<img title="At any point in time, hundreds of patients are seen waiting for a chance to consult cancer specialists at Tata Memorial Hospital. File pic" src="http://images.mid-day.com/images/2017/jul/Tata-Memorial.jpg" alt="At any point in time, hundreds of patients are seen waiting for a chance to consult cancer specialists at Tata Memorial Hospital. File pic" /> At any point in time, hundreds of patients are seen waiting for a chance to consult cancer specialists at Tata Memorial Hospital. File pic
For cancer patients who want a second opinion from Tata Memorial Hospital but cannot afford to travel to Mumbai, there is an easier way. You can now get the best of advice from the renowned cancer centre, all at the click of a button.
Getting an appointment at Tata Memorial Hospital (TMH) can be close to impossible, with thousands of patients of vying for limited slots. As many as 60,000 new patients are registered for treatment in the hospital every year. Many cannot afford to live in Mumbai for the duration of the treatment, and merely visit the hospital for a second opinion - the hospital gets 1,000 such patients every month.
<img src="http://images.mid-day.com/images/2017/jul/Cure-hand.jpg" alt="" />
To address the overcrowding of patients and to help as many patients as possible, the hospital launched a service to provide second opinions online on www.navya.care. While it may take days to weeks to get an appointment in person at the hospital, with this service, patients can get an expert opinion on their case within one or two days, and for a reasonable processing fee - Rs 6,500 for Indian patients and $150 for foreign patients. Patients below the poverty line get free consultation.
Since the hospital started the service in association with Navya Network and the National Cancer Grid in 2014, it has been used by as many as 10,779 patients from 22 different countries, including the US and UK.
78% follow through While this service is no doubt a relief for patients, it also seems to have the approval of their doctors, with a recent survey showing that in 78 per cent of the cases, local doctors treating the patient accept the second opinion from Tata and follow the recommended line of treatment.
This study was conducted among 914 patients who registered with the service between July 2016 and March 2017. From the 90 per cent who responded, 78 per cent of patients said they had followed treatments recommended by Navya.
"The finding that a high proportion of the patients are sharing the reports with their treating oncologist and that most proceed with the recommended treatments, demonstrates that the online service has wide approval among both patients as well as local physicians and oncologists," said hospital director Dr Rajendra Badwe.
How does it work? Doctors' opinions are based on pathology reports and radiology tests like CT scan, PET scans, or MRI, which patients can send over to Navya. "We use the patient's medical reports and consult the country's best experts and our databases of medical research and outcomes of similar patients," said Gitika Srivastava, founder of Navya.
Once the test reports and the patient's medical history is received, a patient advocate or assistant from Navya presents it to the relevant experts for their opinion. The doctors then prepare a report that answers the patient's questions in layman's terms.
Special cases In case there is lack of clarity in the test reports, the experts will recommend fresh tests at established laboratories where patients can mail their samples.
In other cases, where the cancer has metastasised (spread to other sites in the body), the treatment plan is formulated by a tumour board at Tata. A tumour board typically consists of a diagnostic radiologist, pathologist, surgeon, medical oncologist and a radiation oncologist.
"Finally, there are some cases for which online opinions are not feasible, and in-person consult is strongly recommended," said Srivastava.
Such patients will be referred to one of the 108 cancer centres that are associated with the National Cancer Grid, such as Tata, Adyar Cancer Institute, AIIMS and others.

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How Tata Memorial Hospital is saving lives remotely and cutting queues

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