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Early diagnosis, better chances and stronger hope

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Senior Consultant Cancer Surgeon Dr Anuruddha Thewarapperuma

Senior Consultant Cancer Surgeon Dr Anuruddha Thewarapperuma on…


In a timely and though-provoking session held at Apeksha Hospital, Senior Consultant Cancer Surgeon Dr. Anuruddha Thewarapperuma addressed one of the most pressing health concerns facing modern society, the growing prevalence of cancers and the importance of early detection.

Speaking to the ‘ Sunday Island,’ Dr Anuruddha stressed that awareness and timely medical intervention continue to be the strongest weapon in the fight against cancer. In Sri Lanka many cancer patients still arrive at hospitals during the advanced stages of illness, but the role of awareness, early detection and compassionate medical care has never been more vital to most patients.

Speaking on the growing burden of cancer in Sr Lanka, Dr Anuruddha stressed that one of the biggest challenges we face is delayed diagnosis. Many patients first seek treatment from family doctors, or attempt to ignore symptoms, often believing they are a minor health issue. By the time they meet a specialist, the disease may already be in an advanced stage

Cancer is no longer a disease affecting the old, he explained. Today we see younger patients, as well, especially with breast cancer, colorectal cancer, and lung and oral cancer

Dr Thewarapperuma, who specialises in complex cancer surgeries, including breast, colorectal, pancreatic and lung cancers, highlighted that breast cancer remains one of the most common cancer among women in Sri Lanka. He urged women to undergo regular screenings and immediately seek medical advice if they notice unusual lumps, skin changes or discharges. Colorectal cancer, another rapidly rising concern, often begins with silent symptoms. He pointed out that warnings signs, such as changes in bowel habits, rectal bleeding, unexplained weight loss and persistent abdominal discomfort, should never be ignored. Lifestyle changes, unhealthy diets, and lack of excercise, are among the contributing factors behind the increasing numbers.

With Sri Lanka witnessing a steady rise in cases of breast cancer, colorectal lung and oral cancers, he noted many lives could be saved through routine screenings and greater public education. He said that we must not only be aware of medical facts but also on changing attitudes towards cancer.

He explained that fear, stigma and misinformation often prevent patients from seeking treatment early.

Cancer, detected early, can often be treated successfully, he emphasised, encouraging the public to pay attention to warning signs and prioritise regular health check-ups.

According to the veteran surgeon, the impact of modern lifestyles specially fast foods, smoking, dietary habits and environment influences are contributory factors. Many patients walk into my room frightened, not knowing what the future holds. Dr Thewarapperuma explained, some men and women worry about their children, some fear of losing thier identity, while others are terrified simply because of the word cancer itself. He stressed the emotional healing is just as important as medical treatment. Dr Thewarapperuma noted that not only the patient even families also experience emotional strain .

He said different cancers affect patients emotionally in different ways, yet fear and uncertainty remains common to all.

Speaking further on breast cancer, he said it remains one of the most common cancers affecting women worldwide and in Sri Lanka. Many women initially struggle with shock and insecurity. They are emotinally shattered, He maintained with early diagnosis and medical treatment many cancer patients go on to lead healthy and confident lives.

He always focussed on the fact that early detection and timely treatment are crucial in improving survival rates and ensuring better quality of life for the patient. Breast cancer can often be treated successfully if detected early, he noted. Women should never ignore changes in their breasts, even if there is no pain

He encouraged women to become familiar with their own bodies, through regular self examinations. Common warning signs are a lump, changes in breast shape or size,,nipple discharge, a lump under the arm are a few symptoms women should be aware of.

He noted awareness, education and regular screenings and mammograms continue to play a vital role in reducing risks and improving survival rates.

Dr Thewarapperum also highlighted the growing incidence of colon cancer which is becoming increasingly common in Sri Lanka, yet many people are unaware of its early warning signs. This cancer is common among middle aged and older adults.

Symptoms such as persistent abnominal pain, changes in bowel habits, unexplained weight loss, blood in stools and ongoing fatigue should never be ignored

According to the Senior Consultant, many patients delay in seeking medical attention; they panic only after the disease reaches an advanced stage.

Talking about oral cancers, it continues to be one of the most common cancers in Sri Lanka, largely due to lifestyle habits, such as smoking, betel chewing and excessive alcohol consumption.

Colon cancer, is more frequently diagnosed in individuals above the age of 50.

Nevertheless youngest individuals, with unhealthy lifestyle habits, are also increasingly at risk

Also speaking about lung cancers Dr Thewarapperuma said this cancer affects both men and women and remains one of the leading causes of cancer-related deaths.

He warned that even non-smokers are now at risk due to increasing exposure to harmful pollution.

According to him, many cancer patients seek medical attention, only at the advanced stage, because early symptoms are often overlooked by most people.

Despite these challenges, he expressed confidence in the advances made in cancer treatment in Sri lanka. Modern technology, improved surgical techniques,and multi disciplinary care have significantly improved patient outcomes and survival rates

However, delayed diagnosis among patients in Sr Lanka continues to remain one of the biggest challenges in cancer management.

Dr Anuruddha highlighted throughout our discussion the importance of early diagnosis significantly have higher success rates and better quality of life, after treatment.

Apeksha Hospital’s multi disciplinary approval to cancer management combining experienced consultants, advanced surgical procedures, diagnostic facilities and personalised patient care, has contributed positive treatment outcome across several common cancers including breast, colon, oral, lung and other cancers.

Dr Thewarapperuma explained that modern cancer care are not limited to surgery alone.

Timely screening, accurate diagnosis, coordinated specialist care and emotional support, all play a major role in successfull recovery.

“We at Apeksha Hospital continues to focus on patient centred treatments while creating awareness on prevention and early detection through educational programmes and medical discussions.

We remain committed to offer hope, confidence and quality healthcare to patients facing cancer diagnosis.

His message to the public was clear – awareness, early screening, and timely medical attention remains the strongest weapons in the fight against all kinds of cancer. He says cancer, when detected early, is no longer a battle that must be faced without hope and this disease is not the end of life either. Early detection saves lives and emotional strength gives patients the courage to continue their journey, said this well known Senior Consultant Cancer Surgeon. He is attached to several leading hospitals, including the istitute at Maharagama (Apeksha Hospital) and also Hemas and Asiri Surgical hospitals.



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Taste of the Swiss Alps comes to Colombo

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Chef Heinz: Master of Alpine cooking

High in the Swiss Alps, where mountain landscapes shape both life and cuisine, Chef Heinz Rufibach spent more than four decades mastering the art of Alpine cooking. From the grand hotels of St. Moritz and Gstaad to the peaks of Zermatt, his career has been defined by a deep respect for tradition, local flavours and the quiet precision of Swiss craftsmanship.

Now, the chef. affectionately known as Le Cuisinier de Zermatt. brings that remarkable culinary heritage to Colombo for an exclusive Swiss dining experience at Bistro des Marées, Cinnamon Life at City of Dreams Sri Lanka.

From 23 to 26 July, guests will have the opportunity to experience a specially curated menu by Chef Rufibach, celebrating the authentic flavours of Switzerland’s Alpine regions and the dishes that have shaped his lifelong connection with the mountains.

A former Executive Chef of the Grand Hotel Zermatterhof, Chef Rufibach has built a reputation as one of Switzerland’s celebrated culinary figures. Named Swiss Chef of the Year and a holder of a Michelin star for six consecutive years, his cooking reflects the balance between fine dining precision and the warmth of the traditional Alpine table.

For Chef Rufibach, Swiss cuisine is more than a collection of recipes. It is a reflection of place, people and generations of culinary heritage.

“Swiss cuisine is built on tradition, seasonality and a deep connection to the land. Through this menu, I hope to share the flavours and stories of the Alps with guests in Colombo and offer them a true taste of Switzerland,” he said.

The menu at Bistro des Marées takes guests on a journey through Switzerland’s diverse culinary regions, beginning with elegant starters, such as dried meat tartare with green asparagus and Parmesan, marinated salmon with mustard sauce and herbs, and the traditional Gommer Cholera, a Valais speciality of apple, leek and cheese baked in puff pastry.

The experience continues with comforting Swiss classics, including Valais white wine soup with dried apricots and Bündner barley soup, before moving into signature dishes, such as Swiss cheese fondue with bread cubes and potatoes, raclette with traditional accompaniments, and Zürcher Geschnetzeltes with rösti. Other highlights include Basel-style salmon with papet vaudois and fried onions, saffron-infused lamb ragout with mashed potato, and Ghackets mit Hörnli, a beloved Swiss comfort dish of braised beef mince, pasta and apple sauce.

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Goodbye dearest Maria!

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Mariazelle Goonetilleke PHOTOCREDIT: Dayan Witharana

My dearest Maria. I never thought I would have to write this, this soon but then I realised, I owe it to you.

Remember the very first day I met you ? It was way back in 1981. I was 19, working at Lake House and writing to the Sunday Observer’s “Sat Mag” magazine. You were 23.

I made a prior appointment with you on the old rotary dial phone and arrived at Ekanayake Mawatha, Nugegoda, sharp on time. I waited and waited. There were (either) dogs or cats playing around me, with their fur flying all around me. That irritated me. I waited and waited. I wanted to, but could not walk out because the Editor was waiting for the article.

You sailed in one wretched hour late. I was furious. You never apologised either. That’s how we began our friendship. Rather a rocky start wasn’t it ?

What struck me most was NOT the fact that you were the highly celebrated Kandy Lamissi at that time, but rather the sparkle in your eyes and the warmth of your smile. It came from the depths of your heart and radiated outwards to everyone you came into contact with – both those who liked you and those who did not like you.

You radiated that sparkle and smile during the best of times and even the most difficult of times. You had your fair share of both in your 68 years. That smile was your trademark. It stayed on until the end.

We were neighbours, too, in Nugegoda. You were on that side of the junction and I was on this side of the junction. Remember in the mid-1990s when fitness fever hit us and we ambitiously started those 6.00 am early morning walks. They were alas short lived when children in passing school vans began shouting “Aunty Aunty” or “Kandy Lamissiiiiii”. That put an end to our walks and we reverted back to being unfit.

You also had a very, very wicked sense of humour which I loved to bits. Remember that evening when, with dead pan faces, you and I walked into the Metro Cinema Nugegoda and bought two balcony tickets for the 6.30 pm show. The man at the ticket counter couldn’t not believe his eyes. And how we, again with dead pan faces, slowly crept upstairs and sat in the (last row) middle seats much to the shock of all those lovers around us.

You were the Star. I was much lesser known to them than you. They were shocked and looked at you in great disbelief. I remember at one intense moment of the film, we asked the couple next to us, “Meh, excuse me. Aney welaawa keeyada?”. They only didn’t slap us.

And then, during the movie we crunched on and made a helluva din with the prawn crackers, much to the irritation of those around us.

We hadn’t come to watch the film. We just wanted to shock and annoy those lovers. Mission accomplished, we sailed out in the Interval, our sides splitting with laughter. We could not remember the movie either.

Remember those incessantly chats we used to have on a variety of topics? You could hold forth on practically any topic. Those chats sometimes went on till well past midnight and we hadn’t finished talking either.

Teshan your son was the apple of your eye, to use a cliché. How proud you were of him and how very much you used to talk about him. You took pride in his academic success and the fine young man he has turned out to be.

In our 46-year friendship, you and I have had our misgivings, too. Remember Mariazelle how we didn’t speak to each other for about three years?

And then in December 2015 you were a guest artiste and I the emcee at the Break-Away New Year’s Eve Ball organised by (your cousin) Sohan Weerasinghe and Corrine Almeida. We were still not talking to each other, but then, just after the countdown to midnight, you came up to me, hugged me and wished me with tears in your eyes. My respect for you hit the ceiling that night. Our friendship became rock solid from that day onwards.

We last met over dinner at Harpos Commons in Kotte, just before illness dragged you down. You had medical problems but you never complained. Remember the stories we traded and how much we laughed and laughed, at times much to the displeasure of the other diners. Harpo might have got the complaints but he never told me either.

And now you’re gone. Gone just like that. Before I close, I’d like to quote a few lines from your dear friend Aruna Siriwardhana’s tribute :

“I take a moment to mention two special beings in Mariazelle’s life. One is surgeon Prof. Srinath Chandrasekera (a musician himself) who for the past six months or so, together with his team at the Kalubowila Hospital, took indescribably attentive care of her. The other is singer Dinu, who virtually placed her life and work on hold, to care for Mariazelle”.

It was heart-breaking to see you lie in that coffin at Barney Raymonds last Monday (13 July). You were dressed in ivory and gold. You looked peaceful. You were free from suffering and free from pain.

“Kandy Lamissi” will ALWAYS be sung at parties and weddings and home comings and dinner dances and batch get-togethers. “Kandy Lamissi” and You have an unlimited life span. You will both go on forever!

And I will always remember that sparkle in your eyes and the warmth of your smile. That to me was You.

Goodbye my dearest Maria. May your journey in Samsara be speedy.

by Kumar de Silva ✍️

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20-year-old filmmaker Joshua Alailima breaks into Hollywood

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Cast of Missing Threads

Production has officially begun on Missing Threads, marking it the first time a Sri Lankan production has been aimed first and foremost at an American audience. On Tuesday the 7th of July, a dinner was held bringing together the cast, crew, funders, and friends and family to mark the occasion.

The evening opened with guests arriving to chatter and press photography. Talavou Alailima opened proceedings, and a selection of Director Joshua Alailima’s previous films were screened, between speeches from key figures behind the production. The night closed with a large buffet and the signing of contracts.

Missing Threads

is an investigative crime thriller compared to films such as Zodiac and Se7en. The film follows journalist Maya Perera as she unravels a string of lies, all tying back to the mega corporation Verdeon, leading to a far more sinister truth about the internal affairs of the country at large.

This marks a significant milestone for Sri Lanka. It is the first time a Sri Lankan film has targeted primarily the USA Hollywood audience. This will further foreign relations, opening the door to industry expansion and significant economic potential.

Missing Threads

brings together a standout cast of actors, including Kaushalya Fernando (The Forsaken Land), Buddika Jayaratne (Sunny’s Mansion), Dharmapriya Dias (Machan), and Shyam Fernando (Paradise). It is led by international Sri Lankan actress Rebecca Munasinghe and leading social media influencer “Neesh.” Missing Threads is produced by Talavou Alailima, founder of Power World Gyms and Edge Nutrition.

Director Joshua Alailima is currently studying at one of the top film universities in America, Biola University, whose alumni network includes Doctor Strange director Scott Derrickson and world famous influencer Zach King.

Joshua has been directing since he was a young teenager. He is now 20 and directing his feature debut, a rare feat by Hollywood industry standards.

Missing Threads

brings in an international crew, with people from the USA, Sri Lanka, and Australia flying in to work on the project. Post production will take place in Sri Lanka, India, and the USA. The film is shot on the Arri Alexa LF, the same camera used for the movie Dune. It is the only one currently in Sri Lanka.

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