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World Cancer Day Is A Reminder to Support the Mesothelioma Community

February 4 was World Cancer Day, a day to come together to pray for those afflicted with this disease, the families impacted, the warriors still fighting, and a cure. This is time for the entire cancer community to be recognized and bring light to the fact that there is much work to be done to find a cure for all cancers, in order to bring these horrific nightmares to a conclusion.

Clinical trials, experimental treatments, and therapies are all in the news. The awareness this creates is paramount; it could help save someone’s life that hears about them, as well as change millions of lives by their successes.

I am honored to be an active advocate in this community, more specifically the mesothelioma community. I am an unhappy member, but a proud one, working to raise funds and to help others in memory of my Dad. Let’s face it, this is a club that no one wants to be in. There’s no secret handshake, no membership fee, and no perks. This club is full of heartbroken associates; comrades who have endured highs and lows, suffering and joy, throughout their cancer story. The survivors are beautiful examples, the warriors valiant knights, and the lost mourned kinsmen.

No matter what your role is in this narrative, whether you are a patient or a loved one, a medical professional or an acquaintance, we all have a part to play. We need the support of everyone during their battle with cancer in order to end this era in our history, and I believe that it can happen. Advocacy is key, informing the general public about what is going on in the cancer field. Funds are necessary to perform research and help those who cannot afford treatment on their own. Prayers are essential. Time is of the essence. Faith is what will get us through.

So take a little time to think about where you fit. The story can be changed for the better by your support, your willingness to give, and your capacity to love. Let’s work together, and change the way we look at cancer… let’s see it in the rear-view mirror.

Improving Immune System's Memory May Lead to New Mesothelioma Treatment

Nurse Explains the Immune System and Mesothelioma

This winter the flu has been prevalent, and has affected a record number of people. The flu vaccine can help prevent people from getting a particular strain of the flu, and if they do get it, it may be less severe. Why do the flu and other common ailments affect people so differently?  How does our body protect us against diseases?  Do products that claim to “boost” our immune system work?

The key system that the body uses to defend against diseases  is the immune system. The immune system is a complicated system that works as a balanced network all over our body to protect us against disease.

There are a lot of statements claiming that by taking a certain supplement, living a certain way, following a specific diet, or even drinking a certain shake, you can “boost” your immune system. Is that even scientifically possible?

At present there are no scientifically proven direct links between lifestyle and enhanced immune function. There is evidence, however, that every part of our body functions better when following a healthy living lifestyle. This includes getting enough sleep, reducing stress, not smoking, eating a healthy diet high in vegetables, exercising regularly, drinking alcohol only in moderation, maintaining a healthy weight, and washing your hands frequently.

The cancer community and the mesothelioma community have been hearing a good deal about research into the immune system. Immunotherapy is a treatment that uses certain specific parts of the immune system to fight disease. Immunotherapy works in a variety of ways by stimulating the immune system to work harder, or by giving the immune system man-made proteins to fight the cancer cells. Immunotherapy can work with existing therapies to fight cancer or it can be the principal treatment depending on the patient‘s cancer. Targeted therapies involving activating and harnessing targeted cells in the immune system have shown promise for some patients with malignant mesothelioma.

People diagnosed with malignant mesothelioma, or any other cancer, and their caregivers,  need to take care of themselves.  A healthy lifestyle is a positive way to help your overall health.  Malignant mesothelioma is a complicated disease, there are no easy answers, or instant cures, but the immune system is proving to be a key component in the search for a cure.  Until the researchers unharness the workings of the immune system, it is in everybody’s best interest that we all adopt a healthy lifestyle!  Take care of yourself!

Grief and Guilt After Losing Loved One - Mesothelioma Help

Mesothelioma Patients Leave Lasting Gifts For Loved Ones Left in the Wake of the Disease

Facing death is probably is one of the most difficult issues that we have to deal with as humans. For some, there is warning and time to plan, for others though, death comes unexpectedly. The courage of people to think of others as they face their own mortality is something that is awe-inspiring.

As nurses we hear many stories and perspectives. Two women recently have done unselfish, thoughtful, amazing things for their husbands to help deal with their deaths when it happens.

Mrs. A is in her late 50’s, has been married for many years, has adult children, and is very social. She also has advanced, recurrent cancer and does not know how much time she has left. She has always been in charge of her and her husband’s social life. She was worried he might become reclusive when she dies. So she set up a social club for him and five other men who are friends and part of their social group. Now, the men meet once a week, socialize, watch a game, have a drink, and support each other. At first her husband was reluctant, but now calls them “his play dates.” The other men in the group also enjoy their “playdates” and rarely do any of them miss a week. Mrs. A now has peace of mind that her husband will have support when she dies; whenever that might be.

Mrs. B is in her mid 60’s, she has been married for a number of years. She and her husband are both professionals with busy careers. She has metastatic cancer and is facing her death. They have welcomed a kitten into their home. Mrs. B. feels that will help make her absence a little less lonely for her husband. A kitten will not replace her, of course, but it can represent life and love and responsibility. Sometimes knowing our loved one will not be alone is comforting to the dying person.

In the face of their own mortality, both women have found comfort in thinking of their husbands.  Both show courage and compassion.

Many people diagnosed with malignant mesothelioma are like these two women. I have seen many people more concerned about the effects of their diagnosis on their families, and how they would cope when they die, than on themselves and what they are going through.

Facing death takes courage. Reach out, talk about your fears, anxiety, or whatever is concerning you. We all know death is uncertain, but providing our loved ones with tangible support may help the dying, and provide some relief in the future for their loved ones.

Nurse Explains Cancer Staging

Loneliness and Mesothelioma Is A Challenging Combination

Recently, the Prime Minister of England announced a new cabinet level position: Minister of Loneliness. When announcing the appointment, Prime Minister Theresa May called loneliness a “sad reality of modern life.”  The campaign is being led by Tracey Crouch, undersecretary of sports and civil society in the culture ministry.  They have started to work on an “England-wide strategy to tackle loneliness.”  England is a country of 60 million people, and more than nine million residents say they often, or always feel lonely.

In the United States, the former Surgeon General Vivek Murthy has been bringing attention to the data that “are telling us that loneliness kills.” A report published in 2013 found that loneliness can impair health by raising levels of stress hormones and inflammation, which can then lead to increased risk for heart disease, arthritis, Type 2 diabetes, dementia and suicide attempts.

“Loneliness is the state of feeling sad or dejected as a result of lack of companionship or being separated from others,” according to the U.S. National Library of Medicine. There are multiple factors that can cause people to feel lonely.  Social interactions are difficult for some and our busy society makes it difficult for some to form relationships and interact with others.

At the mesothelioma center, we are too familiar with loneliness. It is strongly suggested that you have someone with you to support you through your journey. A friend, relative, someone who can support you along the way.  A few years ago at an orientation meeting for new mesothelioma patients, a quiet man sat among patients and families.  He introduced himself and said he was alone through his journey.  His few words left a lasting impression on many of us. Not only was he fighting a rare, aggressive cancer, he was doing it alone.

There is no doubt some people prefer solitude and have limited social interactions and relationships by choice. It is also true that you can feel lonely in a relationship or with a crowd of people that you know. The important thing is that we all recognize social connections are a fundamental human need.

We need each other.  In the words of the song, ”Reach out and touch somebody’s hand, make this world a better place if you can.”

UK Researchers Identify Gene That May Limit Metastasis

Using Epigenetics To Understand Metastasis May Lead to Novel Mesothelioma Treatment

Researchers know that the best way to increase survival in cancer patients is to keep the disease from spreading to other areas. For aggressive cancers like pleural mesothelioma, cancer cells can outfox even the strongest treatments and metastasize, leaving patients with poor survival. Now, researchers report that through epigenetics they discovered a novel way to inhibit the spread of cancer that could lead to a new treatment that ends cancer growth.

In a break from traditional research looking into gene mutations, a team of researchers from Case Western Reserve University School of Medicine of Cleveland, Ohio, used epigenetics, the study of how genes are turned on and off, as a way to distinguish the differences in primary tumors and metastatic tumors. The team knew that “enhancer activity,” or the genes’ ability to turn switches on or off,  “lend cells their unique characteristics” and contribute to normal development.

However, faulty activity within the cells can lead to tumor development and the spread of cancer. Upon further inspection of the metastasized tumors, the researchers discovered the on-off switches were “in different positions than in the cells of the source tumor.”

“Metastasis results from a complex set of traits acquired by tumor cells, distinct from those necessary for tumors to form in the first place,” said the study’s lead author, James J. Morrow, PhD, a medical student in the Medical Scientist Training Program at Case Western Reserve University School of Medicine. “So based on the knowledge that enhancers drive both normal cell development and tumor-formation, we hypothesized that they may play a similar role in the transition of cancer cells from one developmentally distinct tissue to another during metastatic progression.”

Metastasis, according to researchers, is the cause of nearly 90 percent of cancer deaths. Researchers agree that understanding how to stop metastasis is critical for increasing survival in mesothelioma, an asbestos-caused cancer, and other cancers.

Using mouse models of bone cancer (osteosarcoma) cells, the team wanted to find a way to halt the spread of the cancer to the lungs. Through epigenomic profiling, the team found “bunched clusters of enhancers,” metastatic variant enhancer loci (Met-VELs), near the cancer cells that had metastasized to the lungs. Turning to BET inhibitors, a promising class of anti-cancer drugs now in clinical trials, to interrupt the Met-VELs, the researchers were able to inhibit the cancer growth in the lungs.

Based on the success, the researchesr concluded Met-VELs “may be suitable targets” for treatments targeting metastasis.

Using epigenetics as a new approach for finding an effective treatment could bring the breakthrough needed for halting cancer growth and for increasing survival in the nearly 3,000 Americans diagnosed with mesothelioma each year.

The study was published Jan. 15 online in Nature Medicine.

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