Patient Experience
A 65-year-old retired fisherman from a coastal village presented with advanced laryngeal cancer after years of ignoring hoarseness. Dr. Fernandes implemented adaptive radiotherapy with daily image guidance to spare salivary function. The patient maintained his ability to taste traditional Goan fish curry throughout treatment and achieved complete remission after 7 weeks.
A 28-year-old software engineer from Panaji developed Hodgkin's lymphoma discovered during a routine health check. Dr. Fernandes utilized involved-site radiation therapy with deep inspiration breath hold technique to minimize cardiac dose. The patient continued working remotely during treatment and returned to full fitness within 3 months with preserved fertility.
A 42-year-old single mother working as a hotel housekeeper presented with locally advanced cervical cancer. Dr. Fernandes coordinated concurrent chemoradiation while the hospital's social work department helped arrange childcare. She completed treatment despite financial constraints and showed no evidence of disease at 6-month follow-up.
An 8-year-old boy from a remote village was referred with medulloblastoma. Dr. Fernandes designed proton beam therapy-equivalent plans using advanced photon techniques, collaborating with pediatric oncologists. The child's family stayed at hospital accommodation throughout the 6-week treatment, with complete tumor control and preserved cognitive function.
A 71-year-old former school teacher with metastatic prostate cancer sought palliative radiation for painful bone metastases. Dr. Fernandes administered single-fraction stereotactic body radiation therapy to three sites, providing pain relief within 48 hours without disrupting the patient's daily yoga practice.
A 35-year-old professional musician diagnosed with early-stage breast cancer requested breast-conserving treatment. Dr. Fernandes employed intraoperative radiotherapy during lumpectomy, allowing the patient to resume performing within two weeks and avoiding weeks of daily hospital visits.
A 58-year-old construction worker with limited health literacy presented with locally advanced lung cancer. Dr. Fernandes used visual aids and Konkani translations to explain accelerated hypofractionated radiation. The patient completed treatment despite initial skepticism and achieved partial response allowing surgical resection.
A 19-year-old college student from an affluent family presented with nasopharyngeal carcinoma. Dr. Fernandes implemented intensity-modulated radiation therapy with weekly adaptive replanning to account for tumor shrinkage. The patient maintained academic performance throughout treatment and achieved complete remission with minimal long-term side effects.
A 47-year-old woman with recurrent ovarian cancer involving the abdominal wall required re-irradiation. Dr. Fernandes employed sophisticated techniques including hyperthermia with radiation, achieving local control where previous treatments had failed, allowing her to attend her daughter's wedding symptom-free.
An 82-year-old retired pharmacist with multiple comorbidities developed early-stage glottic cancer. Dr. Fernandes prescribed ultrahypofractionated treatment over just 10 days instead of conventional 6 weeks, minimizing hospital visits while achieving complete vocal cord preservation and cancer control.
A 31-year-old pregnant woman at 20 weeks gestation was diagnosed with brain metastases from breast cancer. Dr. Fernandes designed a specialized radiation plan with extensive fetal shielding and monitoring, successfully treating the tumors while the pregnancy continued to term without complications.
A 53-year-old diabetic farmer presented with locally advanced pancreatic cancer. Dr. Fernandes implemented stereotactic body radiation therapy with simultaneous integrated boost, allowing treatment completion before harvest season. The patient maintained farm operations throughout treatment with good pain control.
A 45-year-old nun from a local convent presented with metastatic bone disease from thyroid cancer. Dr. Fernandes coordinated radioactive iodine treatment with external beam radiation, scheduling sessions around her religious duties. She achieved excellent symptomatic relief and returned to her community service.