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#Best Lung Cancer Doctor in Pune
drlalitbanswal · 2 years
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Thoracic Cancer & It's Symptoms - Dr. Lalit Banswal : Best Thoracic Cancer Doctor in Undri,Pune
Dr. Lalit Banswal is the Best Thoracic Cancer Doctor in Undri,Pune. Visit & Consult Now to Know More About The Treatment.
Thoracic cancer refers to any cancer located in the organs, glands, or structures of your thoracic cavity, or chest. This includes well-known cancers such as lung cancer (currently the second-most common cancer among both men and women) and esophageal cancer, as well as less common cancers such as thymus cancer and pleural cancer. Dr. Lalit Banswal is here to support you through your journey with thoracic cancer. Find a Doctor today to set up a personalized treatment plan.
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Symptoms:
Thoracic cancer symptoms vary based on the specific cancer type and the tissue it affects. In the early stages, there are often no symptoms, and as a result, thoracic cancer is harder to diagnose until it is at an advanced stage.
A new cough that does not go away or gets worse with time
Changes in a chronic cough or “smoker’s cough”
Chest pain that worsens with laughing, deep breathing, or coughing
Coughing up blood or bloody or rust-colored mucus
Fatigue
Heartburn, indigestion, or vomiting
Hoarseness
Shortness of breath or wheezing
Unintentional weight loss or unexplained loss of appetite
Weakness
These symptoms are also common in other conditions, which means that noticing one or more doesn’t mean you have cancer. Some people are also diagnosed without noticing any signs at all. Seeing a doctor is the only way to know for sure.
Causes:
Cancer occurs after accumulated damage to cellular DNA. When genes are damaged, they may mutate. These mutations then cause abnormal cell growth that can spread through the body. Thoracic cancers occur when this abnormal growth happens in the chest cavity. Health experts don’t fully understand the cause of any cancer, including thoracic cancer. Biological factors such as genes (some cancers tend to run in families), age, and hormones can contribute to cell damage and increase cancer risk. Other risk factors are environmental, such as exposure to sunlight radiation or carcinogenic (cancer-causing) substances including asbestos and radioactive materials. For thoracic cancers, lifestyle factors like diet, body weight, and smoking especially play a role. In fact, smoking is linked to 90 percent of lung cancer cases, and also substantially increases the risk of esophageal cancer.
Types:
Thoracic cancer includes all cancers occurring in the chest cavity, including lung cancers, thymic cancers, and tracheal (windpipe) cancers. Lung cancers are by far the most common type of thoracic cancer.
Some of the most common chest cavity cancers are:
Non-small cell lung cancer: About 85 percent of lung cancers are non-small cell lung cancers (NSCLCs). These cancers include adenocarcinoma (a type of cancer beginning in the mucus-secreting cells in the lungs), squamous cell carcinoma (a type of cancer starting in the lung’s lining cells), and large cell carcinoma (which can begin in any part of the lung).
Small-cell lung cancer: 10–15 percent of lung cancers are small-cell cancers. This kind of cancer can start anywhere in the lung and typically grows quickly, making it easier to treat but also more likely to return over time.
Mesothelioma: Mesotheliomas begin in the pleura, peritoneum, or other “lining” tissues in the abdominal cavity. Thymoma (also called thymic malignancy): The thymus is a small organ in the chest that sits just under the breastbone and regulates the lymph system (which makes white blood cells). Cancers that occur in the thymus are called thymomas or thymic malignancies.
Other cancers: Breast cancer, pancreatic cancer, and some other cancers originating elsewhere in the body can sometimes metastasize to the lungs or other organs in the chest cavity, causing thoracic cancer.
Risk Factors:
The most significant risk factor for thoracic cancer is smoking. Almost all lung cancers occur in people who previously or currently smoke. Small-cell lung cancer, in particular, rarely occurs in people who haven’t smoked. The more time you spend smoking, and the more cigarettes you smoke, the higher your risk. Being around other people who smoke also increases your risk. This “second-hand” smoke causes thousands of cases of thoracic cancer every year.
Other common risk factors include:
Exposure to radiation and radioactive materials: previous treatment for other cancers, exposure to radon, and excessive UV radiation all increase the likelihood of thoracic cancer
Workplace exposures: working with asbestos (common in mines, some factories, and shipyards, for example) increases the possibility of lung cancer
Exposure to other carcinogens: heavy metals like arsenic, beryllium, and cadmium are also carcinogenic, as are silica, coal, air pollution, and diesel fumes
Family history of lung cancer
Prevention
Many of the exposures and factors that increase risk of thoracic cancer — such as family history, radiation, and air pollution — can’t be avoided completely.
There are still steps you can take to lower your risk, such as:
Not smoking. Avoiding cigarettes and tobacco products of all kinds is the best way, by far, to reduce the risk of thoracic cancers. If you currently smoke, the faster you quit, the better.
Using proper protective equipment. Using a mask or another approved protective device to avoid inhaling coal dust, silica, or other known carcinogens can reduce your risk.
Reducing your exposure to toxic substances wherever possible.
Maintaining your overall health through diet and regular exercise.
Attending regular physical exams.
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manipalhospital1 · 1 year
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Orthopedic injuries are injuries of the bone or bone-related joints. These could be due to various reasons, the most common being old age.
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hepatobiliary · 1 year
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Thoracic Cancer Treatment in pune
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Overview of Thoracic Cancer
Thoracic Cancer Treatment (Lung Cancer Treatment)  is any cancer related to the organs, glands, or structures of your chest / thoracic cavity. These include cancers such as lung cancer and esophageal cancer, as well as less common cancers such as thymus cancer and pleural cancer. Hence thoracic cancer is also known as lung cancer.
Kshirsagar Cancer Clinic is one of the best cancer clinic in Pimpri Chinchwad, PCMC, Pune. We have specialist Lung Cancer Doctors who can provide lung cancer treatment for various stages of cancer.
The lung at  thoracic oncology our clinic are here to upport you on your thoracic cancer treatment journey. Contact our clinic today to create a personalized treatment plan for you. Earlier you start the treatment greater the likelihood of successful treatment & full recoveThoracic Cancer Treatment
Symptoms of Thoracic Cancer Treatment in Pcmc
Thoracic cancer symptoms may vary depending on the cancer type and the tissue affected. In the initial stages, generally there are not many symptoms, and hence thoracic cancer is difficult to detect until it is at an advanced stage.
Generally the symptoms may include:
Cough that does not cure or gets worse over time
Chest pain aggravated by laughing, deep breathing or coughing
Blood in cough or blood or rust-colored mucus
Heartburn, indigestion or vomiting
Shortness of breath or chest wheezing
Unexpected weight loss or loss of appetite
Weakness, fatigue
For More Details:-https://drpankajkshirsagar.com/thoracic-cancer-treatment-in-pcmc/
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shubhi01 · 1 year
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Mucormycosis (Black Fungus) And COVID 19.
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Catastrophic second wave of COVID 19 has left millions of people infected and dead. India is experiencing the world’s worst outbreak with not only rising COVID cases but also an alarming upsurge in a rare and potentially life-threatening fungal infection, Mucormycosis.
What is Mucormycosis?
According to CDC, Mucormycosis (black fungus) is a serious and rare fungal infection caused by a group of molds called mucormycetes. These fungi live in the environment, particularly in soil and in decaying organic matter, such as fruits, vegetables, leaves, compost piles, or rotten wood.People can contract mucormycosis by coming in contact with the fungal spores in the environment. For example, by inhalation of spores, by swallowing spores. Additionally, mucormycosisis likely to develop on the skin when fungus enters the skin via scrape, cut, burn, or any other type of skin trauma or injury.
How is mucormycosis related to COVID 19?
This rare fungal infection usually affects people who suffer from long-term health issues and/or take medications that lower immunity. Mucormyosis can be life-threatening in diabetics and immunocompromised individuals, such as recipients of organ or stem transplants, long-term usage of steroids, post-surgery, and cancer.
When diabetes is poorly controlled, and blood sugar is high the tissues become relatively acidic, it creates a suitable condition for Mucorales fungi to grow. This has been identified as a risk factor for mucormycosis in India.  People with diabetes and obesity are expected to develop more severe Covid-19 infections. This means they’re more likely to receive corticosteroids, which are frequently used to treat Covid-19. But corticosteroids together with diabetes increase the risk of mucormycosis. Meanwhile, coronavirus can damage airway tissue and blood vessels, which could also increase susceptibility to fungal infection.
Moreover, damaged lungs and suppressed immune system as seen in the case of COVID-positive patients make sinuses and nose the most common site of mucormycosis manifestation. From there it can spread to the eyes, leading to blindness, or the brain, causing headaches, seizures, stroke, and even death in certain cases. A recent study showed 94% of people infected with mucormycosis had diabetes and poorly controlled diabetes in 67% people.
Furthermore, long-term ventilation reduces immunity and there are speculations of the fungus being transmitted by the humidifier water being given along with oxygen.
Is it contagious?
No, it’s not. It does not spread from one person to another.
Image: Twitter/@drharshvardhan
What are the symptoms?
You must visit your doctor if you experience the following symptoms;
Cough
Shortness of breath
fever
headache
nasal congestion, discharge.
sinus pain
blackened skin tissue
blisters
redness and swelling
ulcers
one side facial pain
loosening of teeth
blackish discoloration over the bridge of the nose
How is mucormycosis treated?
This includes antifungal medication, controlling blood sugar, urgent removal of dead tissue.
The outcome is poor in many patients affected with mucormyosis. Nearly half of the patients affected will die and many will sustain permanent damage to their health.
Can we prevent mucormycosis?
Yes, mucormycosis can be prevented. Vaccination can help, it will protect from infection, which in turn will protect immunity. A strong immunity system can keep mucrmycosis at bay. Awareness must be created regarding fungal infections,  diagnose them early, along with a focus on controlling diabetes and using corticosteroids wisely.
Dr. Rahul Sawant is one of the Best Cardiologist in Pune. He is Interventional Cardiologist, MBBS, MD (Med) Pune, MRCP London, CCT Cardiology Cambridge UK. He is Director of Hridaymitra Cardia Clinic, Pune. Hridaymitra Cardia Clinic of excellence in Pune for heart care and you will discover well trained, and topmost best cardiologist in Pune.
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drsumitshah · 1 year
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What causes liver cancer?
At present, suffering from liver cancer is a much-talked topic. As per the research 2022 American Cancer Society, 41260 new patients are suffering from this cancer. Like other cancer, cancer cells develop in the liver and cause cancer.
Types of liver cancer
Varied cells in the liver can develop different types of cancerous and non-cancerous tumors. While cancer develops in the liver, it is known as primary cancer in the liver. This primary cancer can also be of different types like- HCC or Hepatocellular Carcinoma, Bile Duct cancer, Angiosarcoma, and hemangiosarcoma.
Secondary cancer that arises in the liver is popular as Metastatic cancer. Sometimes, these cancer cells spread to other body parts like the pancreas, lungs, colon, etc, and it becomes metastatic cancer. People need to consult a liver cancer specialist in Pune at the primary to get the best treatment.
What are the probable causes?
The prime reason for developing cancer is the alteration in the cells in the DNA. DNA instructs the cells for chemical progression in the human body. When a mutation occurs in the DNA, the cells become out of control and start growing rapidly.
Besides those above, consumption of heavy alcohol, excessive smoking, obesity, and hepatitis can cause this cancer.
Signs and symptoms
Many times, individuals don’t understand that they have cancer. But the experts of a liver cancer center in Pune mention that all need to check the signs below to understand whether anyone is suffering from cancerous cells.
Sudden loss of weight, loss of appetite
Pain in the upper abdomen and swelling
Suffering from nausea and vomiting
Discoloration of skin
Suffering from weakness and fatigue without much hard work
Depending on the symptoms and diagnosis, doctors will recommend whether the patient requires liver cancer Surgery in Pune. Patients can consult with Dr.Sumit Shah of the Prolife cancer centre in Pune for the best treatment.
About Dr. Sumit shah
Dr. Sumit Shah has treated thousands of patients suffering from Cancer. He is one of the few oncologists in Pune who perform Minimal Access (keyhole) Surgery to offer his patients a smooth & pain-free recovery from Cancer. He is a highly experienced Oncologist in Pune with 14 years of expertise in surgical oncology. He is the Founder of Prolife Cancer Centre and is the Chief Consultant, Surgical Oncologist & Laparoscopic Cancer Surgeon in Pune.
Having pursued a super specialty course at the Cancer Centre Welfare Home and Res. Institute, Kolkata, and being awarded as the Best Outgoing Cancer Surgeon from his Institute, Dr. Shah is one of the Best Surgical Oncologist in Pune, India who possesses this recognized degree in Surgical Oncology
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Definition and Overview:
Breast cancer is a term that refers to cancer that develops in tissues in the breast. Most people believe that breast cancer is exclusive to women, but there are some instances, although extremely rare, where male patients also develop this cancer.
This type of cancer has various stages starting from early detected and thus, curable cancer to a more serious metastatic breast cancer. More than 75% of breast cancer in female patients is often diagnosed when an individual detects a suspicious lump in one or both breasts. Metastatic breast cancer is the type that can spread out to different parts of the body such as the liver, brain, bones, and lungs.
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Breast Cancer Causes :
The main cause of breast cancer is the development of cancerous cells in the breast tissues. But there are many factors that can develop the risk of individual developing cancer. These include advanced age and an unhealthy lifestyle.
Exposure to radiation and chemicals such as pesticides, polychlorinated biphenyls, organic solvents, etc. has also been shown to heighten a patient’s risk of developing breast cancer.
Another risk factor is genetics. In a study, it was found that 5% of breast cancer cases are due to the mutation in the genes known as BRCA1 and BRCA2.
A woman with any age can be diagnosed with breast cancer. However, some statistics revealed that women between the ages of 60 and 69 are the most affected. A recent report published by National
Cancer Registry Programme (NCRP) estimates that the number of cancer cases is likely to increase from 13.9 lakh in 2020 to 15.7 lakh by 2025, an increase of nearly 20%.
Further research into the disease shows that medical conditions that involve changes in the breast, such as lobular carcinoma in situ and atypical ductal hyperplasia, also increase an individual’s risk of developing this disease.
Key Symptoms of Breast Cancer:
During the early stages, breast cancer symptoms are very less or even absent. Over time, however, the tumor develops and the patient starts observing signs and symptoms, including the following:
Abnormal swelling or lumps in the armpit area or around the collarbone.
Lumps in the breasts might appear before or during the menstrual period, but do not disappear as they usually do. These lumps are often not accompanied by breast pain, but in some cases, touching the lumps leads to a prickling feeling. More often than not, these lumps feel thicker than the rest of the tissues in the breasts. In some breast cancer patients, the lumps are already present (and can only be seen through a mammogram) even before they are felt or seen by the naked eye.
The appearance of a dimple or indentation on the breast, usually means that the tumor is present but not easily seen or felt.
Noticeable and persisting changes in the texture, size, temperature, and contour of the breasts.
An orange peel-like texture of the breasts, known as peau d’orange, is a common indicator of inflammatory breast cancer. Other signs of breast cancer include nipple inversion, redness, unusual warmth, swelling, itching, and breast pain.
One breast becomes significantly lower or larger than the other.
Nipple discharge.
Changes in the skin of the breast include eczema, discoloration, and flaking of the skin of the nipples.
Increased sensitivity and tingling or burning sensations in the breast.
Non-specific symptoms include weight loss, pain in the joints or bone, neurological problems, and jaundice.
Who to See?
If you suspect the presence of breast cancer, you should consult with one of the best cancer specialists in Pune. Dr. Pratik Patil. A breast cancer specialist, typically working in the oncology department, Dr. Pratik Patil is the best medical professional to diagnose and treat this condition.
Breast cancer specialists are not just medical doctors — aside from finishing the required amount of schooling and training in medicine, they also complete special training on cancer diagnosis and treatment.
How to book an Appointment?
Dr. Pratik Patil is the best Medical Oncologist in Pune with experience of more than 10 years.He has special interests in hormonal therapy treatment. For more information about cancer and treatment options, or to book an appointment with the best oncologist in pune call +91 9637439163 or Click on Book Appointment for online booking.
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ghidiagnostics · 2 years
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diagnostic laboratory services
Full Body Check-up
Full body check up is complete health checkup or diagnostic scan of your entire body including heart, kidney, liver, lung to assess your current health status & to screen you to know if you have any apparent warning signs or if any abnormalities lying inside your body. Health checkup can ring the bell early, if there are any symptoms of fatal diseases like cardiovascular diseases, respiratory diseases, cancer, diabetes, high blood pressure, digestive Diseases, etc.
What are the tests follow up in Full Body Checkup?
In a total wellbeing exam, Indus Health Plus offers you in excess of 60 tests with master guiding by Doctor. It likewise contains gynecology and wellness Consultation (solely for females).
Following are the tests that are acted in full body screening:
Blood and urine tests
Lipid Profile Test
cardiac system: Chest X-Ray, ECG & 2D Echo Cardiography
Vitamin Check
Abdominal Check: Ultrasonography of abdomen & pelvis
Thyroid Function Tests: TSH, T3, T4
Kidney Function: Blood Urea, Uric Acid, Serum Creatinine
Liver Function tests: SGPT, SGOT, Serum Bilirubin
Pulmonary Lung Function tests
Diabetes tests: Blood Sugar Fasting, Blood Sugar PP
Hepatitis B test
CT Calcium Scoring
Total body fat percentage
Eye Checkup
PSA
CT Coronary Angiography (Heart)
CT Screening of Neck Vessels (Carotid)
Bone Mineral Densitometry (BMD)
Sono-mammography & Pap smear
In a nutshell, to carry on with a sound, cheerful and simultaneously a lighthearted life, you should go for a wellbeing check up consistently. Keep in mind, “addressing the issue beforehand is better than addressing any aftermath later”.
Being the trailblazers in preventive medical services, we at Indus Health Plus offer an assortment of far reaching wellbeing exam bundles like full body test and other wellbeing exam bundles to give a total wellbeing status. You can book wellbeing exam online at your closest focus as Indus Health Plus have top clinics a piece of test focus network in allover India for example in Pune, Mumbai, Delhi, Chennai, Bangalore and 70+ more urban areas. Here you will get a total hand holding administration and the best part is you will get all reports on exactly the same day. Know here our wellbeing exam process on check up day.
So in the event of any questions, criticism or concerns; you should simply Fill the inquiry structure and we will reach out to you soon.
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For More Info: https://www.ghidiagnostics.com or Call Us: +91 80746 42987
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drnachiket · 3 years
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Upper Endoscopy:Causes,Symptoms and Reason
What is Upper Endoscopy?
Upper endoscopy is a procedure in which the thin scope with light and the camera is used to look inside the upper digestive tract, abdomen, and the first part of the small intestine called the duodenum.
Upper endoscopy should sometimes be performed in a hospital or emergency room so that both can identify and treat conditions such as upper digestive system bleeding
Why an Upper- Endoscopy is performed?
The procedure is widely used to help identify the causes of:
·          Anemia
·          Nausea
·          Ongoing heartburn
·          Vomitting
·          Swallowing  problems
·          Abdominal pain
·          Suddenly weight loss
If you are looking for upper endoscopy then consult Gastroenterologist In Pune Dr. Nachiket Dubale.
Apart from this endoscopy can also be helpful in detecting inflammation, ulcers and tissue.
The Upper endoscopy is more accurate than X-ray to detect abnormal growths such as cancer and to examine the inside of the upper digestive system. Alternatively, abnormalities can be treated with an endoscope.
 For example:
Polyps (abdominal tissue growth) can be detected and removed, and tissue samples (biopsies) can be taken for analysis.
Restricted areas or stiffness of the throat, abdomen, or duodenum from cancer or other diseases can be reduced or extended using balloons or other devices. In some cases, a stent (wire or plastic mesh tube) can be inserted into the building to open it.
Items stuck to the esophagus or stomach can be removed.
Bleeding due to ulcers or cancer can be treated.
How Do I Prepare for Upper Endoscopy?
Before UPPER endoscopy, tell your doctor if you are pregnant, have lung or heart condition, or have any allergies.
What Happens During upper Endoscopy?
Before your doctor performs a high-end endoscopy, they will explain the procedure in detail, including possible complications and side effects. The doctor will also answer any questions you may have.
Tell your doctor if you have:
Artificial heart valve
Rheumatic heart disease
What Happens During upper Endoscopy?
  You will be given a painkiller and a muscle relaxant (in your vein) to help you relax and feel full.
The doctor will put an endoscope in your mouth, using your esophagus (the "food tube" that leads from your mouth into your stomach), and into your stomach.
Most procedures take 15-20 minutes.
 Warning about Upper Endoscopy
If you have severe abdominal pain, persistent cough or fever, chills, chest pain, nausea, or vomiting within 72 hours after advanced endoscopy, call your doctor's office immediately or go to the emergency room.
Is Endoscopy Safe?
Significant risks with endoscopy are rare. However, excessive bleeding is always possible and it is not uncommon for the ulcer or abdominal wall to rupture.
Tips To Remember:
Medications for high blood pressure, heart conditions, or thyroid conditions can be taken with a small amount of water before the procedure. If you have diabetes and are using insulin, you should adjust your insulin level on the day of the test. Your diabetes care provider will help you with this adjustment. Bring your diabetes medication to your destination so you can take it after the procedure.
Arrange for someone to call you home by following an endoscopy. The moisturizing provided during the procedure causes drowsiness and dizziness and impairs your judgment, making it unsafe for you to drive or use machinery for up to eight hours following the procedure.
 If you are looking for the upper endoscopy then consult Gastroenterologist In Pune Dr. Nachiket Dubale.He do the best Gastroscopy in Pune with affordable price.
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puneindia123 · 4 years
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Best Oncologist in Pune
In today’s world, it can be seen that there is a tremendous increase in cancer counts across the world. This brings in the need of the oncology team. You will find various oncologists in Pune but only limited are able to provide the best cure for the disease. We are one best oncologists in Pune and our driving force is hopes and positive results of our research and the amount of hard work our team carries out to treat their patients with maximum care for maximum recovery and improve the quality and life span of life. We are considered to be most highly reputed in the field of best oncologists in Pune, treating patients with care and make the best use of the latest technology to cure disease.
We have highly trained and experienced medical professionals that skilfully treat patients with cancer affecting them such as breast, head and neck, lung, gastrointestinal and others. We take pride to have best service for oncologists in Pune and built a higher successful case in the field of curing patients and relieved their problems.
Who is an Oncologist, a specialist?
Oncology is the specialized branch of medicine that refers to the field of cancer including diagnosis and researches. Oncologists are those doctors who treat cancer patients. Curing cancer treatment is a tough process and involves various medical procedures that bring the need for a specialty team.
Job of Oncologist
An oncologist’s role is to do their best to cure cancer patients. It starts with the research, analysis and proper diagnosis process. The following are the job duties that our best oncologist specialist in Pune follows, i.e
●       Giving brief and knowledge to the patient about the cancer diagnosis process, including the stage.
●       Making the best use of technology to get the treatment done accurately.
●       Make patient feel comfortable by offering quality and compassionate care.
●       Providing assistance to the patient to handle cancer symptoms and understand side effects.
●       Maintain regular follow-up with the patient after proper diagnose is done.
Types of Oncologists
There are different types of oncologists depending upon the nature, stage, and location of cancer. Different types of oncologists require specialized services for cancer treatment. The field of oncology consists of three divisions namely medical, surgical and radiation. There are other sub-specialties.
Medical Oncologist
Medical Oncologist is a type of oncologist where a doctor treats cancer using chemotherapy. They also use some medication techniques like targeted therapy or immunotherapy. It is the first health care that is needed for a cancer patient who diagnoses the patient’s treatment. It works with the other medical departments to drive the best results to the patient. He is the one who takes up follow up with the patients after post-treatment.
Surgical Oncologist
A surgical oncologist is the type of oncologist where a surgeon performs the removal of cancerous tumors. The operation is taken up by a general surgeon who undertakes additional training in oncology and expertise. A surgical oncologist is specialized in performing biopsies to help diagnose cancer. We have the best surgical oncologist in Pune.
Radiation Oncologist
Radiation oncologists are the type of oncologist where doctors treat cancer through radiation therapy. Radiation therapy employs high-energy X-rays to kill the cancerous cells in your body. There are cases where it is nearly impossible to destroy cancer cells so in that case, oncologists use the radiations to reduce the tumor or slow the tumor growth without affecting the other tissues. This method is known as palliative therapy. Our team includes the best radiation oncologist in Pune. The main objective is to improve the patient’s quality of life by controlling the tumors growth and its related symptoms.
Other Sub-specialties
Gynecologic Oncologist
In this type of oncologist, doctors treat cancers related to the female reproductive system. It includes ovarian cancer, cervical cancer, uterine cancer, and more. They are trained obstetrician-gynecologist who sub-specialize in oncology.
Pediatric Oncologist
In this type of oncologist. The doctor specializes in cancer treatment of children. Cancers are also affecting children affecting their life. Cancer can affect and cause diseases like brain tumors, leukemia, osteosarcoma, and Ewing’s sarcoma.
Hematologist-Oncologist
These are oncologists, who are into diagnosing and treating blood cancers. It includes diseases like leukemia, lymphoma and multiple myeloma.
Neuro-Oncologist
These are oncologists, who are dedicated to the treatment of cancers related to brain, spine and peripheral nerves.
 Features Of Best oncologist specialist in Pune
As we are one of the top oncologists in Pune, we provide the best resources and quality of care to our patients and improve their life living. We are capable of providing quality features such as -
●       Provide top technology and upgraded and latest equipment.
●       facilitate safe and reliable testing, consultation, treatment, and recovery.
●       The proper stock of blood and donor and tools are available on our premises.
●       Believe in spreading awareness about government schemes available to help patients with proper funding.
●       The latest techniques are followed to give new hope to cancer patients in India.
Final Words:
Let’s wrap it up, Oncologist hospital in Pune is blended with the high rated cancer treatment to give satisfactory results and reliving options for cancer patients. There is a cure for cancer patients but in order to recover you need to properly maintain your diet to avoid such deadly cancer. It’s always better to care than cure so maintain proper health checkups and regular diets to stay away from such treatment.
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drjoshis · 5 years
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Diabetes, CKD and kidney care -  Dr Joshis
On how many occasions are friends inquiring if you know of a reputable kidney doctor in Mumbai or a kidney specialist in Mumbai or even for the best kidney treatment in Pune or other cities? Instead of only directing them to a specialist in kidney treatment, I would also suggest they visit a holistic multi-speciality clinic to receive therapies and treatments that are extremely effective in treating the complete body.
Higher incomes, higher standard of living and less physical work has led to a more sedentary lifestyle bringing upon diabetes first in the urban and now in the rural population as well. This condition where the body is unable to regulate insulin levels often leads to the occurrence of Chronic Kidney Disease (CKD). It is one of the growing non-communicable diseases in India necessitating concern.
Our body is a complex being. The main function of the kidneys is to remove the waste products and surplus body fluid so as not to accumulate in the body. The kidneys are two bean-shaped organs found on the left and right side of the vertebrates. The kidneys help to maintain a stable balance of body chemicals by the production of urine.
What important role do the kidneys play? The kidneys- 1. Help to remove excess products to maintain a balance in the mineral content of the body. 2. Help to regulate the water content in our body 3. Help to regulate the acid content in the body 4. Help to balance the salt and potassium levels 5. Help to remove the waste products 6. Produce an active form of vitamin D 7. Help to produce hormones that regulate blood pressure, control calcium metabolism and stimulate red blood cell production, which is primary for the smooth functioning of other organs.
The kidneys are fundamentally a powerful chemical factory. The non-functioning of which could lead to conditions like –
1.
Kidney Stone:
Body waste is dissolved in the liquid that passes through the kidneys. But in cases where the level of minerals or salt or crystal forming substance such as calcium oxalate and uric acid is more than what the fluid in urine can dilute, the kidney stone begins to form. Usually, kidney stones that stay in the kidney and go unnoticeable for years. It is only when the kidney stone tries to move out form the kidney through a tube called ureter, that severe pain is felt. Reoccurrence of kidney stones increases the risk of developing chronic kidney disease and kidney failure.
2. Chronic Kidney Diseases (CKD): In Chronic kidney disease, the kidneys over a period time through the years completely stops working. In this scenario, the patient is left with permanent kidney failure. A nephrologist or a specialist is required to treat it immediately so that the chronic kidney disease does not damage both the both of the kidneys. For kidney failure the only treatment is dialysis or a kidney transplant.
3. Kidney Cancer: Kidney cancer is observed in individuals prone to obesity, smoking, and high blood pressure.
The consequences of kidney failure being rather grave, let us understand what small measures one can take to try and delay or avoid this ailment completely:
1. Keep hydrated - Drink eight to ten glasses of water every day to stay hydrated. Drinking plenty of water helps to lower the ratio of waste to fluid passing through the kidneys. If you are exercising actively, the body may need more water. Listen to your body signals and drink water throughout the day.
2. Limit salt intake: A high intake of salt or increase in sodium levels leads to intensifies the chances of developing kidney stones. The regular intake of salty pickles or high consumption of packaged and tinned food with excessive levels of sodium content can trigger an imbalance in the body. It is advised to limiting the sodium intake to 2,000 milligrams per day.
3. Eat fruits and vegetables: A higher plant based diet consisting of a good amount of fruits and vegetables consumed helps to increase the calcium intake which in turn helps to lower acid levels in the urine thereby keeping stones from developing. Having a balanced diet is of extreme importance.
4. Avoid health supplements: The market is flooded with health supplements for the fitness freaks. Overconsumption of fitness supplements to get an attractive and muscular body triggers a higher probability concerning chronic kidney disease over a period of time
5. Consult doctors before taking any painkillers: Most people with the advent of the internet, are self medicating themselves not completely aware of the consequences. Pain relievers and cold medicines if taken without consulting the doctor the excessive dosage over a time period can damage your kidneys.
6. Lead a stress free life: The mother of all problems is believed to be stress. Stress leads to imbalance in the emotional as well as the physical well being of a person. Hypertension is directly linked to diabetes. Continued high stress levels over the years can ultimately lead to chronic kidney disease (CKD).
7. Do not neglect slow flow of urine: Sometimes a blockage along the urinary tract right from the kidney leading to the urethra, through which urine leaves the body can slow down the flow of urine. This partial or complete blockage causing can affect the functioning of both kidneys. In case you notice any abnormality in passing urine, it is important you consult a kidney specialistimmediately.
8. Do not ignore frequent strong urge to urinate: The strong urge to urinate can be a signal of a kidney infection. Please consult a kidney specialist who can subscribe antibiotics to rid the infection.
Vital organs include liver, kidney, heart, brain and lungs. It is extremely important to ensure that one’s immunity is strong and medical periodical tests are undertaken to ensure all organs are functioning at their best. Today there are holistic clinics offering treatments for the vital organs. The holistic treatment mostly involves use of organic medicine made from vanaspati medical plants which do not have any side effects like those of chemical medicines. Holistic medicine addresses the root of the problem which has a bearing affect on all the 5 vital body parts. Today more and more people are veering towards holistic medicine to address diabetes and kidney related ailments.
The second Thursday of March, is declared as World Kidney Day, to bring about awareness about the Chronic Kidney Disease (CKD)while addressing patient care and medical treatment.
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sunrisediagnostic · 2 years
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Should CT Scans Be a Part Of Regular Check-Ups?
CT scans have become a prominent imaging technique during the COVID-19 pandemic. Though there is no denying that they were an important part of medical practices since they assist doctors in diagnosing diseases at crucial junctures. They are non-invasive and help capture the images of the internal organs of the body that can be examined in detail. 
Once you’ve been told by the doctor that you need a CT scan the next challenge is to search for a reliable diagnostic center. Just in case you are based in Pune, reach us out to sunrise diagnostic ct scan centre Pune it is one of the best diagnostic center in Pune.  You can also visit them for a full body health checkup.
But let’s first begin by understanding a few things about CT scans
CT scans simplified: CT scan is an imaging technique that uses ionizing radiation or X-rays. 
CT scans are computerized tomography scans and X-ray radiations are used while acquiring the images of your body organs. 
When these images are acquired, thin slices of internal organs are captured. Thus, minute details can be analyzed and the doctor can observe abnormalities if any, especially inside the organs. Thus, arriving at a diagnosis is easier. 
CT scan is a cross-sectional imaging technique, which is conducted by the use of X-ray images taken from varied angles by rotating an X-ray tube around your body. 
A row of detectors is used to create images of the blood vessels, bones, and soft tissues. These X-ray measurements shot from varied angles are then analyzed by using computerized reconstruction algorithms to arrive at tomographic or cross-sectional images of the scanned part. 
CT scans are instrumental in detecting various diseases, changes, or injuries in any part of your body. It can reveal fat, soft tissues, blood, bone, etc through the images thus, allowing the radiologist to detect abnormalities in the tissues with precision. 
Benefits of CT scans:
They determine when surgeries are required. 
Help in reducing the length of hospitalization.
Assist in diagnosis and treatment of cancer.
Reduce the need to undergo other exploratory surgeries.
They guide in treating common conditions like cardiac diseases and stroke.
Help to determine where the patient needs to be admitted like ICUs.
When a doctor has to stop internal bleeding in a patient a quick scan is necessary. When the patient is admitted to an emergency room the scans can be done quickly. Surgeons can determine after analyzing were to operate. In the absence of this vital information success of surgery is rare. 
The surgery can be well planned with the help of a CT scan. The information that different imaging examinations like ultrasound, MRI, PET scan reveal is different from CT scans. Though each imaging technique has different advantages. 
The significance of CT scan is in its ability to: 
Rapidly acquire images.
Arrive at a small portion of the body during the same examination.
Give specific, detailed, and clear information. 
Other significant benefits of CT scans:
CT scans are beneficial during emergency situations, trauma, and while curing long-term, chronic, severe diseases. 
They help in assessing infections, cancer detection, airway disease, interstitial lung disease. While doing a biopsy a CT scan gives 3D localization to guide and reduce adverse complications. 
CT scans to aid in the diagnosis of tumors, cysts, bleeds, etc. 
Other health complications like kidney stones, urinary tract blockage, liver diseases, pelvic organ problems, inflammation of the pancreas, injuries in the shoulder, hip, knee, wrist, foot, ankle, and even enlarged adrenal glands can be observed and diagnosed with a CT scan. 
The heart can also be studied through CT scans.
These scans can be acquired quickly and the entire body can be scanned in a short duration. This is the biggest advantage of CT scans. 
When patients have a continuous headache, breathlessness or abdominal pain conducting CT scans can reveal what is going on inside the body. After cancer treatment, CT scans are used to examine how the patient is responding to the treatment. 
Now we arrive at our primary query; 
Should CT scans be a part of regular check-ups?
Doctors believe that CT scans should not be a part of a routine checkup. There is no indication or necessity to go for regular CT scans. If the patient is facing or experiencing any health issue that needs further investigation and examination the doctor will advise a CT scan. 
One should not choose to have a CT scan done on their own judgment. Only when the doctor advises to get it done it’s wise to go for it. Nowadays many people rush to get a CT scan but it isn’t necessary at all. 
It is not a primary screening technique like sonography. But during the COVID-19 pandemic, CT scans proved to be an excellent method to diagnose COVID-19 patients, less likely to be detected via routine screening. But specific guidelines were mentioned while doing these scans. 
But it’s true that detailed research and study are necessary for this context. It is important that scholars and researchers conduct a detailed study before determining the necessity of a CT scan as part of a routine checkup. 
We have been sharing with you, vital information about various diagnostic and imaging techniques. So, we suggest that you visit the website of Sunrise Diagnostic, a trustworthy diagnostic center in Pune. We provide one of the best health checkup packages in Pune. Get in touch with our team and discuss your requirements. They will answer your queries and guide you. Stay rest assured that you are in good hands that care for you. 
 Sunrise Diagnostic Centre
Address:- Ground Floor, Shop No. 2, Business Hub Building Opp. Mirch Masala Hotel , Near Vandevi Mandir Karve Road,Karvenagar, Kothrud, Pune, Maharashtra 411038
Phone:  090285 66644 , 9028801188 , 9028566611
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riyab12 · 2 years
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Mucormycosis (Black Fungus) And COVID 19.
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Catastrophic second wave of COVID 19 has left millions of people infected and dead. India is experiencing the world’s worst outbreak with not only rising COVID cases but also an alarming upsurge in a rare and potentially life-threatening fungal infection, Mucormycosis.
What is Mucormycosis ?
According to CDC, Mucormycosis (black fungus) is a serious and rare fungal infection caused by a group of molds called mucormycetes. These fungi live in the environment, particularly in soil and in decaying organic matter, such as fruits, vegetables, leaves, compost piles, or rotten wood. People can contract mucormycosis by coming in contact with the fungal spores in the environment. For example, by inhalation of spores, by swallowing spores. Additionally, mucormycosisis likely to develop on the skin when fungus enters the skin via scrape, cut, burn, or any other type of skin trauma or injury.
How is mucormycosis related to COVID 19 ?
This rare fungal infection usually affects people who suffer from long-term health issues and/or take medications that lower immunity. Mucormyosis can be life-threatening in diabetics and immunocompromised individuals, such as recipients of organ or stem transplants, long-term usage of steroids, post-surgery, cancer.
When diabetes is poorly controlled, and blood sugar is high the tissues become relatively acidic, it creates a suitable condition for Mucorales fungi to grow. This has been identified as a risk factor for mucormycosis in India.  People with diabetes and obesity are expected to develop more severe Covid-19 infections. This means they’re more likely to receive corticosteroids, which are frequently used to treat Covid-19. But corticosteroids together with diabetes increase the risk of mucormycosis. Meanwhile, coronavirus can damage airway tissue and blood vessels, which could also increase susceptibility to fungal infection.
Moreover, damaged lungs and suppressed immune system as seen in the case of COVID-positive patients make sinuses and nose the most common site of mucormycosis manifestation. From there it can spread to the eyes, leading to blindness, or the brain, causing headaches, seizures, stroke, and even death in certain cases. A recent study showed 94% of people infected with mucormycosis had diabetes and poorly controlled diabetes in 67% people.
Furthermore, long-term ventilation reduces immunity and there are speculations of the fungus being transmitted by the humidifier water being given along with oxygen.
Note - Dr. Rahul Sawant is one of the Best Cardiologist in Pune. He is Interventional Cardiologist, MBBS, MD (Med) Pune, MRCP London, CCT Cardiology Cambridge UK. He is Director of Hridaymitra Cardia Clinic, Pune. He has rich experience with cardiology procedures and has performed around in excess of 5000 angiographies and in excess of 3,000 angioplasties.
Is it contagious ?
No, it’s not. It does not spread from one person to another.
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What are the symptoms ? 
You must visit your doctor if you experience the following symptoms; Cough Shortness of breath fever headache nasal congestion, discharge. sinus pain blackened skin tissue blisters redness and swelling ulcers one side facial pain loosening of teeth blackish discoloration over the bridge of the nose 
How is mucormycosis treated ?
This includes antifungal medication, controlling blood sugar, urgent removal of dead tissue. The outcome is poor in many patients affected with mucormyosis. Nearly half of the patients affected will die and many will sustain permanent damage to their health. 
Can we prevent mucormycosis ? 
Yes, mucormycosis can be prevented. Vaccination can help, it will protect from infection, which in turn will protect immunity. A strong immunity system can keep mucrmycosis at bay. Awareness must be created regarding fungal infections,  diagnose them early, along with a focus on controlling diabetes and using corticosteroids wisely.
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Dr. (Maj. Gen.) B.N. Kapur | Medical Oncologist -Yashoda Cancer Institute | Best Cancer Doctor in Delhi NCR | Breast Cancer | Lung Cancer | Prostate Cancer | Best Oncologist in Delhi NCR
About the Doctor
Dr. (Maj. Gen.) B.N. Kapur, the Director of Medical Oncology at Yashoda Cancer Institute, specializes in the practice of medical oncology and treatment of blood and blood-related disorders including leukemia, myelodysplastic syndromes, lymphomas, multiple myeloma, etc. Having completed his M.B.B.S. in 1983 from Pt. J.N.M. Medical College, Raipur, he joined the M.D. General Medicine program at the same hospital in 1989. Thereafter, he pursued his medical oncology training at the Tata Medical Hospital, Mumbai. Later, he joined Armed Forces Medical College and Command Hospital, Pune as a medical oncologist. He has served in the army for more than 36 years and has been the recipient of many awards in the field of hematology and oncology.
Dr. (Maj. Gen.) B.N. Kapur is skilled in treating solid organ cancer using latest evidence-based therapies and has authored a number of publications. Besides this, he is actively involved as well as has attended various seminars, workshops and conferences as faculty.
Educational Qualifications
M.B.B.S., Pt. J.N.M. Medical College, Raipur
M.D. (General Medicine), Pt. J.N.M. Medical College, Raipur
Experience
Armed Forces Medical College & Command Hospital, Pune-  2001 - 2004
Army Hospital Research & Referral– 2004 - 2008
Armed Forces Medical College & Command Hospital, Pune- 2008 - 2012
Head of Oncology, Army Hospital Research & Referral– 2012 - 2016
Major General Medical, Uttar Bharat, Bareilly
Director, Medical Oncology, Yashoda Cancer Institute, Sanjay Nagar, Ghaziabad- Present
Teaching Experience
30 years as Medical Specialist
20 years as Medical Oncologist
M.D. (Medicine) Examiner for MUHS, Nasik & University of Delhi
Specializations
Bone marrow transplantation
Hematolymphoid malignancy
Paediatric tumor
All solid tumor
Accomplishments & Awards
Vishisht Seva Medal  (prestigious award conferred by the President of India for exceptional professional work)
Chief of Army Staff Commendation
Army Commander Commendation (twice)
Dr. (Maj. Gen.) B.N. Kapur | Medical Oncologist -Yashoda Cancer Institute | Best Cancer Doctor in Delhi NCR | Breast Cancer | Lung Cancer | Prostate Cancer | Best Oncologist in Delhi NCR
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Respiratory Diseases: Symptoms, Causes, Risk Factors
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Until we stay healthy, we take our breathing for granted. We never consider that our lungs play a vital role in our life. Many of us hardly pay attention to how to keep our lungs healthy. We only start taking care of this essential organ once we feel shortness of breath and other breathing problems. Hence it is essential to understand the details about the respiratory disease before it gets too late.
Symptoms of respiratory disease
Individuals may suffer from various respiratory problems.
Shortness of breath: – You will feel shortness of breath during exercises. But, if it does not go away, you need to take it seriously
Persistent cough: – seasonal cough is normal, but if it persists for a long time, you need to consult a doctor
Chest pain: – If you suffer from sudden and severe chest pain with cough, it can cause respiratory disease. You need to pay a visit to the doctor
One can also experience rapid heart rate due to respiratory problems
Apart from those, chronic mucus, bleed during cough are signs of respiratory problems
Causes of respiratory disease
There are some common factors the lead to respiratory disease.
Smoking is one of the most acute causes of respiratory disease. This problem can lead to lung cancer, COPD, or cardiac arrest
The rising level of air pollution is another significant cause of respiratory diseases
Individuals who suffer from allergies can cause respiratory disease
Apart from those physical causes, some emotional causes like anger, anxiety, fear, and panic are also responsible for the disorder in the respiratory system
Risk Factors
Once an individual starts suffering from shortness of breath or other health issues, immediate consultation with the doctor is necessary. Persisting respiratory disease can cause serious health issues like
Heart failure
The spread of infection or cancer
Dysfunction in organs
Stroke
Respiratory arrest
If you face any of the above method, symptoms and causes must consult with the Best Respiratory Diseases Treatment in Pune – Dr. Meghana Pande at Life Care Clinic, Pune. Book an Appointment Now.
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advintye · 3 years
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Full Body Checkup in Dehradun
A full body checkup in Dehradun is necessary because it lets you take necessary steps in the prevention or early detection of any potential contamination. Let's face it... in India, the majority of us feel that we do not need fitness checkups and that its miles a waste of money. however, if we think extra vigilantly, these complete fitness checkup packages have always proved to be the smartest manner to keep on a few huge surgeries that are probably required in case of an undiagnosed ailment.
 What is Full Body Checkup?
Complete body tests up is an entire health checkup or diagnostic test of your complete body inclusive of heart, kidney, liver, lung to evaluate your present-day health popularity & to screen you to understand if you have any apparent caution symptoms or if any abnormalities mendacity interior your body. a health checkup can ring the bell early, if there are any symptoms of deadly illnesses like cardiovascular sicknesses, respiratory diseases, cancer, diabetes, excessive blood pressure, digestive sicknesses, etc.
 Anybody needs to move for a complete frame checkup at least once in  to recognize their fitness and if they may be suffering from any abnormality or illnesses. It can also give you an alert for unhealthy conduct & can inspire you to follow a wholesome life-style.
 Why a Full Body Check Up is Important?
Let's now see what the benefits of full-body check-up packages are:
It's far very essential that we move for an entire body screening for understanding how match we are-
A regular whole fitness checkup is suggested for everybody above 35 years of age.
A full-frame test is of maximum importance particularly in crucial and deadly illnesses like most cancers, wherein an early analysis could assist us to save you or manipulate the sickness and enhance the affected person's existence span.
 A complete frame evaluation must be of extreme precedence in times of:
 Records of a pre-current disease
Circle of relatives records illness
It's far very essential to have an entire frame checkup for anybody who has a bad and demanding lifestyle.
 Way to the modern rapid paced lifestyles we all are main an annoying and speedy way of life. this has sooner or later, resulted in a very excessive occurrence of strain-brought on health problems like coronary heart sicknesses, bronchial asthma, diabetes, headache, despair... and many others. As a result, it's far advisable which you get your body checked regularly to prevent the onset of any disorder.
 Moreover, due to the excessive ranges of pollution and modern methods of meal contamination and adulteration; the average human immunity strength is challenged. That is where a preventive health checkup proves to be the best answer.
Maintaining these types of information in mind, Indus health plus has designed a completely within your budget but distinctive full-frame checkup package. These applications now not best provide the maximum complete checkup, however, additionally, they pass very easily on your pocket. This takes a look at up is designed in one of this way that it covers all the maximum vital and applicable exams. One entire frame check and you are taken care of!!!!
 What are the tests included in Full Body Checkup?
In a complete health checkup, Indus Health Plus offers you more than 60 tests with expert counseling by Doctor. It also contains gynecology & fitness Consultation (exclusively for females).
 Following are the tests that are performed in full-body screening:
 Blood and urine tests
Lipid Profile Test
Vitamin Check
Kidney Function: Blood Urea, Uric Acid, Liver Function tests: SGPT, SGOT, Serum Bilirubin
Thyroid function test
Diabetes tests: Blood Sugar Fasting, Blood Sugar PP
Hormones
  Sono-mammography & Pap smear
In a nutshell, to live a healthy, happy and at the same time a carefree life, you must go for a health check-up regularly. Remember, "An ounce of prevention is worth a pound of cure".
Being the pioneers in preventive health care, 
 we at Indus Health Plus offer a variety of comprehensive health checkup packages like full body checkup & other health checkup packages to provide a complete health status. You can book health checkup online at your nearest center as Indus Health Plus have top hospitals part of checkup center network in all over India i.e. in Pune, Mumbai, Delhi, Chennai, Bangalore & 70+ more cities. Here you will get a complete hand holding service and the best part is you will get all reports on the very same day. Know here our health checkup process on check-up day. https://wisehealths.com/
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Cancer Specialist in Pune – Dr. Pratik Patil
Looking for a cancer specialist in Pune? Then you are at the right place. Our cancer specialist in Pune – Dr. Pratik Patil is highly qualified, experienced, and competitive in oncology. They have successfully treated more than 1000 patients with a high success rate. Our cancer specialist doctor in Pune chooses the best treatment from the compressive range of therapies according to the stages of cancer. Our patients are totally satisfied and often refer us to be the best cancer specialist in Pune.
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Dr. Pratik Patil has a very experienced cancer specialist doctor in Pune. He has experience of about ten years of as a Hemat Oncologist and Medical Oncologist. We believe only experienced experts can handle the critical care required for Cancer treatment. Dr. Pratik Patil is the best cancer specialist in Pune and Pimpri Chinchwad.
Cancer is a challenging disease. Even one kind of cancer in different stages bears differently in other patients. Each patient requires an evidence-based personalized care plan with a holistic approach. We offer you the best cancer treatment in Pune. He is one of the few cancer specialists who perform therapy to give his patients a smooth & pain-free recovery from cancer. At our hospitals, we know that Cancer Treatment requires careful consideration of evidence-based options, which can include more than one of the major therapeutic modalities: chemotherapy, targeted therapy, immunotherapy, and hormonal therapy. The cancer specialist in Pune and Team members of Dr. Pratik Patil is professionals who truly want to turn your hope into happiness. We are proud that we are behind the smiles of thousands of our patients. We have achieved this through hard work, dedication, and care by our team. We strive to achieve excellence in providing the highest quality of cancer treatment in Pune.
Why Dr. Pratik Patil is Best Cancer specialist in Pune ?
Advance tech:
Dr Pratik Patil uses the latest medical technologies to treat cancer patients and achieve healthy living across India.
24*7 Availability:
Team of Dr Patil provides personalised medical services to patients, from pre-health check up to post treatment 24×7 and 365 days for cancer treatment in Pune.
Health Care Solution:
Dr. Patil fulfills the organized provision of medical care to individuals by providing world-class cancer treatment in Pune.
Advance Knowledge:
Dr Pratik Patil has advanced knowledge in prostate cancer, Lung cancer, breast cancer, GI Cancers, haematological malignancies and other solid tumors.
Expertise in Oncology:
He is practicing for the last 10 years and treated thousands of patients. His expertise in oncology makes him one of the best cancer specialist in Pune.
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