March… (Lung cancer awareness month)
I want to start with a story of a beautiful women named Janie Proia who lived with us for almost 6 years. She came to our home and rented a room from us, after a series of broken promises from her ex husband. She had left him 15 years prior, and he never honored the conditions of the divorce court. He changed his name, moved every 6 months and avoided the law. She left him due to his drug use because she wanted to become clean and sober and he didn't. Because of her drug use 15 years prior, she was put on a list, you know, that list where hospitals and doctors use as a warning of drug abuser’s(even though she had been clean and sober for 15 years).She had no family to speak of, so we became her family.
Around the second year she was with us, she started to get full body pain all of a sudden so she went to the local Hospital where they did a series of tests on her. Their diagnosis? Arthritis. They referred her to a Doctor in Suncook NH who refused to put her on any pain med’s knowing that her disease would get worse into her 60’s. No anti inflammatory, nothing to help her. She begged and pleaded for them to do more test’s, because she felt something else was wrong. This went on for another 4 years until one morning, Bob and I found her on the back deck rolling in pain and crying, begging us to help her end her life.
We all had enough. We took her to Dartmouth Hitchcock to my Doctors PA(physicians assistant). After hearing her story, he immediately ordered a pet scan (something he felt should have been done years prior). He also put her on anti inflammatory and pain meds. Ahhh, for the first time in 2.5 years, she was pain free and feeling so much better. He called us 4 days later and the next day, we sat there laughing and positive that they would help her. Sean came into the room, sat down, looked at both of us, and said, “I don't have great news for you” Your adrenal glands are dead and you show signs of Bone cancer. Before we could ask any questions, he stated that the Primary was LUNG CANCER, but that was not his concern, as they could not only control it, but get rid of it based on where it was. He explained that cells leaks from the lungs and destroyed the glans which then leaked into the bone. Now, we all know, that once cancer permeates the bone, it can travel anywhere.. Janie and I sat there with our mouths open not knowing what to say. I finally asked” whats the prognosis”?(although one thing became very clear, that her two year increased pain was due to bone cancer) not Arthritis. 5 Weeks later, she was in hospice and 4 weeks later, she was gone. Our precious, light of bob’s and my life, was gone forever due to two things:
1) Misdiagnosed by a major hospital
2) Refusal from another doctor to do the appropriate tests and accused her directly of making up pain just to get drugs.
Symptoms of Lung cancer
There are defined symptoms of lung cancer but here is the problem, they can be signs of other problems as well. Actually, they can be symptoms of anything from colds, upper respiratory infections, but we at AJ’s Wigs always say and stress, that if you have two or more signs of anything, please go to the doctors. Here are the beginning signs:
- Coughing: This includes a persistent cough that doesn't go away or changes to a chronic "smoker's cough,” such as more coughing or pain. The key word being persistent
- Coughing up blood: Coughing up blood or rust-colored sputum (spit or phlegm) should always be discussed with your doctor.
- Breathing difficulties: Shortness of breath, wheezing or noisy breathing (called stridor) may all be signs of lung cancer.
Loss of appetite: Many cancers cause changes in appetite, which may lead to sudden weight loss.
Fatigue: It is common to feel weak or excessively tired.
Recurring infections: Recurring infections, like bronchitis or pneumonia, may be one of the signs of lung cancer. However, with these two they would do the proper tests which should detect cancer if there is cancer
Now, these can be also slightly different then advanced Lung cancer, which are:
Now, notice the first one is bone pain? Remember what I stated above with Janie's story? For 4 years, she had extreme body pain and her doctors never cared to look further. BUT YOU MUST BECOME YOUR OWN ADVOCATE.
How can you tell if you have lung cancer or if its the flu or pneumonia?
Whether its cancer or something else, so many normal colds, aches and pains have so many of the symptoms of something more serious, and something more serious has the same symptoms of something common. Now, read this again….you can think it is serious, but its not, and you can think it’s a simple cold , and its not!!!!… So, how do you tell. A cold or flu will typically last up until 2ish weeks and pneumonia untreated is in fact deadly, however, treated with antibiotics, will last up until sometimes 3ish weeks depending on the severity of the infection. But the problem with the common cold, flu and something like pneumonia is that the symptoms are much the same. Lets take pneumonia:
The common cold and flu are both contagious viral infections of the respiratory tract. Although the symptoms can be similar, flu is much worse. A cold may drag you down a bit, but the flu can make you shudder at the very thought of getting out of bed. Congestion, coughing, sneezing are common with Bot h colds cold and flu bring coughing and headache and chest discomfort. With the flu, however , you are likely to run a high fever for several days and have body aches, fatigue and weakness . Symptoms of the flu also tend to come on abruptly. Usually, complications from colds are relatively minor, but a severe case o r flu can lead to a life-threatening illness such as pneumonia.
S o, the cold, flu and pneumonia have several things in common like symptoms and other factors that lung cancer has. However, the key word is..PERSISTAN T … persistent cough, aches, fatigue etc.
The risk factors with Lung
cancer aren’t always clear, nor is it what you always correlate
lung cancer to be about. No one disagrees that smoking isn't great
for your lungs, but three out of four surveys state that roughly
42-47% of Lung cancer cases, the patient has never smoked nor been
around second hand smoke.
is true that up until 15 years ago, most restaurants, bars, salons,
and public places allowed smoking, or had smoking / non smoking
sections, so when we start with risk factors, it makes sense when
more people above 65 (2 out of 3) are at risk for Lung cancer. The
average age at diagnosis is about 71.
Second with risk factors, is Genetics. Patients who have a family member who has had lung cancer are more prone to be predisposed to Lung cancer. Whether they smoked or not, or were around second hand smoke, it doesn’t matter. Genetics plays a huge part in quite a few cancers.
Third, is a bit more complicated and that is Life style.(these are not listed in order of severity)
Smoking and secondhand smoke: Smoking is widely considered the leading cause of lung cancer. For those who don't smoke but are exposed to smoke at home or work, secondhand smoke may significantly increase their risk of lung cancer. However, even though this is first in the life style risk factor, please remember the above, because a lot of people who are diagnosed are shocked because they have never smoked.
Exposure to asbestos or other pollutants: Carcinogenic chemicals in the workplace increase lung cancer risk, and don’t forget, that professions such as coal mining, hair stylist, housekeeping and cleaning, healthcare workers, Manufacturing, Construction, farming, auto body(spray painting), fire fighting.
Exposure to radon: Radon is a colorless, scentless radioactive gas that is found in some houses and is a leading cause of lung cancer. Now, I’m going to spend a bit of time on Radon.
How does radon cause cancer?
How many people develop lung cancer because of exposure to radon?
Since lung cancer is, in many ways, a different disease in women, it is important to look at the possible role of estrogen. But as noted above, what we understand about estrogen and lung cancer is still in the early stages.
With any procedure or medication, it is extremely important to weigh the benefits of treatment against the possible risks. For example, if your doctor recommends that you have your ovaries removed for some reason, the benefit of the procedure may far outweigh a possible increase in lung cancer risk, once your over your child baring years.
For now, these studies are a good reminder to talk with your
doctor if you are on hormone replacement therapy, particularly if you
smoke, and to ask questions. Do you need to take the medications? Are
there any alternatives? Are there benefits that go beyond the
potential risk of a higher mortality from lung cancer (or breast
Part two… Can you live with one lung? What about lung transplants? More about Estrogen.