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"Base Tan" in a Tanning Booth Dear OncoLink "Ask The Experts," Does a tanning booth give you a base tan so you won't burn in the sun?Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:Absolutely not! You can still burn even after getting tan in a tanning...
"Base Tan" in a Tanning Booth Dear OncoLink "Ask The Experts," Does a tanning booth give you a base tan so you won't burn in the sun?Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:Absolutely not! You can still burn even after getting tan in a tanning bed....
"Dumping Syndrome" after Surgery Question Can you help me better manage "dumping syndrome?" I have had such a hard time with eating after my stomach cancer surgery. Do certain foods make it worse? Is this going to be a permanent problem? Answer Katrina Claghorn, Registered...
"Warning Signs" of Pancreatic Cancer Question My grandfather was just diagnosed with metastatic pancreatic cancer. He was feeling completely fine until just few weeks ago. We are all so surprised by this. Could there have been any "warning signs" or test that could have been done...
Accessing the American Cancer Society Resources How can I get access to the many services offered by the American Cancer Society? I hear they offer so many things, but I just don't know where to go on their website or what would be good for me. Christina Bach, MSW, LCSW, OSW-C, Oncology...
Activity Restrictions Prior To PSA Testing Dear OncoLink "Ask The Experts," What steps should be taken prior to a PSA test? More specifically, are there any restrictions or recommendations on food or activity? Thank you.Alan J. Wein, MD, Professor and Chair of the Division of Urology at the...
Acupuncture When Blood Counts are Low Dear OncoLink "Ask The Experts," Can I get acupuncture if I am neutropenic or have low platelets? Jun Mao, MD, MSCE, Assistant Professor of Family Medicine and Community Health at Penn Medicine, responds: Yes, in general it is OK. It is better to...
Adenomatous Polyps Dear OncoLink "Ask The Experts," My 62-year-old father had adenomatous polyps on a recent colonoscopy. Does this mean he has colon cancer?Carmen E. Guerra, M.D., M.S., Associate Professor of Medicine at Penn Medicine, responds: If your father had...
African Americans should have Colonoscopy Screening at a Younger Age Question I recently heard that the screening age for African Americans to get a colonoscopy is starting at age 45. Why is it not 50 like other people? Answer Carolyn Vachani, RN, MSN, AOCN OncoLink Nurse Educator responds: African Americans are...
Alcohol and Cancer Risk Question My husband is a heavy drinker and I am concerned for his health. Is there a link with alcohol and cancer? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Many people are aware that heavy alcohol use can cause...
Alternative Therapies for Treatment Dear OncoLink "Ask The Experts," Just recently my wife's brother, who is severely handicap and 48yrs old was diagnosed to have a Mass in his Colon. Where we can get help as far as non-Chemotherapeutic and more natural products to combat this if it...
Am I Fertile? Dear OncoLink "Ask The Experts," I was treated for cancer when I was 9 years old and I am 26 now. I am curious about my fertility- can I have a baby? I’m not at that point in a relationship, but I want to know before getting to that point.Clarisa...
Appetite during Treatment Question Do you have any tips for helping my husband improve his appetite while on treatment? Answer Tracy Lautenbach MSW, LCSW, Oncology Social Worker at Penn Medicine, responds: To promote appetite it is important to create and follow a meal...
Are my Kids at Risk for Colon Cancer? Question I am 43 years old and was recently diagnosed with stage III colon cancer. Are my kids or other family members at risk for colon cancer since I am so young? How do I know if they should have genetic testing? Answer Liz Prechtel-Dunphy,...
Avoid Certain Yoga Poses? Dear OncoLink "Ask The Experts," Should I avoid certain types of yoga moves if I had surgery for breast cancer in the past?Kathryn Schmitz, PhD, Penn Medicine researcher who specializes in the role of physical activity in lymphedema development and...
Balancing Vitamin D Needs and Sun Exposure Dear OncoLink "Ask The Experts," How do you balance getting enough vitamin D if you are constantly wearing sun screen? Is it OK to spend some time in the sun without sun screen?Christopher J. Miller, MD, Assistant Professor of Dermatology at the...
Benefits of Quitting Smoking After Long History Question I have smoked for about 20 years, would it even matter if I quit now? Will I still get lung cancer? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Quitting is beneficial, no matter how long a person has smoked....
Bereavement Resources What are some resources for bereavement support? Christina Bach, MSW, LCSW, OSW-C, Oncology Social Worker at the Abramson Cancer Center at Penn Presbyterian, responds: Public television recently published this list of bereavement resources. ...
Blood Cell Counts Bouncing Back Question I've been on chemo for about two years and my white blood cell count has always bounced back either to normal or close to normal. Does that indicate something about my overall health? Answer James Metz, MD, OncoLink Editor In Chief,...
Body Image Concerns for Men Dear OncoLink "Ask The Experts," I am 20 was diagnosed last year with testicular cancer. I thought it was a groin pull from wrestling so I waited months before I told anyone. I had to have surgery, radiation & chemo. I am one year out of treatment. I...
Bone Metastases in Pheochromocytoma Dear OncoLink "Ask The Experts," In metastatic pheo, what is the current thinking about treating/removing tumors and bone lesions as they are identified? My understanding is that the concern with bone lesions is the deterioration of the bone....
Bone Scan Results Question My doctor recently showed me a bone scan result and said that some darkened areas were cancer and others were not. How could she tell the difference? Answer James Metz, MD, OncoLink Editor In Chief, responds: Interpretations of bone...
BRAF Gene in Melanoma Dear OncoLink "Ask The Experts," I've seen in the media recently the new drug that targets the BRAF gene in melanoma and how it is having unprecedented success for this patient population. Can you talk to what exactly this means and how patients...
Breast Cancer Pathology Question I hear all these terms so often in regards to breast cancer: HR-positive/negative, HER-2/neu receptor, triple negative breast cancer. What do they mean and what is a "good" one to have? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink...
Breast Self Exam Dear OncoLink "Ask The Experts," Why do the guidelines now say don’t do breast self-exam? My sister had breast cancer and found it by doing self-exam and best of all it doesn’t cost a thing! Self exams can save women’s lives- right?...
Calcifications And Dense Tissue On Mammogram Question What is meant by calcifications and dense tissue on a mammogram? Are these normal results? Does it mean I am at risk for getting cancer again? Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: Calcifications may be...
CAM For Hot Flashes Dear OncoLink "Ask The Experts," I was thrown into menopause by my cancer treatment- Is there anything to treat or help with these hot flashes that isn’t a medication? Jun Mao, MD, MSCE, Family Medicine and Community Health Physician and...
CAM Makes Me More Anxious? Dear OncoLink "Ask The Experts," I have such a hard time trying to relax and feel that many complementary therapies, like guided imaginary, meditation, mindfulness, only make me more anxious. It seems like more quiet, makes my mind race more. How can...
Can CAM Treat Cancer? Dear OncoLink "Ask The Experts," Are CAM treatments to help with side effects or can they also help treat your cancer?Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the Joan Karnell Cancer...
Can I Ask About A Surgeon’s Personal Complication Rates? Dear OncoLink "Ask The Experts," Is it okay to ask your surgeon what their rates of complications are- is that something they know off hand and should be willing to share? Daniel Eun, MD, Director of Robotic and Minimally Invasive Urologic...
Can I Eat Red Meat If I Have Colon Cancer? Is it ok to eat red meat if I have colon cancer? Karen Wagner, MS, RD, LDN, Registered Dietician at Penn Medicine, responds: The research into red meat and colon cancer is certainly confusing. The strongest link between colon cancer risk and...
Can I Have Surgery After Radiation? Dear OncoLink "Ask The Experts," I have heard that if I choose radiation therapy for prostate cancer treatment that I could not have surgery later if the cancer recurs. Why not?Alan J. Wein, MD, Professor and Chair of the Division of Urology at the...
Can I Keep My Job? Dear OncoLink "Ask The Experts," I’ve just been diagnosed with cancer. Will I be able to keep my job?Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff Attorney at The Legal Clinic for the Disabled, responds:You are covered...
Can I Stop Chemo? Dear OncoLink "Ask The Experts," My mom is 76 and getting chemo for lung cancer. She is so sad, crys daily about how bad she feels from the drugs- hair loss, nausea, exhausted. She just wants to go out and enjoy life, but is too physically...
Can Non-Melanoma Turn Into Melanoma? Dear OncoLink "Ask The Experts," If I have non-melanoma skin cancer, will I get melanoma someday or can it turn into melanoma? Christopher Miller, MD, Assistant Professor in Dermatology and Director of the Moh's Surgery Program at Penn Medicine,...
Can other things besides cancer cause a tumor marker to be high? Question Can other things besides cancer cause a tumor marker to be high? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: Can other things besides cancer cause a tumor marker to be high? Absolutely, quite a few...
Cancer As A Chronic Illness Question My Doctor mentioned that I should view my cancer (ovarian) as more of a chronic illness because there is no cure, however there are treatments and medicines that can help. What tips do you have for living with this uncertainty? Answer ...
Cancer Caused By Exposures At Work Dear OncoLink "Ask The Experts," I think my cancer was caused by exposure to chemicals at work. What can I do about it?Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff Attorney at The Legal Clinic for the Disabled,...
Cancer Remission Question My doctor told me there is a chance that my cancer could come back. Will I have to get radiation and chemotherapy again? Answer Patricia Dooley, Associate Director of the Division of Speech Language Pathology at Penn Medicine, responds: ...
Cancer Risk with Cigars Question My friends and I enjoy a few cigars when we get together, is there a risk of lung cancer with cigars? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Many people view cigar and pipe smoking as safer than...
Cancer Screening Tests Question What is meant by "cancer screening tests"? Who should get them? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Cancer screening tests are designed to find cancer or pre-cancerous areas before there are any...
Cancer Treatment and a Living Will Question I am getting ready to start cancer treatment; do I need a Living Will? If so, how do I go about getting one? Answer Christina Bach, Oncology Social Worker at Penn Medicine: Indicating your wishes for medical care is important information...
Cancer Treatment and Workplace Disclosure Question Do I have to notify my employer about my cancer diagnosis? I am worried about losing my job. Christina Bach, Oncology Social Worker at Penn Medicine responds: You are not legally obligated to inform your employer of your cancer diagnosis....
Carcinoid Patients & Kids at Higher Risk For Cancer? Dear OncoLink "Ask The Experts," Are carcinoid patients at higher risk for other cancers? Are children of carcinoid patients more likely to develop the disease? Weijing Sun, MD, Medical Oncologist at Penn Medicine, responds: Not...
Caregiver Exposure to Chemotherapy Dear OncoLink "Ask The Experts," My mom has cancer and I just want to know if there are any effects of chemotherapy agents to us caregivers? Thank you.Jill Stopfer, MS, CGC, Certified Genetic Counselor, responds:Gloria DiLullo, MSN, CRNP, OncoLink...
Caregiving From a Distance Dear OncoLink "Ask The Experts," My mom is being treated in Pennsylvania and I live in Texas. How can I be a good caregiver from so far away? Tracy Lautenbach, MSW, LCSW, Social Worker at the University of Pennsylvania, responds: Friends and family...
Caregiving From a Distance: Finding Local Resources Dear OncoLink "Ask The Experts," I have a relative in another city that is coping with chemo treatments and having a very hard time. We can't be there to support her but want to somehow help her maintain her nutrition or her home. Are there...
Cell Phones and Cancer Risk Question Has there been a definite conclusion with cell phones causing cancer? Answer Charles B. Simone, II, MD, Radiation Oncologist at Penn Medicine responds: That is a great question, but a very controversial topic. Cell phones emit...
Checking Blood Counts During Radiation Dear OncoLink "Ask The Experts," Is it normal to undergo radiation treatment 15 of them with out any follow up blood work during those treatments? John Christodouleas, MD, Radiation Oncologist and Assistant Professor at the University of...
Chemo Brain Dear OncoLink "Ask The Experts," I have had problems paying attention and remembering things. I have heard the term "chemobrain", but I dont know what to do about it. Some people say it is real. Some people say it is not. Anyway, I have...
Chemoebolization for Liver Cancer Question My husband is getting "chemoembolization" for liver cancer. Why does he have to have this procedure rather than getting actual chemotherapy? What are the risks involved in this procedure? Answer Bruce Giantonio, MD, Medical Oncologist at...
Chemotherapy and Pharyngeal Cancer Question Is it safe to go to a dentist when I am getting radiation or chemotherapy for pharyngeal cancer? Will my dentist know what to do or even want to see me? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: We...
Chemotherapy and Radiation at the Same Time for Laryngeal Cancer Question I have to have chemotherapy and radiation at the same time for laryngeal cancer. Why do them at the same time (seems like it will be pretty hard) and why is this done before my surgery? Answer Alexander Lin, MD, Radiation Oncologist at...
Chemotherapy Safety at Home Question I am taking chemotherapy (5-FU) via a pump connected to my port at home. What should I know about safety regarding having chemotherapy at home? Answer Gloria DiLullo, Oncology Nurse Practitioner at Penn Medicine responds: Many people...
Child Bearing after Cancer Treatment Question I'm getting radiation for rectal cancer and am concerned about being able to have children after treatment. What should I do before I start treatment to make sure my fertility is preserved? Can it be preserved? Answer Maggie Hampshire,...
Colon Cancer Risk With No Family History Dear OncoLink "Ask The Experts," I heard if I do not have anyone in my family who has had colon cancer that I don't need to do the screening. Is that true? Carmen E. Guerra, M.D., M.S., Associate Professor of Medicine at Penn Medicine, responds: ...
Colon Cancer Screening Guidelines Dear OncoLink "Ask The Experts," How often do you recommend having a colonoscopy? I previously lived in NJ and the doctor there recommended every two years. I now live in NC and the doctor recommends every 5 years. Jenia Jenab-Wolcott, MD, PhD,...
Colonoscopy After Polyps Dear OncoLink "Ask The Experts," I had 2 polyps found on colonoscopy that were removed. When do I need to have my next colonoscopy?Jenia Jenab-Wolcott, MD, PhD, Gastroenterologist at the Hospital of the University of Pennsylvania, responds: As you...
Colonoscopy Under 50 Years Old Dear OncoLink "Ask The Experts," I have several family members who have had colon cancer. I want to have screening (I am 35) but my insurance company doesn't want to pay for it. Any advice? Carmen E. Guerra, M.D., M.S., Associate Professor of...
Communicating after Surgery Question I am so self-conscious about talking to people because of how I look after my surgery. I even feel like I can't communicate right in terms of my facial expressions. Can you help me deal with this? Answer Tracy Lautenbach MSW, LCSW,...
Compression Sleeve Use with Lymphedema Dear OncoLink "Ask The Experts," Do I need to wear my compression sleeve (for arm lymphedema) when flying? Is it ok to lift with the affected arm as I was told not to lift more than 10 lbs and read somewhere that lifting is o.k. Andrea...
Considering Tax Implications in Financial Planning Dear OncoLink "Ask The Experts," I have terminal cancer and I want to be sure that my possessions and what little money I have goes to my only son with as little interference from Uncle Sam. Are there groups that help people with cancer make...
Continuing Drug After Allergic Reaction Dear OncoLink "Ask The Experts," I have stage 3B rectal cancer. I am currently in the first chem/radiation session(5.5 weeks) Taking Oxaliplatin 1X week and Xeloda 5X week. I had an allergic reaction to the Oxaliplatin and the oncologist stopped it....
Coping with Loss During the Holidays Dear OncoLink "Ask The Experts," My sister passed away a few months ago and I was her caregiver. She was only 38 years old. I am devastated still and do not know how to cope with the Holiday season that is approaching.Tracy Lautenbach, MSW,...
Costs for Getting to Treatment Dear OncoLink "Ask The Experts," Money is so tight and I am traveling quite a distance for treatments. Is there anybody who helps with gas for travel? Gas is so expensive right now!Christina Bach, MSW, LCSW, Social Worker at the University of...
Credentials Of Therapists How do I know if a practitioner of acupuncture or reiki is reputable? Are there certifications to look for or anything? Jun Mao, MD, MSCE, Family Medicine and Community Health Physician and Acupuncturist at PENN Medicine, responds: Acupuncture...
CT Scan Versus MRI Question What is the difference between at CT scan and MRI? How does my doctor decide what is best for monitoring my cancer? Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: A ct scan is a test that uses xrays assembled in many...
Daily Radiation Question Why do I have to come in everyday for radiation? Can't it be more spaced out? Answer Ursina Teitelbaum, MD, Medical Oncologist at Penn Medicine responds: Radiation requires daily visits with an absolute minimum of interruptions to...
Dangers of Extended Radiation Treatment Question My sister is getting radiation every day- well, supposed to be- but at least once a week or more she takes a day off. Is this harmful? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: Yes. All efforts should be...
Dangers of extended radiation treatment Question My sister is getting radiation every day- well, supposed to be- but at least once a week or more she takes a day off. Is this harmful? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: Yes. All efforts should be...
Dangers of Smokeless Tobacco Question My son uses "chew" (smokeless tobacco), is this harmful even though there is no smoking involved? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Chew as well as dip, spit, oral/spitless tobacco and dry/moist...
Diabetes After Pancreatic Cancer Question If I have pancreatic cancer, will I have diabetes? Answer Ursina Teitelbaum, MD, Medical Oncologist at Penn Medicine responds: Some patients develop diabetes after pancreatic surgeries but usually only if they have had a total...
Diarrhea A Year After Radiation Question It is a year after radiation finished and I am still experiencing diarrhea. What can I do to manage this better/decrease incidence of it? Answer Nicole Ross, RN, MSN, OCN - Radiation Oncology Nurse at Penn Medicine, responds: We...
Diet and Preventing Recurrence of Breast Cancer Dear OncoLink "Ask The Experts," I take a great deal of interest in my diet and want to do what I can to prevent relapse of my breast cancer. I was treated 6 years ago. I see that you speak about weight loss, changes in bone density and info on...
Diet to Improve Blood Counts Dear OncoLink "Ask The Experts," My platelet and white blood counts are low and my chemo is being held until they improve. Is there anything I can eat or take (vitamins or supplements) to help increase them?Karen Wagner MS, RD, LDN, Clinical...
Dietary Recommendations after Esophageal Cancer Treatment Question My husband is undergoing treatment for esophageal cancer and is losing a lot of weight. He barely has an appetite and finds it hard to eat when he does want something. Can you please give us some suggestions for nutrition? Katrina...
Dietary Soy After Breast Cancer Dear OncoLink "Ask The Experts," I had an ER+ breast cancer that was treated 2 years ago. Is there any danger to eating soy products or other plant estrogens, like flax?Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer...
Difference Between Complementary, Alternative & Integrative Therapy? I have heard people talk about complementary, alternative, and now integrative therapy for cancer – are these terms interchangeable? Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the...
Disability Resources I need help with disability and legal issues. Christina Bach, MSW, LCSW, OSW-C, Oncology Social Worker at the Abramson Cancer Center at Penn Presbyterian, responds: Applying for disability is a big decision when diagnosed with cancer; and also...
Disfigurement after Throat Cancer Surgery Question Can you help me cope with the disfigurement I have and feel after surgery for throat cancer? I know I should be grateful to have made it this far, but I am having a hard time thinking of myself looking like this and I am afraid of how my...
Do I Have To Tell My Employer I Have Cancer? Dear OncoLink "Ask The Experts," Do I have to tell my employer I have cancer?Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff Attorney at The Legal Clinic for the Disabled, responds:This shouldn’t be a topic of discussion...
Do I Need Genetic Counseling & Testing? Question How do I know if I need genetic testing for a cancer? Answer Jill Stopher, MS, Certified Genetic Counselor at Penn Medicine, responds: In general, people who are good candidates for genetic testing have these features: they may be...
Do Polyps Mean I Have Colon Cancer? Question I recently had a colonoscopy and my doctor told me I had some polyps, does this mean I have colon cancer again? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: No. This is good news- screening worked to find a...
Does Massage Help Relieve Pain? Does Massage Help Relieve Pain? Can massage help to relieve pain from cancer? Wayne Mylin, Dipl. ABT (NCCAOM), AOBTA-CP is an Asian Bodywork Therapist specializing in Shiatsu and Acupressure at Pennsylvania Hospital, responds: Many types of...
Does Radiation Make You Radioactive? Question Does radiation make you or your body fluids radioactive? Should I take any precautions at home since I have children? Answer Michael Corradetti, MD, PhD, Radiation Oncology Resident at Penn Medicine, responds: Radiation therapy for...
Dry Mouth during Cancer Treatment Question I have such dry mouth. What can you recommend to help me with this? Sometimes it is so hard just to chew my food and get it down. Answer Patricia Dooley, Associate Director of the Division of Speech Language Pathology at Penn Medicine,...
Dry Skin and Radiation Question I have very dry skin on the side of my face/neck where I had radiation. What kind of lotion can I use on this that would actually help? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: As long as the area is...
Eating after Treatment Question Will I ever be able to eat normal food again and not have to worry about it getting stuck? Answer Valaree Williams MS RD LDN, Clinical Dietitian Specialist, Department of Radiation Oncology at Penn Medicine, responds: Your tolerance...
ED After Surgery Dear OncoLink "Ask The Experts," It has been a year after my husband's surgery, he still has sexual difficulty is this normal?Alan J. Wein, MD, Professor and Chair of the Division of Urology at the University of Pennsylvania School of Medicine,...
Effects on the Arms after Neck Surgery Question How can the surgery I had on my neck affect my arm? I feel such tightness and have trouble raising my arm like I did before? Is there anything I can do about this? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine,...
Effects on the Tongue after Surgery Question Since my surgery, I feel like my tongue gets in the way of me speaking. Can you help me with this? Answer Patricia Dooley, Associate Director of the Division of Speech Language Pathology at Penn Medicine, responds: I would suggest an...
Electronic Cigarettes Dear OncoLink "Ask The Experts," I looked into this question recently and the quality of data is poor and does not allow a definitive answer to this question. The FDA recently evaluated the question and expressed concern. I'm also not an expert on...
Employer Says I Shouldn’t Work During Treatment Dear OncoLink "Ask The Experts," I am 32 years old and was diagnosed with rectal cancer. I am going to need surgery, radiation, and chemo. My chemo has to be given 24 hours a day by a pump that I wear like a fanny pack. I am a flight attendant for a...
Estate Planning and Legal Advice During Cancer Question Where can I go for help with legal issues in terms of estate planning and making sure my family is taken care of when I die? Answer Christina Bach, Oncology Social Worker at Penn Medicine responds: It is important to think about advance...
Evaluating Breast Cancer Risk Question How do I know if I am at risk for breast cancer? Answer Charles B. Simone, II, MD, Radiation Oncologist at Penn Medicine responds: Breast cancer is the most common solid cancer in women. Approximately 1 in 8 women will developed breast...
Exercise During Chemotherapy Dear OncoLink "Ask The Experts," I saw a story on the news about something called heat shock protein. They said that stress (including strenuous exercise) the day before chemotherapy could protect cancer cells from chemotherapy. Is there any...
Exercise Precautions During Cancer Treatment Dear OncoLink "Ask The Experts," I had stage 3 breast cancer, surgery and am now getting chemo. Surgeon has cleared me to resume working out- I always went to the gym at least 4x a week. I am sure I will need to do less and not as intense, but it...
Exercise Precautions During Cancer Treatment Dear OncoLink "Ask The Experts," I had stage 3 breast cancer, surgery and am now getting chemo. Surgeon has cleared me to resume working out- I always went to the gym at least 4x a week. I am sure I will need to do less and not as intense, but it...
Expediting an EEOC Case Dear OncoLink "Ask The Experts," What can I do to expedite an EEOC case I have involving my former employer. I really think they are stalling...waiting for me to die!Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff...
Expiration of Sunscreen Dear OncoLink "Ask The Experts," I am wondering how long the SPF value lasts in the tube of sunscreen! I do tend to save it from year to year. Thank you.Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:Look on the bottle for an ...
Familial Colorectal Cancer Dear OncoLink "Ask The Experts," I was diagnosed with colon cancer at age 36, but have no family history of it. I am concerned for my 2 small children. When should my children start screening for colon cancer? Carmen E. Guerra, M.D., M.S.,...
Family History Of Breast Cancer On Father's Side Question Does family history of breast cancer on my father's side put me at risk for cancer? Answer Jill Stopher, MS, Certified Genetic Counselor at Penn Medicine, responds: Even though breast cancer mostly affects women, risk for breast cancer...
Fatigue Continues After Treatment Dear OncoLink "Ask The Experts," Can chemotherapy-related fatigue last 5 months after treatment has ended? I recently returned to work as a teacher and felt dizzy and off balance. Can the fatigue reoccur slightly after returning to work?Lora Packel...
Fatigue During Radiation Dear OncoLink "Ask The Experts," My husband got radiation treatment 10 years ago. He sailed through it and worked full time. I am getting radiation for breast cancer now and am so tired I can hardly get out of bed some days. Am I feeling tired from...
Fear of Recurrence Dear OncoLink "Ask The Experts," I am finished with treatment and currently cancer-free. Yet I am fearful that the cancer will comeback. What can I do to lessen my anxiety?Tracy Lautenbach, MSW, LCSW, Social Worker in the Radiation Oncology...
Feeding Tubes and Radiation for Esophageal Cancer Question I had a consult with a radiation doctor for esophageal cancer. He said I need a feeding tube. That seemed kind of premature to me- do I really need that? Answer Liz Prechtel-Dunphy, Oncology Nurse Practitioner at Penn Medicine, responds: ...
Feeding Tubes During Treatment Question Why do I need to get a feeding tube before I even start treatment? Can't I just wait and see how it goes? Answer Valaree Williams MS RD LDN, Clinical Dietitian Specialist, Department of Radiation Oncology at Penn Medicine, responds: ...
Feeling "Back to Normal" Dear OncoLink "Ask The Experts," Friends and family say "it must be nice to be getting back to normal," but I don't really feel "normal" after surviving cancer and treatment. Do others experience these feelings?Rodney N. Warner,...
Feeling Tired After Treatment Question I have felt so tired since finishing my treatment, what can I do to get some energy back? Answer Nicole Ross, RN, MSN, OCN - Radiation Oncology Nurse at Penn Medicine, responds: Fatigue is a very common side effect of chemotherapy...
Fertility and Cancer I would like to know more about Fertility and cancer. What are my options after treatment? Trish Gambino, RN, MSN, Nurse Navigator, responds: Fertile Hope is a great resource. Fertility should be addressed before you start your cancer...
Fertility Preservation Options Dear OncoLink "Ask The Experts," I am 32 and just diagnosed with rectal cancer. I am going to need surgery, radiation, and chemo. My husband and I have only been married for 3 months and don’t have any kids. What are the options for me to possibly...
Financial Pressures of the Holidays Dear OncoLink "Ask The Experts," How do I deal with financial pressures associated with the holidays - when I’m already broke from my cancer treatment?Christina Bach, MSW, LCSW, Social Worker at the University of Pennsylvania, responds: Get...
Finding A Music Therapist Is there a website where I can find a reputable music therapist in my area? Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the Joan Karnell Cancer Center at Pennsylvania Hospital,...
Finding Support for Kids During Cancer Treatment Question How can I help my kids deal with their dad's illness? Some say to keep things as normal as you can, but I feel nothing is "normal" anymore. Answer Christina Bach, Oncology Social Worker at Penn Medicine responds: I know it is really...
Finding The Right Music Therapy Can you recommend music that will help me to relax and would be good music therapy? Where can I buy this music? Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the Joan Karnell...
Finding The Right Music Therapy Can you recommend music that will help me to relax and would be good music therapy? Where can I buy this music? Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the Joan Karnell Cancer...
FMLA Dear OncoLink "Ask The Experts," How much time am I allowed to take off from work for treatment? Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff Attorney at The Legal Clinic for the Disabled, responds:The federal Family...
FNA Biopsy (Fine Needle Aspiration) Question What is an FNA? Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: This stands for fine needle aspiration. This is a biopsy method during which a large needle is used to withdraw fluid and cells. The cells are then...
Foods To Prevent Nausea Are there any foods or supplements that can relieve nausea from chemo? Debra DeMille, MS, RD, CSO, Dietician at the Joan Karnell Cancer Center at Pennsylvania Hospital, responds: Anti nausea medicines have greatly improved and I highly...
Foods With Tyramine and Carcinoid Dear OncoLink "Ask The Experts," Why are foods with tyramine not good for carcinoid patients? What are examples of foods containing tyramine? Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer Center, responds: ...
Friends Stop Coming Around Dear OncoLink "Ask The Experts," My friends don’t come around much since my diagnosis. I think they probably don’t know what to say but I just want them to hang out like we used to. How can I get them to understand I am still the same old...
Getting Back To Life As A Survivor Question Can you offer some advice on how to get back to life in a non-cancer treatment world for someone who has finished treatment and is now a "survivor?" I feel a bit disjointed and unsure how to get back to normal. Also, can you recommend some...
Getting Back to Normal Dear OncoLink "Ask The Experts," My doctor says I am done treatment and can get back to normal! I don’t feel normal at all! When will I feel like my old self again?Neal Niznan, MSW, LCSW, Social Worker in the Radiation Oncology Department at the...
Getting Back to Work After Cancer I had to stop working when I started cancer treatment. How can I get back into the work force, especially during this bad economic time? Will having a history of cancer really look bad for employment? Carolyn Vachani, RN, MSN, AOCN, OncoLink...
Getting Back to Your Old Self Dear OncoLink "Ask The Experts," I recently finished surgery and chemo for nscl cancer. My family seems to think I should be back to my old self- I am a stay at home mom, but that has a lot of responsibility- cooking, cleaning, shopping, etc. I just...
Getting Insurance After Cancer I am looking for information about life insurance policies when one has a diagnosis of cancer. Christina Bach, MSW, LCSW, OSW-C, Oncology Social Worker at the Abramson Cancer Center at Penn Presbyterian, responds: Accessing life insurance is...
Ginger & Sea Bands For Nausea Dear OncoLink "Ask The Experts," Can massage be done during your chemo treatment? Will "sea bands" or ginger gum help with nausea?Jun Mao, MD, MSCE, Assistant Professor of Family Medicine and Community Health at Penn Medicine, responds: You can...
Giving HPV Vaccine at Young Age Dear OncoLink "Ask The Experts," Why do the vaccines have to be given at such a young age?Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health System, responds:The Gardasil vaccine...
Gleason Differs On Biopsy & Pathology Report Dear OncoLink "Ask The Experts," My husband had prostate removed and the final gleason score was higher than the biopsy had showed. Is that common? It makes you think the biopsy isn’t really reliable.Alan J. Wein, MD, Professor and Chair of the...
Grade On Pathology Report Question What does the grade of cancer mean on a pathology report? Answer James Metz, MD, OncoLink Editor In Chief, responds: The grade of cancer is typically noted on a pathology report. This is related to how closely the tumor looks like a...
Health Risks of Radon Question We are buying a house and the basement was tested and found to be high in radon. How is this harmful for my family? What should I do? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: After tobacco use, radon is...
Help at Home How can I get help at home to take care of myself, like a visiting nurse or nurse’s aide? Trish Gambino, RN, MSN, Nurse Navigator, responds: Most insurance companies will pay for skilled nursing visits to teach you how to do certain...
Help Finding Resources During Cancer Treatment Question If my cancer center doesn't have a social worker, who can help me with financial concerns, insurance problems, co-pay assistance? Answer Christina Bach, Oncology Social Worker at Penn Medicine responds: You can access assistance with...
Helping Kids Deal With a Parent's Diagnosis Where can I go to get help for my kids in dealing with a parent's cancer? Christina Bach, MSW, LCSW, OSW-C, Oncology Social Worker at the Abramson Cancer Center at Penn Presbyterian, responds: Kids Konnected is a great place to start; as...
Helping your Children Cope During your Cancer Treatment Question Could you help us find some resources for support for our children to help them deal with my wife's cancer diagnosis? Answer Christina Bach, Oncology Social Worker at Penn Medicine responds: Being a well prepared parent is an important...
High Cholesterol After Treatment Dear OncoLink "Ask The Experts," Can Chemo and, or Radiation cause a hike in your Cholesterol? On one of my blood test it was 553... Now on meds.Christine Hill-Kayser, MD, Assistant Chief Resident in the Department of Radiation Oncology at the...
Homosexuality and Cancer Risk Question Does being a gay man put me at a higher risk for cancer? I have heard that may be true, but I am unsure of what the reasoning is. Can you explain? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: What sexual...
Hormone Replacement Therapy and Cancer Risk Question I am worried about taking hormone pills to help with menopause symptoms. Do they cause cancer? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Hormone replacement therapy (HRT) was commonly prescribed for...
Hospice Care for Pancreatic Cancer Question My wife was just diagnosed with metastatic pancreatic cancer. There are no options for treatment and the doctor is recommending hospice. Can you help us find some resources for dealing with this and how we tell our family? Ursina...
Housing Resources during Treatment Question I live 100 miles from the radiation facility where I am going to be treated. Are there resources to help me with cost or housing or something? Answer Tracy Lautenbach MSW, LCSW, Oncology Social Worker at Penn Medicine, responds: Check...
Housing When Treatment is Far From Home Where can I find inexpensive housing so I can stay closer to the hospital where I am being treated? Trish Gambino, RN, MSN, Nurse Navigator, responds: The American Cancer Society (800-227-2345) has a resource search feature on line that may...
How Do You Perform a Skin Exam? Dear OncoLink "Ask The Experts," I know regular skin exams are important, but are there any "instructions" on how to do one? Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds: When checking your skin, you want to examine...
How does having colitis affect colon cancer screening? Dear OncoLink "Ask The Experts," How does having colitis affect colon cancer screening?David Metz, MD, Professor of Gastroenterology at Penn Medicine, responds: People with long-standing colitis (especially ulcerative colitis but also Crohn's...
How Does Radiation Work? Question How can radiation kill cancer cells and not cause more cancer to develop? Answer Michael Corradetti, MD, PhD, Radiation Oncology Resident at Penn Medicine, responds: Radiation treatments kill cancer cells primarily via damage to their...
How Efficacious Is Acupuncture? What sort of efficacy have you seen with acupuncture in helping to alleviate chemo and radiation symptoms like nausea and fatigue? Jun Mao, MD, MSCE, Family Medicine and Community Health Physician and Acupuncturist at PENN Medicine, responds: ...
How Long Is A Radiation Treatment? Question How long does it take to get a radiation treatment? Answer Nicole Ross, RN, MSN, OCN - Radiation Oncology Nurse at Penn Medicine, responds: A daily radiation treatment will take about 15 minutes. However, expect to be in your...
How Much Sunscreen to Use? Dear OncoLink "Ask The Experts," How much sunscreen should you use? And how often do you need to apply it?Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:Experts say one ounce (enough to fill a shot glass) is enough to cover...
How To Relax During Cancer Treatment? Dear OncoLink "Ask The Experts," I am feeling very stressed about my cancer diagnosis. What is the best way to relax? Michael Baime, MD, Director, Penn Program for Mindfulness, responds: It's a really good question, and like most good questions,...
HPV and Head and Neck Cancers Question How does HPV virus cause cancers of the head and neck areas? How can you protect yourself from HPV? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: HPV infection leads to development of head and neck cancer,...
HPV Spread During Kissing Dear OncoLink "Ask The Experts," Since HPV is a skin to skin...if I have HPV can I give it my children when I kiss them?Harry Quon, MD, MS (CRM), Assistant Professor of Radiation Oncology at the Abramson Cancer Center of the University of...
HPV Treatment Dear OncoLink "Ask The Experts," Can HPV be treated?Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health System, responds:Currently, we do not have treatments for the HPV vaccine...
HPV Vaccines Dear OncoLink "Ask The Experts," Are there any differences between the two vaccines and can you please comment on the side effects? The recent reports of side effects had some “TV doctors” saying they wouldn’t get their daughters vaccinated.Christina...
HPV Vaccines After Exposure Dear OncoLink "Ask The Experts," Can/should you get the vaccine if you have already had HPV?Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health System, responds:If you already...
HPV Vaccines Prevent Head & Neck Cancers Dear OncoLink "Ask The Experts," Does the same HPV cause oral & cervical cancer and does the vaccine protect you against oral HPV?Harry Quon, MD, MS (CRM), Assistant Professor of Radiation Oncology at the Abramson Cancer Center of the University...
If Tumor Marker Is Higher, Does That Mean I Have More Cancer? Question If my tumor marker number is higher than another patient's, does that mean I have more cancer in me? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: Not at all- these results are specific to each patient and...
Imagery and Cancer Dear OncoLink "Ask The Experts," I have heard of meditation and visualization as proven to help fight the cancer cells. Is there any truth to this and can you please explain how the visualization could possibly work? Thank you. Carolyn...
IMRT vs Traditional Radiation Question Is there a benefit with IMRT versus traditional radiation therapy for head and neck cancer patients? I have met with 2 radiation oncologists with different approaches and wondering how to know which one is better for me? Answer Alexander...
Ingredients to Look for in Sunscreen Dear OncoLink "Ask The Experts," Is there a specific ingredient to look for in sunscreen that makes it better?Christopher J. Miller, MD, Assistant Professor of Dermatology at the Abramson Cancer Center of the University of Pennsylvania,...
Insulin Resistance and Breast Cancer Dear OncoLink "Ask The Experts," Is there any evidence that breast cancer is linked to higher insulin levels or insulin resistance? Should survivors of breast cancer eat like diabetics? Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the...
Interpreting CEA Levels Dear OncoLink "Ask The Experts," I have stage 4 colon cancer. At the beginning of chemotherapy, my CEA number was 180. After two series of chemo, the CEA number is 2.0. I know it doesn't mean that I'm cancer free, but can you tell me what it really...
Intimacy After Cervical Cancer Question Can I still be intimate with my partner after radiation for cervical cancer? Answer Nicole Ross, RN, MSN, OCN - Radiation Oncology Nurse at Penn Medicine, responds: YES! You can still be intimate with your partner after radiation for...
Is 5FU Safe for Cardiac Patients? Question My mother is in her late 60s and has had heart problems in the past. Is it safe for her to get 5-FU for colon cancer treatment? Answer Liz Prechtel-Dunphy, Oncology Nurse Practitioner at Penn Medicine responds: There is no...
Is It OK To Exercise On Day Of Treatment? Is it ok to exercise on days when I get chemo or radiation? Kathryn Schmitz, PhD, Penn Medicine researcher who specializes in the role of physical activity in lymphedema development and prevention, responds: If you feel up to doing exercise on...
Is Massage Ok With Lymphedema? I have lymphedema in my leg after cervical cancer treatment. A friend bought me a gift certificate for a massage. Can I do that? Andrea Richtel-Branas, MSE, MPT, Lead Therapist, Good Shepherd Penn Partners, responds: Relax and enjoy your gift....
Is Massage Ok With Lymphoma Can I still get massage if I have lymphoma? Won't it spread the cancer? Wayne Mylin, Dipl. ABT (NCCAOM), AOBTA-CP is an Asian Bodywork Therapist specializing in Shiatsu and Acupressure at Pennsylvania Hospital, responds: Yes, it is ok to get a...
Is Prostate Cancer More Common in African-American Males? Dear OncoLink "Ask The Experts," Is prostate cancer more prevalent in African American males rather than Caucasian males?Neha Vapiwala , MD, Senior Editor of OncoLink and Chief Resident in the Department of Radiation Oncology at the Hospital of the...
Issues with Swallowing During Treatment Question I have a lot of trouble swallowing and feel like there is a lump in my throat. What can I do about this? Answer Patricia Dooley,Associate Director of the Division of Speech Language Pathology at Penn Medicine, responds: If you are...
Just Not "Up" for the Holidays Dear OncoLink "Ask The Experts," I am the caregiver for my husband who has Lung cancer. I have no interest in participating in the Christmas Holidays. I know this is probably a disappointment to the children but I just don't care about shopping...
Life after Stomach Cancer Question Are there any long term concerns of having your stomach removed for stomach cancer? Answer Carolyn Vachani, RN, MSN, AOCN OncoLink Nurse Educator responds: You can create a survivorship care plan to learn more at:...
Life Insurance After Cancer Can I still get life insurance if I am a cancer survivor?Gloria DiLullo, MSN, CRNP, OncoLink Medical Oncology Educational Content Specialist, responds: There are two great and very detailed articles available on OncoLink.org. One is entitled:...
Lifting Weight After Breast Cancer Dear OncoLink "Ask The Experts," There was a recent news story that it is ok for women to exercise and lift weights after breast cancer (which I had been told not to just 2 years ago). What guidelines can we follow? Andrea Richtel-Baranas, MSE,...
Listening to Music during Chemotherapy Just wondering if listening to music during chemo infusions is considered music therapy - or does it need to be something formal? Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the...
Living Far From Treatment Facility Dear OncoLink "Ask The Experts," I am getting radiation therapy for breast cancer at a facility many miles from home. Are there organizations that can help with getting a ride to treatment or finding a place to stay that might be cheaper than a...
Lung Cancer in Non-Smokers Dear OncoLink "Ask The Experts," Do we know why people who didn't smoke get lung cancer? Jared Weiss, MD Medical Oncologist & Assistant Professor at University of North Carolina's Lineberger Cancer Center, responds: This is a great question...
Lung Cancer Recurrence Dear OncoLink "Ask The Experts," My mom had small cell lung cancer last fall and this late summer she came down with a brain tumor. The doctors tried radiation to the brain. This seemed to lessen the brain tumor but she has been diagnosed with lung...
Lung Cancer Spread to the Brain Dear OncoLink "Ask The Experts," My cousin had lung cancer and now has brain cancer- but he says it’s not brain cancer - is he just trying to make me feel better? , , responds:When you as an American travel to Mexico, we don’t start calling you...
Lung Cancer Support Online Dear OncoLink "Ask The Experts," Where can I find online support for people with lung cancer?Tracy Lautenbach, MSW, LCSW, Social Worker in the Radiation Oncology Department at the Hospital of the University of Pennsylvania, responds:There are a...
Lynch Syndrome and Colon Cancer Question Due to Lynch Syndrome, I had my colon removed and a complete hysterectomy. 3 tumors were found in my colon, 1 in my uterus. Since then my adrenal glans have shut down (Addison's) and I have been diagnosed with R/A. Are the 3 somehow...
Making a Survivorship Care Plan Question Now that I completed chemotherapy for my cancer, I am nervous to not have as much contact with my oncology team. What should I know about being a "survivor" and what to look for that would be concerning? Answer Carolyn Vachani, RN, MSN,...
Managing Diarrhea With Pancreatic NET Dear OncoLink "Ask The Experts," Can you recommend foods that could help to relieve my diarrhea? Also, if I have a pancreatic NET, do you think pancreatic enzymes would help me? Karen Wagner MS, RD, LDN, Clinical dietitian specialist for...
Massage After Lymph Node Dissection Dear OncoLink "Ask The Experts," Can I get a massage if I had lymph node dissection or have lymphedema?Andrea Richtel-Branas, MSE, MPT, Lead Therapist at the Abramson Cancer Center of the University of Pennsylvania, responds: Massage itself is not...
Massage Therapist Get Special Training To Work With Cancer Patients? Can a massage therapist obtain special training to work with cancer patients? Wayne Mylin, Dipl. ABT (NCCAOM), AOBTA-CP is an Asian Bodywork Therapist specializing in Shiatsu and Acupressure at Pennsylvania Hospital, responds: There are some...
Medication & Co-Pay Assistance Dear OncoLink "Ask The Experts," My oncologist prescribed chemotherapy “pills”. The medication is very expensive and my co pay is in the hundreds of dollars. Is there any financial assistance with co pays for medications? Tracy Lautenbach, MSW,...
Men And Colon Cancer Risk Dear OncoLink "Ask The Experts," Are men more likely to have colon cancer than women?David Metz, MD, Professor of Gastroenterology at Penn Medicine, responds: Yes, slightly higher. Please look at this link from the Centers for Disease Control...
Microwaved Foods and Cancer Risk Question Do you think microwaving foods causes cancer? Answer Charles B. Simone, II, MD, Radiation Oncologist at Penn Medicine responds: This is another great question. The short answer is no, there is no definitive evidence to suggest that...
Moles That Have Never Seen the Sun Dear OncoLink "Ask The Experts," I have a mole in a place that has "never seen the sun". It has been there as long as I can remember. Lately it has gotten slightly larger. Should I be worried? I mean...I am confused as to why a mole that...
Mouth Sores after treatment Question How can I prevent mouth sores or treat it before it gets too bad? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: The development of mouths sores may be inevitable, especially if areas in the mouth need to be...
Moving On After Treatment Dear OncoLink "Ask The Experts," What should I do to take care of myself now that I am done with cancer treatments and "cancer-free?"Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff Attorney at The Legal Clinic...
MSI High and Low Question What does MSI high/low mean? Which has a better prognosis in colon cancer? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: Tumors are identified as MSI-H (i.e. MSI-high), meaning they are MMR deficient (dMMR),...
Mucus after Radiation Treatment Question Can you give any tips to dealing with the thick mucus I have after radiation for oral cancer? It has been 6 weeks and the mucous does not seem to be getting any better. Answer Valaree Williams MS RD LDN, Clinical Dietitian Specialist,...
Natural Remedies For Constipation & Diarrhea Are there any natural ways to treat constipation/diarrhea from chemotherapy? I don't want to take any more pills! Karen Wagner, MS, RD, LDN, Registered Dietician at Penn Medicine, responds: There are some great tips for treating constipation...
Nearing End of Treatment Fears Question I am nearing the end of my treatments and finding myself anxious and worried about my future. What if the cancer returns? Answer Tracy Lautenbach, MSW, LCSW, OSW-C, Oncology Social Worker at Penn Medicine, responds: Fear of recurrence...
Necrotic Tumor Question My doctor said that my tumor was the same size on the CT scan, but that it looked "necrotic" and he said this was a good thing. How could it be good if my tumor didn't get smaller since starting chemo? Answer Christine Hill-Kayser, MD,...
Neuropathy During Chemotherapy Dear OncoLink "Ask The Experts," Is there medicine for neuropathy (nerve damage during chemo)? I am starting to have some in my thumb and index finger and don't want to interrupt chemo because of it. Gloria DiLullo, MSN, CRNP, OncoLink Medical...
Never Had Colonoscopy Makes Risk Higher? Dear OncoLink "Ask The Experts," My mother has never had a colonoscopy and she is 58 years old. I understand she should have had one at age 50. Does this put her at higher risk to develop colon cancer? David Metz, MD, Professor of Gastroenterology...
New Pap Testing Guidelines Dear OncoLink "Ask The Experts," What exactly are the guidelines for pap testing now? Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health System, responds:The new guidelines from...
New Therapy for Lung Cancer in the News Dear OncoLink "Ask The Experts," My wife is a never-smoker with metastatic lung cancer of the adenocarcinoma type. I saw the ABC news show on EML4/ALK. Is this an option for her? , , responds:EML4/ALK is an exciting discovery that I think shows...
Non-Invasive Tumor Question What does "non-invasive tumor" mean? Answer James Metz, MD, OncoLink Editor In Chief, responds: A 'non-invasive' tumor really means that the tumor has not invaded through layers of the organ. However, non-invasive, does not necessarily...
Normal PSA Zero? Dear OncoLink "Ask The Experts," Is a normal PSA result zero? John Christodouleas, MD, Assistant Professor of Radiation Oncology at Penn Medicine, responds: What we consider "normal" depends on a patient's prostate size, age and prior...
Nutrition and Chemotherapy after Gastric Bypass Surgery Question I had gastric bypass surgery about 5 years ago. Now I am about to start treatment for colon cancer with chemo. I am really worried about how to manage nutrition with this combination. Any advice appreciated! Answer Katrina Claghorn,...
Nutrition and Diarrhea After Whipple Surgery Question I have had such a hard time with eating after Whipple surgery. Can you help me to get better nutrition and to deal with the diarrhea? Do certain foods make it worse? Is this going to be a permanent problem? Lauren Ginipro, Registered...
Nutritional Supplements Drinks after Radiation Question My husband has trouble with thick secretions after radiation, but also we are trying to maintain his weight. People had suggested Boost, but I am worried that" a milk-like product" will only make things thicker. Are there other options? ...
Nutritional Supplements During Cancer Therapy Dear OncoLink "Ask The Experts," Are there any herbals or other nutritional supplements that should be avoided during chemo/radiation? Do any help?Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer Center, responds:The...
Occupational Radiation Exposure and Cancer Risk Question I work as a radiologist, am I at increased risk for getting cancer? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: People in certain professions may be at increased risk for cancer due to occupational radiation...
Options for Nutritional Supplements Dear OncoLink "Ask The Experts," My husband gets diarrhea from Ensure Plus. He has NOT lost weight yet but we are trying to be proactive. Can you please recommend a nutritional product less likely to cause diarrhea?Karen Wagner MS, RD, LDN, Clinical...
Oral Cancer & HPV Dear OncoLink "Ask The Experts," I was just diagnosed with cancer at the base of my tongue. I am a 37 year old woman. I looked it up on the Internet and it says the risk factors are smoking and drinking. I've never smoked and I only drink...
Osteoporosis Risk Dear OncoLink "Ask The Experts," My friend told me I was at a greater risk to get osteoporosis because I had cancer, is this true? If so, what should I do about it?Christine Hill-Kayser, MD, Assistant Chief Resident in the Department of Radiation...
Osteoporosis Risk After Cancer Treatment Question My doctor told me I am at risk for osteoporosis because of my cancer treatment. Why is this and what should I do about it? Answer Nicole Ross, RN, MSN, OCN - Radiation Oncology Nurse at Penn Medicine, responds: Cancer treatments can...
Out of Pocket Expenses during Cancer Care Question I'm worried about my out of pocket expenses for my cancer care. Where can I go to for help? Answer Christina Bach, Oncology Social Worker at Penn Medicine responds: Financial issues and the cost of cancer care are fast becoming one of...
Pain Management during Treatment Question I am getting chemo & radiation. Should I tough it out with the pain during treatment? I'm afraid to start taking pain killers. Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: You should not "tough it...
Pancreatic Cancer and Family History Question I've heard that pancreatic cancer is rare. If that is true, what are the odds that I would have two relatives who both passed away from this disease? Answer Ursina Teitelbaum, MD, Medical Oncologist at Penn Medicine responds: Pancreas...
Pancreatic Cancer and Genetics Question My mother recently passed away at the age of 49 after a 4-week battle with pancreatic cancer. I have read that certain types of pancreatic cancer can be genetic. What should my family watch out for? Ursina Teitelbaum, MD, Medical...
Pancreatic Enzymes and Suggested Doses Question Why is it important to take pancreatic enzymes? My doctor said I may have to adjust them and take more than initially prescribed. Why is this? How do I know when to increase my dose? Answer Lauren Ginipro, Registered Dietician at Penn...
Pap Smear After Hysterectomy Question Do I still need to get a PAP test and gyn exam if I had a hysterectomy? Answer Stephen Rubin, MD, Gynecologic Oncologist at Penn Medicine, responds: Current recommendations are that women who have had a total hysterectomy (both uterus...
Past Melanoma, Could I Develop Others? Dear OncoLink "Ask The Experts," If I have a melanoma lesion removed, could others develop?Christopher Miller, MD, Assistant Professor in Dermatology and Director of the Moh's Surgery Program at Penn Medicine, responds: About 11% of people who have...
Pathology Report Shows "Slow-Growing" Cancer? Question How can my doctor tell from the pathology report that a cancer is "slow-growing?" Answer James Metz, MD, OncoLink Editor In Chief, responds: It is difficult to tell how quickly a tumor is growing based on a pathology report. Some...
Paying for a Wig Can I get help paying for a wig for when I lose my hair from chemotherapy? Christina Bach, MSW, LCSW, OSW-C, Oncology Social Worker at the Abramson Cancer Center at Penn Presbyterian, responds: Some health insurance policies cover the cost of...
PET Scans Following CRC Treatment Dear OncoLink "Ask The Experts," My father (60 year old male, reasonably healthy, diabetic) underwent a colon resection and removed a tumor from the rectosigmoid junction. His cancer is graded Stage IIIB and he got chemotherapy after. His follow up...
Phytochemicals Dear OncoLink "Ask The Experts," I am being treated for colon cancer with chemo. My friend told me I need phytochemicals. What are they and where do I get them?Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer Center,...
Plastic Baby Bottles and Cancer Risk Question Do plastic baby bottles cause cancer? I heard I should get some special baby bottles but was not sure if that is true or not. Answer Charles B. Simone, II, MD, Radiation Oncologist at Penn Medicine responds: There has been some evidence...
Power of Attorney Dear OncoLink "Ask The Experts," If I want my son to be able to manage my financial accounts while I am undergoing treatments, is it best to put him as a joint owner of the accounts? Is there a temporary way to do that? William J. Wahl III,...
Pre-Planning Funeral Arrangements Dear OncoLink "Ask The Experts," Am I able to make arrangements to pay for a funeral while I am alive, so that should I pass, my children will not have to worry about that?William J. Wahl III, Financial Advisor at Rockwell Associates and Friend of...
Pregnant with Breast Cancer Dear OncoLink "Ask The Experts," I'm not sure whether I have breast cancer or not, and I also just found out I'm pregnant. Is this going to affect my baby in any way if it happens that I have breast cancer? Carolyn Vachani, RN, MSN, AOCN,...
Preventing HPV Spread During Oral Sex Dear OncoLink "Ask The Experts," In general, condoms help to prevent the risk of HPV infection as does circumcision, but cannot prevent the spread 100%. Dental dams can be effective as well. (See reference at bottom about circumcision.)Harry Quon,...
Protection After Melanoma Dear OncoLink "Ask The Experts," How do I protect myself against the sun if I already had skin cancer? Rachel Woods, BSN, RN, Nurse in Moh's micrographic surgery at Penn Medicine, responds: Sun safety is always a concern. Think of...
Proton Therapy For Prostate Cancer Dear OncoLink "Ask The Experts," My friend is getting treated with proton therapy. What is the difference between that and regular radiation? Is it better?Neha Vapiwala , MD, Senior Editor of OncoLink and Chief Resident in the Department of Radiation...
Proving HPV Cause Dear OncoLink "Ask The Experts," Can HPV be proven as the cause of a non-cervical cancer- if so, how?Harry Quon, MD, MS (CRM), Assistant Professor of Radiation Oncology at the Abramson Cancer Center of the University of Pennsylvania, responds:It...
PSA After Radiation? Dear OncoLink "Ask The Experts," I had radiation therapy for prostate cancer- finished 4 weeks ago. My psa was just checked yesterday- should it be 0?Neha Vapiwala , MD, Senior Editor of OncoLink and Chief Resident in the Department of Radiation...
Quitting Alcohol and Tobacco Use After Cancer Diagnosis Question My father was recently diagnosed with esophageal cancer and was told to quit smoking and drinking alcohol by his doctor. My father feels it won't make a difference at this point. What can I tell him to help him realize that quitting is...
Quitting Smoking After Lung Cancer Diagnosis Dear OncoLink "Ask The Experts," What is the point to quitting smoking when I already have lung cancer? My family is on my case to quit, but it seems pointless.Jared Weiss, MD, a Fellow in Hematology & Oncology at the Abramson Cancer Center of the...
Radiation for Cancer Treatment and Second Cancer Risk Question Does getting radiation for one cancer, put me at risk for developing more cancer? Answer Charles B. Simone, II, MD, Radiation Oncologist at Penn Medicine, responds: Unfortunately, yes. Anytime radiation therapy is received by an...
Radiation Therapy For Ovarian Cancer? Question Why didn't I get radiation for ovarian cancer? I just had surgery and chemo. Would radiation have decreased the chance of my cancer coming back? Answer Michael Corradetti, MD, PhD, Radiation Oncology Resident at Penn Medicine, responds:...
Radiology Tests and Cancer Risk Question Are patients who get a lot of Ct scans and MRIs at increased risk for cancer? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: Recently, there has been much talk in the media about the risk of developing cancer...
Rash From Tarceva Question I have a rash from Tarceva that looks like acne. Should I use acne products on it to make it go away? Ursina Teitelbaum, MD, Medical Oncologist at Penn Medicine responds: The rash from Tarceva can be an odd rash - both oily and dry - so...
Recovery Time From Moh's Surgery Dear OncoLink "Ask The Experts," What is involved in the recovery from Mohs Surgery? How long until I can go back to work? Rachel Woods, BSN, RN, Nurse in Mohs micrographic surgery at Penn Medicine, responds: Mohs surgery is under local...
Red Meat & Colon Cancer Risk Dear OncoLink "Ask The Experts," Is it true that eating a lot of red meat causes colon cancer?David Metz, MD, Professor of Gastroenterology at Penn Medicine, responds: Eating a Western diet which includes a high proportion of red meat is probably...
Reducing Risk of HPV-Related Oral Cancers Question How can you reduce the risk of HPV related oral cancers? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: That is a great question - you cannot protect yourself 100% but this previous answer talks about...
Reducing Risk Of Lymphedema? Can I prevent lymphedema after breast cancer treatment with complementary therapies? Andrea Richtel-Branas, MSE, MPT, Lead Therapist, Good Shepherd Penn Partners, responds: The best way to prevent lymphedema is to minimize your risk for...
Reducing Your Risk of Colon Cancer Question I have a distant family history of colon cancer, aside from colonoscopies, what else can I do to decrease my risk of getting cancer? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Colorectal cancer is the third...
Reiki in Cancer Care Dear OncoLink "Ask The Experts," What is Reiki and how can it help with cancer treatment? Kimberly Fleisher, RMT, M.S.Ed, Reiki Practitioner and Teacher at The Reiki School, responds: Reiki is a practice that comes from Japan and is primarily...
Removal of Voice Box after Laryngeal Cancer Surgery Question If I have surgery for laryngeal cancer and my voice box is taken out, how can I talk again? Is it true that my voice will be different? Answer Patricia Dooley,Associate Director of the Division of Speech Language Pathology at Penn...
Resources to Quit Smoking Question I know cigarettes are bad, but I don't even know how to begin to quit smoking. Can you help? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Quitting tobacco is not easy, but you can do it! Whether you are a...
Restrictions With A Port Dear OncoLink "Ask The Experts," Can I run with the port in my chest? I ran 2 Marathons last year and I was a very active runner until I was diagonosed with stage 3c colon cancer. I have only had one Chemo session so far. Carolyn Vachani RN, MSN,...
Results from Lung Cancer Screening Trial Dear OncoLink "Ask The Experts," Results from Lung Cancer Screening Trial I saw a news story last week about the lung cancer screening study. Does that mean those of us who are/were heavy smokers should be getting screened now? Anil Vachani, MD,...
Retrograde Ejaculation after Radiation for Rectal Cancer Question My doctor said that a side effect of radiation for rectal cancer is retrograde ejaculation. What does this mean? Will it hurt me? Will it go away? Answer Bruce Giantonio, MD, Medical Oncologist at Penn Medicine responds: That is a good...
Returning to Work Dear OncoLink "Ask The Experts," Now that I am done with cancer treatment, I have a lot of financial concerns and am concerned about returning to work. Can you help me?Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff...
Ride Home After Colonoscopy Dear OncoLink "Ask The Experts," Are there programs for people who need transportation home following a colonoscopy?Carmen E. Guerra, M.D., M.S., Associate Professor of Medicine at Penn Medicine, responds: Since a mild sedative is given to patients...
Ringing in the Ears after Treatment Question Since getting treatment for my cancer, I have ringing in the ears. Is there anything that will make this go away? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: Platinum-based chemotherapy can cause ringing...
Risk Factors for Melanoma Dear OncoLink "Ask The Experts," What are the biggest risk factors for developing melanoma? Christopher Miller, MD, Assistant Professor in Dermatology and Director of the Moh's Surgery Program at Penn Medicine, responds: Multiple factors...
Risk For Darker Skinned People Dear OncoLink "Ask The Experts," What is the risk of melanoma for darker skinned people/African Americans? I've heard they have to look for melanoma on palms of hands/feet etc? Rachel Woods, BSN, RN, Nurse in Moh’s micrographic surgery at Penn...
Risk If Family Member Had Ovarian Cancer Question If my grandmother had ovarian cancer, what is my risk of developing it? Are my kids at risk? Answer Jill Stopher, MS, Certified Genetic Counselor at Penn Medicine, responds: Just having a grandmother with ovarian cancer has only a...
Risk to Self Tanner Lotions? Dear OncoLink "Ask The Experts," Are their any risks in using spray tans or self-tanner lotions? Christopher Miller, MD, Assistant Professor of Dermatology at the Abramson Cancer Center of the University of Pennsylvania, responds: Self tanners are...
Risks of developing Lymphodema Question My doctor told me I am at risk to get lymphedema because of them taking out so many lymph nodes in my neck, how can I prevent myself from getting this? Answer Carolyn Vachani, RN, MSN OncoLink Nurse Educator at Penn Medicine, responds: ...
Robotic Versus Open Prostatectomy Dear OncoLink "Ask The Experts," I am deciding between regular prostatectomy and robotic version. What do you see as the pros and cons in making this decision?Daniel Eun MD, Director of Robotic and Minimally Invasive Urologic Oncology and...
Safety of Clinical Trials Question My doctor has asked me to consider a clinical trial as my treatment. Are these trials safe? Could it really be better than the treatment that most people get for pancreatic cancer? Answer Christina Bach, Oncology Social Worker at Penn...
Safety of E-Cigarettes Question Are smokeless, electronic cigarettes harmful in terms of causing health problems? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: Jared Weiss, MD, an oncologist at UNC Cancer Center, previously addressed this...
Safety of Tanning Booths Dear OncoLink "Ask The Experts," Really- how unsafe are tanning booths? If they really caused cancer wouldn't they be regulated better?Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:Tanning beds are so unsafe, the US Department of...
Safety of Tanning Salons Question My daughter and her friends go to the tanning salon. Is this safer than being out in the sun? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Tanning salons are not a safe alternative to the harmful rays of the...
Safety With Oral Chemotherapy Medication Question I was given an oral chemotherapy to take at home. What should I know about safety regarding having a medication like this at home? Gloria DiLullo, Oncology Nurse Practitioner at Penn Medicine responds: Many people receive this type of...
Screening a Young Child With MEN Mutation Dear OncoLink "Ask The Experts," My son has inherited my MEN I mutation (according to a lab done at UNC in April 2011). What are some things I need to look at before he turns five, if any? And what are the specific tests that need to be done at...
See a PT After Surgery to Prevent Lymphedema? Should I see a physical therapist after cancer surgery to prevent lymphedema? Andrea Richtel-Branas, MSE, MPT, Lead Therapist, Good Shepherd Penn Partners, responds: A physical therapist can help to educate you on your risk for lymphedema....
Seeds Or IMRT? Dear OncoLink "Ask The Experts," I am going to have radiation for prostate cancer. I have been offered seeds and IMRT. Is one better than the other?John Christodouleas, MD, Assistant Professor of Radiation Oncology at Penn Medicine, responds: ...
Sentinel Node Biopsy Question What is a sentinel node biopsy? Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: When a surgeon performs a sentinel node biopsy, he or she uses a blue dye or mild radioactive tracer to identify the lymph nodes that are...
Shark Cartilage Dear OncoLink "Ask The Experts," Can you tell me if shark cartilage has any effects on tumors? I have read some articles stating that it does, but they weren't written by an oncologist. James M. Metz, MD, Editor-in-Chief of OncoLink and Assistant...
Should My Tumor Marker Go To Zero? Question Should my tumor marker go to zero when I am done treatment? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: This really depends on what the marker is (some are normally found in low levels in the body), what...
Should people with melanoma stay out of the sun at all times? Dear OncoLink "Ask The Experts," Should people with melanoma stay out of the sun at all times? Christopher Miller, MD, Assistant Professor of Dermatology at the Abramson Cancer Center of the University of Pennsylvania, responds: It is impossible...
Should people with melanoma stay out of the sun at all times? Dear OncoLink "Ask The Experts," Should people with melanoma stay out of the sun at all times?Christopher J. Miller, MD, Assistant Professor of Dermatology at the Abramson Cancer Center of the University of Pennsylvania, responds:It is impossible for...
Side Effects of Smoking and Drinking during Treatment Question The doctor said my husband has to stop smoking and drinking or it could make his side effects worse. Is this true? If so, how do I get a guy who has smoked for over 25 years and also drinks alcohol to quit? Is it true that smoking can...
Side Effects of Whole Brain Radiation Dear OncoLink "Ask The Experts," My husband's doctor suggested radiation to the brain to prevent tumors from growing there. Does that work and are there long term problems to getting brain radiation?John Christodouleas, MD, Radiation Oncologist and...
Sigmoidoscopy Versus Colonoscopy Dear OncoLink "Ask The Experts," Is a sigmoidoscopy the same as colonoscopy? If not, which is better? David Metz, MD, Professor of Gastroenterology at Penn Medicine, responds: A colonoscopy examines the entire colon from the rectum to the cecum...
Simulation for Radiation Therapy Question What is "simulation" for radiation therapy mean? Is it painful? How long with this take? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: Simulation is simply the acquisition of a scan (such as a CT scan or...
Skin Cancer After Radiation Treatment Dear OncoLink "Ask The Experts," Will radiation treatments for other cancers give me skin cancer?Suzanne McGettigan, MSN, CRNP, Oncology Nurse Practitioner at Penn Medicine, responds: Thanks for your question. Radiation can increase your risk for...
Skin Cancer Come Back In The Same Place? Dear OncoLink "Ask The Experts," Does skin cancer come back in the same place?Christopher Miller, MD, Assistant Professor in Dermatology and Director of the Moh's Surgery Program at Penn Medicine, responds: Skin cancer can grow back in the same...
Small Nodule on CT Scan Dear OncoLink "Ask The Experts," I have a ct scan once a year because of asbestos exposure years ago. Earlier this month a small spot- 2mm - showed up. My lung doctor wants to wait six months and take another ct scan. I am 60 years old and in...
Smoking Cessation Aids Dear OncoLink "Ask The Experts," What medications will give me the best chance at quitting smoking?Anil Vachani, MD, Attending Physician at the University of Pennsylvania Medical Center, responds:Quitting smoking is one of the most difficult things...
So, Did You Smoke? Dear OncoLink "Ask The Experts," I was diagnosed earlier this year with lung cancer. I never smoked, but that is always the first thing people ask me. It makes me want to punch them- how do people handle that question- whether you smoked or not!? ...
Someone To Care For My Children Dear OncoLink "Ask The Experts," I’m a single parent being treated for cancer. How do I make arrangements for someone to care for my children?Rodney N. Warner, Staff Attorney at The Legal Clinic for the Disabled, Staff Attorney at The Legal Clinic...
Soy and Wine After Breast Cancer Dear OncoLink "Ask The Experts," I am so confused when reading about soy and if this should be avoided when being treated for breast cancer. Also- is an occasional glass of wine ok? So many conflicting points of view in my reading! Karen...
Soy Products After Breast Cancer Dear OncoLink "Ask The Experts," Do you reccomend that women with active breast cancer stay away from soy products (not whole soy foods)?Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer Center, responds:The issue of soy...
Special Diet During Treatment? Dear OncoLink "Ask The Experts," Should I follow a special diet during or after treatment to make my treatment work better or prevent cancer from coming back? Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer...
Sperm Banking Dear OncoLink "Ask The Experts," Recently diagnosed with testicular cancer and need to have surgery to remove my right testicle. doc says it probably will not effect my sperm count, but I am still worried. Can I donate sperm? He did not even mention...
SPF of a T-Shirt Dear OncoLink "Ask The Experts," Does a t-shirt (long sleeve) block the sun's rays?Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:Studies on the sun protection offered by summer clothing found that almost half provided less than...
Spousal Support Groups for Cancer Treatment Question How can I find a support group for my wife going through cancer treatment? What about for spouses? Answer Christina Bach, Oncology Social Worker at Penn Medicine responds: There are support groups available in many communities, but...
Spray on Sunscreen Dear OncoLink "Ask The Experts," Does the spray on sunscreen work as well as a lotion?Christopher Miller, MD, Assistant Professor of Dermatology at the Abramson Cancer Center of the University of Pennsylvania, responds: There are currently many...
Stool Testing for Colon Cancer Screening Dear OncoLink "Ask The Experts," What is the latest on stool testing to screen for colon cancer? Is this ready for prime time yet? Jenia Jenab-Wolcott, MD, PhD, Gastroenterologist at the Hospital of the University of Pennsylvania, responds:Jill...
Stopping Neurontin and Oxycontin Question My pain is improving. I am on neurontin and oxycontin. How do I stop them- slowly, one at a time, etc? Answer Erin McMenamin MSN, CRNP, Oncology Nurse Practitioner on the Head & Neck Cancer Team at Penn Medicine, responds: If your...
Sun Exposure and Cancer Risk Question I work outside most of the year, how can I avoid getting skin cancer? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: Even though you must work outside, can do a lot to protect yourself from damaging UV rays and...
Sun-Safe Clothing Dear OncoLink "Ask The Experts," Is "sun-safe" clothing necessary to protect you from the sun? In other words, can one just wear clothing that protects the skin (i.e long sleeved shirts) or should one look for clothing that is made specifically to...
Supplements For Hot Flashes Dear OncoLink "Ask The Experts," Are there any supplement suggestions for hot flashes for ER+ cancers?Jun Mao, MD, MSCE, Assistant Professor of Family Medicine and Community Health at Penn Medicine, responds: Good question. We ran a clinical trial...
Support on Balancing Work & Family and Cancer Treatment Question I would like some advice on how to balance work, family, kids, etc. while facing cancer and treatment. Where can I go for help/support? Answer Tracy Lautenbach, MSW, LCSW, OSW-C, Oncology Social Worker at Penn Medicine, responds: ...
Surgery Necessary for Biopsy? Question Do I have to have a surgery to get a biopsy for possible breast cancer? Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: Not necessarily. Sometimes the initial biopsy can be done with a large needle; however, your...
Survivorship Resources Dear OncoLink "Ask The Experts," What are some good resources for cancer survivors?Gloria DiLullo, MSN, CRNP, OncoLink Medical Oncology Educational Content Specialist, responds: The Oncolink website has a page of links with useful resources, such...
Swallowing and Thick Liquids Question My sister was told to have only thick liquids to prevent her from choking since she can't swallow correctly. Wouldn't it be harder to swallow thick things than water or soup? Answer Patricia Dooley, Associate Director of the Division of...
Talking to Kids About HPV Dear OncoLink "Ask The Experts," What do I tell my daughters about prevention of HPV infection? Is abstinence the only answer?Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health...
Talking With Family & Friends About Cancer Diagnosis Question Can you help me in how to talk to my friends and family about my diagnosis of such a personal issue? Answer Tracy Lautenbach, MSW, LCSW, OSW-C, Oncology Social Worker at Penn Medicine, responds: Speaking with family and frineds may...
Tandem & Ovoid Therapy Question Can you explain the procedure for high dose radiation for cervical cancer? From what I understand, it seems like it will be painful. Will I have any kind of anesthesia? Answer Michael Corradetti, MD, PhD, Radiation Oncology Resident at...
Tapping into Life Insurance Value Dear OncoLink "Ask The Experts," I have stage 4 lung cancer and my health insurance is not too good. the bills are adding up and I fear that my wife could lose our home by the time I finish treatment or die. I read that I could "tap into" my...
Telling a Prospective Employer About Cancer Dear OncoLink "Ask The Experts," I am graduating college this December and starting to job hunt. I finished breast cancer treatment in January. What are my rights or what do I have to tell prospective employers about my cancer or what can they...
Testing Pre-Mastectomy Dear OncoLink "Ask The Experts," I will have a double mastectomy next week. Someone told me I should get a bone density test and a range of motion (for arms) test. Is that correct? Kathryn Schmitz, PhD, MPH, cancer rehabilitation researcher at...
The Effects of Chemotherapy and Radiation Therapy Given Together Question My doctor wants me to take chemo and radiation at the same time. Won't this make me too sick? Answer Ursina Teitelbaum, MD, Medical Oncologist at Penn Medicine responds: When we deliver chemo-radiotherapy, the chemotherapy is dosed...
Thyroid Issues after Radiation Question How can radiation for my throat cancer affect my thyroid? What should I do to make sure I don't have a thyroid problem after treatment? Answer Alexander Lin, MD, Radiation Oncologist at Penn Medicine, responds: Radiation, when delivered...
Toddlers & Sun Screen Dear OncoLink "Ask The Experts," My pre-schooler spends a bit of time on the playground in the spring. I don't send her to school wearing sunscreen. Should I?Rachel Woods, BSN, RN, Nurse in Mohs micrographic surgery at Penn Medicine, responds: It is...
Training to Prevent Lymphedema with a PT? Dear OncoLink "Ask The Experts," I had surgery (including lymph node dissection) and radiation for breast cancer 8 years ago. I am doing great, but always worry about developing lymphedema. Is it too late for me to prevent it through weight...
Training to Prevent Lymphedema: Sentinel Node Biopsy Dear OncoLink "Ask The Experts," I had a sentinel node biopsy- how high is my risk of lymphedema and would weight training help me?Kathryn Schmitz, PhD, MPH, cancer rehabilitation researcher at the Abramson Cancer Center of the University of...
Training to Prevent Lymphedema: Starting Slow? Dear OncoLink "Ask The Experts," I was not very active before my breast cancer diagnosis. I want to try to help myself now. Is there a way to "start slow"? Or...is there an exercise program you recommend? Kathryn Schmitz, PhD,...
Traveling for Treatment Dear OncoLink "Ask The Experts," I am going to need treatment and will need to travel a distance everyday from my home to the treatment center. Is there any financial assistance to defray the cost of travel? Tracy Lautenbach, MSW, LCSW, Social Worker...
Treatment Options for Stage II Colon Cancer Question I was diagnosed with a stage II colon cancer. I am really just ok with only surgery? How can my doctor be sure I don't need chemotherapy or radiation? Answer Liz Prechtel-Dunphy, Oncology Nurse Practitioner at Penn Medicine responds: ...
Treatment Recommendations By Age? Dear OncoLink "Ask The Experts," Treatment recommendations for prostate cancer (of similar grades) seem to vary by age. Is that due to otherwise differing life expectancies or because the cancer cells are expected to grow faster the younger one is?...
Trouble Concentrating & Studying After Cancer Dear OncoLink "Ask The Experts," I just started my freshman year in college. I was treated for leukemia 2 years ago. I am having trouble studying and concentrating. I wonder if this is because of all my treatments. Do you have any suggestions of how...
Trouble Swallowing after Treatment Question I have an appointment with a speech and swallowing person next week in the hopes of getting help with my trouble swallowing since treatment for pharynx cancer. Can you give me some idea of what they can do for me or what to expect? Answer...
Tumor Markers QuestionWhat does "tumor marker" mean? Is it the same test for all cancers? How often should it be tested? AnswerCarolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:A tumor marker is a substance that is produced by the body in response...
Underinsured and Help With Treatment Costs Dear OncoLink "Ask The Experts," I have Medicare as my primary insurer but no supplemental coverage. I recently completed treatment. I am responsible for 20 percent of the cost of treatment and or hospitalization. What are my options for help with...
Underinsured and Help With Treatment Costs Dear OncoLink "Ask The Experts," I have Medicare as my primary insurer but no supplemental coverage. I recently completed treatment. I am responsible for 20 percent of the cost of treatment and or hospitalization. What are my options for help...
Understanding SPF Dear OncoLink "Ask The Experts," Is an SPF of 75 really any better than 50- I have heard it's not? Christopher Miller, MD, Assistant Professor of Dermatology at the Abramson Cancer Center of the University of Pennsylvania, responds: SPF numbers can...
Vaccinating Boys Against HPV Dear OncoLink "Ask The Experts," Why don’t we vaccinate teen boys against HPV as well as girls? Especially given the cancer risk for them.Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of...
Vaginal Dilators After Radiation Therapy - Are They Necessary Question My mother is a 70 year old widow who had endometrial cancer and had radiation. Now she is being told to use a dilator, but she is uncomfortable doing this. Is it really necessary? Answer Nicole Ross, RN, MSN, OCN - Radiation Oncology...
Vigilant Sun Protection and Still Got Melanoma Dear OncoLink "Ask The Experts," I have been very vigilant about sun protection for over 20 years. Why did I develop skin cancer now after I have stopped tanning so long ago?Rachel Woods, BSN, RN, Nurse in Moh's micrographic surgery at Penn Medicine,...
Vitamin C Dear OncoLink "Ask The Experts," Is vitamin C good to cure cancer or take during a lot of during treatment?Karen Wagner MS, RD, LDN, Clinical dietitian specialist for the Abramson Cancer Center, responds:Vitamin C use during and after cancer...
Weight and Cancer Risk Question I know being overweight can lead to many health problems, how is it connected with cancer? Answer Gloria DiLullo, MSN, CRNP, OncoLink Content Specialist, responds: While what we eat is probably linked to cancer development, being...
Weight Gain After Breast Cancer Dear OncoLink "Ask The Experts," I have been gaining weight on tamoxifen, though my doctor says it is not related, I am sure it is. Do you have any tips for managing my weight for the next 5 years that I am on this drug?Karen Wagner MS, RD, LDN,...
Weight Gain on Tamoxifen Dear OncoLink "Ask The Experts," I am taking tamoxifen for five years. Along with the annoying hot flashes I have gained 10lbs, which is the bigger of the problems for me. I've heard conflicting stories as to if this is really related to the...
Weight loss and Pancreatic Cancer Question Could you discuss weight loss and pancreatic cancer? Lauren Ginipro, Registered Dietician at Penn Medicine responds: Pancreatic patients often have difficulty with early satiety and loss of appetite which in turn results in weight loss....
What Age to Stop Screening for CRC? Dear OncoLink "Ask The Experts," My 82 year old cousin is due for colonoscopy. The last one was 8 years ago. Her previous 2 colonoscopy procedures revealed precancerous polyps each time. There is no family history of colon cancer. She had a...
What Are Energy Blocks? Can you talk about emotions, energy blocks and how complementary therapies can help cancer patients? Michael Baime, MD, Director, Penn Program for Mindfulness, responds: We can hold painful or unpleasant memories and emotions in the body, and...
What Are The Best Foods For Cancer Prevention? How do you know what foods are really good in terms of preventing cancer. It seems there is a new food every week that I should run out and fill my fridge with and then the next week the same food is no longer good for me! Debra DeMille, MS,...
What Does the Prostate Do? Dear OncoLink "Ask The Experts," Does the prostate do anything important? Or is it like the appendix that you won’t miss it after it is removed?Neha Vapiwala , MD, Senior Editor of OncoLink and Chief Resident in the Department of Radiation Oncology...
What foods can I eat that are easy to swallow since my throat is so sore from radiation? Dear OncoLink "Ask The Experts," What foods can I eat that are easy to swallow since my throat is so sore from radiation?Katrina Claghorn, MS, RD, Registered Dietitian at the Abramson Cancer Center of the University of Pennsylvania,...
What Herbal Supplements During Cancer Therapy? What herbal supplements are good to take during chemotherapy? Karen Wagner, MS, RD, LDN, Registered Dietician at Penn Medicine, responds: The current research does not support taking any particular herbal supplement during chemotherapy. Some...
What is Complementary Therapy? What does complementary therapy mean exactly? I hear it so much, but am not sure what it entails. Tony Meadows PhD MT-BC FAMI LPC is Director of Music Therapy at Immaculata University and Music Therapist at the Joan Karnell Cancer Center at...
What Is Free PSA? Dear OncoLink "Ask The Experts," What is the free PSA test and how does that differ from regular PSA test?Neha Vapiwala , MD, Senior Editor of OncoLink and Chief Resident in the Department of Radiation Oncology at the Hospital of the University of...
What is meant by "4 out of 10 nodes positive?" Question What is meant by "4 out of 10 nodes positive?" Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: This means that 10 total lymph nodes were removed, and cancer cells were seen within 4 of them. You can find this...
What is meant by "clear margins?" Question What is meant by "clear margins?" Answer Christine Hill-Kayser, MD, Radiation Oncologist, responds: A clear margin means that a tumor was removed and was surrounded by a rim of normal tissue that did not have cancer cells. This means...
What is nadir and neutropenic? Question What is meant by nadir and neutropenic? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: These are 2 terms used to describe levels of blood cells in the body. The nadir is the time point after cancer treatment...
What is staging? Question Can you explain the different stages of cancer 1-4? Answer Carolyn Vachani, RN, MSN, AOCN, OncoLink Nurse Educator, responds: Staging is the way doctors define how much the tumor has grown or spread. There is a staging system for...
What is the difference between PET and PET/CT? Question I need to know What is the difference between PET and PET/CT? Is it better to get the PET/CT? Answer James Metz, MD, OncoLink Editor-in-Cheif, responds: A PET scan (positron emission tomography) looks at the biologic activity of a...
What SPF and Ingredients to Use? Dear OncoLink "Ask The Experts," What is the recommended SPF in sunscreens by dermatologists to avoid melanoma? Do you recommend certain brands?Rachel Woods, BSN, RN, Nurse in Moh’s micrographic surgery at Penn Medicine, responds: The American...
What To Say To Family Members With Cancer? Question If a member of my family has pancreatic cancer, what should I do? I feel so worthless. I want to help, but don't know what to do or say. Please help. Answer Ursina Teitelbaum, MD, Medical Oncologist at Penn Medicine responds: The...
What Type of Exercise During Cancer Therapy? What kind of exercise is good to do while undergoing chemo and/or radiation? Kathryn Schmitz, PhD, Penn Medicine researcher who specializes in the role of physical activity in lymphedema development and prevention, responds: According to the...
What Type of Exercise During Cancer Therapy? What kind of exercise is good to do while undergoing chemo and/or radiation? Kathryn Schmitz, PhD, Penn Medicine researcher who specializes in the role of physical activity in lymphedema development and prevention, responds: According to the...
What Type Of Massage Is Better During Cancer Treatment? Are certain types of massage better than others if you are undergoing cancer treatment? Wayne Mylin, Dipl. ABT (NCCAOM), AOBTA-CP is an Asian Bodywork Therapist specializing in Shiatsu and Acupressure at Pennsylvania Hospital, responds: It is...
What Types Of Cancer Can Benefit? What types of cancer can be helped by acupuncture and reiki? Is it just solid tumors? Jun Mao, MD, MSCE, Family Medicine and Community Health Physician and Acupuncturist at PENN Medicine, responds: Acupuncture and reiki have potential...
When to Start Hospice? Dear OncoLink "Ask The Experts," My Mother is 75 and has been diagnosed with stage 4 lung cancer in August that’s moved and broke her hip. That’s how they found it. We decided against Chemo and did 10 rounds of radiation. The radiologist gave her...
When To Start PSA Screening? Dear OncoLink "Ask The Experts," If I have no family history of cancer of any kind - do I really need to have a PSA? And at what age?Alan J. Wein, MD, Professor and Chair of the Division of Urology at the University of Pennsylvania School of...
When to Take Pancreatic Enzymes Question When is the best time to take pancreatic enzyme tablets- before, during, or after a meal? Answer Lauren Ginipro, Registered Dietician at Penn Medicine responds: Pancreatic enzymes should be taken at the beginning of the meal or snack....
Why No Weight Loss During Treatment? Dear OncoLink "Ask The Experts," I am getting radiation therapy for pancreatic cancer. I have been told for years that I am a little overweight, but now they tell me not to lose weight. Why?Karen Wagner MS, RD, LDN, Clinical dietitian specialist for...
With or Without Contrast? Question My doctor has ordered test sometimes with contrast and sometimes not. Why are some tests with "contrast" and some not? What does that mean to have a test with contrast and is it better? Answer James Metz, MD, OncoLink Editor In Chief,...
Working During Cancer Treatment Question I have cervical cancer and will need weekly chemotherapy and daily radiation for six weeks. I am wondering if I should take time off from for the entire treatment course or try to work part time. Can you please give me some advice? Answer...
Working During Treatment for Lung Cancer Dear OncoLink "Ask The Experts," I was just diagnosed with stage 3 lung cancer. i feel great, but have to start chemo next week. can I keep working? I am the breadwinner for the family and not working will just add to everyone's stress. Rebecca...
Working Long Hours During Treatment Dear OncoLink "Ask The Experts," I am a lawyer (out of college only 3 years)- my job demands lots of long and late hours. I recently started treatment for Hodgkin’s disease. I don’t know where to start- do I tell people at work? How can I keep up the...
YAs and Parent’s Health Insurance Dear OncoLink "Ask The Experts," How does the health care reform affect how long I can stay on my parent’s insurance? I am in college, but probably have to drop out this semester cause the chemo is kicking my butt. Really worried about losing...
Young Adult Online Resources Dear OncoLink "Ask The Experts," What are some good resources for young adults online?Tracy Lautenbach, MSW, LCSW, Social Worker in the Radiation Oncology Department at the Hospital of the University of Pennsylvania, responds:There are a variety of...