Thursday, May 12, 2016

Oncoradiology and oncopathology

Each of us have our own unique story to tell. Some people can go on for hours even while talking to a complete xeno homo sapiens.
Similarly, each cell, tissue and organ of the body has a story to tell. All we need is some one to listen to. Here are some examples :

The debilitated person - that's similar to agonised women who scream their heart out when given a chance to talk about their sufferings. It's a pain that keeps troubling you forever and won't leave you at all. It's a sign that your cells are dying!

The shy person - These people need to be made friends first before they open out to you. You have to tend to them with care and only expertise and patience is the key here. These are diseases that need a high index of suspicion before you are able to diagnose them.

The drunk person - you give them 'Madeira', the "elixir" of happiness, ie lots of alcohol and they ll speak their heart out. Not remembering later what they said. That's like radiologists putting dyes and enhancing the contrast of the lesion to make the pathology clearly visible.

The confused person - they say yes when asked in public if they have a problem but later it turns out that they did it only for someone's sympathy. These are biological 'false positives' as we like to call them.

The hidden person - these people don't put their fingers up when asked in front of the whole classroom if they have a problem but will try to hide under the desk when the problem arrives. These are biological false negatives.

And finally the happy person - they are the healthy cells and tissues of our body

As you saw, the stories of the pathology is as varied as the stories of different people. What we need are better clinicians to find out the shy people, good radiologists to know more about drunk kind of people, better pathologists to help us weed out the confused and hidden people and better public health doctors to improve the quality of public health.

I would end by appreciating the contact role of all of these, as pathologists and radiologists who learn, study, read, understand, interpret, translate and convey the results from the language our cells speak, to the language we speak.

PS: the last sentence was the thought I had while appreciating the role of pathologists and radiologists during the multi disciplinary meetings in a conference at Tata Memorial Centre, Mumbai.

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