P R A Y A S
A Care360 programme · Alkem × Saarathi
For patients on pertuzumab
the effort

The effort is
the point.

The infusion happens in a chair, in a few careful hours. The rest of it — the waiting, the eating, the small daily choices between cycles — is where the real work lives. We are with you for that part.

scroll · for the long version
I — the premise

The medicine is not the hero.

Pertuzumab is a precise, HER2-targeted therapy. It is given on your oncologist's schedule, in cycles, and it does exactly the specific thing it was designed to do. The science of it is not the question here.

The question is the shape of the months around it. Treatment can quietly reorganise a life into a series of appointments — a body that has become a chart to be read, a person waiting to hear whether they did well.

If a medicine has to fix me, then something about me is broken.

Under that belief, every cycle is a small verdict and every scan is a sentence. PRAYAS begins from a different belief — one that is already in its name.


the reframe

Prayas means the effort — not the outcome.

In the word itself, what is honoured is the trying: turning up, telling the truth about how you feel, coming back after a hard week. Not the number the effort produces.

A scan result is not something you can choose. Showing up steadily, eating enough protein, saying out loud when the fatigue is worse than usual — those you can choose. PRAYAS is built to notice and protect the choices, and to leave the outcomes to your body and your doctor.

II — the rhythm

Treatment has four seasons.

Each moves at the pace your body and your oncologist set — never at the pace of a calendar. We change how present we are as you move through them.

01 settle in

The first cycles

New sensations, new questions, a new routine forming. We move slowly and let you tell us, in your own words, how each cycle actually felt.

02 find the rhythm

Into the course

The pattern becomes familiar. We watch tolerance closely and hand your oncologist a clear read before each visit, so nothing gets lost between them.

03 hold steady

The long middle

The work shifts from the infusion to the life around it — energy, appetite, sleep, the people at home. We stay close, and quieter.

04 carry on

Beyond the course

Whatever your oncologist decides comes next, the habits stay. We speak less, notice more, and remain for as long as you and your doctor want us.


III — what PRAYAS does

Quietly. Carefully. For as long as you need.

Many small systems sit underneath this programme. You will only ever feel six of them.

i

We remind you — once.

The date of your next cycle arrives in plain language, at a time you choose. We nudge gently if you don't reply, then we stop. No alarms, no guilt.

ii

We listen to your body.

Tell us in Hindi, Marathi or English. An ordinary ache gets a calm acknowledgement. A symptom that doesn't fit the pattern is taken seriously and routed to the right person on your care team.

iii

We never rush your treatment.

PRAYAS does not decide anything clinical. If something feels wrong, we surface it clearly so your oncologist can decide what happens next. Their call, always.

iv

We prepare you for each visit.

Before every appointment, your doctor receives a short brief they can read in two minutes — how you've tolerated treatment, what's changed, what's worrying you. The time you have together gets focused.

v

We surround you, gently.

A nurse, a counsellor, a dietician, a physiotherapist, a lifestyle coach. Each one arrives when it makes sense for you — before a festival, a fast, a hard week — not on a fixed schedule.

vi

We know when to be quiet.

Once your rhythm holds, we step back. We answer when you call and we notice when something drifts. Silence is a feature, not neglect.

IV — your care team

You will know each of them by name.

Your oncologist

Every clinical decision — every prescription, every change, every reading of a scan or a lab — is theirs. We do not decide. We surface, and they choose.

Your nurse

On a video call when you need her. There for infusion-day nerves, side-effect worries, and the practical questions only a nurse can settle.

Your counsellor

Not a clinician — a steady person who knows your story, holds your context, and asks the questions there is never enough time for in a clinic.

Your dietician

She watches before she changes anything. Indian portions, Indian seasons, protein first — because through treatment your strength matters more than the scale.

Your physiotherapist

Gentle movement paced to your energy, not to a target. Rebuilding what treatment tires out, on the days your body is willing.

Your lifestyle coach

She arrives before the wedding, the travel week, the fast, the grief — with a plan, and without a single word of judgement.

Appointments with anyone on your team are easy to book — when you need them, in your language, on WhatsApp.


V — what we celebrate

What we count says who we think you are.

things we celebrate

Attention. Honesty. Return.

  • Telling us the fatigue is worse this week, when it is.
  • Getting through a cycle during a festival, travel, or illness.
  • Completing a check-in even when the answers are hard.
  • Asking the counsellor or dietician for help.
  • Pausing honestly when your body asks you to.
  • Coming back after a missed week — always worth more than a streak.
things we never measure you on

Magnitude. Willpower. Comparison.

  • What a scan or a marker did or didn't do.
  • How long your "streak" of good weeks is.
  • How well you compare to another patient.
  • How much weight you kept or lost.
  • How you look in a photograph.
  • Whether your week counts as "good" or "bad".
VI — what we promise

Six commitments that come before every feature.

i

You are the protagonist.

Every screen and every message exists to make your next right action easier. Dashboards and reports serve that, never the reverse.

ii

Your doctor is the authority.

We are a layer of care, not a replacement for your oncologist. Every clinical decision routes to them. We surface; they decide.

iii

Your data stays in India.

Every byte processed in Mumbai. Consent is granular and reversible — you can withdraw any data, for any purpose, by sending one word.

iv

The medicine is a resource.

We will never frame treatment as something done to you. It is something you do, with skill and support. The distinction matters.

v

Silence is a feature.

Reminder fatigue ends programmes. We default to quiet once your rhythm holds, and speak only when we have something worth saying.

vi

This is your life.

Indian meals, Indian festivals, Indian families. Reminders that respect your prayer times and your school runs. Nothing imported without test.

⁕ · ⁕ · ⁕

When you are ready, your doctor will tell us.

There is nothing to download. No app to install, no password to remember. The first message arrives on WhatsApp, in your language, on the day your oncologist writes the prescription. The programme stays with you for as long as you are on the medicine.

You are not alone for this.