Tobacco – Enjoy to Suffer

The start of the journey of a tobacco user is of enjoyment. The tobacco is packed and advertised to attract the youth. The flavor, menthol, etc added to tobacco – smoking. chewing or vaping is to make it an enjoyable thing. But the addictive factor added to it is slowly affecting the brain making it irresistible. The youth are attracted to tobacco by surrogate advertisements and misleading advertisements.

TOBACCO ENJOY TO SUFFER

Cigarettes contain 7000 chemicals, of these 200 are severely harmful and 69 are cancer-causing chemicals. In chewing tobacco similar constituents with 28 very harmful carcinogens. The Vaping device also contains chemicals that are leading to new forms of diseases.

No chemicals cause acute injury, it is a journey. In simple words, tobacco will not cause any diseases immediately. Its chronic use will slowly take its toll. Slowly diseases appear and it affects the body, initially reversible and later irreversible. This can be any time from the start of the tobacco journey and depends on many other factors. 200 types of diseases have been documented to be caused by tobacco. Tobacco users will have some or other diseases related to tobacco use, they cannot escape! In India, the introduction of chewing tobacco in the 1970s  and massive advertisements brought a new form of disease Oral and oropharyngeal Cancers and Submucous fibrosis. Now, we are the World’s highest in these diseases.

If you have taken tobacco for some time and you think you are not suffering, you are mistaken. The brain is adapting to your tobacco use, its function starts deteriorating, and to keep up with its pace as a non-tobacco user, the demand for tobacco keeps increasing. You are in a vicious cycle.

The journey starts with some foolish person enticing you to your first tobacco – smoking, chewing, or vaping will soon turn into suffering for yourself and for your relatives. These are the phases of tobacco use that will ultimately end in a painful untimely death.

Your present choice will determine your future life! #knowtobacco to choose your life journey.  

Tobacco is a disease.  Tobacco industries are enticing the new generation with newer forms, packaging, and flavors. One has to be smart not to start. For those who have started it is important they quit the earliest. Quitting needs hand-holding by a certified tobacco cessation specialist. Look for someone around you or call 011-43077695 or download the app- ICanCaRe at http://app.icancare.in

Every day 5500 youths are trapped and they start tobacco. Every day 3700 are dying a painful death. We have to change this scenario. Every unit must have a TOBACCO MARSHAL. Join a Tobacco MARSHAL to SAVE the youth! http://icancare.in/academy/marshal

 (The Author – Dr. Pawan Gupta M.Ch. is Director of Surgical Oncology at Max Super Speciality Hospital, Vaishali. Patparganj and Noida. He is the author of the book – Win Over Tobacco Made Easy, Be Smart Do Not Start and is highly recognized for his work on Oral Cancer and Tobacco Cessation. He is the convenor for the Certified Course in Tobacco Cessation at Gujarat University. He launched the #SAVEtheyouth campaign and Tobacco MARSHALs in the community)

 (Critically reviewed by Tobacco MARSHAL Sonal Bhatia, Shubh Bhatia, and Lakshay Srijay Gupta)

#1 Tutorial for Certified Tobacco Cessation Specialist

First Tutorial for Certified Tobacco Cessation Specialists initiated by Dr. Mariya Tambawala, Dr. Visuja Chaudhary, and Dr. Nikita Dwivedi was a great start. Practical-oriented discussion with the aim to understand the intricacies of successful cessation. The program started with a welcome address by Dr. Visuja, followed by Dr. Mariya telling the purpose of starting the tutorial.

Dr. Harshita Pandey a dental surgeon and Certified Tobacco Cessation Specialist running a center at MAX Vaishali put a tricky case for solving.

The case was discussed in detail with inputs coming from many of the participants, and discussing the history of the patient piecemeal, relevantly analyzing it, and finally preparing a plan for the patient. Sure, it would help Dr. Harshita manage her patient effectively. At the same time giving other CTCS an insight into dealing with such cases.

What some of the participants have to say:

“It was a very practical and clear insight on how to start and go about the ABCD of tobacco cessation. Thank you so much Pawan sir @Dr. Pawan Gupta M.Ch. for keeping it to the point. Great efforts and Thanks to Dr. Maria, Dr. Visuja, and Dr. Nikita. We”ll take it forward together 👏🏻👏🏻” – Dr. Urvashi Goyal, Ajmer

“Kudos to Dr. Mariya, Dr. Visuja, Dr. Nikita for coming forward with this initiative.. thank you Pawan sir.. practical application of all the knowledge and experience is the hallmark of this tutorial ..looking forward to many more.” – Dr. Varsha B.K., Karnataka

“Amazing session, very well planned and conducted. Learned how to do treatment planning. Discussions and Q&A were also helpful to understand the concepts better. Thanks to everyone. Thank you Dr. Maria, Dr. Harshita and Dr. Visuja.” – Dr. Monalee, Mumbai

“It was a very good initiative of ICanCare and we must continue every month. Good to recall all we learned.” – Dr. Rakesh Gupta, Chandigarh

Hearty Congratulations, Dr. Pawan Ji for this engaging initiative, full of energy to share and an acceptance of the participants to learn. Best wishes to all to sustain this maiden activity. The countrywide engagement is surely adorable. My feedback is that while it is good to excel in what one does, it will be more helpful for the majority (both treating physicians and the tobacco using patients) to keep tobacco cessation delivery simple, replicable without missing on basics.” – Dr. Rakesh K Gupta, Jaipur

38 CTCS participated in the first Tutorial.

Mr. Mitesh Shah of Tripada Pharmaceuticals makers of Varnitrip (Varenicline) was happy to be part of the program.

Mrs. Sonal Bhatia, Tobacco MARSHAL gave an insight into her TOBACCO MARSHAL initiative across India and her making of 1000 tobacco MARSHALs in 3 months.

The program ended with a vote of thanks by Dr. Nikita Dwivedi.

We look forward to our next tutorial. The tutorial is scheduled for the 15th of every month, and we wish for enthusiastic participation from all CTCS across India. Please do submit your cases for the same.

Contact:

Tutorial Co-ordinator – Dr. Mariya Tambawala 9924259452 dr.mariyasham@gmail.com

Dr. Nikita Dwivedi 8052664731 and Dr. Visuja Chaudhary 9971499968

MASTER TRAINER – Dr. Pawan Gupta M.Ch. 9811290152

Oral Oncology Connect – CME with AOI ENT Surgeons, Meerut

Schedule: 25th August 2022 Time: 9:30 pm onwards

MAX Patparganj conducted a #oraloncologyconnect CME with ENT Surgeons of Meerut at the Hotel Crystal Palace, Meerut

The program was arranged by Mr. Navdeep and his team of MAX Patparganj Sales team who ably organized the meeting.

The Interactive sessions were attended by 13 doctors. The program was conducted efficiently by Dr. Harshita Pandey, Oral Care, and Certified Tobacco Cessation Specialist at MAX-ICanCaRe OC-TCC.

The panel of Specialists from MAX consisted of Dr. Meenu Walia, Dr. Manoj Tayal, Dr. Rashi Agrawal, Dr. Satyam Taneja, Dr. Arun K Verma, Dr. Deepak Arora, and Dr. Pawan Gupta.

President of ENT Surgeons, Meerut– Dr. S. S. Guglani presided over the meeting. Dr. Shubham Dadoo gave the vote of thanks.

Introduction about MAX its Facility and its vision was presented by Dr. Meenu Walia Senior Director and Head Clinical Oncology of MAX East Zone. This was followed by a presentation on the Radiation oncology facility at MAX by our experienced Dr. Manoj Tayal Director of Radiation Oncology, Surgical expertise at MAX defining the patient outcome with team involvement by Dr. Pawan Gupta M.Ch., Director, Surgical Oncology. The panel discussion saw some interesting cases being discussed among the present doctors.

The patient outcome is defined by teamwork, with the machines, facilities and skilled and trained specialists at MAX special care is being taken for patient outcomes with an emphasis on cosmetic, functional, and psychological rehabilitation. Scarless surgeries for head and neck cancers pioneered by Dr. Pawan Gupta and ably supported by the radiation department headed by Dr. Manoj Tayal have brought an enormous change in the way cancer is being treated nowadays. Technologies like Photodynamic therapy, Sentinel node in HNC, and new age radiation technologies like VMAT, IGRT, IMRT, SRS, SBRT, and brachytherapy are all present under one roof at MAX Patparganj. Addition of Truebeam linear accelerator with all the modern-day armamentariums of on-board in-room imaging including CBCT, MVCT, and Exact-trac systems, the scope of radiation treatment has greatly widened the scope of cancer care at MAX Patparganj. Quality assurance (QA) of radiation treatment remains the keystone which is strictly implemented with the present-day best practices using the best QA equipments. The team of Radiation Oncologists under the leadership of Dr. Manoj Tayal is well supported by a team of medical physicists, radiation therapy technologists (RTTs), and well-trained nurses.

There was special interest in knowing about tobacco-related cancers and how to control the same. especially in chewing tobacco which is so rampant in India. Dr. Pawan Gupta M.Ch. Director Cancer Surgeon, MAX Hospital, Patparganj, and Vaishali, made them aware that quitting tobacco is possible and that one can quit tobacco with proper intervention by a Tobacco Cessation Specialist. TRISCaRe the innovative mouth opener device was also demonstrated. Dr. Pawan apprised that besides being a fine surgeon he is also the MASTER TRAINER of Tobacco Cessation courses run by Gujarat University and conducted by ICanCaRe.

The main emphasis was on involving the first echelon doctors for controlling the biggest killer cancer of India which is head and neck cancers and prevention with tobacco cessation and early detection by regular examination.

#MAX #oraloncologyconnect #icancare #icancareacademy #pawangupta #manojtayal

https://www.facebook.com/groups/icancare/permalink/1058232298157982/

Dr. Pawan Gupta at the CME with AOI (ENT SURGEONS) OF MEERUT 25th August 2022