Скачать или смотреть Chemotherapy कैसी होती है? Light Or Heavy? | Heavy vs Light Chemo! | Dr Praveen Kammar, Mumbai

Hello friends, I’m Dr Praveen Kammar, Cancer Surgeon. I treat digestive system and gynecological cancers. In this video, I want to clarify a common concern patients raise after surgery, “Doctor, is this heavy chemo or light chemo?”
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Video Flow
0:00 What do patients mean by heavy or light chemo?
0:27 Why oncologists interpret it differently
1:06 What counts as heavy chemo from a medical point of view
1:46 When do we recommend aggressive regimens
2:49 Real-world examples: stomach and pancreatic cancer
3:52 Why fitness matters more than labels
4:52 How oncologists adjust doses over time
5:21 Patients vs. doctor perspective on side effects
5:50 Conclusion
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Chemotherapy कैसी होती है? Light Or Heavy? | Heavy vs Light Chemo! | Dr Praveen Kammar, Mumbai

I understand why this question comes up. Either they are worried about the side effects or concerned about the cost. From a patient’s perspective, “heavy” often means more side effects or stronger medicines.

What Does It Mean for an Oncologist?
As an oncologist, my definition of heavy chemotherapy depends on clinical factors. It could mean:
More drugs in the regimen (e.g., four instead of two)
A higher number of cycles (e.g., six instead of four)
Stronger dose intensity than standard guidelines

We don’t label chemo as light or heavy casually. It’s a scientific decision based on the treatment goal, cancer stage, and patient condition.

Why Do We Choose Aggressive Chemotherapy Sometimes?
In cases like locally advanced stomach cancer, a four-drug regimen like FLOT works better than two-drug protocols. It shows better tumor response and survival benefits.

Similarly, in borderline resectable pancreatic cancer, we use FOLFIRINOX (a three-drug combo) which helps shrink the tumor and convert patients to surgery candidates.
These are aggressive regimens. But we only choose them when we know the patient can handle them.

How Do We Decide the Right Intensity?
Every treatment plan depends on how fit the patient is. If someone is weak, malnourished, or dealing with severe symptoms like ascites or weight loss, we may begin with a gentler dose. Later, if the body tolerates it well, we might intensify it.
On the other hand, if we start with a strong dose and the side effects become unmanageable, we shift to a lighter schedule like weekly instead of once in three weeks.

Final Thoughts for Patients and Families
Patients often focus on short-term discomfort, while doctors look at long-term control. That difference in perspective causes confusion. I always recommend open, honest discussions. Ask your oncologist about the reasons behind your chemo plan. Once you know the logic, things become much clearer.

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About Dr. Praveen Kammar

Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.


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