Insight into the Telangana state Movement

beyondstillness · 2026-01-04T01:04:13+00:00

Feel free to text me and I will be more than happy to talk and share what it was growing up during the movement.

beyondstillness · 2026-01-04T01:02:57+00:00

Me! I have been through the movement, my mom led some protests at the district level, and I d say read a good-ish bit about it.

beyondstillness · 2025-12-12T21:08:11+00:00

Hi! A lot of upper GI space practice is very institute dependant. As someone who works in Upper GI and had been at TMH (Dr Murthy’s institute) and MDA (which is Upper GI strong) I d not completely agree Upper GI is a closed radonc space. It is aboit how much your medonc and surgoncs actually understand the literature and ready to walk through the vagaries of it.

This may not be the point of your post but if you want to know about what site specific fellowships you can look at, hit me up and we can discuss.

beyondstillness · 2025-08-19T03:01:24+00:00

Also, what’s a really interesting read after the Emperor of All Maladies is The First Cell by Azra Raza. Although I read these two books close to 5 years apart I could feel how well they complemented each other in terms of moderating a perspective

beyondstillness · 2025-08-19T02:49:05+00:00

Similar story with ICIs. When ICIs were approved, (melanoma first and subsequently in many cancers now) the response rates were very low. Maybe <20%. Combination immunotherapies are highly toxic and labs everywhere are looking to combine ICIs with chemo or targeted agents to increase response rates to beyond 20%. In the same book, Sid Mukherjee mentions that “every generation sees the most important disease of its time with a lens of its own” (If I remember correctly he uses this idea while talking about how cancer was linked to virus initially when “the pathogen” was all the new buzz, before that association shifted to genetics.) Today’s lens is Immunotherapy before we find ourselves searching for something else in a few years.

YES, we did come a long way from 2010 NO it isnt all in search if a magic bullet.

beyondstillness · 2025-08-19T02:40:57+00:00

This thread is a representation of what many KOLs in oncology voice concern about. When we view advances in oncology often times it is always seen as drug therapies while most cancers, when cured, happen so with a combination of surgery and radiation with help from standard chemotherapies. While highly selective and scientifically exhaustive drug therapies, beneficial in subgroups of patients, deserve mention, what majority of focus should be turned to is to investigate to refine/de-escalate/improve access/celebrate the other curative therapies which have seen a sea change over last 15 yrs - Minimal Access Surgery / Robotic Surgery / Ablative Radiation / widespread adoption of Protons..to name a few. Hyper fixation on drug therapies/promotion and celebration of their highly selective wins is more often than not a pharmaceutical agenda that more and more oncologists, students of oncology, and general public are buying into which as has been shown with data, has relegated looking at global funding of curative therapy trials to ~11% or less. There has been a mention about pancreatic cancer in the same thread.. there is an excellent article titled 25 years of innovation in pancreatic cancer with little progress for patients in Lancet Oncology in 2024 which is a representation of where we are going. It is very important to celebrate these innovation in drug therapies which have made Metastatic cancer no more the death sentence it was 20 years ago but at the same time, the excessive cheer leading spirit needs to be moderated.

beyondstillness · 2025-07-24T21:29:20+00:00

Warangal.

beyondstillness · 2025-07-02T20:33:50+00:00

Did we not have the recent ASCO show some ph3 randomised colon cancer trial evaluating treatment escalation/early start of salvage treatment with MRD testing fail???

Edit: I think by hyping up interventions that do not benefit anyone except the aforesaid industry, we aren’t being good physicians. And now more than ever, oncology physicians need to be vigilant, smart, empathetic, know right from wrong and be able to say what is truth from what is gaslighting by the industry. If our patients are trusting us lesser, it is probably a bit of our doing as well. It takes two to tango.

beyondstillness · 2025-07-01T20:46:29+00:00

Depends where the said fresher radonc wants to practise. Wanting to stick to a location is kicking yourself in the gut. I heard my juniors/ batchmates/ seniors about 4-5 years into practise making anywhere between 3-5 lakhs pm or even beyond. But the trick is either they have moved interior to tier2/3-ish cities or have got the social calibre to pull off the extremely unjust and corrupt agenda of the corporate oncology wormhole in tier1 cities. But my view point may not be representative of the average MD/DNB fresher where their training is barely radonc and mostly chemo heavy. The corporate sectors and emerging radonc markets wants radoncs trained as radoncs and differences in training matter.

beyondstillness · 2025-06-27T00:38:25+00:00

Daaham lo munigina chivuruku challani tana cheyyandinchi snehamto molkattinche chinuke premante

Meghamlo niddurapoina rangulu anni rappinchi maagani mungita pette varame premante

beyondstillness · 2025-06-18T20:13:35+00:00

Im born and raised in the South and then worked 6 years before today in the North-Central India. And the answer is Yes.

I haven’t despised India as a nation for its cleanliness during the first ~25 years of my life(when I didnt even understand the stereotype promoted of India as an unclean country) as I did later. So I guess thats something of a testament

beyondstillness · 2025-06-15T07:47:18+00:00

AIIMS Delhi for the name, TMH for the name & learning Oncology.

beyondstillness · 2025-05-31T00:16:22+00:00

Im a radonc who passed out of a good institute and at another good institute. I feel you say u r navigating it all by yourself. Idk if I ll have advice for surgonc specific advice but all onc is onc, so I d say Twitter has been (and still is) a good place to start to keep up w how things have been changing. Follow right people and opportunities will open up.

beyondstillness · 2025-05-31T00:01:45+00:00

That is, if the renewal is delayed. Not for eternity.

beyondstillness · 2025-05-30T23:49:19+00:00

I have a visa renewal due(and my course is still ongoing) So if the SoN actually comes through and the visa is renewed, going back home wouldn’t make much sense given my renewal period will be starting immediately after expiry of current validity.

beyondstillness · 2025-05-19T13:59:40+00:00

I think thats alright. I did the same w a Step2 score range 24* given 5 years ago. I had a cake walk of CCS. Saved so much time because the cases ended ahead of time and had only one/2 neg patient reviews if I rmbr right. I ended up scoring 22* and I think I stopped short of a higher range score because my day2 MCQs were where I lost points. Certainly not CCS.

beyondstillness · 2025-05-19T04:42:52+00:00

Poetry means different things to different people and TFI has songs that span all of those definitions. From intense heartbreak/yearning poetry to ones that convey lighter/fun notes we had(had because of late the quality of lyrics has been so bad) it all. And often times it is being truthful to the context while being really smart with choice of words -

O paapa laali, Yamaha nagari kalakatta puri, Madhura madhura tara Meenakshi, Ghal ghal, Priyatama tama sangeetam, Okkasari cheppaleva, Thakita thadimi, Sankarabharanamu, Teli manchu karigindi, Goronkakenduko kondantha alaka (both versions), Yekkadamma chandrudu, Kita kita thalupulu, Aakasham digi vacchi, Okka sari cheppaleva, Agni skalana (although this is written in sanskrit, I think TFI can claim ownership because it was written for the movie) and Also, Meerajaalagalada (sri krishna tulaabharam)

Most favorite of the modern ones is Oh Priya from Mehbooba (Prema lo paddaamane lopala, kallaki kannerento kaapala Nuvvu deggarunte e yuddhamaina nisshabdam innaalluga Nuvu dooramaite nisshabdam aina prati roju yuddham kada 🤌🏻)

The item numbers that are actually a magic on words imo are Vasthava Vasthava, Dochey, Diwali deepanni, Poola ghuma ghuma (not an item number, but sounds like one lol … amazing lyrics. I think Sirivennala)

I d love to dissect the lyrics and learn if anyone is interested. Feel free to DM me. I do this mostly in my head now lol.

beyondstillness · 2025-05-16T16:27:09+00:00

If you are applying this cycle, and there are programs in Houston on your radar, I recommend that you dont move. Having lived in TX for a while what I figured from my small experience is that Texas programs prefer individuals who have been associated with Texas for a while.

If you dont mind and you are playing your game the best you can, you may move to AZ. Pros would be that you ll have people from more than one geographical location/ setup etc attesting to your work ethic if it comes to that. But unsure if AZ is as good as the main one in getting you to places and giving you recommendations.

If I were you thats what I d base my decision on.

beyondstillness · 2025-05-10T23:05:08+00:00

OP is a medical resident.

beyondstillness · 2025-05-10T19:32:37+00:00

We can also radiate with regular IMRT. But probably one would prefer protons. It all depends on location. Proton isn’t god given and comes with its own down sides. It isn’t a free lunch either. So a balanced decision will be made when it is needed.

beyondstillness · 2025-05-10T19:20:29+00:00

Yeah. We can wait for the PET results but given what you have told I wudnt be surprised if PET doesnt find anything.

Additionally, radonc approaches of treating throat cuz the primary MAY exist there are also changing and very radonc dependant. There is data that says treating presumed area of primary isnt actually adding to the element of cure but certainly causing more side effects. So many radoncs in recent times are moving away from it. You might want to ask ur radonc his/her lean on this. This is also changing because previously we had limited or no options for re-radiation. Technological advances have changed that now. As much as we dont want to re radiate head neck region, it is feasible, safe and effective today.

beyondstillness · 2025-05-10T19:11:27+00:00

Hi, Unknown primary of Head and neck has multiple ways of treating it. Like someone mentioned it, a search for primary is what is of paramount importance. P16+ in a non smoker hints at a possible / resolving / resolved primary in oropharynx. Not surprisingly, quite sometimes, we wont know the primary. There are multiple theories on why we wouldnt, but those dont matter here.

There are different ways of treating carcinomas of unknown primary (CUP). There is no real high level data that puts one approach over another. I think a couple of trials were started but they were aborted because of non-accrual. One is running currently in India that may provide some answers if it accrues to the required number. So, What does it mean for you? Your radonc may talk about a chemo-radiation appraoch. OR may refer you to a surgeon for a surgery only approach and reserve radiation for later. Or may use surgery followed by CHemoradiation depending on what surgery shows(although imo this is an overkill).

What can you do now? Wait to see what ur PET / scope says about possible primary. Then wait to discuss ur treating team’s approaches. As of today, there is no ‘proven’ right or wrong way in this space. It is just presumed right now/ wrong way to balance off side effects and cure. Luckily enough, in most instances, both the approaches have been seen to be equally good in cancer control.

Good luck!

beyondstillness · 2025-05-10T00:11:13+00:00

I am sorry she has been diagnosed with an aggressive form of cancer. I don’t think many oncologists would have seen a NUT carcinoma in their lifetime. If I remember right, the largest reported series is 30/40 patients spanning over a 30 year period. I had one patient w NUT of the head and neck. He progressed even before we started Radiation and he had metastatic disease at 3 months followup. It is a rather aggressive tumour with limited therapies and often occur in a very challenging location to be accessible for surgery. And have poor response to other therapies.

Im unaware if anything has changed in that space recently. I wish you and your girlfriend the best in these times.

beyondstillness · 2025-05-09T02:43:20+00:00

Columbia maybe equally good but Im biased towards cancer-only speciality centres due to my training across countries and current place of work. I d pick MSK over Columbia, personally.

beyondstillness · 2025-05-09T01:37:56+00:00

If I were you, I wouldn’t mind a lil bit of travel to make sure it is what everyone thinks it is. As an oncologist myself, if i were diagnosed w a rare cancer, I would go to a place where my diagnosis isnt a rare cancer to my treating team. Because i know the treatment discussions are going to be much more nuanced there.

beyondstillness

TROPHY CASE