Difference between revisions 700772450 and 700775375 on enwiki

{{Infobox hospital
| Name        = Cancer Institute (W.I.A), Chennai
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(contracted; show full)  | pages = 
  | language = 
  | publisher = Deccan Herald 
  | date = 22 March 2013 
  | url = http://www.deccanherald.com/content/320732/make-adyar-cancer-institute-centre.html
  | accessdate = 24 Mar 2013}}</ref>

==
= '''Doctor Patient Relationship :''' ===
The practice of Oncology is as complex as cancer itself. The doctor patient relationship is a special one, a sacred one - one of trust, hope and confidentiality. In oncologic practice, the patient when she/he meets you for the first time, they come in a state of fear, almost verging on panic. The oncologist has thus to face two issues - it is not enough to diagnose and treat the disease to the best of his/her ability. One has in addition to meet the emotional and other needs of the patient and the family, stressing the need for a comprehensive care.

When one has to meet the varying needs of the patient, there must be honesty and clarity as to what can be done and what cannot be achieved. This needs communication skills & empathy to create a sense of confidence and trust. Communication must be clear & without ambiguity, in a language that the patient / family understands the therapeutic options, risks, benefits, pros and cons of different modalities of treatment and morbidities. The oncologist has to be sensitive to the psychological needs of the patient and the family support available.

=== Ethical Practice : ===
The availability of sophisticated technology should not be the sole reason for its use/prescription. One has to consider carefully when and where it is to be used, which is better and under what conditions and what is the cost benefit. There should be a constant reappraisal centering on improved patient care. One should work towards quality care. Marketing practices of equipment manufacturers needs to be monitored. Technology assessment and evidence based practice becomes mandatory to have a clear scientific basis and whether they are cost effective. Evidence based guidelines remain in words and not in practice. Ultimately the victim is the patient. 

=== Multidisciplinary Approach : ===
In oncologic care, the value of multidisciplinary management has ben documented beyond doubt. The team members should have excellent knowledge in their own skills in addition to good basic knowledge of the others in the team. This will be essential to interaction on equal terms an speak their language with understanding. The concept of outcome of cancer patients goes beyond survival and includes quality of life, long term morbidities and many more.

=== Personalised care & Prognostication : ===
Cancer is an extremely complex biologic phenomenon. The heterogeneity in such that the clinical realises early in their oncologic practice that no two cancers behave alike and the greatest challenge in cancer management has been the inability to prognosticate outcome to treatment, whether it be surgery, radiotherapy or chemotherapy. Molecular biology technics have opened new avenues and capabilities in the areas of prevention, diagnosis, early detection, staging of disease, monitoring of treatment, prediction of outcome and risk assessment. It can also help in detection of recurrence, potential for metastases etc. These have helped in formulation of treatment plan based on the biology of the tumour against the background of the host milieu.

== Several firsts  ==
The Institute's first break came on December 24, 1956, when Atomic Energy, [[Canada]], gifted a cobalt-60 [[Teletherapy]] unit ([[radiation therapy]] machine). It was the first such unit in [[Asia]].

The Institute has several other firsts to its credit. They include:

*A department of [[nuclear medicine|Nuclear Medical]] [[Oncology]] in 1956;
*Paediatric oncology in 1960;
*Installing a [[linear accelerator]] in 1976;
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[[Category:Hospital buildings completed in 1954]]
[[Category:Organizations established in 1954]]
[[Category:Cancer organizations]]
[[Category:Regional Cancer Centres in India]]
[[Category:Hospitals in Chennai]]
[[Category:Cancer hospitals]]
[[Category:1954 establishments in India]]