Brain Tumour Surgery Cost in India

Brain tumour surgery cost

Brain Tumour Surgery Cost in India

By Dr. Ravindra Patil

When the diagnosis is of a brain tumour, the first fear is of death and the second fear is the cost of treatment.

Treatments of tumours is usually of three types, with medicines [called chemotherapy], brain tumour surgery and radiation therapy.

Everyperson will try to seek brain tumour treatment without surgery first because everyone is afraid of surgery. Yes, brain tumour treatment without surgery is possible, but a benign tumour [non-cancerous tumour] is best treated by surgery as it can be removed totally.

Brain tumour treatment without surgery would seem to be so ideal. No need to cut open the skull with the possibility of damaging the brain. What are the types of brain tumour treatment without surgery?

Table of Contents

Chemotherapy

Medical treatment for brain tumour treatment without surgery is called chemotherapy. it uses anti-cancer (cytotoxic) drugs to destroy brain tumour cells. But remember, medicines whether injected or taken orally circulate throughout your body in the bloodstream. Thus the cytotoxic drugs may damage other parts of the body. Besides, it can be difficult to treat brain tumours with some chemotherapy drugs because the drugs cannot cross what is know as the “blood brain barrier”.

A typical a course of chemotherapy treatment may last 6-12 months, consisting of 6-12 cycles. Patients are given chemotherapy for a few days, every few weeks.

Radiation Therapy

There are three main types of treatments. You may need more than one type of treatment.

  • First is the External Beam Radiation Therapy (EBRT). For this type, a machine sends the rays of energy to the tumour. This treatment is usually done every weekday over several weeks.
  • Internal radiation (brachytherapy). This is also called interstitial therapy. Small seeds of radiation are put inside or near the tumour for a short while. The seeds have to removed in some types of treatments.
  • Gamma Knife radiation. This uses radiation beams called gamma rays. The rays are sent from a machine and focused at the tumour from hundreds of angles at the same time. Treatment is usually done in 1 session.However there is no real knife, the precise hammering of the gamma rays has probably given the name: Gamma Knife.

Brain Tumour Operation

This is of course the mainstay of treatment in benign [non-cancerous] brain tumours. Remove it and forget it.

But in many cases all three types of treatments are used in treating brain tumours. The surgeon removes the tumour, the radiation oncologist gives radiation to treat any residual tumour cells and the medical oncologist gives anti-cancer cytotoxic medicines to completely eradicate any cancer cells.

Where?

It seems obvious that brain tumour surgeries can be done only in major cities and in large corporate hospitals. Such hospitals have the best equipment and the best doctors under one roof. But they also charge a lot of money. Brain surgery cost in India or anywhere is always high. But there are reasons for that.

Brain tumours treatments needs a lot of diagnostic workup. Imaging like CT scan, MRI scan and PET scan are required. Then brain tumour operations require a lot of very expensive equipment. The operation theatre itself must be made specially with HEPA filters and laminar airflow.

The equipment inside a brain surgery operation theatre must ideally have a stereotactic frame, surgical navigation andimaging screens apart from the operation theatre lights, operation theatre table, anaesthesia trolley and so on. Special equipment like CUSA [Cavitronic Ultrasonic Surgical Aspirator] may be required, which again adds to the cost.

For recovery after a brain tumour operation requires an intensive care unit [ICU] for a few days. Later on the patient can be shifted to a special room. He/she cannot be put in a general ward as brain tumour patients need special care.

Physiotherapy is necessary after the brain tumour operation. Functional recovery must be slowly gained by appropriate gentle exercise under the supervision of a trained physiotherapist.

Sometimes speech therapy may be required. Other therapies like occupational therapies may be needed.

Sometimes implants or devices are put into the skull or brain and these stay inside the brain forever. Such devices are extremely expensive. They add to brain surgery cost in India.

Lastly but also very importantly, hospitals in metropolitan or cosmopolitan cities occupy land that is very, veryhigh-priced. That also coverts to higher costs of every brain tumour treatment patient. Building a new hospital in a city like Mumbai is unthinkable even for large corporates because of the high cost of land.

A good hospital in a small town

Not surprisingly, lot of overhead costs are reduced when there is a good hospital with a good team of medical and paramedical professionals in a small town.

Samarth Neuro and Superspeciality Hospital is a good example of a Corporate Hospital in smaller twin towns of Miraj and Sangli in the south of the state of Maharashtra in India.

Dr Ravindra Patil, a gold medallist neurosurgeon heads Samarth Neuro and Superspeciality Hospital. They do lots of brain tumour surgeries there. Their outcomes are comparable to brain tumour operations done anywhere in India.

And Samarth Neuro and Superspeciality Hospital charges much less as compared to the cost of brain tumour operations in cosmopolitan or metropolitan cities.

There are many reasons that the cost of brain tumour surgery in India is lesser in smaller cities and towns. It starts from lower cost of land, less land revenue, smaller distances https://marry.ua/ to the city centre and relatively easier approachability.

Dr Ravindra Patil trained in large cities and did thousands of surgeries  before he decided to settle in his home-town smaller cities of Miraj and Sangli. His aim was to to serve his fellow citizens and also to get away from the crowds. But the biggest reason was that he could build a sustainable hospital in these smaller tier two cities. Thus began the journey of Samarth Neuro and Superspeciality Hospital alongwith Dr Ravindra’s surgical skills.

He began with small brain tumour operations and soon increased his services to head injuries and road traffic accidents and surgeries for many other brain disorders. Today Dr Ravindra is one of the foremost neurosurgeons in south Maharashtra and Samarth Neuro and Superspeciality Hospital has top end equipment for nearly every brain tumour operation. Apart from CT Scanner and well-equipped operation theatres with laminar air flow and HEPA filters, his hospital has Surgical Navigation systems for ultra-precision brain tumour operations of different types.

But what is the cost?

One website promotes medical tourism in India has shown the following rates of brain tumour operation or surgeries in India in different cities. Again, the figures are only general and for advertisement. The cost for brain tumour surgery in India or anywhere will depend on the type of the brain tumour operation.

  • Bengaluru INR 1,25,000 – INR 3,60,000
  • New Delhi INR 1,20,000 – INR 3,95,000
  • Mumbai INR 1,30,000 – INR 4,90,000
  • Gurgaon INR 1,25,000 – INR 3,60,000
  • Chennai INR 1,35,000 – INR 3,10,000
  • Hyderabad INR 1,15,000 – INR 3,80,000
  • Add to the above the cost of travelling plus cost of food and stay of the accompanying person/s in the above cities

It can be seen that the brain tumour surgery cost in Indiain most cities is somewhat same except in Mumbai, where the brain tumour surgery cost is the highest. But that is because Mumbai is one of the costliest cities to live in.

As has been mentioned, the brain tumour surgery cost increases in major cities because of the infrastructure, the land cost, the staff salary cost, the local taxes, cost of electricity, cost of CNG, cost of medicines, medical gases and consumables,  all of which attract additional surcharges.

And not surprisingly, each and every thing of the above comes at a much lower cost in tier two or tier three cities.

However, if the skill of the leaders of the surgical team is the same, automatically the brain tumour surgery cost is reduced!

And that is why Samarth Neuro and Superspeciality Hospital headed by neurosurgeon Dr Ravindra Patil offers treatments like complex brain surgeries at a much reasonable cost in the towns of Miraj and Sangli in India. The bill for a complex surgery on a baby was only Rs 200,000 [rupees two lakhs].

AND REMEMBER, THE BABY’S FAMILY DID NOT HAVE TO INCUR ADDITIONAL COSTS IN TRAVELLING TO AND STAYING IN THE LARGER CITIES, WHICH SOMETIMES DOUBLES THE COST!

Parkinson’s Disease – 2

पार्किन्सन रोग/Parkinson's Disease

We discussed Parkinson’s disease, which is is a progressive nervous system disease that affects movement, expression, speed and so on. 

In the second part, we discuss surgical treatment and living with Parkinson’s disease. 

Table of Contents

Surgical procedures

Surgery for Parkinson’s disease is Deep Brain Stimulation’ [DBS]. Surgeons implant electrodes in the brain. The other ends of the electrodes are connected to a generator implanted in the patient’s chest near the collarbone. It may reduce symptoms of Parkinson’s disease.

DBS is effective in controlling erratic and fluctuating responses to levodopa or for controlling dyskinesia that doesn’t improve with medication adjustments.

DBS is offered to patients with advanced Parkinson’s disease, who have unstable Levodopa responses. It can stabilize medication fluctuations, reduce dyskinesia, tremor, rigidity and slowing of movements. Risks of DBS are infection, Cerebrovascular Stroke or brain haemorrhage. 

Lifestyle Changes & Home Remedies

While no food or combination of foods has been proved to help in Parkinson’s disease, some foods may help ease symptoms. Eating foods high in fiber and drinking an adequate amount of fluids can help prevent constipation which is common in Parkinson’s disease. A balanced diet also provides omega-3 fatty acids, which are beneficial for Parkinson’s disease patients.

Exercise

Exercise may increase patient’s muscle strength, flexibility and balance. It also helps improve the sense of well-being and reduces depression. Best exercises are walking, swimming, gardening, dancing, water aerobics, or stretching.

Parkinson’s disease can disturb the sense of balance, making a normal gait difficult. Exercise may improve gait. These are special suggestions for patients:

Try not to move too quickly

Aim for your heel to strike the floor first when you’re walking. Avoid shuffling, walk erect, and look in front, not at the ground, while walking.

Avoid falling down

Patients in the later stages of Parkinson’s fall more easily. To prevent falls, do this:

  • While walking, take a U-turn instead of pivoting your body over your feet.
  • Distribute your weight evenly between both feet, and don’t lean or stoop.
  • Avoid carrying things while you walk.
  • Avoid walking backward.

Daily living activities

Daily living activities — such as dressing, eating, bathing, and writing — can be difficult for people with Parkinson’s disease. An occupational therapist can help.

Alternative medicine

Supportive therapies can help ease some of the symptoms and complications of Parkinson’s disease, such as pain, fatigue and depression when performed in combination with medical treatment.

  • Massage can reduce muscle tension and promote relaxation. 
  • Tai chi is an ancient form of Chinese exercise. It employs slow, flowing motions that may improve flexibility, balance, and muscle strength and may help prevent falls. 
  • Yoga through gentle stretching movements and poses may increase flexibility and balance. 
  • Meditation, in which the patient quietly reflects and focuses his/her mind on an idea or image. Meditation may reduce stress and pain and improve your sense of well-being. 
  • Having a pet dog or a pet cat may increase your flexibility and movement and improve your emotional health.

Coping with Parkinson’s disease Problems

It’s normal for patients to feel angry, depressed or discouraged at times, as walking, talking and even eating become more difficult and time-consuming.

Depression is common but antidepressant medications help ease the symptoms of depression.

Family and friends are the best support group for patients. Support groups offer a place for patients and their families to find people who are going through similar situations and that helps greatly. Psychologists or social workers trained in working with people who have chronic conditions are also helpful, if available.

Preparing for the specialist’s appointment

Because there’s often a lot to discuss, it’s a good idea to prepare for your appointment. 

  1. Write down any symptoms you’re experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. 
  2. Write down key personal information, including any major stresses or recent life changes.
  3. Make a list of all medications, vitamins and supplements that you’re taking. 
  4. A family member or friend should accompany the patient, if possible. https://kmcentr.com.ua Sometimes it can be difficult for the patient to remember all the information provided by the doctor during the consultation. If someone accompanies you, he/she may remember the advice. 
  5. Write down questions to ask your doctor, because your time with your doctor is limited. 
  6. Some important questions for Parkinson’s disease patients are: 
    • What’s the most likely cause of my symptoms? 
    • Are there other possible causes? 
    • What kinds of tests do I need? Do these tests require any special preparation? 
    • How does Parkinson’s disease usually progress? 
    • Will I eventually need long-term care? 
    • What treatments are available, and which do you recommend for me? 
    • What types of side effects can I expect from treatment? 
    • If the treatment doesn’t work or stops working, do I have additional options? 
    • I have other health conditions. How can I best manage these conditions together? 
    • Are there any brochures or other printed material that I can take home with me? 
    • What websites do you recommend?

In addition to the questions that you’ve prepared to ask your doctor, don’t hesitate to ask questions that occur to you during your appointment.

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Be ready to answer them. Your doctor may ask:

  1. When did you first begin experiencing symptoms?
  2. Do you have symptoms all the time or do they come and go?
  3. Does anything seem to improve your symptoms?
  4. Does anything seem to make your symptoms worse?

To Summarise…

Parkinson’s disease has no perfectly known causes and no cure at present. New research will surely bring some help to patients. 

But everything is not gloomy with Parkinson’s disease. Medicines, exercise, and occupational therapy ease symptoms hugely, improve quality of life, and increase the life span. And most importantly, people learn to live with Parkinson’s disease.