Oncology in Penang

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 Penang?

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 Penang for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Penang.

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 Penang

About Penang

Penang is one of the most visited states in Malaysia and is located on the north-west coast of Peninsular Malaysia. Penang consist of two parts: Penang Island and Seberang Perai. Widely known as the ‘Pearl of the Orient,’ Penang attracts millions of tourists every year with its mixture of multicultural heritage, natural charms, and wonderful food.

Penang is also a popular medical tourism destination, with around 60% of the tourists who visited the state in 2017 came for affordable, high-quality medical treatment. According to the former Chief Minister of Penang, Lim Guan Eng, Penang’s medical tourism contributed 42.3% in revenue to the health tourism market in Malaysia. Medical tourists get the best in terms of quality, options, and savings. The top medical procedures are cosmetic surgery, eye care, and dental surgery.

Penang is a preferred medical tourism destination for the following reason:

• World-class doctors and well-trained nurses.
• Offers a wide range of excellent healthcare services.
• Affordable medical procedures cost less than other medical countries.
• No queue for specialist consultations.
• Public and private hospitals with global accreditation to ensure quality care.
• The perfect environment for rejuvenation and recovery.

Popular Areas in Penang

Packed with diverse culture and beautiful scenery, Penang is a wonderful place for tourists to explore. There are plenty of places to enjoy the most incredible sites including the white sand of Batu Feringghi, the iconic architecture of Kho Kongsi, the beautiful landscape from the summit of Penang Hill, the Tropical Spice Garden, and the pit vipers in the altars of Snake Temple.

Penang’s capital, George Town, is listed as a UNESCO World Heritage Site. George Town is home to a great number of heritage and arts as well as the largest collection of pre-war buildings in Southeast Asia. This historical city is the best place for tourists who want to indulge in cultural sight.

Considered as one of the best places in the world to savor delicious food, the culinary in Penang is a blend of Malay, Chinese, Indian, Peranakan, Thai, and European specialties. Tourists can try traditional cuisines such as Assam Laksa, Nasi Lemak, Lok Lok, and many more. Vegetarian versions of the famous local street dishes are also available in various Chinese and Indian outlets.

Weather and Climate in Penang

Just like any other parts of Malaysia, Penang enjoys a year-round tropical rainforest climate which means it is warm and humid throughout the year. However, the temperature of Penang Island is often higher than the mainland. The average temperatures range between 29–32°C during the day and 25–29°C during the night.

The weather is usually warm in January and February. The rainy season usually starts during the southwest monsoon from April to September and October to early November. The best time to visit Penang is from late November to February as the weather is mostly sunny but it’s not too hot or humid to do outdoor activities during the day.

Getting Around in Penang

Penang is easily accessible by air since Penang International Airport has daily flights to and from domestic destinations and has International connections with Singapore, Jakarta, Bangkok, Taipei, Hanoi, and many more major cities in Asia. The airport mainly serves budget airlines such as AirAsia and Firefly, although larger airlines including MAS and Qatar Airways also operate less frequent flights.

To reach George Town, tourists can take a taxi, bus, an airport transfer, or hire a car. Note that airport taxis operate on a voucher system, tourists must buy a voucher beforehand from inside the terminal to avoid taxi cheats. The taxi fare to George Town should cost around RM38 (around 9.00 USD).

There are several different types of public transportation available in Penang. Walking or a trishaw ride is the best way to get around George Town. Free CAT Bus (Central Area Transit) is available for tourists to get to popular attractions in the capital city for free. To travel around surrounding suburban areas of George Town, tourists can opt for Grab (e-hailing apps like Uber).

For longer distance trips away from the capital city, Rapid Penang Bus, or renting a car/scooter are the best options. Taxis are widely available around the island but be sure to agree on a price first because taxis here do not use meters.

Tourist Visas in Penang

Nationals of most countries are granted visa-free entry to Malaysia for 30 or 90 days. Holders of passports issued by China, India, Sri Lanka, Nepal, Myanmar, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to apply for a Malaysian tourist visa. The foreign nationals who require a visa to enter Malaysia must apply and obtain a visa in advance before entering the country.

All visitors must hold a passport valid for at least six months beyond the date of entry into Malaysia. Do ensure to have a valid visa and obey all the rules because the Malaysian Government has a very strict visa regulation and will punish those who violate the terms.

Additional Information

1. Local Currency: Malaysian Ringgit (RM) is the local currency. It is made up of 100 Sen (cent). 1USD is equivalent to RM4.20. Formerly known as the Malaysian Dollar, older Malaysians sometimes refer to Ringgit as ‘Dollars.’
2. Money & Payments: ATMs are available across Penang. Credit cards (Visa and MasterCard) are accepted in most hotels and established restaurants. There are plenty of moneychangers in the region and most banks will exchange cash with a commission. Be sure to carry small bills since many street vendors only accept cash. Tipping is not necessary because service charges are already included in hotels and restaurants but tourists may tip as a gesture of appreciation.
3. Local Language: the official language is Malay but English is widely-spoken since many locals can speak English proficiently. Other major languages spoken in Penang are Hokkien (Penang Hokkien), Teochew, Cantonese, Hakka, Mandarin, and Tamil.
4. Local Culture and Religion: Islam is the official religion of Penang but there are other religions including Buddhism, Hinduism, Taoism, and Christianity. Tourists can see the diverse culture and faith of Penang in Pitt Street, known as ‘Street of Harmony,’ where four different major places of worship stand only meters away from each other.
5. Public Holidays: Penang celebrates all the major religious holidays such as Hari Raya Aidilfitri, Chinese New Year, Wesak Day, Deepavali, and Christmas. Many festivals are lined up throughout the year. Penang also hosts unique festivals like George Town World Heritage Day every year on July 7 to commemorate the inscription of the city as a World Heritage City by UNESCO.