself. Second opinion is always there to help you and guide you on your course of treatment.

GrandOpinion (www.grandopinion.com) is a portal which can help you during this time. Just get onto the portal and share your details and reports, let the team of doctors study your case and revert to you. In most cases SecondOpinion has helped to prevent surgeries. A shoulder pain need not be a heart problem, a knee pain does not necessarily call for a replacement and an excessive bleed does not mean hysterectomy. It could just be a red signal for you to stop, slowdown in life and care for yourself. You might just need to modify your life style, diet and exercise or just undergo a minimal non-invasive procedure and you can avoid going under the knife!  GrandOpinion (www.grandopionion.com) can just guide you of a surgery, because surgery is definitely not the only option!