Cancer made me tired. It's a common side effect of the disease and its accompanying treatments, and it's been known to linger long after therapy stops. In order to combat my own drowsiness, I get plenty of sleep at night, I exercise just about every day -- physical activity, even when you feel too pooped to lift a finger, can increase energy levels -- and I try to eat only the healthiest foods, nothing that might make me feel sluggish. I'll take a stab at anything that might give me a boost. Maybe even lemonade, if I can find one low in sugar.

Research indicates that the taste of lemons can fight fatigue by stimulating a nerve in the nose, which then sets off "wake-up" sensors in the brain. So next time you need some extra pep in the morning or a lift during the afternoon, think about about sipping on some lemonade. And then let us know if it works.

Source: Family Circle, July 2007

Nasopharyngeal cancer is most prevalent in South China and kills one in every three victims. The disease is thought to be linked to diets rich in preserved foods, like salted fish.

Scientists will soon test an experimental treatment for nose and throat cancer that will train the patient's own white blood cells to fight the disease. Some classes of T-cells have memory. Once these cells are taken from the patient and are exposed to invaders that they successfully fought off, they should launch the same response when they are re-introduced back into the patients own body.

One of the researchers stated "We expect the T-cells to initiate a very aggressive inflammatory reaction and during the process, not only will the T-cells attack the cancer cells, but other immune cells in the body will be called in to eradicate the cancer cells".

The American Cancer Society estimates that approximately 16,600 new cases of myeloma are diagnosed each year in the United States. Bone pain is the most common early symptom of myeloma. Most patients feel pain in their back or ribs, but it can occur in any bone. The pain is usually made worse by movement.

Patients fatigue more easily and often feel weak. They may also have a pale complexion from anemia which is a common medical problem for patients with myeloma and may contribute to the fatigue. If the disease progresses, the concentration of normal cells in the blood may also decrease. Headaches, bruising, nose bleeding, gastrointestinal bleeding, and tingling or numbness in extremities are all symptoms of myeloma.

Patients may have repeated infections because antibodies to invading viruses, bacteria or other disease agents are not made efficiently of in adequate amounts. Urinary tract, bronchial, lung, skin, or other sites of infection may be the first sign of the disease. In addition, recurrent infections may complicate the course of the disease.

I have a rough patch of skin on the bridge of my nose. It's been there for some time -- how much time, I really don't know -- and I am aware of it every day when I look in the mirror. I wash it, coat make-up on top of it, and sometimes pick at it and watch the flaky skin disappear. It always comes back, and then I study it, wash it, cover it all over again.

It's Skin Cancer Awareness Month and so I've been thinking more about this spot than usual, wondering if it could be more than just a spot. I even went so far as mentioning it to a medical student I saw a week ago during a breast cancer follow-up visit. But the inquiry never made it to my doctor and I've since let it drop.

I'm never sure just how to handle medical issues like these. Typically, I'm hyper-sensitive and worry about all that could be going wrong with my body. Sometimes, I am able to cope normally, realizing most everything is probably nothing. That' the route I took this time. Yet now, now that I've talked to my mom who had a basal cell skin cancer removed from her face years ago -- the kind that flakes away and then comes back -- I'm becoming convinced, pretty sure anyway, that this could be worse than I've imagined it to be.

Cancer of the esophagus is one of the fastest rising cancers in the United States -- but the common screening test, both expensive and risky, is not widely used. Thankfully, a newer option, around since the mid-90s, is quicker and easier and is catching on around the country.

Trans-Nasal Esophagoscopy (TNE) is the better option, and it works like this: a doctor numbs the nose, inserts a thin, flexible tube -- no bigger than a pencil -- through the nostril and into the esophagus, removes a bit of tissue for biopsy purposes, takes a few pictures, and pulls the tube back out through the nostril. The patient gets to watch it all on a monitor and gets to depart from the procedure with no ill effects.

Traditional esophagus cancer screening involves a similar tube that is inserted through the mouth. Due to the gag reflex, patients are sedated. While there are often no complications from the procedure itself, the intravenous sedation can cause problems.

"You don't need those risks to see what's going on," says one doctor, who reports that esophageal cancer responds very well when caught early by tools like TNE.

I didn't know what was coming when I plopped myself down in the waiting room of an Ear, Nose, and Throat clinic yesterday -- which is a good thing. Had I known what doctors would do to me, I may have run the other way. I may have learned to live with the pain I was experiencing each time I swallowed food. But I waited patiently, aware that doctors would "scope" my esophagus, mildly certain the procedure could be uncomfortable, completely unprepared for the full "scope" experience.

I swallowed a pill on Friday night -- not even a whole pill, just a half of one pill -- and it hurt when it went down my throat. I've had the feeling before, a sensation like the pill got stuck, but the discomfort has always gone away within a few hours. This time, it lasted. It hurt to swallow saliva. It hurt to swallow food. It just hurt. So after three days, I took myself to the clinic -- with the subtle worry that cancer was settling in my esophagus.

I know rationally that every ache and pain I experience is not cancer. But I've had cancer. And so I constantly battle a nagging fear lodged deep in my head that reminds me cancer is always a possibility, that cancer is often a shocking outcome of a routine little test for a simple little health concern.

I do not have cancer. I do not have cancer of the throat, voice box, esophagus, or stomach. That's the good news. The scope revealed -- via a tiny camera that traveled through my body -- nothing but healthy tissue. That makes me happy. The test did not make me happy.

I now know the scope is a long, thin tube that enters the body through one nostril. Ouch. It travels into the throat. Ouch. The patient swallows when it reaches the throat to assist in maneuvering it down further. Ouch. The scope then makes its way past the voice box, though the esophagus, and into the stomach. Ouch. Ouch. Ouch. The travels are all displayed on a monitor, and I actually got a glimpse of these body parts -- during the split second when I was able to control my gagging, loosen my grip on the arms of the exam chair, and open my clinched eyes. So I saw for myself that everything looks healthy -- just before the tube was pulled right back through all these parts, leaving me with a very sore throat.

Now that I am home and have talked with a few people, I hear that some patients are unconscious for this procedure. They are completely unaware of the horrors of the scope. I got a few sprays to numb my nose and throat and drank a thick cocktail of lidocaine -- but I did not get the luxury of unconsciousness. And in the end that is okay. I got to see what was happening. I got to hear the doctor's revelation that nothing major is wrong. I got to witness the wonder of medical technology. I got to prove to myself that I can handle a little discomfort in exchange for a clean bill of health. And I got to learn that I have a bit of acid reflux. And now I have to squash that nagging fear that reminds me of the literature out there suggesting a link between acid reflux and cancer.

The Lung Cancer Alliance -- the only national non-profit organization dedicated entirely to lung cancer patient support and advocacy -- asked pulmonary clinical nurse specialist Donna Wilson to help educate the lung cancer community about healthy breathing. Wilson agreed and her breathing tips, available on podcast, are intended to relieve shortness of breath related to pain or activity. Her three breathing techniques -- detailed here -- are simple, easy-to-understand, and truly relaxing.

Before beginning this series of breathing exercises, stop whatever you are doing and sit down or lean against a wall.

• Place chin to your chest to relax your neck muscles. Breathe 10 short bursts of air in and out of your lips. As you expel air, neck and chest muscles should relax.
• Place chin to your chest. Breathe three times in through your nose and out through your mouth.
• Place chin to your chest. Close your mouth, and breathe four times in and out only through your nose.
  

After completing these exercises, lift your head, breathe normally, and let your shoulders relax. In a few minutes, your entire body should start to relax -- and shortness of breath will resolve.

I don't have lung cancer -- but I do have moments of anxiety and panic. So I plan to save these tips. And I plan to use them. And I plan to share them. Because we all can benefit from a dose of relaxation.

The U.S. Food and Drug Administration (FDA) has announced a new warning labeling change regarding bevacizumab (Avastin) a cancer drug currently in use to treat colorectal cancer, that state an increased risk for a brain-bleeding condition and potential nasal septum perforation that can create a hole in the nose for those patients being treated with Avastin. The rare brain-capillary leak can trigger headache, seizure, blindness and other vision and neurological problems.

The FDA has published a letter sent by Genentec to healthcare providers notifying them of the new warnings, available as a pdf document.

In the meantime, Avastin's drug maker Genentech has asked for FDA approval for the drug in the treatment of advanced lung cancer and breast cancer.

Chemotherapy is a good remedy for killing cancer cells -- and I hope every day that it did its job and killed all cancer cells that may have floated away from my original breast cancer tumor. But one not-so-good side effect of this good remedy is the beating that healthy cells take in the process of this life-saving treatment. It will be a red-letter day when chemotherapy can target only cancer cells, while leaving healthy cells unaffected. And this day may be a bit closer for patients in Taiwan who find they are in the early stages of relapse with nasopharynx cancer.

On Wednesday, National Taiwan University Hospital introduced a new high-tech laser procedure -- potassium-titanyl-phosphate or KPT -- to vaporize cancer cells. Doctors use a small endoscopic camera and easily manipulate the laser to precisely eliminate the cancer cells in the back of the nose and the soft roof of the mouth -- without harming healthy cells. The procedure takes roughly 90 minutes and requires a two-day stay in the hospital. This procedure should only be used in the early stages of relapse, though, and first-time cancer patients should still seek chemotherapy. And while those in later stages of relapse can still receive the treatment, it will only relieve discomfort without solving the problem.

To date, there have been 16 successful KPT treatments for this disease that about 1,000 people in Taiwan contract each year.