Understanding smouldering multiple myeloma: Diagnosis and challenges

Smouldering multiple myeloma (SMM) is a plasma cell disorder that is asymptomatic and considered pre-malignant, with risks of progression to myeloma.Diagnosis follows the 2014 IMWG criteria, requiring specific monoclonal protein levels and plasma cell percentages.It is essential to rule out organ damage and malignancy biomarkers. SMM is often found incidentally during routine check-ups, and while tests are accessible in urban areas, challenges remain in remote locations.

Addressing challenges in palliative care

The provision of palliative care often encounters major challenges such as a shortage of specialists and varying acceptance across regions.There is a critical need for a dedicated curriculum in internal medicine to improve education on this topic.Emphasizing psychosocial issues and the goal of alleviating pain is essential. A cultural shift towards promoting palliative care and prioritizing human connection, compassion, and empathy among healthcare professionals is necessary for effective patient support.