Oncology in Delhi

Oncology is the branch of medicine that focuses on the research, prevention, diagnosis, and treatment of cancer. A medical professional who specializes in diagnosing and treating people with cancer is called an oncologist.

An oncologist can design a treatment plan based on detailed pathology reports that shows the type of cancer the patient has, how much cancer has developed, how fast the cancer is likely to spread, and what parts of the patient's body are involved.

The field of oncology has three main areas, which include:

• Medical oncologists use chemotherapy, hormonal therapies, and other types of targeted treatments to treat cancer. Most people think of medical oncologist as their primary cancer doctor. Medical oncologists help monitor and maintain patients' well-being, as well as helping patients manage side effects. Often patients follow up with their medical oncologist once their treatment is complete.
• Surgical oncologists perform the surgical removal of the tumor and surrounding tissue. They will help patients prepare for and recover from any surgical procedure they undergo during their cancer treatment. If your primary doctor suspects that you have cancer, a surgical oncologist is likely one of the first doctors you see. Surgical oncologists can perform biopsies, which involves removing a small tissue sample to be checked for cancer cells.
• Radiation oncologists treat cancer using radiation therapy. They use high-energy photon beams to target and destroy cancer cells. Approximately one-half of all cancer patients will undergo radiation treatment during their cancer care.

Because most cancers are treated with a combination of therapies, you could see two or all three different oncologists during the course of your treatment.

Besides the three main areas, there are also several other areas of oncology. These include:

• Pediatric oncologists diagnose and treat cancer in children. Some types of cancer appear more often in children and teenagers, such as leukemia, brain tumors, osteosarcoma, and Ewing’s sarcoma. Some pediatric oncologists focus on conducting research on childhood cancers, while others specialize in certain types of cancer.
• Gynecologic oncologists treat cancers that affect women, such as cancer of the ovary, cervix, uterus, vagina, and vulva. Additionally, they also treat complicated gynecological conditions that are not cancerous, such as fibroid tumors and endometriosis.
• Hematologist-oncologists diagnoses and treats blood cancers, such as lymphoma, leukemia, and myeloma. They may also specialize in the management of solid tumors.

Oncologists usually work with a variety of other medical professionals, including pathologists, diagnostic radiologists, oncology nurses, and oncology social workers. They may also work with doctors from other areas of medicine, such as neurologists, dermatologists, or urologists.

What does Oncology Involve?

There are many types of procedures to treat cancer. The types of procedures that you receive will depend on the type of cancer you have and how advanced it is. Some people who have cancer will only have one treatment. However, most people have a combination of treatments, such as surgery with radiation therapy and/or chemotherapy. Below are the types of procedures to treat cancer:

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells in the body and prevent them from growing. The drugs can prevent cell division, target the food source of the cancer cells’ (the hormones and enzymes the cells need to grow), and trigger apoptosis (a process in which cancer cells kill themselves).

• Chemotherapy drugs can be given in several different ways, including.
• Oral – taken in a pill or capsule form.
• Intravenously – through an infusion into a vein.
• Shots – injected with a needle.
• Topical – applying creams or gels into the skin. This type is used to treat certain types of skin cancer.

Chemotherapy drugs can also be given directly to cancer or directly to an area of the body, such as the abdomen or central nervous system.

Immunotherapy

Immunotherapy, or biologic therapy, boosts your body’s natural defenses to fight cancer. It uses substances made by your own body, or in a laboratory, to improve or restore your immune system function. It can stop cancer from spreading to other parts of the body, stop or slow the growth of cancer cells, and help your immune system work better at destroying cancer cells.

There are several types of immunotherapy to treat cancer, including immune checkpoint inhibitors, T-cell transfer therapy, monoclonal antibodies, treatment vaccines, and immune system modulators. Different types of immunotherapy may be given in different ways, such as intravenous (IV), oral, intravesical (directly into the bladder), or topical.

Targeted therapy

Targeted therapy uses drugs that are designed to specifically “target” cancer cells without affecting normal cells. It targets the cancer’s specific proteins, genes, or other tissue environment contributing to cancer survival and growth. These proteins and genes are found in cancer cells or in cells related to cancer growth.

The targeted drugs can block or turn off chemical signals that tell cancer cells when to divide and grow, stop making new blood vessels that feed cancer cells, change proteins within the cancer cells so the cells die, trigger the immune system to kill cancer cells, and carry toxins in the cancer cells to kill them.

• There are two types of targeted therapy:
• Small-molecule drugs, which is given through pills or capsules that you swallow
• Monoclonal antibodies, which are given through a needle in a blood vein.

Radiation Therapy

Radiation therapy uses intense energy beams to kill cancer cells and shrink tumors. It most often uses X-rays, but other types of energy, such as protons may also be used.

Radiation therapy can be done in two ways:

• External-beam radiation therapy – this type of radiation therapy delivers radiation from a machine outside the body. You will lie on a table, and the machine (called a linear accelerator) moves around you to deliver radiation from several different angles. It is a quick and painless procedure.
• Internal radiation therapy – also called brachytherapy, involves both temporary and permanent placement of radioactive sources in the body. During the placement of the radioactive sources, you will be given anesthesia.

Hormone therapy

Hormone therapy stops or slows the growth of cancer that uses hormones to grow. It works by blocking your body’s ability to produce hormones or interfere with how hormones behave in your body. It can reduce the chance that cancer will return by stopping or slowing its growth, as well as preventing or reducing symptoms in men with prostate cancer.

Hormone therapy is usually used to treat breast and prostate cancer. It can be taken in many ways, including orally, through an injection, and surgery.

Stem Cell Transplant

People whose blood-forming stem cells are damaged by the very high doses of radiation therapy or chemotherapy can undergo stem cell transplant to restore the cells. Blood-forming stem cells are vital since they grow into different types of blood cells that you need to be healthy. The stem cells will be given to you through an IV catheter. The process is very much like receiving a blood transfusion.

Surgical treatment

Surgical treatment for cancer is a procedure to remove cancer from your body. There are many types of surgeries to treat cancer, which differ based on the part of the body that requires surgery, the purpose of the surgery, the amount of tissue to be removed, and your preference. In general, the surgery can be open or minimally invasive.

• During open surgery, one large incision is made to remove the tumor, some healthy tissue, and some nearby lymph nodes.
• During minimally invasive surgery, a few tiny incisions are made instead of a large one. These incisions are made to insert a laparoscope (a long, thin tube with a camera on its end) and special surgical tools. The laparoscope allows your surgeon to see the inside of the body, and the surgical tools are used to remove the tumor and some healthy tissue.

How Long Should I Stay in Delhi?

For chemotherapy, radiation therapy, immunotherapy, hormone therapy, and targeted therapy, the treatment schedule may vary. You may have treatment every day, week, or month. It may also be given in a cycle, which is a period of treatment followed by a period of rest to give your body a chance to recover. For surgical treatment, you may need to stay in the hospital for a few days, and you need to stay in Delhi for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Delhi.

What's the Recovery Time?

The type of procedure you undergo determines the recovery period. While you may be able to get back to your normal routine within 10 days after laparoscopic surgery, you may need to wait around 6 weeks to fully recover from open surgery. Your oncologist will give you a detailed recovery timeline.

What About Aftercare?

You will be given instructions on how to take care of yourself. Your surgeon or nurse will explain how to control your pain, how to take care of your wound, activities you can and cannot do, and how to spot signs of infections. You may also need to talk to a dietitian to help with eating problems caused by the treatment. You will need to attend follow-up checkups to monitor your condition.

What's the Success Rate?

Cancer survival has improved significantly due to constant advancement and improvements in the field of oncology, including improvement in treatments and screening (allowing for earlier diagnosis). Still, you need to be aware of the risks, such as infection, bleeding, nerve damage, fatigue, nausea, vomiting, and hair loss.

Are there Alternatives to Oncology?

There is no other alternative than to see an oncologist when it comes to cancer treatments. Some people may choose to undergo meditation, hypnosis, and acupuncture as well, usually to relieve the stress, anxiety, and pain that cancer can bring.

Oncology in and around Delhi

Introduction

Delhi is officially known as the National Capital Territory of Delhi (NCT). It is home to the capital of India, New Delhi. With a population of over 18 million, it is the second most populous city in the country. The city is brimming with vibrant modern life but also still steeped in history. People come to the city for its cultural richness and gastronomic scene.

Recently, Delhi has emerged as a medical tourists’ favorite destination. It’s the perfect place for those who seek low cost high-quality, world-class healthcare. India continues to expand its medical tourism sector with Delhi as one of the top hubs for medical facilities. Among the leading hospitals in Delhi are Max Super Specialty Hospital, Apollo Hospital Indraprastha, and BLK Super Specialty Hospital. Breast Augmentation and heart surgery procedures are two of the most popular procedures in the city. Patients come to Delhi for the following reason:

• State of the art medical facilities with international and local accreditation
• Skilled doctors, many of which trained in the UK
• English speaking doctors and staff
• Wide range, cost-effective procedures
• Traditional healthcare therapies and practices such as Ayurveda and yoga

Popular Areas in Delhi

Delhi is overflowing with enchanting history and colorful modern life. The city is made of layers of history, temples, monuments, markets, and UNESCO World Heritage Sites. Many tourists come to witness its charm and discover its hidden treasures. Go to Old Delhi and visit the Red Fort where a load of people fell in love with its beautiful structure influenced by Islamic, Persian, Hindu, and Timurid traditions. Learn Islamic history in one of the largest mosque in India, Jama Masjid. Shop in Chandni Chowk Market, the largest shopping hub in Delhi. Pay your respect in Raj Ghat, a memorial dedicated to Mahatma Gandhi.

There is also New Delhi, India’s capital, where you can stroll around India Gate, a war memorial that was inspired by the Arc de Triomphe. Humayun’s Tomb, the tomb of the Mughal Emperor Humayun, is also worth a visit for anyone who loves history. Don’t forget to go to the Gandhi Museum (Gandhi Smirti) to learn more about the leader of Indian independence’s life. Tourists can also visit an enthralling historical site known as Purana Qila. In your spare time, you can shop in Janpath Market and Sarojini Market.

South Delhi has many sites to enjoy such as the unique Lotus Temple, the soaring tower of victory Qutab Minar, and the thriving nightlife of Hauz Khas Village. This district also has a famous shopping paradise including Dilli Haat, Shahpur Jat, GK 1 N-block market, and Dastkar Nature Bazaar.

Weather and Climate in Delhi

Delhi has a high variation of temperature between summer and winter. Summer in Delhi can get really hot with an average temperature of around 32°C. The season starts in April to June and the temperature can reach as high as 46°C. It is advisable to avoid this season if you’re planning to do a lot of outdoor activities. The monsoon starts in late June to mid-September. The temperature usually falls to an average of 29°C, but it’s rainy and humid.

The temperature plummets during winter, ranging between 6°C to 7°C. This season starts in November and lasts until March. October to March is the best time to visit Delhi because the weather is neither too hot or too cold.

Getting Around in Delhi

Indira Gandhi International Airport, located 16 km from New Delhi city center, is the busiest airport in India. This airport serves domestic and international flights that connect the city with almost every country across the globe. Terminal 1 is used by budget airlines such as IndiGo and SpiceJet, while Terminal 3 is mainly used for international operations and several domestic flights.

The city center can be reached by bus, airport taxi, and metro. The bus is the most affordable option although it can be very crowded. Taxi is a good way to travel but always use licensed taxis such as WTi Cabs, Meru, and Mega Cabs. App-based taxis like Ola and Uber is another choice of travel. The fastest way to travel to Delhi’s city center is by The Delhi Metro. The travel time is less than 25 minutes and should cost around 10 INR to 60 INR.

There are several transportation modes to get around Delhi. The Delhi Metro is the best option to travel around because it offers comfort and fast travel. Taxis are widely available in the city. The easiest way to call a taxi is by the Ola app. It’s usually cheaper to use Ola than a local taxi stands.

For shortstops, opt for auto rickshaws. They’re affordable and easy to find. Make sure to negotiate the fare before getting in because most drivers will refuse using the meter. The drivers are also known to overcharge foreign visitors. Driving around Delhi is not recommended since the traffic can be time-consuming and there is a lot of bad driving. You can always hire a local driver if you want to get around by car.

Tourist Visas in Delhi

Citizens of Nepal and Bhutan can enter India without a visa. Citizens of Japan and South Korea can apply for a visa on arrival. Citizens of 150 countries can apply for e-Visa which is valid for 60 days. There are medical and medical attendant e-visas for tourists who come for healthcare. Other nationalities are required to apply and obtain a visa before entering the country.

All visitors must hold a passport valid for at least 180 days after their entry to India and should have at least two blank pages.

Additional Information

1. Local Currency: the official currency is the Indian rupee (INR). 1 USD converts to 70 INR.
2. Money & Payments: Major currencies such as US dollars, euros, and pounds sterling are easy to change throughout the city. The easiest way to exchange money is by using ATMs. Some shops, restaurants, and hotels will accept credit cards. It is advisable to always carry cash since a lot of places still accept cash only. Restaurants sometimes add a 10% service fee to the bills.
3. Local Language: Hindi is the official language of Delhi. Urdu and Punjabi are widely spoken. Most people will be familiar with English. Many young people shop keepers, and tour guides can speak English very well.
4. Local Culture and Religion: The major religion is Hinduism, followed by Islam, Christianity, Sikhism, Jainism, Buddhism, and Judaism.
5. Public Holidays: The city celebrates major religions (Hindus, Muslims, and Christians) holidays. The city hosts many festivals all year round such as The Grub Fest, The Palate Fest, and Holi Festival.