Tuesday, August 4, 2009

Asbestos - The Difference Between Lung Cancer and Mesothelioma

Asbestos has been shown to cause a host of health problems for those who inhale it. As such, it starts off as a respiratory disease. Unfortunately, it can develop well beyond that. This evolution has caused a massive amount of confusion to the point that two results, Mesothelioma and lung cancer, are often used interchangeably when they should not be.
Asbestos exposure can often lead to cancer in the person exposed if the fibers of the mineral in question are breathed into the lungs. Any form of cancer is simply bad news. That being said, there are different types and each comes with its own issues, treatments and potential outcomes. With asbestos exposure, the two most common forms of cancer are Mesothelioma and lung cancer. They are distinct health problems. Let's take a closer look.
Lung cancer obviously impacts the condition of your lungs. Lungs are the biomechanism we use when breathing. They introduce oxygen into our body and expel carbon dioxide and other minor gases like nitrogen. Breathing in air from the environment can be hazardous. In the case of asbestos, we can breathe in tiny fibers of minerals in asbestos forms. Once in our lungs, they are very hard to get out. Slowly, they can cause damage to the structure of the lung material. Scarring, known as asbestosis, and tumors can occur. The tumors can grow and are known as lung cancer. There are various forms of lung cancer, and that discussion is beyond the scope of this article.
Mesothelioma is often talked about as though it is a form of lung cancer. It is not. To understand this form of cancer, one has to first understand what the mesothelium is. The mesothelium is with us from birth. It is a layer of cells that lines the internal organs and areas of the body. It lines the lungs. It lines the abdomen. It lines areas of the heart. The purpose of the mesothelium is much like oil in a car engine - it acts as a lubricating surface that allows the organs in the body to move without friction. Without the mesothelium, bending over would be difficult and probably a very painful proposition.
Mesothelioma is a cancer that occurs in this lining. It is caused by asbestos being inhaled into the lungs. From their, the asbestos fibers are absorbed into the body. How exactly they get into the mesothelium is unknown, but they clearly due. Mesothelioma can spread throughout the entire body core or remain in a particular area. If caught very early, treatment options exist. If caught late, it is rarely survived.
So, how do Mesothelioma and lung cancer get confused when it comes to asbestos exposure? Well, Mesothelioma often occurs in the mesothelium lining around the lungs. Although not technically lung cancer, once can see how the two would get confused. Still, it is important to remember that each is unique and calls for different treatments.

Monday, August 3, 2009

Breast Cancer Reconstruction And Health Care Reform - What Does It Mean For You?

By Sharon Lacey

What does health care reform mean for patients with breast cancer and how will it affect you?

Well, it could mean...

Even though you or your loved one could benefit from advanced breast reconstructive surgery after mastectomy (like the DIEP flap procedure for example), your plastic surgeon might well have to say “no”.

While this may sound extreme to many of you, this would happen if comparative-effectiveness research rules that the benefits of the surgery for the average patient just don't justify its price tag, especially when compared with yesterday's treatments (like tissue expanders for example).

Unfortunately, medical advances and "cutting-edge" procedures do come at a price. Though this does mean certain procedures are more expensive, it has also ensured the United States has stayed at the leading edge of health care in the world, at least until now.

In an enormous break with tradition, such cost considerations based on averages will be factored into medical practice guidelines. These will function as an invisible hand that puts a brake on the more expensive procedures even though they benefit certain patients.

Standardized practice guidelines will be evident everywhere, even embedded into your doctor's government-certified computer: as described in the Obama budget, computer pop-ups will appear to help your doctor make decisions. (And through the same systems, his or her choices can be monitored for consistency with the guidelines.)

More uniform care will certainly improve weak performing doctors, but many experts worry about intruding on the seasoned judgment of the good physician. It remains to be seen how government micromanaging—if not rationing—of care, driven by reasons other than patient well-being, will go down,… particularly when that patient has a face.

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Artists

Jay and WCK drew some pictures over the weekend. Here is WCK's drawing of the Rancor Monster from Return of the Jedi:




Jay drew this:



I asked him why Batman was eating a banana. I was quickly informed that Batman is holding a Batarang. WCK could not believe how lame I was. How could I not know it was a Batarang? I spent a good half-day listening to, "Why did you think Batman was eating a banana, Mama? Why? Didn't you know it was a Batarang, Mama? Why didn't you know that? Why?"

Also, if you look very closely at the Batman drawing, you can see the drawing that's on the other side of the paper: ships blowing up the Death Star.

Before you think I am mocking Jay's drawing, you should see a painting that I made over the weekend. It's supposed to be Dorothy and Toto. Note that poor Toto is floating several inches above the Yellow Brick Road and Dorothy appears to have an Amish beard:




I hope that either a) WCK overcomes my art gene or b) any art classes she takes are pass/fail.

Bathroom remodel nears completion



Our bathroom will be almost fully complete tomorrow! The sink and vanity, toilet, mirrored medicine cabinet and shower are all installed. The paint looks good. The lights are up. Everything has been tested and works just fine.

Today the contractor installed the washer and dryer, stacked on top of each other. He finished touching up the paint, added the final fitting to the hand-help shower and tested it. He put the faucet and soap dispenser into the sink vanity. We met this afternoon to have a final look over the whole thing, then hope to move back in on Wednesday.

The only outstanding items are the shower door, which should be ready next week. In the meantime the contractor has hung a tension rod and plastic curtain so we will be able to use the shower. And the tiler has to complete the backsplash over the sink and seal all the tile. So we may not be able to shower right away. We are hoping to make an arrangment with a neighbor if it's just a few days until he seals the tile.

Although Rik and I are very grateful to the friends and neighbors who opened their homes to us for the past month, we can hardly wait to sleep in our own bed again!

Zometa today

I got my monthly dose of zometa today. Every four weeks I shlep up to Swedish Hospital's Cherry Hill campus to the Ambulatory Infusion Center. (I think that means patients who walk in on their own two feet, i.e. ambulatory.) The nurses here have been taking care of me since the beginning, with my original diagnosis in 1999, again when my cancer metastasized in 2002 and ever since. I did spend about a year getting treatment at my oncologist's office at the Minor and James building, but I much prefer the less crowded conditions at Cherry Hill.

Today's zometa was nothing out of the ordinary. I just want to remind myself (and you) how much of my life revolves around medical stuff. Even now, when I feel relatively good, am taking a daily oral medication that we all hope works, and only see my oncologist monthly, I still have this infusion every four weeks, occasional tests and follow up appointments to get results.

It seems that a week hardly goes by without something medical on my calendar.

Saturday, August 1, 2009

DESCHUTES BLACK BUTTE XXI + NEW RELEASES

The full list of new stuff:

1. Black Butte XXI
2. Westmalle Dubbel/Tripel 750ml
3. Rochefort 10 is back!
4.The Complete Samuel Smith (except the fruit ones. They're not very good.)
5.Rubicon IPA
6. Bornem Double/Triple 750ml
7.Leute Bokbier is back!
8. Bison Organic Chocolate Stout
9. Bison Organic Red Rye Ale
10.Brasserie Lefebvre Saison 1900 12oz.
11. Chouffe Houblon 12oz/750ml
12. Gouden Carolus Tripel
13. St. Peter's Sorghum Beer (Gluten Free)
14. St. Peter's IPA
15. HITACHINO NEST BEER GLASSES (LAST TIME THESE SOLD OUT REALLY FAST, SO GRAB THEM WHILE YOU CAN!)

Still awaiting news of Temptation in large bottles/the new Lost Abbey releases. There should be news very soon.

cheers,

dave hauslein
beer manager
415-255-0610

Hey, myeloma patients!

Help the International Myeloma Foundation gather info about our dumb disease. Fill out a survey at http://survey.myeloma.org . It takes just a few minutes and asks basic questions about your diagnosis, medications you've taken, etc.