BMT | Bone Marrow transplant in India | CMCS Health.

BMT | Bone Marrow Transplant in India | CMCS Health

Bone Marrow Transplant are replacement of abnormal or damaged bone marrow in a person by healthy bone marrow. Bone marrow transplant is also known as stem cell transplant. Stem cells are undifferentiated biological cell that has ability to develop in differentiated biological cells. Bone marrow transplant are life saving medical intervention for saving lives of people suffering from abnormal and damaged bone marrow stem cell ,giving rise to diseased medical conditions which can be both malignant or cancerous and non malignant or non cancerous.

The Hematological malignancies or Blood Cancers Requiring Bone marrow transplant are: Leukemia, Multiple Myeloma and myelodysplasia.

Non Cancerous medical conditions requiring bone marrow transplants are : Aplastic anemia , Sickle cell anemia , Thalessemia and Hemoglobinopathies.

Bone marrow transplants can be classified as:

Autologuos bone marrow transplant where patients own bone marrow cells are infused back and Allogenic bone marrow transplant where the bone marrow stem cells are procured from a donor.

At CMCS Health and Medicare Pvt. Ltd., We are associated with Best Indian Hematologist and Bone Marrow Transplant Specialist Doctors. A bone marrow transplant requires a highly upgraded and well equipped medical center as the risk of life threatening infections are high with BMT procedures. At CMCS Health we have selected best Indian hospitals which are well equipped and well managed for risk free BMT procedures for our Global guests.

What patients and attendants need to know before BMT:

Like any other organ transplant, bone marrow transplants may be associated with serious risks; the treating doctors will help the patient and attendant in considering pros and cons of going for a bone marrow transplant. BMT is definitely a life saving condition for many patients. Selection of a suitable donor is very important for success of BMT.HLA tests determine how the antigens of recipient’s stem cells matches to antigens of donor’s stem cell. The higher the number of  matching HLA antigens ,the greater are chances of recipient’s body accepting the donor stem cells. Close relatives like brothers and sisters of recipient have better chances of matching HLA antigens and thereby successful BMT procedures as compared to a non related donor.

What is ideal time to do BMT for patients with cancer :

The ideal time to do BMT with good success rate is when the disease is in remission ( The signs and symptoms are not present usually after completion of chemotherapy cycles) and in early stage of disease, children and generally good health of patient.

Post Bone Marrow Transplant care and management:

Chemotherapy induced hepatotoxicity .Conditioning induced neutropenia and thrombocytopenia resulting in infections, bleeding and mucositis. Approximately within 4 weeks of BMT ,signs of engraftment start appearing. When the patient is found fit to be discharged post successful BMT,patient is discharged from hospital but proper follow up medical care is advised by the doctors post discharge.

Congratulating Dr Anupam Saha and FMRI Gurgaon for successful Liver tran...

Medical Treatments in India with Best Doctors in Best Indian Hospitals.
A successful liver Transplant for Lady from Sulaiymania IRAQ, in India at FMRI Gurgaon

Surgical Way for losing your extra pounds-An Introduction to Gastric Sleeve Surgery.

Looking good and fit is everyone's right. The Medical field is opening up newer avenues. Apart from curing one from one's Ailments and Sickness. Making people good looking and fitter comes under the branch of Cosmetics and Reconstructive Surgery of Medicine.

At Complete Medicare Solutions , we are associated with Best Indian Plastic Surgeons and well equipped and well managed Hospitals and treatment center. At CMCS Health, our endeavor is to provide total transparency,true value for money and globally at par medical treatments at an affordable cost to our Global guests seeking specialized medical treatment in India.

So far Gastric Bypass Surgery was considered as Gold standard surgical procedure for weight loss, but now Sleeve Gastrectomy or Gastric Sleeve Surgery has taken over as NO 1 surgical procedures for weight loss.

What is Gastric Sleeve Surgery?

Gastric sleeve surgery is removal of a portion of the stomach without interfering or rearranging the digestive tract or elementary canal and as a result fewer malabsorption problems,lower complications and a better and quicker recovery as compared to other surgical procedures for weight loss.

Who will benefit more with Gastric Sleeve Surgery?

Gastric sleeve surgery is considered as a first step towards weight reduction in people with a body mass index over 50.

Gastric sleeve surgery as a stand alone therapy for weight reduction has been performed with success in a diversified age group.

It has been successfully performed in teen agers as low as 12 years of age and aged people as high as about 80 years of age.

Gastric sleeve surgery offers a better safety profile in people on anti coagulation medication by reducing chances of marginal ulcers.

How much weight loss can one expect after Gastric Sleeve Surgery?

Studies have revealed that the average weight loss among the people who have undergone Gastric Sleeve Surgery ranges between 33% to 70% of excessive body weight in the first year of surgery. Over a period of three years the excess weight loss increased up to 64% to 75%.

The maximum weight loss observed,among all the surgical procedures is in Duodenal Switch surgery.Gastric sleeve surgery offers on an average, equivalent or better weight reduction as compared to gastric bypass surgery.

The average weight loss after Gastric sleeve surgery is much better

than after lap band surgery.

What Advantages Gastric sleeve surgery have,over other procedures for weight loss?

Gastric sleeve surgery have a definite advantage over other surgeries for weight reduction.

The advantages can be listed as:

• As it does not involve rearranging the digestive tract,and is usually done as a laparascopic surgery, quicker healing and better patient compliance,lesser hospital stay days and consequently lower cost of treatment. 
• No foreign objects are implanted inside the body,as in case of lap band surgery.
• Offers reduced risk of malnutrition or vitamin deficiency.
• Avoiding dumping syndrome as compared to procedures involving malabsorption.
• On long term basis ,Gastric sleeve surgery offers lower chances of Gastroesophageal reflux disease (GERD).
• Better safety profile among all weight reduction surgical procedures.

Cancer treatment in India.

Disease cancer is still one of the largest causes of death all across the globe. It does not discriminate among the developed,under developed or developing nations. 
Let us understand the occurrence of cancer among the global population. 
At CMCS Health , our endeavor is to ensure good health for all by creating awareness about health issues, medical conditions and treatment options available.
We keep on highlighting what India has to offer to global medical traveler seeking specialized medical treatment off shore.

Cancer prevalence in United States of America:

As per American cancer society facts and figures annual report 2012 the most common cancers occurring in US population are Skin cancers. Skin cancers can be both melanomas and non melanomas. Most of the Non melanomas can be cured but melanoma cancers are difficult to treat,although they are small in numbers in comparison but accounts to almost 75% death in US among skin cancer affected population.
The other leading cancer found in American population is Lung cancer and Smoking is contributed as single largest causative factor for disease.
It is estimated that 1 in 6 american men will be diagnosed with Prostate cancer in their life time. Apart from skin cancer ,prostate cancer is most commonly diagnosed among american male population and second most fatal cancer.
Breast Cancer is most commonly diagnosed cancer among american women and second most fatal after lung cancer in american females.
Colo rectal cancer is not gender dependent, it affects both men and women. It affects american population and accounts to almost 9% deaths among all cancer related deaths in America.
Smoking, obesity and hypertension are marked as leading causes for Renal or Kidney cancers.
Bladder cancer,Non Hodgkin's lymphoma,Thyroid cancer, Endometrial cancer, pancreatic cancers and leukemias also affect american population and deaths are reported because of them.

Cancer Prevalence in Germany:

As per the German cancer research center ,Lung Cancer is the leading cause of death among German men affected by cancer and breast cancer is leading cause of death among cancer affected German Women.The second leading cause of death for both men and women in Germany is Colo rectal Cancer among cancer related deaths in Germany population.
Pancreatic ,stomach and Ovarian cancers accounts maximum cases of Cancer in German population.

Cancer Prevalence in Nigeria:

Coming to African Continent let us start with Nigeria, referred as giant of Africa because of being most populous and largest economy in African region, Ironically Nigerian economy is ranked as 20th largest economy in world but according to a published report  by Prevalence and Pattern of Cancers among Adults Attending a Tertiary Health Institution in Lagos, Nigeria ."the burden of cancer in Nigeria is unknown, mainly because of lack of statistics or under reporting.
As per the published report presently, there are 11 cancer registries in Nigeria, located in various tertiary hospitals.
The six most common cancers in Nigeria in descending order of frequency are breast, cervix, prostate, colo rectal, liver cancer and Non Hodgkins Lymphoma and and data obtained from various parts of the country show that cancer incidence is increasing with female cancers leading and increasing incidence has been attributed to lifestyle change and poor awareness about risk factors."
Many Nigerian Guests come to India for cancer treatment because of globally at par treatment facilities and low cost of treatment. It is unfortunate that by the time they reaches India their cancer is in an advanced stage and treatment options are very much reduced.There needs to be a better co ordination among the diagnostics and referring centers and doctors in Nigeria and treating Indian Doctors and Indian hospitals for better treatment outcome.

Cancer prevalence in Tanzania:As per Foundation for cancer care in Tanzania ,"In Tanzania, there are only two cancer treatment centers to serve the entire population of 40 million people. These two clinics have capacity to serve only about 5,000 of the estimated 30,000 new cancer cases each year. For many of the patients who manage to receive treatment, their cancers have already metastasized to the point that administering palliative care becomes the only remaining option.


The five regions that make up the Northern Healthcare Zone of Tanzania see well over 5,000 new cases of cancer every year, but the zone has no designated cancer care facilities. Lack of cancer education, screening services and detection methods means that northern Tanzanians often don’t discover cancer until it is too late. For those patients who could seek treatment, the costs of travel to faraway hospitals and treatment with expensive drugs are often out of the question.

• The most common cancers are Kaposi’s Sarcoma and Esophageal.
• Uterine cervical cancer is the most common form of cancer, and ultimately the highest cause of cancer death, for women in Africa.
• There is a 69% mortality rate for women diagnosed with cervix cancer in Eastern Africa.
• Breast cancer is the second most common cancer in women in Africa and is often not diagnosed until it is in an advanced stage due in large part to lack of screening and early detection, and thus is fatal for 56% of the women diagnosed.
• Some common Cancers in Tanzania are linked to infectious agents,which means they are potentially preventable.Educating the population on how to prevent infections with causative agents and wider accessibility of relevant vaccines could dramatically reduce cancer rates in Tanzania. More ever many of the most common cancers in Tanzania are highly curable if detected early,screening and early detection programs could vastly improve survival rates and improve quality of life for cancer patients in North Tanzania."

  Cancer prevalence in Kenya:

As per Kenya Network of cancer organizations,

"Cancer is the 3rd highest cause of morbidity in Kenya , after infectious diseases and cardiovascular diseases.

Leading Cancers in Kenya:

 The leading cancers in Kenyan women are breast and cervical cancer,where as Kenyan men suffer most from Prostate and Esophageal cancer.

Like anywhere in Africa,majority of cancers in Kenya are diagnosed late due to unawareness and lack of diagnostics facilities and lack of treatment centers.

There are 4 centers in Kenya which have radiation facilities and they are all in national capital region Nairobi-KNH,MP Shah,Nairobi Hospital and Aaga Khan Hospital."

The centers are not adequately staffed to cater to need of ever increasing Kenyan cancer patients.

A government initiative about early screening and involvement of health insurance companies operating in Kenya can bring a turnaround in present scenario.

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Cancer prevalence in Oman:

After Kuwait ,Sultanate of Oman has become the second gulf country to have it's data included in the International agency for research on cancer (IARC) Publications.
As per International Agency for research on cancer, "Oman is facing an almost two-fold increase in cancer incidence in the period 2008-2020. As observed in many countries, Oman is challenged by the ageing population and increased cancer risks largely due to the lifestyle changes."

The ten most common cancers prevailing in men,among the Oman population in decreasing orders can be listed as,Stomach cancer,Non Hodgkin's Lymphoma,Prostate cancer,Leukemia,Lung and bronchus Cancer, Primary Liver cancer,Bladder Cancer,Brain and Nervous System cancers,Hodgkin disease and Colon Cancer.

Whereas The Female Oman population is affected more with Cancers of Breast,Cervical and Uterine,Non Hodgkin's Lymphoma,Stomach.Thyroid,Leukemia,Ovaries,Bronchus and Lungs,Liver and connective tissues.

At present the incidence of Cancer is not high in Oman as compared to other regions but it is expected to rise because of ageing population and life style changes.

Prevalence of Cancer in Iraq:

The worst hit among the middle eastern countries when it comes to cancer prevalence is Iraq.

Years of war,stress associated with uncertainty of war and poor governance,Usage of unsafe products in agricultural and fishing segments have caused havoc in health related issues of Iraqi citizens residing in southern province of Basra , Muthana , Dhi Qar and Missan governorates.

Leukemia and Breast cancers have risen dramatically in the region.

With non availability of proper diagnostic centers and lack of treatment facilities are causing many deaths among the local population.

As per  "Breast cancer incidence among Iraqi women profiled."

Dr.Nada A.S. Alwan, M.D., Ph.D., director of the National Breast Cancer Research Unit at Baghdad University Medical College and the executive director of the newly established Iraqi National Cancer Research Program, 

"Breast cancer is the most common type of malignancy recorded in the cancer registries of almost all countries within the Eastern Mediterranean Region. In Iraq, the continuous rise in the incidence rate is associated with an obvious trend to affect premenopausal women." 

As per a research article published in BMC women's health about Breast cancer in Kurdish women of Northern Iraq , " Breast cancer in middle east occur in relatively young woman and frequently presents as an advanced disease."

Better awareness about breast cancer among kurdish population in North Iraq and early screening may pave way for better treatment outcome for breast cancer patients of the region.

Another cancer that has higher incidence rate among the iraq population specially from Basra province is childhood leukemia.

The most common among childhood leukemia is Acute Lymphoblastic Leukemia (ALL).It is a kind of blood cancer where bone marrow produces too many immature white blood cells.

Leukemia may affect RBCs and platelets too.

The Aim of treating childhood Leukemia is to destroy leukemia cells and enable the bone marrow to produce normal cells again.

Usually a combination of chemotherapy drugs are given along with steroids to treat leukemia.

The treatment of leukemia is multiphasic like Induction,consolidation and CNS treatment,maintenance treatment and bone marrow transplants.

 Bone Marrow Transplant (BMT) is considered only for those children where the treating hematologist feels the chances of recurrence are high or for relapsed disease after the standard chemotherapy-steroids treatment.

At CMCS Health we are associated with best Best BMT specialist doctors and well equipped hospitals for successful BMT for our global guests.

Cancer Prevalence in Afghanistan:

The most common cancer in Afghanistan are breast cancer among the female population followed by cervix ,uterine and Ovarian cancer.

Hematological malignancies (Blood cancer) like hodgkin Lymphoma,Non Hodgkin lymphoma,multiple myeloma and adult and pediatrics leukemia.

Head and neck cancers ( Lip,oral cavity,Larynx and Thyroid Cancers) are also common.

Stomach and esophageal cancers are also present among the population.

Skin Cancers( Melanoma) and pancreatic and liver cancers are also reported among the Afghan Population.

Indian Hospitals  and Indian Doctors are quite capable of Screening, and treating cancer for Global patients but still cost although lower than many centers in world will still be a hindrance.
Awareness among the general populations,an early screening and involvement of Health insurance companies can play a big role in better treatment outcome of Global guests seeking Cancer treatment in India.

Prostate Cancer treatment in India | CMCS Health.

Prostate cancer treatments in India | CMCS Health.

Prostate Cancer is a one of the serious and life threatening medical condition affecting prostate. Prostate cancer usually affect elderly and above 65 year old men but it may affect younger men too. 

At CMCS Health we are associated with Best Indian prostate cancer specialists for Prostate cancer treatment in India.                     

Prostate cancer is the second largest cancer in men.Prostate cancer generally metastasizes to bones. Since the growth of prostate cancer is slow it may not affect or diagnosed in early stages but there are instances where the cancerous prostate cells have grown rapidly.

Signs and symptoms of Prostate cancer

Symptoms may not appear in early stage of prostate cancer and if they appear they may differ from person to person.

Symptoms may include:

• Difficulty in starting urination
• Weak or interrupted flow
• Frequent urination , especially at night 
• Difficulty in emptying the bladder completely
• Pain or burning sensation while urinating
• Blood in urine or semen
• Pain in back , hips or pelvic region that does not go away
• Painful ejaculation

But these symptoms may be because of non cancerous or benign prostate problems too .

Who are at risk for prostate Cancer?

Prostate cancer affects men above 50 years of age.Over a period of time the survival rate in prostate cancer have improved dramatically from 30% in 1970's to 80% presently.

Prostate cancer may affect any men above the age of 50 years,but the African or African Caribbean are at a three fold higher risk than white people.The man whose father or brother have been diagnosed with prostate cancer stand two and a half time higher chances than the men who never had a prostate cancer family history.

Black men are at three times higher risk of being diagnosed with prostate cancer as compared to white men.

Some studies suggest that men among the populations where consumption of "red meat" is more common are at a higher risk of developing prostate cancer.

Prevention of Prostate Cancer

Certain life style changes may reduce risk of prostate cancer. Quitting smoking and regular physical exercises at least for 30 minutes a day and five days a week can cut down risk of prostate cancer. Reduction in consumption of animal fat or red meat also cut down the risk for prostate cancer. A study although not confirmed that a diet high in tomatoes may also be helpful in reducing the risk of prostate cancer.

Diagnosis of prostate cancer

Prostate cancer is usually diagnosed through screening as symptoms appear quite late in patients.The usual diagnostic procedures are a blood test called PSA or prostate specific antigen test. A higher PSA test result indicated possibility of prostate cancer. Although it may be non confirmatory too as Prostatitis may also cause elevated PSA levels.

DRE (Digital Rectal examination) may also suggest presence of prostate cancer, where a qualified and experienced doctor puts a gloved lubricated finger inside the rectum of the patient to feel any bump or hard surface on prostate suggesting a cancerous growth.

Transrectal ultrasound (TRUS) or Transrectal ultrasound guided biopsy are more confirmatory and reliable tests for diagnosing the presence of prostate cancer in a patient.

Prostate Cancer treatment in India | CMCS Health.

The treatment options for prostate cancer depend on stage and overall general health of patient.

It may involve watchful waiting or active surveillance.

Prostatectomy the surgical removal of part or whole of prostate.

Laparoscopic or robot assisted surgeries are the latest surgical techniques for smaller incision,quicker healing and precise results. Doctors do consider nerve sparing surgical removal of part or whole prostate that does not affect the normal sexual capacity and active sexual life of patient.

 We at Complete Medicare Solutions. are associated with the most experienced cancer surgeons and well equipped hospitals for prostate cancer treatment of our global guests.Expertise of a urological cancer surgeon is very crucial for treatment outcome of prostatectomy.

Other treatment options are Radiation Therapy, it could be external beam radiation therapy. With a 3D conformal radiotherapy assisted with CT scans and MRI for precise results with optimum dose to cancerous cell within the prostate gland.

IMRT or Intensity modulated radiation therapy give more flexibility of dose modulation to Radiation doctors thereby more precise results and avoiding side effect of radiation on bowel and bladder overtime.

Proton therapy is considered superior to external beam radiation therapy for more precise and less side effect associated radiation therapy for prostate cancer treatment.

Brachytherapy can be used for patients who want to avoid daily visit to radiation therapy center or do not want to stay in India for long.

The expertise of Radiation Oncology doctor is again vital for treatment outcome. CMCS Health is associated with the most experienced Radiation oncology doctors and hospitals with latest diagnostics and radiation therapy machines for better treatment outcome of prostate cancer for our global guests.

Hormonal therapies are also used along with surgical and radiation therapies for better treatment options and results for prostate cancer treatments.

Chemotherapy is used for hormone resistant and metastatic or advanced prostate cancer. A combination of chemotherapeutic drugs or single agent therapy are used for better results and lower side effects.

Targeted chemotherapy for prostate cancer holds big promise for recurrent and advanced or prolapsed prostate cancer treatment.

We have saved and made many lives better of prostate cancer global patients with our association with best and most experienced Indian cancer treatment specialist doctors and well equipped hospitals.

Dr. Deepak Singla - Medical Oncologistis Unit Chief and consultant Medical Oncologist at Dept. of Medical Oncology at Paras Hospitals,Gurgaon,Haryana,India.