Author: diverseskills

Grief – A Universal Human Experience

My wife of 31 years, Lynne, lost her life to glioblastoma in 2010 following a battle lasting almost four years against the deadly disease. Glioblastoma is a stage 4 brain tumor, known for its fast-growth and recurring properties. As her primary caregiver, I learned much about the disease and the other issues surrounding the care of someone facing a life-threatening illness. This article covers the topic of grief, a topic that is relevant to each of us at some point in our lives. I hope that the lessons I learned will help someone else navigate through the grief process.Grief is a universal human experience that will affect every one of us at some point in our life. Although grief is universal, each person prepares for grief, experiences grief, and recovers from grief in unique ways. There are guiding principles that we can apply to our grief but your recovery is unique to your circumstance. You may judge yourself. You might feel as though you recovered from grief too quickly. You might feel as though your grieving is lasting too long. Just keep in mind that your grief is as individual as you are and so is your recovery. It is also natural to believe that others are making judgments about your grief. While that may be the case, your grief is your path, which may look very different compared to the path of someone else.
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 Hi,____, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewMy grieving process started at the point of Lynne’s diagnosis, not her death. The week following her diagnosis, I spent nearly every evening shedding tears and agonizing over the future that lay ahead. Thoughts of unfulfilled dreams and goals circled my mind numerous times throughout each day. As I researched the disease, the certainty of Lynne’s eventual death moved to the forefront of my mind. I tried to balance those thoughts with the hope that Lynne’s case might be different in some way, but it was an internal struggle.Like any couple, we held onto the hope that our plans for the future would remain intact. We discussed goals throughout our marriage about retirement. We shared about the continued ability to travel. We shared thoughts about the enjoyment of watching grandchildren grow up. We discussed our dreams of a slower-paced life hoping to enjoy the simpler things in life. Those kinds of things we tend to take for granted in our younger years as we focus on building our lives and careers. In one day, the plans and dreams we made together seemed to shatter like glass hitting a tile floor. Forever lost with no possibility of ever putting the glass back together.About six years earlier because of my responsibilities as a deacon at the Sun Valley Church of Christ, I enrolled in a course to help me enhance my skills and abilities as a people helper. As a people helper, people often approached me to share personal struggles. I desired a better foundation of knowledge to help me guide them through their struggles. A few of the classes within that course of study helped me to prepare for what was ahead in my own life. One class covered forgiveness, letting go of the past and the pain. Another covered marriage and keeping love alive. Another covered pain and suffering, for learning to help people in a hurting world. Yet another covered managing stress and anxiety. The most important class that would bear on my own future was a class about grief and loss. While my intent was to learn about these topics to assist others, the importance of that learning helped me to understand the emotional turmoil that I was facing and some techniques to help me manage my way through the pain.

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Grief is a universal human experience. However, the experience is unique to every individual. In some ways, my grief recovery was assisted by learning from other people and I hope that by sharing my personal experience that others will also benefit. I am writing several articles covering various aspects of the grieving process including grief models, anticipating grief, and preparing for grief.

Grief – Preparing for Loss

Lynne, my wife of 31 years, battled glioblastoma for nearly four years. Glioblastoma is a stage 4 brain cancer and is recognized for its ability to recur and its fast-growth. While caring for someone with a life-threatening illness, I learned about grief and some steps that help to ease the grief slightly by preparing for loss.Preparation for grief was an important piece of recovery from my loss. When I say, preparation, you might think that it started during Lynne’s illness. I believe that for me, it started much earlier and demonstrated itself in various ways. Because my dad served as a preacher, exposure to death occurred earlier and more often to me than for most young people. Like most, I lived life as if it were going to last forever; however, the exposure to death created an impression on me. Exposure to death helped me to realize that this life is temporary. This mindset helped me to share my appreciation of others before it was too late. Too many times, I heard others speak about their regrets concerning not sharing how much they loved someone or appreciated his or her example until after the death. I feel that is a pity. I decided to ensure that I tried to share my appreciation with those I cared about while they were still living.Preparation for loss also included setting aside any grudges, anger, bad feelings, and other things that most of us would regret holding onto after the loss of someone close to us. This also includes apologizing to someone for some wrong that we caused. I discovered that stepping up and apologizing when I was wrong was much better than holding onto that wrong eventually causing a regret following the loss of that special person. Avoiding the apology for the wrong might cause regret eventually, following the loss of that special person. This type of preparation averts the regrets we often feel during a loss, whether the loss is sudden, or resulting from a long illness.
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 Hi,____, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewWhile nearly everyone faces grief at some point in their life, the grief experience is unique to each individual. The particular circumstances surrounding one’s loss mold the individual response to grief. I hope that sharing my experience will help someone else in their grief recovery. I believe preparing for grief can start long before a significant loss. Making the most from our relationships today helps prepare us for the loss of loved ones. In other articles, I explain some of the methods that my family used to help with creating and maintaining the memories of the special person that we lost.

Grief – Moving Toward Acceptance

Lynne, my wife of 31 years, lost her life to glioblastoma in 2010. Her death followed a battle lasting almost four years against the deadly disease. Glioblastoma is a stage 4 brain tumor, known for its fast-growth and recurring properties. As her primary caregiver, I learned the issues surrounding the care of someone facing a life-threatening illness. This article covers grief and one lesson that I learned. I hope this will help someone else when faced with a significant loss.About six years prior to Lynne’s illness, I enrolled in a course covering counseling topics because of my responsibilities as a deacon at the Sun Valley Church of Christ. As a people helper, people often approached me to share personal struggles. I desired a better foundation of knowledge to help me guide them through their struggles. Some of the classes helped to prepare me for what was ahead in my own life. The importance of that learning helped me to understand the emotional turmoil that I was facing and some techniques to help me manage my way through the pain.

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Grief is a process that causes psychological pain, creating emotional turmoil with feelings of guilt, depression, anger, sadness, helplessness, rage, loneliness, resentment, and hopelessness. I learned that the emotions that swirled within me were a normal part of the grieving process. Recognizing that early, helped me to be easy on myself as I worked through the grieving process. I believed that I moved to the acceptance phase of the process more quickly than most, in part because of the training I had received.Another source of strength at that time was my spiritual upbringing and lifestyle. This was also a big part of Lynne’s life. With this similar outlook on life, we were able to be in tune with one another. I reflected on one biblical passage frequently, “For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future” (Jeremiah 29:11, New International Version). Despite this tragedy, I believed that God had a plan. His eternal nature, unrestricted by time, enables Him to see what we refer to as the past, as well as into what we refer to as the future. Time limits me, by allowing me to see only the past and the immediate. Because I cannot see into the future, I reasoned that God could see some future event in Lynne’s life that might be much worse than glioblastoma. To me, there could be no worse event but that might simply be due to the limitations placed on me by time and the inability to see into the future.After Lynne’s death, I read a grief recovery book that helped me understand why the depth of grief for one person might be different when compared to the depth experienced by another person. Recovery from grief suggests the ability to recall the good memories you hold fondly while minimizing those feelings of remorse or holding on to the regrets that you are harboring (James & Russell, 2009). I see this as key to understanding the relatively short duration of my personal grieving period.Lynne and I were very compatible and truly enjoyed our 31 years together as a married couple. We had our fair share of disagreements and disputes along the way. However, we did enjoy a marriage that others recognized in positive ways. The enjoyment of our marriage increased dramatically during Lynne’s illness. This may seem very strange to you, so please allow me to explain this phenomenon.Throughout the early years of our marriage, I appreciated and was grateful for Lynne’s concern for others, her willingness to help others, and her support and care for me and our children. Lynne impressed me with her ability to run our home, her industrious nature and attention to detail, and a slew of other traits. Yet in the last four years of Lynne’s life, I witnessed a sign of courage, vision, and personal strength that I had underestimated in our earlier years together. During those final years, we also discussed topics that most people try to avoid such as death and dying. We discussed what we hoped for one another. She shared her desire that I find another woman to love and care for after she passed. A topic like that may seem like a ridiculous discussion when in health, but it is not whenever someone faces the last stages of life. Lynne shared her appreciation of my care and love for her and her acceptance that I would love and care for another woman in the future. Even before her death, she released me from the anxiety of the considerations concerning moving on with life, after she passed. In that discussion, she released me from the anxiety or guilt associated with moving forward in life.ReferencesJames, John W. and Friedman, Russel. (2009). The grief recovery handbook (20th anniversary expanded edition). HarperCollins e-books.
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Returning to School After a Cancer Diagnosis

“Back to normal” means “back to school” for most children who have been treated for a brain or spinal tumor. When your child returns to school, you want him or her to be treated as normally as possible and it will take the cooperation of both the school and the health care professionals working with your child to make this happen… To make the transition back to school an easy one the teachers and school nurse should be encouraged to prepare classmates by providing them with information about the disease and treatment and answering any questions they may have. Let the teachers and classmates know what to expect and give them an opportunity to express their concerns and feelings. It is important for teachers to communicate to other students that cancer cannot be caught and that radiation treatments do not make a child who has them “radioactive.” These types of open conversations may eliminate children’s curiosity and make it easier for them to accept your child back into the class and help them to accept the differences in their classmates and make them more empathetic and willing to help. Some medical centers provide an education team consisting of a child life worker and health care practitioner who can help prepare the class for your child’s return, which in some cases may be helpful.In order to make the re-entry into the scholastic environment less abrupt for your child, the students, and the teachers, a slow, transitional approach to reentering school can be helpful, perhaps only having lunch, attending specific classes, or going on a field trip with the class prior to a full-time return to school. It is important to update your child’s teachers and the school nurse with whatever medical information will help them help your child in school. The more knowledgeable and familiar the teachers are with how your child functions, the more the classroom environment can be adapted to your child’s special needs, no matter what level of school they may be returning to.

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Before your child returns to school, set up a meeting with the teacher, school nurse, and principal. This meeting will give you an opportunity to discuss any special requests or concerns you might have. Suggest that the meeting also include health care professionals such as neuropsychologists familiar with brain tumor treatments, including surgery, radiation therapy, chemotherapy, and shunts, and give your child’s teacher a copy of Cancervive Teacher’s Guide for Kids with Cancer. You might want to meet or speak with the teacher on a weekly basis to monitor your child’s progress; it might also be helpful to connect with your other children’s teachers as well. Remember to keep an open line of communication with your child’s school. The role the teacher plays is very significant to your child’s developmental adjustment and recovery. The teacher and/or school nurse must inform you of any communicable diseases, such as chickenpox, that any class member has contracted. If your child is still in treatment and has not had chickenpox, exposure to this virus can be dangerous, and you should contact your physician immediately. (Chickenpox is worrisome primarily after chemotherapy; doctors rarely worry after radiation therapy.) If informed, teachers can deal successfully with problems concerning your child’s self-image and relationships with peers as they arise.Holding a meeting prior to your child’s return to school can be helpful in determining any accommodations that may be needed to meet your child’s special needs. Check to see if your school has wheelchair accessibility for both the classrooms and toilet facilities, as special bathroom privileges may be needed. Your child may need a playground or gym exemption if he or she is easily fatigued or has coordination problems. Seating arrangements in the classroom may need to be adapted if your child has suffered permanent or temporary hearing or visual impairment. You may want to discuss modifying homework assignments with the classroom teacher. If your child needs to take medications during the day, it is very important that you inform the teacher and the school’s principal, and nurse what the medications are for and what their side effects may be. All of these procedures, if reviewed beforehand, will make a child’s return to school much smoother.The level of parental involvement wanted by a child varies by age, gender, and individual personality. It is important to discuss returning to school with children no matter what age to be sure everyone is on the same page and children are allowed to have a voice in the involvement of their parents in their school.
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 Hi,____, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewFor older children, such as those entering high school, autonomy and a sense of independence is viewed as a necessity for many and for this reason the teacher-parent relationship is very important because although parents may not be wanted by children in their scholastic environment, teachers have a unique view and can not only watch out for a child but do so in a way that is not considered intrusive. In this way, parents can stay updated on their child’s progress without infringing on their child’s world that they are more assuredly desperate to reenter.Joseph Fay, Executive Director of Children’s Brain Tumor Foundation

How To Lower The Risk Of Brain Cancer Recurrence And Secondary Brain Cancer

Conventional therapy can be effective at destroying brain tumor. However, it is a healthy body and immune system that provide ongoing surveillance and destruction of cancer tumor regrowth. An important part of a post-treatment healing program is to support optimal health and to employ brain cancer prevention strategies. These strategies will support the innate healing capacities within each of us. Optimal health rests upon a foundation of healthy eating, adequate exercise, sufficient sleep, and meaningful as well as the joyful living.In addition to food, movement is also healing. Our bodies are meant to move. The research on the importance of exercise in preventing brain cancer and its recurrence is substantial. At a minimum, 30 minutes of moderately difficult exercise (brisk walking, jogging, bicycling, swimming, dancing, and so on) done every day is associated with a reduced risk of cancer and of dying from cancer. For instance, compared with a man who was inactive both before and after a diagnosis of brain cancer, a man who increased physical activity after diagnosis had a 45 percent lower risk of death, and the man who decreased physical activity after diagnosis had a four-fold greater risk of death.The idea is to change the environment to be the least hospitable to cancer. We do this with exercise but we also do this with sleep. Sleep is critical to optimal health. Sleep is critical for a well-functioning immune system. In fact, several key anti-cancer immune actions are most active during sleep. Stress reduction is also a big part of the anti-cancer plan. Finding ways to manage stress is of utmost importance. Elevated levels of stress-induced chemicals and hormones unravel immunity, cripple cell repair, and increase the susceptibility of our cells to cancer-causing DNA damage. While we cannot eliminate all the stress in our lives, we can certainly change the way we perceive stress. Meditation, yoga, tai chi, and hobbies are just a few ways to create more inner calm and less stress. It is important to make relaxation a part of your daily routine.
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 Hi, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewThe last component of the brain cancer prevention plan is an appropriately tailored supplement program. This supplement program should include plant-based antioxidants such as green tea, turmeric, and proanthocyanidins (berries, grapeseed oil, or extracts). It may also include other cancer-preventive compounds such as melatonin, soy isoflavones, flaxseed lignans, essential fatty acids, medicinal mushrooms, and vitamins C, E, and D. Finally, there are nutrients specific to lowering the risk for each cancer type. Implementing a reasonable and appropriate cancer recovery and prevention supplement program is an important part of healing from cancer.

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Fertility Preservation in Women and Men With Hodgkin Lymphoma

Lymphoma is a cancer of lymphocytes, the cells that are part of the human immune system. The disease was first described in 1832 and can start anywhere lymphocytes are found (lymph nodes, spleen, bone marrow, or digestive tracts). Two types are recognized; Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). The American Cancer Society estimates that approximately 3800 women and 4600 men will be diagnosed with HL in 2010. The majority of those diagnosed with HL are children and young adults (age 15 to 40 years). Modern treatment carries high survival rates. (>80%). HD, however, by virtue of the disease itself or its treatment poses considerable risk to fertility in women and men, especially if it recurs after treatment.When HD is suspected usually because of enlarged lymph nodes or other symptoms such as a fever, weight loss, or night sweating, a biopsy of lymph nodes is required for the diagnosis. Biopsy require special stains (CD15, CD 30) for proteins on the surface of the characteristic cell. Once confirmed certain imaging studies (especially PET scan) to detect the extent of the disease.
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 Hi, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewChemotherapy for Hodgkin Lymphoma; combination chemotherapy is used either ABVD, BEACOPP, or MOPP-ABV. Each of the letters represents one medication. The combination of drugs is used for several cycles usually 3 to 6. This is the principal treatment for HL.Radiation therapy using an external beam is sometimes combined with chemotherapy. Radiation is usually localized to the area of the body that harbors enlarged lymph nodes.Hematopoietic stem cell transplantation (HSCT). This treatment is used for resistant HL or HL that recurred after successful treatment in the past (relapse). This treatment requires 1. very high dose of chemotherapy and possibly total body radiation then 2. transplantation of the mother cells of the bone marrow that produce our blood cells. The sources of these cells could be the person himself (autologous) a donor person (allogenic).Effects of Hodgkin Lymphoma and treatment on future fertility. It has been shown that men and women attempting conception after treatment for HL had lower chances of becoming pregnant than the general population (Aisner 1993).Men: There is evidence to suggest that HL itself can affect sperm production in 50 to 70% of boys and men, probably due to the disturbance of the immune cells. Chemotherapy also can be harmful to sperm production. Alkylating agents especially cyclophosphamide can cause prolonged or permanent azospermia (no sperm production). The other agents may have a reversible effect with some prospects of recovery after months to years. The final effect of chemotherapy is difficult to predict and is related to the type of regimen and doses used. For example, the old MOPP regimen for 6 or more cycles results in a very high rate of azospermia while the newer ABVD regimen usually causes reversible azospermia.HSCT entails the use of a high dose of alkylating agents and sometimes radiation. It commonly results in prolonged azospermia. HL or its treatment may also affect sperm quality (sperm shape and motility) in addition to concentration. Suppression of sperm production in the testes using a group of medication called gonadotropin-releasing hormone agonists (GnRHa) has been suggested but there is no proof that they protect the gonads from the effects of treatment in men and women. The testes should be shielded from the radiation field whenever possible.Women: Chemotherapy for HL can result in a reduction of ovarian reserve and may reduce future fertility depending on the medication used, dose, frequency, intensity, age, and associated radiation treatment. Multiple studies suggested that the risk of loss of fertility is related to 1. Age > 30 years (or > 25years with high dose therapy) 2. Type of chemotherapy. MOPP was associated with loss of fertility than ABVD and BEACOPP. 3. Dose and frequency of chemotherapy. Dose escalation BEACOPP used in more advanced HL was associated more with ovarian failure. 4. Exposure of the ovaries to radiation. In a large study about 20% of women experienced menopause. In another study, about 40% of women were able to conceive after treatment. In general published literature is not accurate in reporting fertility potential because they used menses as their endpoint. Resumption of menses after chemotherapy does not accurately reflect fertility potential. The high dose of chemotherapy used prior to HSCT is associated with ovarian failure in the vast majority of women and girls.Options for the preservation of fertility in men. 1. Sperm cryopreservation: This is a widely available and safe option in adults. One or multiple sperm samples are obtained and frozen for later use. After remission, the sample is thawed and used for intrauterine insemination or in vitro fertilization. If IVF is used a single sperm is injected directly into a partner oocyte (ICSI) and the rest of the sperm is refrozen. ICSI is a very powerful tool that can compensate for lower quality sperm encountered in men with HL. In prepubertal boys, sperm may be found in the ejaculate as early as 12 years. Asking prepubertal boys to produce a sperm sample may carry some ethical consideration. The majority of cancer patients are interested in knowing their options about the preservation of genetic parenthood in the future. In spite of that, only about one-quarter freeze their sperm, mainly because of a lack of information about sperm freezing (Schover et al 2002). A survey of over 700 oncologists indicated that less than half offer this option to their patients diagnosed with cancer. 2. Surgical sperm retrieval (TESE). Testicular sperm extraction is a surgical procedure where a small amount of tissue is harvested directly from the testes to obtain sperm. It is used in men with azospermia before starting treatment. The specimen is frozen for future use with IVF-ICSI. This is a common procedure in adults and has been reported in prepubertal boys. 3. Testicular stem cell freezing; either within testicular biopsy or separated cells. This is an experimental method with no reported human pregnancy. It is considered for prepubertal boys. The cells or tissue is later transplanted back for sperm production.Options for the preservation of fertility in women.1. Embryo freezing. This technology is widely available and suitable for women with a partner (or accepting donor sperm) and treatment can be delayed for 3 weeks. It requires stimulation of the ovaries and egg retrieval (an outpatient procedure under sedation). Embryos can be frozen for a long time and transferred after remission when fertility is desired.

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2. Egg freezing. Used in women with no partner and declining the use of donor sperm. It also requires ovarian stimulation and a treatment delay for 3 weeks. It’s generally less successful than embryo freezing, although the use of the vitrification method can yield comparable results to embryo freezing.3. Ovarian tissue freezing. This method is experimental. It’s used in prepubertal girls or in women that need to start treatment urgently and do not have the time to undergo ovarian stimulation. Its also considered in women or girls before undergoing HSCT since it is associated with a very high rate of ovarian failure. One ovary is harvested usually using minimally access surgery (laparoscopy). The patient is discharged the same day and can start treatment immediately. The ovary is processed so that the outer part (2mm thin) is isolated and frozen. The inner part of the ovary (does not bear eggs) is submitted for pathological examination. After remission, the ovary is transplanted back in the abdomen or under the skin.Women and men diagnosed with Hodgkin Lymphoma experience a high chance of cure. Counseling about fertility issues before treatment can enable them to preserve their sperm, eggs, or embryos for future use after treatment.

Types of Leukemia

Leukemia is caused by excessive production of abnormal or immature blood cells (mostly leukocytes). It starts with a problem in the DNA of cells. This results in the shortage of normal blood cells and the body stops working properly.The production of cells in bone marrow consists of several steps. Cells get converted into many intermediate types before forming white, red cells, and platelets.Bone marrow initially consists of stem cells. Stem cells have three main categories including Hematopoietic, mesenchymal, and endothelial stem cells. Of these three types, hematopoietic stem cells are the root of normal cells. Hematopoietic can be classified into Lymphoid and Myeloid cells. Often, the root cause of leukemia is the abnormal production of white cells. White blood cells or leukocytes have many subtypes. Few of these types are produced from Lymphoid cells and others are produced from myeloid.
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 Hi, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewRed blood cells and platelets are grown-up forms of myeloid cells. In leukemia, the DNA of cells produced either from lymphoid or myeloid origin becomes damaged. This causes the production of abnormal production of white blood cells which eventually crowd out normal blood cells. Cancer caused by myeloid origin is called Myelogenous Leukemia and cancer caused by lymphoid is known as Lymphocytic Leukemia. Myelogenous leukemia and lymphocytic leukemia are the two basic types of leukemia.Leukemia is further categorized into acute and chronic levels. Including this factor, leukemia has four types including acute lymphocytic leukemia (ALL), chronic lymphocytic leukemia (ALL), acute myelogenous leukemia (AML), and chronic myelogenous leukemia (CML).Acute refers to the fact that this cancer has the potential to become fatal in a quick time. Acute lymphocytic leukemia requires immediate treatment otherwise recovery becomes impossible. It is mostly seen in childhood. Acute myelogenous and chronic cancer does not require immediate treatment.

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A patient suffering from chronic leukemia is kept under observation and treated only when leukemia starts to damage body tissues. Chronic type is mostly seen in aged peoples. The treatment options for all leukemia types include chemotherapy, biological therapy, radiation therapy, and bone marrow transplant.

What Is Lymphatic Cancer (Lymphoma) and Its Treatment Effects?

Lymphoma is the cancer of lymph nodes. Like all cancers, it is the uncontrolled growth of cells in the vicinity of lymph nodes. Lymph nodes can be viewed as stopping points of the lymphatic system. The lymphatic system basically carries fighting soldiers to whatever areas of your body whenever the body area is invaded or requires help to fight foreign intruders. The lymphatic system is a network of ‘highways’ starting from below the chin to the back of the neck, to underneath the armpits, and then to the groin area and connects to the spinal cord.Lymphoma develops as lumps at the node areas, typically behind the neck, armpits, and groin areas. Not all lymphomas grow in detectable areas. Once a lump develops careful monitoring is required. Whenever a lump occurs, it can be caused by1) viral infection, which can be easily cured by a course of antibiotics and usually last only a week or two,2) Tuberculosis, which detected at early stages can easily be cured, and which will require more specialized medical care and treatment,3) Cancer, which can only be confirmed by a biopsy. If there are several lumps that have been growing for some time, it is vital to get the lumps checked out by a Hematologist. Hematologists are specialized doctors dealing with blood disorders. Lymphoma is considered a blood disorder. For other types of cancer, one would go to an oncologist.Other noticeable signs are cold sweats at night, loss of appetite, drastic weight loss, and lethargy. Sometimes these signs do not appear as in my case except for the lumps on the base of the neck.Like many other cancers, lymphomas are quite complicated and have different types and subtypes but generally, lymphoma can be divided into two broad categories, namely Hodgkins and Non-Hodgkins. Hodgkin’s lymphoma is much more durable and the prognosis is very good.Conventional treatment applies for Lymphoma – surgery, and radiation – if the cancer is fairly isolated typically only in stage 1 (more on staging later). Chemotherapy followed by radiation for cancer that is not so widespread in the body. If the cancer is in a fairly advanced stage as in stage 3 and 4, then a full course of Chemotherapy treatment is required, as was in my case.Staging in lymphoma is different from other types of cancer. Stage 1 is cancer found on one part in one section of the body either above or below the diaphragm. If cancer has appeared in more than one place on the same side of the diaphragm, then it has gone to stage 2. Stage 3 means cancer has spread to the abdomen and groin areas above and below the diaphragm. Stage 4 means that cancer has been detected in the bone marrow. Stage 3 is already considered an advanced stage.
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 Hi, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewOnce a biopsy has confirmed that a tumor is cancerous, a CT scan is usually performed to stage cancer. In lymphomas, a bone marrow tap is usually done to check if the bone marrow carries cancer as well. CT scans are also performed at regular intervals during Chemotherapy to determine the treatment’s efficacy. If the current treatment is not effective, doctors will switch to another Chemotherapy regimen. At the end of the treatment, a final CT scan and PET scan are conducted to confirm the absence of cancerous cells. The words “No cancerous cells detected” are the sweetest words one can ask for.Chemotherapy treatment can last between six to eight months and a month more to recuperate from the onslaught of Chemotherapy. Most people will give up work to focus on the treatment. As in my case, Chemotherapy was once every two weeks. The first week immediately after Chemotherapy is the worst.Most of the time, I was too weak to keep awake. As time passed, strength returned and by the second week, I could manage a short walk. After that, the whole process starts all over again.Towards the end of the Chemotherapy, the body would have been pretty badly savaged by the Chemo poison. One often lands up feeling very different after Chemotherapy, and it takes months to get back to any normalcy. The speed of recovery from Chemotherapy really depends on one’s physical and mental strength.

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Chemotherapy, as it is often called – “It is a marathon”

The Cancer You May Have

Non-Hodgkins Lymphoma Economic Impact is very obvious in patients who lose their jobs due to this dreadful disease. Man-hours lost to sick leaves, and the cost of health insurance to employers are also economic wastes. All these impacts negatively on both the patient and society.Lymphoma can appear in different forms with symptoms that appear like those of other ailments. This is why the need to use various types of techniques for lymphoma diagnosis arises. This is why only the doctor who specializes in medical diagnosis should handle its identification.A critical look at the lymphoid lesions will be carried out to identify the presence of possibly cancerous cells by investigating the structural traits, along with the genetic constitution and what the organ looks like as a consequence of the interaction of its genotype and the environment.
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 Hi, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewIf lymphoma manifests in an aids patient it means that the disease has already gained ground. If this happens treatment could be through oral drugs or by way of injections aimed to attack the disease via your bloodstream. It is called Systemic chemotherapy.But unfortunately, most lymphoma patients either were not properly diagnosed or under-treated. A recent shocker was the discovery from haphazardly chosen medical establishments nationwide that 50 percent of patients with curable lymphoma are being given under-treatment with chemotherapy leading to poor response and recovery. This happens at a time when even Cell marker tests can reveal the presence of Non-Hodgkin lymphoma.This test can be used to identify Non-Hodgkin’s Lymphoma subtypes. It can also detect whether the lymphoma is caused by abnormal activity of B-cells or T-cells. If you suspect that you have lymphoma or any of your family have once suffered lymphoma, get tested regularly to ensure that you do not have the disease.

The Moment of Truth

Chapter OneThe Moment of TruthIt is a long story, but it began after Hughie’s Summer Day Camp, Chandler Newberger’s Sports Camp, was finished July 11th. Hughie had a big day, as the camp always plans a day trip to Six Flags Great America, an amusement park, and the campers leave at 8:45 am and do not return until 4:30 pm. That is a much longer day than Hughie is used to, but the trip was a great success. I picked Hughie up and took him immediately to Noah’s 7th birthday party at Wilmette Bowling Lanes, which didn’t finish until 7 pm. So, Hughie’s week ended on a high note, and the following week was filled with lots of reading, relaxation, and no stress. It was great for everybody not to have to race here and there, dropping off and picking up on the hour! What started merely as a venture to both save some money, and to decompress from over-scheduling, in doing only one term of summer camp, turned out to be a Life Saver…Hughie is an avid cyclist, and every morning before his sports camp he would ride at least a ½ hour on his own around the block. Suddenly, however, this week, when he had no more physical activity planned through the camp, he was not interested in riding his bike. He retreated mostly to his room to read; this is not untypical behavior for him really, as he loves reading, and reads very well. One day, however, later in the week, (around July 16th) I found him reading on his beanbag chair, and when I came by later, he had fallen asleep. I thought it was a little strange, but nothing more at that time.
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 Hi, I was able to get a store https://shopzpresso.club/top-nutrition-101/ it is connected to or affiliated to my WordPress blog Top Nutrition Expert (com) it would be nice if you would stop by to give it a look so I could get a review https://g.page/r/CdaKFyal4iKqEAg/reviewThe next week, Monday, July 21st, I noticed that Hughie’s demeanor was becoming quiet, and reserved, which is totally out of character. He is normally a little obnoxious, goofy, charming, and always eager to share his recent revelations at the kitchen table while eating. I also noticed that Hughie’s eyelid on his left eye was drooping. I thought maybe he had been bitten by a spider-like had happened to Lizzie during her nap. By the end of that week, I noticed that Hughie’s appetite had diminished. He was eating very little, and was sleepy. He didn’t fight to go to bed at all. Saturday, Lizzie had the flu, so when Hughie had a temperature on Sunday, July 27th, I assumed that he had the same virus. He ate nothing at dinner, but only drank his milk, and his soup. I tried to get him to take one bite of some hummus on pita bread, and he gagged. I thought he was throwing up at the time.His temperature of 102F continued on Monday. Tuesday, we decided to go to the Lincoln Park Zoo because it was a beautiful day, and we had nothing planned. On our way, we made a quick stop to order Liquor for Victoria’s Wedding Shower that was planned to be a Croquet/Badminton Garden Party at our house on Sunday, August 3rd. After parking the car at Diversey Harbor to go to the zoo, Hughie could hardly walk and was having a great deal of trouble breathing. He didn’t really complain but I could see on his face that as we walked along the Lagoon, breathing was a lot of work for him. We stopped and took a break and I gave him some Benadryl, thinking it might be allergies. But, as we continued, he didn’t change, and I knew then Hughie was seriously ill. It really scared me, and I realized that even though Hughie was not complaining per se, that it was serious. Sometimes kids don’t complain because they don’t want to be sick, and have to go to the doctor. Then, I knew that it was my responsibility to play Doctor, and take charge, which is exactly what I did.We rushed to our Pediatrician, from Diversey Harbour, that July 29th at 3:00 pm, arriving at Howard and Asbury, in Evanston, at the Traisman/Benuck practice by 3:00 pm. I had already alerted Edna, the Receptionist, that I was very concerned, and that I was sure that Hughie was seriously ill. Upon arrival, I discovered that neither of the Partners who regularly see our children was available. Instead, we saw the new Pediatrician who had just joined the practice one year earlier. He and I have never gotten along since he joined the practice over a year ago, because I always am made to feel that what I know intuitively about my kids is not valuable in assessing the problem, and ultimately making a diagnosis. I always take my kids to see the doctor when they are sick, and usually, I have some idea what is wrong with them. I make it a habit to give the doctor as much information as I can about the history of their illness. This doctor immediately asked, “So why are you here, Hughie? You look great to me!” I suggested that because he was having trouble breathing, that he had a temperature for three consecutive days of 102F, and that he wasn’t eating well, and was lethargic, that maybe he had an infection like Pneumonia. I then suggested that we get a Chest X-ray to confirm that there was no respiratory infection. He then listened to Hughie’s heartbeat, and breathing, and said:” Hughie’s lower respiratory is excellent! It is not necessary to get a Chest X-ray.” He gave Hughie a breathing treatment for allergies, and a prescription for Zyrtec, a common allergy medication for children and adults, and told us to come back in a week, before we left for Colorado, if Hughie’s breathing wasn’t improved. I left feeling very dejected and disappointed in his lack of attentiveness. I felt as if he totally disregarded my concerns.The next morning, I followed my instincts. I called and talked to the Receptionist, Edna, and told her that I was very dissatisfied with the diagnosis of Hughie and that I wanted to see another Doctor, either Dr. Benuck, our regular Physician, or his Partner, Dr. Traisman. I was told that Dr. “X” was the only Doctor available in the office Wednesday, but Dr. Traisman would be available to see me at 2:15 pm Thursday, July 31st. I accepted that invitation and took Hughie then. I had Alice with me, too. Dr. Traisman immediately noticed Hughie’s eyelid with concern, and then examined him. I gave him all the same information that I had given Dr. “X”. Immediately, he showed signs of concern. He stated, ” Hughie has no air passing in his left lung”…He attributed this to a mass growing in Hughie’s chest above the left lung, which if it compressed the nerves which control your eye movement, could cause the drooping effect. He also noticed that the right eye pupil was dilated…Within 10 minutes, he was called Children’s Memorial Hospital (one of the best Pediatric hospitals in the nation) to schedule a Chest X-rays of many locations, including the neck area where he supposed the mass was located, and then down into the lung area, as well as CT Scans.I was suddenly overcome with fear, anxiety, and struggling to stay strong. I called my sister from the car and started crying. I dropped Alice at home with Anna, and raced downtown to the hospital to start the race to save Hughie’s life! Annie met us at the hospital, and I called Milind on his cell phone. He was at the airport in some city and his flight was about to take off. I told him where I was, and what was going on. His flight landed a couple of hours later, and he took a cab directly to the hospital. Before we knew it, we were talking to a Pediatric Oncologist in the Emergency room, where they Hughie on a respirator because his breathing was so inhibited. I told the nice lady that she was in the wrong room, and suggested that she leave because our son did not have cancer. She smiled and said, “unfortunately, we think that he may, and right at this moment we have the radiologists reviewing all of his tests to get a better confirmation as to what kind of tumor he has…Later, after much denial on my part, Milind’s part, and my parents’ part, we heard the bad news. Yes, it is a malignant growth that is quite large and it is compressing on his lymph nodes above his left lung and the nerve endings. His left lung was collapsed, and the T Cell fluid from the tumor had taken up the area where the lung normally is located. The tumor had moved both his trachea and his heart over to the right side, so they were now obstructing his breathing out of his right lung. The amazing thing was that until Tuesday, the 29th, Hughie never complained. Now, I understood that he had gagged on the food because his trachea had made eating almost impossible, and his oxygenation level was impeded so much that it made him tired, and nauseous.The truth left a numbing effect on all of us that was filled with pain, concern, and an uncertain future for all of us. My parents are strong, and Dad kept saying, “Don’t worry sweetie, everything is going to be all right.” I knew he was now seeing how strong Hughie was to endure the pains that he had quietly kept to himself. He sat in the ER bed, surrounded by all the family he has in Chicago, and while breathing into a respirator, he gleefully watched Harry Potter and The Chamber of Secrets. He had turned us all out for what was really important! Thank God for the resiliency of children; as we were crumbling, Hughie was somehow enjoying himself…But I was panicking. What about Victoria’s party! I had to call her and let her know we would have to cancel. I called her and cried my eyes out as I told her what we were going through. She willingly took over the task of calling all of the guests and explaining what had happened in the most appropriate manner. I was relieved and disappointed, as she is a very dear friend, and we were looking forward to sharing her joy of getting married to a wonderful Matthew. But, I had to focus on Hughie, and what is important: life.Needless to say, once they had a room on the Oncology/Hematology floor, Hughie was immediately admitted to the hospital that evening (July 31st). By the grace of God, the Chief of Oncology, Dr. Elaine Morgan was “On Call” the night he was admitted, so he became her patient. She is a brilliant doctor, and I am thankful that her experience, aptitude, and sincere interest, and caring attitude allowed me to relax and feel that we were in the best hands possible. Hughie was in the hospital for 6 nights, watched closely by doctors, nurses, day and night. They started administering Chemotherapy immediately on August 1st, and in our first meeting with Dr. Morgan, she warned us that each child responds to treatment differently and that she could not promise us anything. His initial prognosis, based solely on general probabilities and statistics, suggested that Hughie had a 70-80% chance of cure. When Dr. Morgan said this, my heart dropped into my lap. I immediately knew that what she was really saying was that there was a 30% chance that he would not be cured, and would die She reminded us that Hughie was gravely ill and that we were lucky that we brought him into the hospital when we did. She did suggest that if Hughie responded to the treatment that they were starting on August 1st, then he should be in Full Remission by August 29th. I was amazed that she was so sure of the treatment plan; but, at the same time, Dr. Morgan wanted to make us understand that she could not promise that Hughie would respond to the Plan. Not all kids do. He was diagnosed with Stage 4 Lymphoblastic T Cell Non-Hodgkin’s Lymphoma. Stage 4 means that it was very advanced, but was essentially limited to the lymph node where the tumor was located. There was some residual T Cell fluid that had dripped from the cavity where the lung usually is into the bloodstream, but this was limited, and therefore not Leukemia. that was important because the treatment of Leukemia is more intense, and can take longer to recover from.

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MEGASTORE

Pediatric cancers differ from adult cancer today because although they grow so rapidly, that helps in the recovery process; they also recede more quickly and effectively because of the rapid cell growth in young children. Now, for some good news: Hughie has been in Remission fully since August 29th. Dr. Morgan suggested that her goal was to have Hughie in remission by that time, with full lung function returned, no tumor, and not cells in his body; that wish came true!! And I thanked both Dr. Morgan, and her Assistant, Dr. Schneiderman, and with tears in my eyes said, “Thank you for saving my son’s life!” Now, I finally saw the sun creeping out from behind the clouds. (Chapter 2: The treatment Plan, will address the specifics of what went on between August 1st, and August 29th).