00:00We have opened a multi-specialty centre. What are the facilities and how will we get them?
00:15We used to provide these facilities at a grassroots level.
00:20Since the start of our PG programme, the government has provided us with the latest facilities.
00:30Our wing is run by various specialist clinics like STD clinic, infertility clinic.
00:41For artificial reproductive technology, we have started an ART level 1 clinic called IUI clinic.
00:50We also have adolescent clinics like Kishore Awastha.
00:55We do separate counselling for them.
01:00We also have a down-staging cancer clinic where we do screening of women patients.
01:10We also do screening of women patients and their attendants.
01:14We do screening of women patients and their attendants.
01:19This is an opportunity for us to do mass screening.
01:23Since women are coming from villages, it reflects that area.
01:27We check up those women who are between 40-50 years of age.
01:33They are more likely to have cancer at this age.
01:39If a woman is coming from a village, we don't show her to get a cancer test done.
01:46But if she is having a childbirth, she comes with her.
01:50We have made this our target.
01:52We check up all the women who come with their children.
02:00We do a visual inspection of the cervix.
02:11We can see that the cervix is not good.
02:17We test the cervix with acetic acid.
02:21It is done on the same table.
02:23It is done on the same table.
02:29We test the cervix with acetic acid.
02:34We apply Lugolse hydride.
02:37We perform colposcopy.
02:39Colposcopy is a very good thing.
02:42The possibility of cancer developing in the cervix through colposcopy is picked up.
02:53The pictures are taken.
02:55We can make pictures.
02:58We can compare the pictures with the software.
03:03If it is possible to develop cancer in the cervix through colposcopy,
03:07we can print out the pictures.
03:09We can talk to the specialists at Tata Memorial.
03:11We can talk to their stage and follow up.
03:15We are doing all these things because
03:17It takes 15 to 20 years for full blown cancer to occur.
03:23This is called window period.
03:25This is a very good thing.
03:27Screening of a woman is very important.
03:29Under this, the government has started a program called Downstaging Cancer Cervix.
03:34The woman who was coming to us with stage 4 of cancer,
03:39stage 3 of cancer, and stage 2 of cancer,
03:43the cancer is caught up to stage 1.
03:46With this, we do surgical treatment.
03:50So, there is no need for radios and chemo.
03:52Otherwise, of 5 years survival,
03:54due to screening and our downstaging,
03:58the number of cancer patients has increased by 80 to 100 percent.
04:02One more good thing here is that
04:04when a woman comes to see a doctor,
04:07she tells everything openly.
04:10So, we take their history in detail.
04:12When there is a high-risk woman,
04:14we make her understand that
04:16her neighbor is also a high-risk woman,
04:18got married early,
04:20had children early,
04:22has many children,
04:24or has multiple sexual partners.
04:26So, all these come under high risk.
04:28So, we make these high-risk women understand.
04:31So, it is possible that
04:32they go home and discuss in their village,
04:34in the neighborhood,
04:36that there is someone like this,
04:38I will show you.
04:40The second thing is that
04:42we also examine her breast at any time.
04:44If there is any lump in the breast,
04:46then we get her sonography done immediately
04:49and refer her to the surgical department.
04:51So, here we catch two things at the same time,
04:54through screening.
04:56And there are only two cancers in women
04:58which are very lethal.
05:00And the government has also kept that
05:02through screening,
05:04there should be a good screening soon
05:06and by self-prevention,
05:08cancer, cervical cancer should be free by 2030.
05:11So, one is prevention
05:13and the other is curation
05:15and early detection.
05:17In prevention, there is vaccination
05:19which is done for girls
05:21at the age of 9 to 13
05:23when the cells are developing.
05:26And it is not that
05:28women do not get the cancer vaccine later,
05:31but after that the dose increases.
05:34At the age of 13 to 25,
05:36we have to give 3 doses
05:38and then at the age of 25 to 45,
05:40we have to give 3 doses.
05:42And nowadays,
05:44earlier there was only a bivalent vaccine,
05:46now there is a pentavalent vaccine,
05:48now there is a nanovalent vaccine
05:50which covers all the variants
05:52of the HPV virus.
05:54But I would like to say one thing
05:56that after applying the vaccine,
05:58women should not think
06:00that I do not need anything.
06:02At this reproductive age,
06:04when a woman is 35 years old,
06:06above 35,
06:08then she must do her screening.
06:10This yearly screening,
06:12then 5 yearly,
06:14that there should never be any
06:16cancer-like development.
06:18And this vaccine should also be
06:20given to children, males.
06:22It will reduce penile cancer,
06:24other genital warts, diseases,
06:26they also reduce.
06:28Colonic cancers are reduced,
06:30large cancers are also reduced.
06:32So the vaccine is a very good thing.
06:34And the second thing is that
06:36screening is important.
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