chat icon

WhatsApp Expert

Book Free Consult

Neurological deficits

Neurological deficits

Understanding Neurological Deficits in Cancer Patients

5 Common Neurological Disorders - Identifying Symptoms & Causes

Neurological deficits in cancer patients encompass a range of conditions that may affect the brain, spinal cord, and peripheral nerves. These deficits can result from the direct presence of tumours within the nervous system, such as in brain cancer, or indirectly through cancer's metastatic spread, treatment side effects, or paraneoplastic syndromes. Understanding these impairments is crucial for providing comprehensive care and improving the quality of life for affected individuals.

Direct Impacts: Primary brain tumours are a significant source of neurological deficits in cancer patients. This tumour can lead to symptoms based on their location in the brain, including cognitive impairments, changes in personality, headaches, and seizures. Another direct impact is spinal cord involvement, which can cause pain, weakness, or paralysis depending on the tumour's location and size.

Indirect Effects: Beyond the physical presence of tumours, cancer can indirectly contribute to neurological deficits. Metastasis to the brain or spinal cord from cancers originating in other parts of the body can cause similar symptoms to the primary brain or spinal tumours. Furthermore, treatments such as chemotherapy, radiation, and surgery may also result in neurological issues, ranging from mild peripheral neuropathy to more severe cognitive changes.

What is Metastasis?

Types of Cancer Most Commonly Associated with Neurological Deficits

  • Brain and Spinal Cord Tumors: Direct impact on neurological function.
  • Lung Cancer: Known for its ability to metastasize to the brain.
  • Breast Cancer: Also has a high propensity for brain metastases.
  • Melanoma: This type of skin cancer is particularly likely to spread to the brain.

Given these challenges, managing neurological deficits in cancer patients requires a multidisciplinary approach. This includes not just treating the cancer itself but also managing symptoms and rehabilitative efforts to improve or maintain quality of life. Dietary adaptations, including nutrient-rich vegetarian diets, may also support overall health. Foods rich in antioxidants, such as berries, nuts, and green leafy vegetables, are often recommended to support brain health.

5 High protein vegetarian foods · HealthKart

Conclusion

Neurological deficits in cancer patients present complex challenges that require targeted intervention and extensive care. Understanding these impairments and their associations with various types of cancer is essential for tailored treatment strategies. As research progresses, there is hope for more effective treatments that not only extend life but also enhance its quality for those living with cancer.

Types of Neurological Deficits Associated with Cancer

Cancer and its treatment can lead to a range of neurological deficits that affect patients in unique and challenging ways. Understanding the specific types of neurological impairments can help in providing the right care and support for those affected. This section delves into cognitive impairments, peripheral neuropathy, and motor deficits, shedding light on how they impact daily life and long-term well-being.

Cognitive Impairments

Cognitive impairments in cancer patients can manifest as memory problems, difficulty concentrating, or issues with multitasking. Often referred to as "chemo brain," these cognitive challenges can significantly affect a patient's quality of life, making everyday tasks more difficult. Strategies such as brain exercises, a healthy diet rich in fruits and vegetables, and regular physical activity can help in managing these symptoms.

Peripheral Neuropathy

Peripheral neuropathy is a common neurological complication arising from cancer treatment, especially in those undergoing chemotherapy. It involves damage to the peripheral nerves, leading to symptoms such as numbness, tingling, pain, and weakness, primarily in the hands and feet. Managing peripheral neuropathy involves a combination of medical treatments and lifestyle adjustments, including maintaining a balanced diet packed with nutrients essential for nerve health, such as B vitamins found in leafy greens, nuts, and whole grains.

Motor Deficits

Cancer and its treatment may also lead to motor deficits, affecting the ability to move and carry out daily activities smoothly. Symptoms can range from mild difficulty with coordination to more severe issues such as paralysis. Physical therapy is a cornerstone in the management of motor deficits, aiming to improve mobility, strength, and independence. Engaging in gentle yoga or Pilates can also support muscle function and enhance overall well-being.

Living with neurological deficits due to cancer is a challenging journey. Patients, caregivers, and healthcare providers must work together in managing these conditions. Early intervention, tailored rehabilitation, and continuous support play vital roles in enhancing the quality of life for those affected. Incorporating healthy lifestyle choices, such as a nutritious vegetarian diet and regular physical activity, can further support the body and mind during and after cancer treatment.

Causes of Neurological Deficits in Cancer Patients

Understanding the causes of neurological deficits in cancer patients is critical for providing appropriate care and support. These deficits can significantly impact a patient's quality of life. They may result from the cancer itself, treatment-related side effects, or other associated conditions.

Tumor Pressure

One primary cause is tumour pressure. As tumours grow, they can compress brain tissue, nerves, or spinal cord segments, affecting neurological function. This pressure can lead to symptoms such as headaches, vision changes, balance problems, or even seizures, depending on the tumour's location.

Treatment Side Effects

Treatments like chemotherapy, radiation, and surgery are pillars of cancer management but can also contribute to neurological issues. Chemotherapy drugs, designed to target rapidly dividing cancer cells, may affect healthy cells, including nerve cells, leading to conditions like peripheral neuropathy. Radiation can cause swelling or damage to brain tissue, leading to cognitive issues or motor deficits. Surgical interventions, necessary to remove tumours, may unavoidably affect nearby nerves or brain regions.

Paraneoplastic Syndromes

Paraneoplastic syndromes represent another complex cause of neurological deficits. These are rare disorders triggered by an immune response to a tumor, known as a "paraneoplastic effect," leading to symptoms that are not directly related to tumour pressure or metastasis. Symptoms may include muscle weakness, sensory loss, or cognitive changes and can precede the diagnosis of cancer.

Managing the Impact

Addressing these causes requires a multidisciplinary approach, combining specific treatments for cancer with supportive therapies to manage neurological symptoms. Rehabilitation, including physical and occupational therapy, can be beneficial. Nutritional support is also crucial; a diet rich in fruits, vegetables, and whole grains can support overall health during cancer treatment. Although non-vegetarian foods are often recommended for their high protein content, there are plenty of vegetarian sources of protein, such as beans, lentils, and quinoa, that are excellent for patients maintaining a vegetarian diet.

Understanding the root causes of neurological deficits in cancer patients allows for better patient care and improved outcome management. As research progresses, it's hoped that more effective treatments with fewer side effects can be developed, reducing the neurological impact on cancer patients.

Impact on Quality of Life

Neurological deficits in cancer patients can profoundly affect their quality of life. This impact spans physical, emotional, and social aspects, creating challenges that go beyond managing the disease itself. Understanding these changes is crucial for providing comprehensive care and support.

Physical Impact: Neurological deficits can lead to a range of physical challenges, including mobility issues, sensory impairments, and chronic pain. These conditions can make everyday activities difficult, leading to a loss of independence. For instance, a patient suffering from neuropathy may struggle to walk or even grasp objects, significantly altering their ability to perform daily tasks.

Emotional and Mental Health: The psychological impact of dealing with neurological deficits cannot be underestimated. Patients may experience depression, anxiety, and a sense of isolation. Sarah, a 45-year-old breast cancer survivor, shared her story of battling severe depression after developing cognitive issues. It wasn't just the forgetfulness; it was the fear of losing myself, Sarah explained. Support groups and therapy have been pivotal in her journey towards emotional resilience.

Social Aspect: Social interactions can also be affected. Communication difficulties or cognitive impairments can make it hard to connect with others, leading to social withdrawal. John, who was diagnosed with brain cancer, found solace in online communities after feeling misunderstood by his social circle. Finding others who truly understand what you are going through made a huge difference for me, he remarked.

To mitigate these impacts, incorporating holistic care strategies is essential. Dietary changes, for instance, can play a role in managing neurological symptoms. Incorporating nutrient-rich, plant-based foods like leafy greens, nuts, and whole grains can support nerve health and overall well-being. Additionally, physical therapy, counselling, and social support can create a comprehensive care plan that addresses the multifaceted challenges faced by these patients.

In conclusion, the implications of neurological deficits in cancer patients are comprehensive, affecting not just the physical realm but also the emotional and social spheres of life. By sharing stories like those of Sarah and John, we shed light on these struggles, promoting a deeper understanding and better support systems for those affected.

Diagnosis and Monitoring of Neurological Deficits in Cancer

Identifying and tracking neurological deficits in cancer patients is crucial for managing these challenging conditions effectively. Early diagnosis and consistent monitoring can significantly impact the quality of life for individuals facing cancer, empowering healthcare providers to tailor treatments that mitigate the progression of neurological deficits.

Why is Early Diagnosis Important?

Early detection of neurological deficits in cancer patients can lead to interventions that may prevent further neurological damage and improve overall prognosis. It allows healthcare professionals to address symptoms promptly, improving the chances of managing or even reversing some of the deficits.

Monitoring: A Continuous Process

Regular monitoring is equally important. It enables doctors to adjust treatments based on the progression of the neurological deficit, ensuring that patients receive the most effective care at all stages of their condition.

Diagnostic Tools and Tests

  • Magnetic Resonance Imaging (MRI): MRIs are pivotal in diagnosing neurological deficits in cancer, offering detailed images of the brain and spinal cord. This tool helps in identifying any abnormalities or changes that could be indicative of neurological issues.
  • Computed Tomography (CT) Scans: CT scans are utilized to provide a quicker overview of the brain and spinal structures, aiding in the detection of tumours, bleeding, or other conditions contributing to neurological deficits.
  • Neurological Examinations: Routine neurological exams are fundamental in assessing the nervous system's function. Through various tests, doctors can evaluate sensory and motor responses, reflexes, coordination, and cognitive abilities, which help in pinpointing the presence and extent of neurological deficits.

Adopting a proactive approach in the diagnosis and monitoring of neurological deficits in cancer can lead to more personalized and effective treatment plans. Individuals need to communicate any new symptoms or changes in their condition to healthcare providers promptly, ensuring that the appropriate diagnostic tests are conducted.

Concluding Thoughts

Understanding the importance of early diagnosis and regular monitoring of neurological deficits in cancer is essential. With the right diagnostic tools and vigilant attention to the changes in one's condition, there is potential to significantly improve outcomes and quality of life for those affected.

Treatment Options and Management Strategies for Neurological Deficits in Cancer

Cancer and its treatments can sometimes lead to neurological deficits, affecting patients' quality of life in various ways. Recognizing and managing these deficits is crucial in ensuring a holistic approach to cancer care. This overview explores the various treatment options and strategies available to manage neurological deficits in cancer patients, focusing on medications, physical therapy, occupational therapy, and supportive care. Each patient's treatment plan is uniquely tailored to their specific needs and conditions, ensuring the best possible outcomes.

Medications: Medications play a pivotal role in managing symptoms of neurological deficits. For instance, pain relievers, anti-inflammatory drugs, and steroids are often prescribed to alleviate pain and reduce inflammation. In cases where seizures are a concern, anticonvulsant medications may be utilized. It's important to have a thorough discussion with a healthcare provider to understand the benefits and potential side effects of these medications.

Physical Therapy: Physical therapy is another cornerstone in managing neurological deficits. A physical therapist can design a program to help patients maintain or improve their physical strength, balance, and mobility. Exercises tailored to the patient's specific needs can help alleviate symptoms like muscle weakness and balance issues, enhancing their ability to perform daily activities.

Occupational Therapy: Occupational therapy focuses on improving patients' ability to perform daily tasks, promoting independence. Therapists assess patients' needs and work with them to develop strategies to manage tasks related to personal care, work, and leisure activities. Adaptive tools and devices may be recommended to assist patients in their everyday lives.

Supportive Care: Supportive care encompasses a range of services designed to help patients cope with the emotional, social, and psychological effects of cancer and its treatment. This may include nutritional advice, psychological support, and strategies to improve cognitive function. Emphasizing a healthy diet, rich in fruits, vegetables, and whole grains is a part of supportive care. Mindfulness, meditation, and relaxation techniques can also play a vital role in managing the overall well-being of cancer patients with neurological deficits.

Each patient's treatment plan is personalized based on their specific needs, symptoms, and overall health. Collaboration among a multidisciplinary team of healthcare providers, including neurologists, oncologists, therapists, and nutritionists, ensures a comprehensive approach to managing neurological deficits. Regular assessments and adjustments to the treatment plan are essential in responding to the changing needs of the patient.

In conclusion, managing neurological deficits in cancer patients requires a multifaceted and personalized approach. Medications, physical therapy, occupational therapy, and supportive care all play critical roles in this regard. By tailoring treatment strategies to each patient's unique needs, healthcare professionals can significantly improve the quality of life for those affected by cancer-related neurological deficits.

Integrative and Holistic Approaches

Cancer and its treatments can sometimes lead to neurological deficits, affecting patients' quality of life. Understanding and managing these challenges require a comprehensive approach. Integrative and holistic therapies have shown promise in supporting traditional treatment methods, helping to alleviate symptoms and improve overall well-being.

Acupuncture

Acupuncture, a practice rooted in traditional Chinese medicine, involves the insertion of thin needles into specific points of the body. This process is believed to stimulate the body's natural healing mechanisms. For cancer patients experiencing neurological deficits, acupuncture can help reduce symptoms like pain, neuropathy, and anxiety, making it a valuable complementary therapy.

Massage Therapy

Massage therapy offers a gentle yet effective way to manage pain and stress associated with neurological issues. By promoting relaxation and increasing circulation, massage can help alleviate muscle tension and improve mobility, providing a sense of comfort and relief to those undergoing cancer treatment.

Meditation and Mindfulness

Engaging in meditation and mindfulness practices can significantly benefit patients facing the psychological and emotional challenges of cancer and its neurological effects. These practices foster a state of calmness and present-moment awareness, reducing stress, enhancing emotional balance, and potentially improving cognitive function.

Nutrition Tailored to Support Neurological Health

Optimizing nutrition is crucial for patients with cancer, especially those experiencing neurological deficits. A diet rich in fruits, vegetables, whole grains, and plant-based proteins can provide essential nutrients for brain health and recovery. Foods high in antioxidants, omega-3 fatty acids, and B vitamins are particularly beneficial. For example, incorporating spinach, berries, nuts, and whole grains into the diet can help support neurological function and overall health.

In conclusion, integrating holistic and complementary therapies like acupuncture, massage, meditation, and tailored nutrition can play a significant role in managing neurological deficits in cancer patients. These approaches, along with conventional treatments, offer a more comprehensive pathway towards healing and quality of life improvement.

Navigating Emotional and Mental Health

Dealing with a cancer diagnosis is a profoundly challenging experience, particularly when neurological deficits are involved. These deficits can range from cognitive changes, and difficulties in movement, to changes in behaviour and emotional regulation. I not just a physical journey but an emotional rollercoaster that requires support, understanding, and resources to navigate effectively.

The emotional and psychological impact of dealing with neurological deficits and cancer cannot be understated. It may provoke feelings of fear, anger, sadness, and isolation. Recognizing the importance of emotional and mental health is crucial in the comprehensive care of cancer patients. Here, we explore avenues to support mental wellbeing and offer resources for mental health support.

Counselling

Professional counsel can provide a safe space for individuals to express their feelings and thoughts. Licensed therapists who specialize in oncology can offer coping strategies and therapeutic interventions to manage the emotional and psychological effects of cancer and its associated neurological deficits.

Support Groups

Support groups provide a platform for sharing experiences and feelings with others who are in similar situations. These groups can be specific to cancer, neurological deficits, or both, offering a sense of community and understanding. Many hospitals and cancer centres offer support groups that meet regularly.

Online Forums

In the digital age, online forums and social media groups offer another layer of support. These platforms can connect individuals from all over the world, making it possible to find someone going through similar experiences at any time of day. Websites such as CancerCare and the National Cancer Institute provide valuable information and access to online support networks.

Mindfulness and Meditation

Practices like mindfulness and meditation can help manage stress, anxiety, and depression associated with cancer and neurological deficits. These practices promote relaxation and present-mindedness, offering a break from the constant worry about the future or the challenges of the present.

Nutritional Support

Maintaining a balanced diet is important for overall health and can also impact emotional well-being. Foods rich in omega-3 fatty acids, whole grains, and leafy greens can support brain health and mood. Consulting with a dietitian experienced in oncology can help tailor nutritional advice to support both physical and emotional health.

In conclusion, the emotional and psychological impact of neurological deficits and cancer is significant. Utilizing available resources such as counselling, support groups, online forums, mindfulness techniques, and nutritional support can offer a holistic approach to managing these challenges. Remember, it's okay to seek help and connect with others who understand your journey.

Caregiver Support and Resources

Caring for someone with neurological deficits in cancer is a profoundly challenging role. The physical and emotional toll on caregivers can be significant, as they navigate the complexities of managing symptoms, providing emotional support, and often juggling their own personal responsibilities. Acknowledging the vital role of caregivers is the first step in supporting them through their journey.

Neurological deficits can vary widely, encompassing issues such as memory loss, difficulty with coordination and balance, changes in behaviour, and more. These changes can be distressing, both for the individual experiencing them and for their caregivers. Caregivers need to have access to reliable resources and practical advice to manage these challenges effectively.

Tips for Managing Neurological Deficits

  • Educate Yourself: Understanding the specific neurological deficits your loved one is experiencing can help you provide better care. Resources such as the National Institute of Neurological Disorders and Stroke offer valuable information.
  • Modify the Environment: Make home modifications to create a safe, accessible environment. This might include installing grab bars, using non-slip mats, and ensuring the home is well-lit.
  • Encourage Independence: Allow your loved one to perform tasks on their own as much as possible, adapting activities to their abilities. This can help maintain their sense of autonomy and dignity.
  • Involve Them in Decision Making: Involve your loved one in discussions about their care and daily routines as much as possible. This inclusion can help them retain a sense of control over their life.

Resources for Caregiver Support

Caregivers should not overlook their well-being. Here are several resources to support caregivers:

  • Support Groups: Joining a caregiver support group can provide a sense of community and understanding. The American Cancer Society offers connections to support groups where experiences and coping strategies can be shared.
  • Self-Care: Remember to take time for yourself. This can include simple activities like walking, reading, or enjoying a favourite hobby. Prioritizing your well-being helps you provide better care to your loved one.
  • Nutrition: Maintaining a healthy diet is crucial. Opt for nutritious vegetarian foods rich in vitamins and minerals to support energy levels and overall health. Foods such as leafy greens, whole grains, and fruits can be particularly beneficial.
  • Respite Care: Consider seeking respite care services to give yourself a break. This can help prevent caregiver burnout and ensure that you're able to continue providing care over the long term.

Caring for someone with neurological deficits due to cancer demands immense compassion and resilience. By accessing the right support and resources, caregivers can navigate these challenges with greater confidence and care for their loved ones with the compassion they deserve.

Research and Future Directions in Neurological Deficits in Cancer Patients

The landscape of cancer treatment and patient care is ever-evolving, with groundbreaking research paving the way for innovative therapies and solutions, especially regarding neurological deficits in cancer patients. This area of medicine focuses on understanding and addressing the cognitive and motor impairments that may arise as a result of cancer or its treatment.

Recent studies have started to uncover the complex relationship between cancer and neurological deficits. Researchers are actively investigating how various cancers, particularly those of the brain, central nervous system, and cancers that metastasize to the brain, contribute to the development of neurological impairments.

Promising Treatments and Therapies

One promising area of research is in the development of targeted therapies that can more accurately distinguish between cancer cells and healthy brain tissue, reducing the risk of neurological damage. Advances in immunotherapy, which harnesses the body's immune system to fight cancer cells, offer another potential pathway to limit or reverse neurological deficits.

In addition to pharmaceutical treatments, rehabilitative therapies are gaining attention. Customized physical therapy, occupational therapy, and cognitive rehabilitation programs are designed to support patients in regaining lost functions and adapting to changes in their abilities.

Nutritional Support

Interestingly, research also underscores the importance of nutritional support in managing neurological deficits. Diets rich in antioxidants, like fruits and vegetables, and the incorporation of brain-healthy foods such as nuts, seeds, and whole grains, have been shown to support brain health and may mitigate some cognitive impairments associated with cancer treatments.

Future Directions

Looking ahead, the focus of research is not only on treating neurological deficits but also on prevention. Early detection of potential cognitive impairments and the implementation of preemptive strategies, such as cognitive reserve-building activities and lifestyle adjustments, are promising research avenues.

Moreover, the integration of digital health tools, like mobile apps and wearable devices, into patient care plans offers an innovative way to monitor neurological symptoms and the effectiveness of treatments in real time.

As our understanding of the intricate relationship between cancer and neurological deficits deepens, the future holds the promise of more effective, personalized treatments and supportive measures. These advancements could significantly improve the quality of life and outcomes for cancer patients facing the challenge of neurological impairments.

Continual research and innovative approaches to treating and managing neurological deficits in cancer patients are key to improving patient care and outcomes. Stay tuned for more updates on this critical aspect of cancer treatment.

Patient Stories and Interviews: Navigating Neurological Deficits in Cancer

Cancer is not just a single disease but a multitude of disorders that can affect every part of the body in various ways. Among the lesser-discussed but significantly impactful aspects are the neurological deficits that some patients experience. These challenges can range from mild cognitive changes to more severe neurological impairments. To bring light to this issue, we spoke with several cancer survivors who navigated these difficult waters. Their stories offer a glimpse into the complexities of cancer, the human mind, and the indomitable spirit of those who face these challenges head-on.

Anne's Journey with Brain Fog

Anne, a breast cancer survivor, noticed subtle changes during her chemotherapy treatments. "I started experiencing what my doctor called 'chemo brain', but it felt like so much more than that. It was hard to focus, and I'd forget words mid-sentence," Anne recalls. These cognitive changes, while not permanent, greatly impacted her daily life. Through a combination of cognitive therapy and mindfulness practices, Anne found ways to manage her symptoms. She emphasizes the importance of seeking support and not dismissing these issues as just another side effect.

David's Battle with Peripheral Neuropathy

For David, a lymphoma survivor, the fight didn't end with remission. "The chemotherapy saved my life, but it also left me with peripheral neuropathy in my hands and feet," he shares. This condition, characterized by numbness, tingling, and pain, made everyday activities challenging. David turned to physical therapy and dietary changes, including a rich array of vegetarian foods packed with nerve-supportive vitamins, such as leafy greens, nuts, and seeds, to help manage his symptoms. "It's a slow process, but I'm getting better every day," he says with optimism.

Empowerment Through Shared Experiences

The stories of Anne and David, among many others, emphasize the diverse impacts of cancer and the accompanying neurological deficits. These narratives are not just tales of challenges and medical treatments; they are stories of adaptation, resilience, and survival. Importantly, they highlight the necessity of community support, whether through face-to-face support groups or online communities, in navigating the cancer journey.

By sharing these personal experiences, we hope to foster a more profound understanding of the neurological implications of cancer and to provide solace and inspiration to those walking a similar path. If you or someone you know is dealing with neurological issues related to cancer, remember that you are not alone. Through the collective wisdom and experience of survivors, there is hope for managing these challenges and living a fulfilling life.

For more stories, tips, and advice on managing neurological deficits in cancer, continue to follow our blog. Together, we can build a knowledgeable and supportive community.

Resources and Support Services

Living with cancer and navigating the complexities of neurological deficits can feel overwhelming. Fortunately, a multitude of resources and support services are available to offer assistance, education, and community to those affected. We've compiled a list of reputable organizations, online platforms, and educational materials tailored to provide support and information for individuals facing neurological deficits due to cancer.

Nonprofit Organizations

  • The National Brain Tumor Society (NBTS): Dedicated to supporting individuals affected by brain tumours, the NBTS offers research updates, educational resources, and advocacy information to assist patients and their families (braintumor.org).
  • The American Cancer Society (ACS): Offers comprehensive information on different types of cancer, treatments, and tips for managing side effects, including neurological deficits (cancer.org).

Online Communities

Seeking support from others who understand firsthand the journey with cancer can make a significant difference in coping with neurological deficits. Here are some recommended platforms:

  • Cancer Support Community: An online forum providing support groups, webinars, and educational resources for cancer patients and their families (cancersupportcommunity.org).
  • Reddit Cancer Community: A subreddit dedicated to sharing stories, advice, and support among cancer patients, survivors, and caregivers (reddit.com/r/cancer).

Educational Materials

Understanding the intricacies of neurological deficits and cancer can empower patients and their loved ones to navigate the path ahead. Several reputable sources offer in-depth educational materials:

  • The National Institutes of Health (NIH): Provides broad-ranging information on neurological deficits related to cancer, including symptoms, treatment options, and ongoing research (nih.gov).
  • Cancer.Net: Offers patient-friendly information on brain and spinal cord tumours, including sections on symptoms, diagnosis, and treatment, managed by the American Society of Clinical Oncology (cancer.net).

While dealing with cancer and neurological deficits, it's important not to navigate this journey alone. The resources and support services listed above can provide invaluable assistance and information to empower patients and their families. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific needs.

Related Articles
We're here to help you. Contact ZenOnco.io at [email protected] or call +91 99 3070 9000 for any assistance