A breast cancer diagnosis is life-altering. The ignored lump, the dismissed nipple changes, it’s only when the final diagnosis arrives that the gravity of it all sinks in. Well, good news is that with timely intervention, breast cancer can be treated and controlled. You fight through treatment, begin to heal, grow your hair back, regain your strength—and slowly, life starts to feel normal again. Now imagine being told it’s back. A relapse. It is of course a tough blow to take.
Recently, author and filmmaker Tahira Kashyap spoke up about her breast cancer relapse with strength and honesty, reminding us that she’s not alone in this fight. Many women face relapses, and it requires a lot of courage.
Dr. Sachin Trivedi, Director of Medical Oncology, HCG Hospitals Cancer Centre, Mumbai, explains, “Breast cancer can relapse locally, which means in the same breast or chest area, regionally (nearby lymph nodes), or distantly, which we call metastatic relapse where it spreads to other organs like the bones, liver, lungs, or brain.”
Dr. Hemkant Verma, Surgical Oncologist at Sharda Care Healthcity, adds that a relapse occurs when dormant cancer cells become active again. “It can be emotionally devastating, but with medical advancements, many relapsed cancers can still be managed effectively. Early detection and prompt action are our best tools.”
Local or regional relapses, especially those that occur after a few years, are most often treatable. Doctors say that the 5-year survival rate can still be as high as 60–80%, depending on individual cases. However, metastatic relapse (Stage IV) isn’t considered curable, but it is manageable. Many patients go on to live active lives for several years. What matters most is early detection, how aggressive the cancer is, where it has spread, and how well the body responds to treatment.
While treatment is key, there are lifestyle choices that can help reduce the risk of a recurrence like avoiding smoking, limiting alcohol intake, maintaining a healthy weight, following a balanced, antioxidant-rich diet and staying physically active.
Doctor warns that hormone replacement therapy should only be taken if it is medically advised.
"Staying in close contact with your oncology team is crucial. Regular follow-ups, checkups, and screenings play a vital role in catching any signs of recurrence early. Also, it’s important to address lingering side effects, whether it’s fatigue, menopause symptoms, bone loss, or lymphedema. Even something as simple as daily walks or gentle yoga can improve physical and mental health outcomes," adds Dr Sachin. Physical healing is only one part of the journey. Emotional and mental wellbeing matter just as much. Whether it’s therapy, support groups, mindfulness, journaling, or creative expression, it’s important to have an outlet and a support system.
Dr. Dinesh Pendharkar, Director, Sarvodaya Cancer Institute, adds that cancer relapse isn't a failure, it’s simply a new chapter. “Cancer is complex and can evolve over time, developing resistance to earlier treatments. Some cells may lie dormant and later reactivate. But today, we have many treatment options: chemotherapy, radiation, targeted therapies, immunotherapy, and even clinical trials.”
He reminds patients that science is advancing rapidly. “A relapse doesn’t mean the end. It’s just the beginning of a new strategy. With better tools, better treatments, and stronger support systems, this is a fight we can face with renewed hope. Think of it as a spiral, you have already climbed so far, and now you are rising to the next level.”
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Your eyes could be giving you clues that your kidneys aren’t working the way they should. While most people associate kidney trouble with tiredness, swelling, or changes in urination, the effects can also show up in your vision. To understand this better, we spoke with Dr Manoj K. Singhal, Principal Director of Nephrology and Kidney Transplantation at Max Super Speciality Hospital, Vaishali.
The kidneys filter toxins and help maintain balance in the body. But when they start to weaken, some of the earliest signs may appear in unexpected places, like your eyes. Some of these symptoms, as per Dr Manoj are:
It’s normal to wake up with puffy eyes, but if the swelling doesn’t fade even after rest, it could point to protein leaking into your urine, a condition called proteinuria, which often signals kidney damage.
Sudden blurriness may be tied to high blood pressure or diabetes—two major causes of kidney problems. These conditions damage small blood vessels in the eyes and can even lead to sudden vision loss.
Many people with chronic kidney disease, especially those on dialysis, experience dryness or irritation in the eyes. This happens when mineral balance in the body is disrupted, leaving the eyes feeling gritty or uncomfortable.
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4. Red or Bloodshot Eyes
Frequent redness can be a warning sign of uncontrolled blood pressure or diabetes. In some rare cases, kidney-related conditions like lupus nephritis can also cause eye problems.
Kidney disease can sometimes affect the optic nerve or retina, making it harder to distinguish certain colours, especially shades of blue and yellow.
Not every eye problem points to kidney disease, but if these symptoms persist or worsen, it’s worth getting both your vision and kidney health checked. Routine eye exams can sometimes reveal early warning signs before bigger problems develop.
If you notice changes in your eyesight alongside other symptoms like fatigue, swelling, or urinary changes, don’t ignore them. Catching kidney issues early can make all the difference for both your eye health and your overall well-being.
How To Protect Your Kidneys and Eyes
While some kidney issues are unavoidable, there are steps you can take to reduce your risk and protect both your kidney and eye health, as suggested by Dr Manoj:
Taking care of your overall health is the best way to safeguard your kidneys. and your eyes from long-term damage.
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Suicides are one of the leading causes of death around the world. While it is easy to say that the person who chose to take their lives did it of their own violation, Harvard psychologist Dr. Matthew Nock, explains the other side. “90% of people who try and kill themselves say, I didn't want to die per se. I wanted to escape from seemingly intolerable.” Speaking on the On Purpose podcast with Jay Shetty, Dr. Nock pointed out that the link between work pressure and suicidal thoughts varies by race and ethnicity.
The concerning rise in suicide cases tied to work pressure has fueled a social media conversation about toxic work culture. What was once considered a normal part of the professional grind is now being openly challenged, as people share personal stories of the anxiety, depression, and isolation caused by unhealthy work environments.
According to Dr. Matthew Nock, certain careers are linked to a higher risk of suicide.
He noted that physicians and police officers are among those at high risk. He mentioned a spike in suicides among New York City police officers, who are predominantly white men, and shared that female police officers, in particular, face a higher risk, even when accounting for factors like age, race, and ethnicity.
According to a 2025 study published in the Police Practice and Research, on average, 21.4 out of every 100,000 officers died by suicide each year.
The study showed that the suicide rate was much higher for male officers (22.7 per 100,000) than for female officers (12.7 per 100,000).
Dr. Nock explained that access to means is a significant factor in these high-risk professions, which helps explain why physicians, police officers, and military members have a much higher risk of suicide compared to others.
Another study published in 2024 The BMJ, showed that the number of suicides among doctors has been going down, female doctors are still at a much higher risk than other people.
When looking at all the data, male doctors were found to have a 5% higher risk of suicide compared to the general population.
In a more recent analysis of the last few years, the overall suicide rate for doctors has decreased, which is good news. But even with this improvement, female doctors still have a 24% higher risk than the general public.
Dr. Nock stresses the importance of openly discussing suicide, particularly in schools. He compared it to fire drills or earthquake preparedness, saying that since 15% of people will experience suicidal thoughts, it's crucial to equip everyone with a safety plan..Dr. Matthew Nock said, "We know that asking about suicide, talking about suicide, does not make people suicidal."
He noted that the people who act on suicidal thoughts often show different signs than those who just have the thoughts. While depression is a strong predictor of having suicidal thoughts, other factors like anxiety, aggressiveness, poor behavioral control, and drug or alcohol use are more closely linked to a person actually attempting suicide.
He believes that a small educational module on suicide in health class could help save lives by teaching people what to do if they or someone they know is struggling.
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While we all know air pollution affects our health, did you know that it was actually driving cancer cases higher? This has led to a big rise in health problems worldwide. Past studies show that air pollution is linked to about seven million premature deaths each year and contributes to over 3% of all years of healthy life lost globally. This revelation was a big concern for public health, and to fix it, many measures were taken.
While some countries like the US showed promising results in bettering public health, a recent study in the International Journal of Public Health showed that this positive trend is not yet showed up in China.
One of the most dangerous types of air pollution is called fine particulate matter, or PM2.5. These tiny particles come from car exhaust, factory smoke, and even from the smoke created by burning solid fuels inside homes. Because they are so incredibly small, they can stay suspended in the air for a long time and, when we breathe them in, they go deep into our lungs.
Once inside the body, PM2.5 can cause inflammation and even change our genes, which increases our risk for many illnesses, especially tracheal, bronchial, and lung (TBL) cancers. A new study looked at how much PM2.5 pollution has affected TBL cancer rates in China, Japan, South Korea, and the United States from 1990 to 2021.
The study, which used data from the Global Burden of Disease (GBD) project, found some important trends:
The good news is that globally, the number of deaths and years of healthy life lost due to TBL cancer linked to PM2.5 pollution are going down. This positive trend was consistent in all the countries studied: China, Japan, South Korea, and the U.S.
Despite this global trend, China faced a much higher death rate from TBL cancer linked to PM2.5 compared to the other three countries. While their rates are decreasing, they still remain significantly higher than the worldwide average.
The research also looked at pollution from burning solid fuels inside homes. The global death rate from TBL cancer linked to this type of pollution has remained stable, but it's actually increasing for women while it's decreasing for men. This highlights a specific danger for women in homes that rely on these fuels.
Looking ahead, researchers predict that the global death rate for TBL cancer caused by PM2.5 will actually increase over the next 29 years. However, the study notes that countries like China, South Korea, and the U.S. are expected to see a significant drop in their rates, while Japan's numbers are expected to stay about the same.
Overall, this study shows that while air pollution is a serious global health risk, the efforts to reduce PM2.5 exposure in many countries are making a real, positive difference.
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