Axillary Lymph Node Biopsy

Axillary Lymph node (underarm gland) enlargement is a common problem among Indian women.

Patient usually present with complaints of pain in the armpit and/or lumps in the underarm area.

Majority of the times these lumps are reactive in nature, that means they enlarge due to non specific causes like mild hair follicle infection, which can occur after shaving or waxing of hair.

On the other hand, these glands can also become enlarged due to:

  1. Infections like tuberculosis, which can be associated with weight loss & fever
  2. Cancers – commonest cancer which gives rise to underarm nodes is breast cancer. Axillary lymph nodes are the first point of spread from breast cancer.

 

An ultrasound can confirm the diagnosis of axillary lymph node enlargement and if these glands do not resolve after a course of antibiotics, they require a FNAC (fine needle aspiration cytology or in simple terms a ‘needle test’).

If FNAC is inconclusive, then an axillary lymph node biopsy is required to confirm the diagnosis. Axillary lymph node biopsy is a minor procedure, which can be performed as a day care surgery.

 

If you or anyone whom you know has underarm pain or lumps, it is best to get yourself examined by a surgeon.

 

 

Information provided by:

Dr. Rohan Khandelwal

Breast Cancer Surgeon

W Pratiksha Hospital

Gurgaon

 

The magic of a healthy doctor-patient relationship

The relationship between doctors and their patients has received philosophical and spiritual attention since the time of Hippocrates and still remains a keystone of care. But, unfortunately over the years, this special relationship has undergone a drastic transition. The onus for this actually lies on both the parties. On one hand, increasing number of litigations and the irrational use of social media has made the doctor fraternity more cautious while on the other, many patients claim that doctors treat them as consumers and the healing touch and warmth has gone.

Bobby Fischer once said “Nothing is so healing as the human touch”. As a doctor, it’s very important to counsel & interact with patients, so that their fears regarding the disease can be alleviated.

As a cancer surgeon, I feel that a healing touch is as important as a good surgical hand. Every doctor should make a sincere effort to strike a healthy relationship with their patients.

May the force be with you!!

 

 

 

(This was a card I recently received from one of may patient’s, whom I had treated for cancer)

International Women’s Day 2017

Women are truly the real architects of society – I am fortunate to know so many courageous women, who continue to fulfil their personal & professional responsibilities despite battling breast cancer. Hats off to their fighting spirit!! Wishing all these beautiful women a very happy International Women’s Day

 

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What is the colour of a doctor’s money??

It can be anything but black! It is basically made of two layers of sodium chloride. The first layer was prepared by the sweat of the medical school. The second was formed slowly after obtaining the so called degree. The denomination of this money is determined by the degree one obtains, slogging it out in a rat race, sometimes also missing out on how their kids grow up. If you are on the surgical side, it has some blood red patches here and there. A physicians’ money may have grey (matter) color sprinkled about. A colleague working in anesthesiology, intervention cardiology or emegency medicine have it soaked in adrenaline. There might be a few dots of yellow on some money. Believe me, no pathologist spills the sample intentionally! Also don’t blame any body if E. Coli grows on some money. So, my friends, a doctor’s money can never be black. And the most amazing thing is that he can keep it minting till Alzeihmer’s or Parkinson’s!

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Post shared from Dr. Deepak Arora – a motivational speaker and a dear friend.

 

 

Excellent video to create Breast Cancer Awareness

One of my patient recently sent me this video created by Sunny Leone to spread Breast Cancer awareness and I feel it is an excellent initiative taken by her against this deadly disease, whose incidence is rapidly rising in our country.

 

 

I personally feel that celebrities have a huge role to play in creating awareness regarding health issues like cancer and more and more should come forward with initiatives like these.

 

 

Why do we need a Mentor?

Years ago a school teacher saw a child playing games in the bushes. The child was no extraordinary, he was a simple child, playing games that kids of his age did. But it was that teacher who recognised the extraordinary and nurtured him to become one of the greatest Kings this land ever saw. It was the under the mentor ship of Chanakya that Chandragupta Maurya was able to establish the Kingdom of Magadha. Without the mentor, the king would have been nothing.

A mentor is a term derived from an old Greek legend in which a king who was heading for a war had to leave his son in the care of his very close friend, instead of leaving him to his wife and Mentor grew up to be a very wise and noble king.

You don’t need a mentor to gain knowledge. You have books and online sources for that. You need a mentor to learn the practical details and proper implementation of knowledge. These intricacies and working knowledge can only and only be taught by a guru or a mentor.

So why do we need a Mentor?
1) Recognising and achieving your potential: Had it not been for Chanakya, Chandragupta would have never realised his potential as a king. It was only after his mentor recognised his true potential, he became what he was. Similarly in life we can achieve what we want by perseverance and hard work, but we need a mentor to know our potential and bring out the best in us.

2) They know the right doors:
Dipa Karmakar made our country proud with her Produnova vault, had it not been for her mentor she would have never known what a Produnova vault is and the intricacies of landing it. She had the talent, but it was her mentor who shaped it and guided her on the path to reach the Olympics.
A teacher knows whats important and what are the shenanigans. They can show you correct ways and the right doors. This makes our journey to success more efficient and easy.

3) Use their pool of experience:
Your mentor knows more than you. They have been around longer and have seen things that you have’t. This means their experiences can tell you the mistakes that have been committed before and guide you towards the correct direction. Our life is too short to make all the mistakes ourselves and learn, it’s better to learn from the past and make a better future. They have walked the walk that you are walking, learn from them.

In the end I would like to quote the famous couplets by Kabir,
Guru govind dono khade, kaake lagu paaye. Balihari guru aapno, govind diyo bataye
“Teacher and Lord are both there, whom to be adore. but teacher you are great, who told us that god is greater”

DEAD POETS SOCIETY, Robin Williams, 1989

Image Source: Firstpost.in

This article was written in collaboration with Dr Prerna Motwani, Medical Content Manager, Curofy- India’s largest community of verified doctors and Dr Rohan Khandelwal.