Pathways to Healing Lung cancer starts in the lungs but can spread to other regions of the body. While there is no single cure, there are different treatment options that can be used. In this article, we will look at treatment options, as well as symptoms of lung cancer Roughly 1 in 16 Americans will be diagnosed with lung cancer. While smoking can increase the likelihood of getting a diagnosis, non-smokers are not exempt from this condition. There are many different causes of lung cancer, and people of all ages can be diagnosed. Unfortunately, there is no specific cure for lung cancer. Beating cancer is a little more complicated than taking a few pills or going to a doctor’s office. The disease is more serious and requires more intense intervention techniques. Different Lung Cancer Treatment Options Depending on the progression of the cancer and the patient's general health, a physician may recommend several treatment options. Know that with all treatment options, there is a risk of harsh side effects and a chance that the treatment does not work. Still, these are the best options when it comes to defeating lung cancer, with increased chances of success in cases of early detection. Treatments can be used in combination with one another, or as a standalone option depending on the particular case. Chemotherapy Chemotherapy has been one of the most common treatment options for a long time. It works by using strong chemicals that target rapidly dividing cells. When introduced into your body, chemotherapy drugs will attack all rapidly dividing cells. Unfortunately, these drugs cannot differentiate between cancer cells and healthy cells that just happen to be dividing. The side effects of such treatments can be unpleasant, but most reverse when the treatment ends or can be reduced during the treatment. Common side effects include: Nausea/vomiting. Hair loss. Mouth sores. Pain. Bowel disturbances (diarrhea/ constipation). Loss of appetite. Bruising easily. [youmaylike] Harsher and potentially permanent side effects include: Organ damage (heart, lung, kidneys). Nerve damage. Infertility. Heightened risk of a second cancer. Side effects will also vary depending on the type of drug that is used in your treatment and the way you “take in” the drug. The most common chemotherapy drugs for lung cancer include the following: Afatinib. Bevacizumab. Ceritinib. Crizotinib. Erlotinib. Chemotherapy for lung cancer can be done in the following ways: Injected: Most often this is administered through infusions (IV) but can be given through shots. Implanted: Thin wafers containing the drug can be inserted directly into the site of a tumor or surgery. Pills: Pills and capsules containing the drug are sometimes available. Radiation Radiation is another treatment method. Radiation therapy uses beams of energy to damage cells in targeted regions of the body. The intense energy beams aim at precise locations in the body and damage the cells in that region. While this, unfortunately, means that healthy cells will also be attacked, they are often able to “bounce back” from the damage where cancer cells will be killed. As it is a targeted treatment, side effects are often limited to the region in which the treatment was applied. This means that patients can expect skin problems in the area of application as well as fatigue; these are mostly short-term side effects. Specific side effects characterized by treatments aimed at the chest include: Breast soreness. Stiff shoulders. Difficulties swallowing. Respiratory problems. Radiation fibrosis (permanent lung scarring). There is a low chance of developing long-term side effects, such as the development of a second cancer, as an effect of radiation exposure. Surgery If the cancer is caught early enough, then it can be treated by removing the cancerous tissue at the initial site. The operation can only be successful if the cancer has not yet spread to other regions of the body. The side effects of this treatment will depend on the depth of the removal, the nature of the removed tissue, and its size. For example, removing a tiny bit of the lung will not be as hard to recover from as removing a large piece. Other Lung Cancer Treatment Options Other treatments are being developed that aim to keep the effectiveness of chemotherapy and radiation treatments without the harsh side effects. While some remain experimental, recently emerging treatments, such as immunotherapy, offer the potential to battle lung cancer. Talk to a licensed care physician to get the most valuable recommendations on which cancer treatment is right for you. Everybody has a different experience and treatments are decided on a case-by-case basis.
Diabetic Macular Edema Explained
Diabetic macular edema (DME) is a complication of diabetes that occurs when excess fluid starts to build up in the eye's macula. The macula is the part of the eye that allows us to focus and see fine details, and it is located in the retina, which is full of blood vessels. High blood sugar levels can damage the retina's blood vessels. The damaged blood vessels then begin to leak fluid, thereby causing swelling and other complications. This damage is called retinopathy and generally develops over time.
What Causes Diabetic Macular Edema?
As earlier stated, DME usually occurs due to high blood sugar levels. Other factors such as high blood pressure and high cholesterol levels can also contribute to blood vessel damage. In other instances of diabetes, pregnancy may also increase the risk of developing DME.
Risk Factors
Since DME results from high blood sugar levels, it is common for people with diabetes, especially uncontrolled diabetes, to be at risk for DME. Additional risk factors that can lead to DME include:
- Poor blood sugar management
- High cholesterol
- High blood pressure
- Kidney disease (nephropathy)
- Sleep apnea
- Pregnancy
Associated Symptoms of Diabetic Macular Edema
In its early stages, there may be no symptoms. However, if you have diabetes, it is important to see an eye care doctor every year so they can examine your eyes for any changes. If you also notice any sign of retinopathy or DME, early treatment can prevent or restore vision loss. Let’s take a look at some of the common signs and symptoms of diabetic macular edema:
- Blurry or blocked central vision
- Distorted or "wavy" central vision (called metamorphopsia)
- Seeing floaters or strings of floaters in your vision
- Blind or dark areas or spots in your field of vision
- Difficulty reading at any distance
- Colors appear more washed out than usual
When to Call the Doctor
Call your eye doctor right away if you notice any of the above symptoms. Be sure to tell your eye doctor if you have any of the following symptoms:
- Blurry vision
- Seeing colors that look washed out
- Seeing more floaters in your vision
- Double vision
Diagnosis and Different Treatment Options
Diabetic macular edema can be diagnosed through a comprehensive eye examination. There are effective treatments available for DME. Be sure to talk to your doctor to find the right option that will work for you. If you have received a DME diagnosis, ensure that you start treatment quickly to help prevent long-term eye damage and vision loss. Your doctor can recommend any of the following treatments:
Laser Therapy
Laser therapy involves the use of tiny lasers to target damaged areas in the retina. This process seals leaking blood vessels and prevents abnormal blood vessel growth. Laser therapy is effective in maintaining your current vision level and helps prevent further loss of vision. You’ll likely need several laser treatments overtime to repair eye damage and may require additional treatments if more eye damage occurs.
Anti-VEGF Shots
When you have DME, your body tends to produce a protein called VEGF in excess. When this happens, your blood vessels begin to grow too quickly; so, they are weak and leak blood and fluid into your retina and macula.
There are three types of anti-VEGF medicines usually used for DME; they include aflibercept (Eylea), bevacizumab (Avastin), and ranibizumab (Lucentis). These Anti-VEGF shots help to inhibit the effects of the VEGF protein. However, anti-VEGF shots may not be helpful for everyone and should not be used during pregnancy.
Focal-Grid Macular Laser Surgery
This treatment type works by sealing blood vessels in your retina to slow leaking and bring down swelling. If you have DME in both eyes, your doctor will treat one eye at a time, usually within a few weeks. In some cases, a laser may be used along with anti-VEGF shots if the shots alone are not helping.
Corticosteroids
These drugs are often called steroids and are used to target inflammation. They are usually prescribed to help lessen swelling in your retina. Steroids are usually not as effective as anti-VEGF shots, and they can cause other eye problems, like cataracts and glaucoma. They are not traditionally given as first treatment.
NSAID Eye Drops
Doctors sometimes use eye drops as a preventive measure for DME before or after you have eye surgery. These drugs are called non-steroidal anti-inflammatory drugs (NSAIDs) because they help fight inflammation like steroids but do not have the same side effects. Doctors usually prescribe NSAIDs to prevent or ease swelling.
Can Diabetic Macular Edema Be Prevented?
You may not be able to prevent macular edema if you have diabetes, a pre-existing eye condition, or have suffered an eye injury in the past. However, you can follow the nutrition and lifestyle recommendations from your health care provider to avoid developing diabetes in the first place. You will likely be advised to do the following:
- Keep your blood sugar level under control. Check your blood sugar level several times a day (ask your doctor exactly how often). The American Diabetes Association recommends people with diabetes keep their A1C levels under 7%.
- Stop smoking or do not start. Ask your doctor for help quitting. Smoking increases your risk of diabetic retinopathy, age-related macular degeneration, and blocked retinal blood vessels. All those toxins damage the eyes’ tiny vessels.
- Exercise often. Try not to go more than two days between exercising. If you do, the glucose-metabolizing effects of physical exercise will wear off.
- Eat healthy. Follow your doctor's nutritional guidelines but, in general, avoid junk food and fast food, and try to eat more fresh fruits and vegetables, especially dark, leafy greens such as spinach, kale, and collard greens.