"Romanians have a problem of medical education"

Breast cancer is the most commonly diagnosed cancer among women both in the world and in Romania. It is also the cancer that has seen the most important and important advances in the research and advancement of therapies. Its strong media coverage in recent years has led to faster diagnoses and, automatically, better survival rates for patients. However, our country has not followed this international trend – doctors find extremely advanced cases, and notions such as autopalpare have regular control are alien to many Romanians

» The main problem in Romania is that a very large number – much higher than in other Western countries – of women with breast cancer is in an advanced stage and very advanced. I think it is a problem of medical education that the population has. Even today, I saw a young 49-year-old patient who had an advanced stage of the tumor, including all the breasts, with necrosis, with destruction, already in decomposition. And this is not the first I see at this point. I asked her why she waited until she came to a doctor and did not know, could not give me a clear answer. Today, in the first stage, the chances of survival are even 95-98%. I have seen many patients in stages 3-4. Here we are talking about 20 to 56% chance of survival. " says Dr. Eugeniu Darii, head of the surgical department of the Onco card, specializing in breast cancer at the hospital Royal Marsden

<img class =" size-medium wp- image-374917 alignleft "src =" https://www.cotidianul.ro/wp-content/uploads/2018/07/10/Dr-Eugeniu-Darii-300×200.jpg "alt =" "It does not make any difference. There are no well-established protocols in Romania "

In addition to the lack of medical education, there is also a problem in the medical camp, I think the doctors of the new wave – it does not exist. There are no well established protocols in Romania, and not enough subspecialized surgeons, who are always up to date with all the news about breast surgery.

" We, mammal surgeons in the country, are pioneers in this field, participate in external congresses and bring here a consensus that we apply here as a European country, for example the last consensus on cancer The breast was the one from St. Gallen in 2017 that we are going to implement here on the Onco map.Then we noticed – both in Europe and in America – that over-specialization of general surgeons in general surgery is d about 7 subdivisions (eg colorectal, hepatobiliary, endocrine, oncology, transplant surgery, upper gastrointestinal surgery and esophagus), emergency care) from which you can choose to have a fellowship and to pass a European examination.Our opinion is that in Romania, if you want to do a good surgery in the future, you have to specialize.You can not say that you are a good chiru rgien if you operate from the beard to the toe ", adds the surgeon Eugeniu Darii

Alignment of the procedures of Western Europe

The young doctors are very inspired by the experiences We have lived in Western hospitals and tried to align our procedures with those who impressed them.

" I liked the complexity with which addresses each case of breast cancer, I was impressed by the number of specialists involved in the treatment of a patient Breast cancer patients, all oncology committees including weekly meetings – surgeon, plastic surgeon, oncologist, imaging expert, radiotherapist, anatomopathologist, geneticist, family planning specialist, breast cancer nurse support, nurse At the time when the patient came to the surgery, he came 5-6 times to the hospital for various consultations, interviews, including a non-stop phone, a direct line to the hospital. assistance, and could always ask questions.I'm what i try to bring to the new surgery service of Onco Card Hospital of Braşov, that i started to build: the discussion of the commi oncology session, collaboration with a plastic surgeon, beautician for breast reconstruction, informative brochures adapted to Romania, to make available to patients and the concept of ONE STOP CLINIC – diagnosis, imaging, biopsy puncture with examination histopathology, case discussion at the oncology committee, chemotherapy, sentinel lymph node biopsy (as indicated), radiotherapy – all in one place "Myths and truths about breast cancer

As for risk factors for breast cancer , " Being a woman and getting older – this in itself increases the risk of breast cancer" says Dr. Darii, a member of the European Society of Surgical Oncology (ESSO). " Can studies mention smoking on the list of risk factors, lack of breastfeeding, first pregnancy after age 30, obesity, long-term use of contraception hormonal, hormone replacement therapy after menopause, first menstruation before age 12. 19659010] An extremely common myth among patients is that breastfeeding leads to cancer. " There is no There is no direct connection between a breast-borne stroke and cancer. Simply, when a woman hits her breast, she goes to the checks and takes a closer look, then the cancer is detected. This attention to the breast exam, attention drawn by the incident, leads to the discovery of problems that already existed. I've had many patients who have told me since I bumped, but not the trauma that leads to cancer, but more care and careful palpation after a stroke can save life – hitting , detect cancer.

The age of diagnosed patients has dropped

The specialist in mammalian oncology confirms a current trend in international statistics – increase in cancer cases diagnosed in very young women

" I tell you also why.Now – in the last 10 years since we have mobile phones, where wireless – we still do not know what effects they have on the body, we'll see them in 10-20 years about us and our children.The same is with what we eat because today we can not say that we know what we eat.All resuscitates on our body and, with a lifespan growing, mutations appear in our genetic code.The way to make children in old age increases the risk of transmitting mutations to children – mutations occur with age and give offspring, e With them we give them the same cancer, the same systemic diseases, congenital malformations.

Thus, the age of diagnosed patients decreased – the cancer is recovering, but on the other hand the number of investigative methods has increased and the diagnosis has progressed a lot these recent years, which may explain the increase in the number of cancers in general, not just young people. The stories of these still make doctors excited.

" Young cases pose as me and patients with children, I still think how brave they are"