Note: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care. For medical emergencies, dial 911!
Italian opera superstar Luciano Pavarotti, diagnosed with pancreatic cancer in July 2006 and recently hospitalized with a fever, died at his native Modena home on Thursday. With him were his wife Nicoletta, four daughters, and his sister. He was 71.
Friends and family had hoped for a miracle for Pavarotti. Sadly, this was not possible. Though to have survived pancreatic cancer for more than one year is quite amazing. The disease is deadly in most cases and most survive for only months.
Pavarotti was diagnosed with pancreatic cancer just before he was set to resume a farewell tour in July 2006. Instead, he headed for surgery. He never again performed publicly.
Here's what might be a typical train of thought for someone surviving cancer. That someone, in this case, is me.
I have been getting sicker and sicker for the past three days. Sore throat, sore ears, and a heavy head made me think at first it was some sort of sinus issue. Add a cough, a rumbling and painful chest, sore gums, chills and sweats, and a fever roaring past 102.8 and the worries start rolling in. I feel like I did twice before, just before I was admitted to the hospital with dipping white blood counts.
The worst of it hit Friday night and since I just couldn't make myself sit in the ER for hours on end, I overstepped my boundaries, tracked down my hospital's on-call oncologist, and listed off my symptoms. Since my treatment for breast cancer concluded one year ago, the doctor wasn't worried. He called it an infection and called me in a prescription. In a few days, when my course of antibiotics run out, I should be fine.
Italian opera great Luciano Pavarotti, in the midst of a battle with pancreatic cancer that began in July 2006, was released from the hospital Saturday after two weeks of hospitalization due to a high fever.
The 71-year-old Pavarotti is now at home where he will be closely monitored by doctors.
Pancreatic cancer is one of the deadliest forms of cancer, often detected in its latest stages and affording patients only months of survival. Pavarotti has survived the disease for more than one year.
Italian opera superstar Luciano Pavarotti, who had surgery for pancreatic cancer in July 2006 and then was hospitalized this August 8 due to a high fever, will stay in the hospital for further testing related to his disease.
Pavarotti, 71, is now fever-free. Still, he will remain hospitalized so his cancer can be fully investigated.
At the time of Pavarotti's surgery, he had been planning to resume his farewell tour. But he has made no public appearances since this time.
There are many things we tend to write off as normal signs of getting older. The aches and pain, the slow-but-steady weight gain, feeling cold all the time, getting the occasional sniffles. Sometimes I wonder if these are things I should pay more attention to, but I tend to cast that thought out of my mind because going to the doctor is inconvenient. And usually, ignoring symptoms is ok, but there are some that, according to the Mayo Clinic, you should never ignore, including:
Unexplained weight loss
Persistent fever
Shortness of breath
Unexplained changes in bowel habits
Mental status changes
Severe headaches
Loss of vision, movement or speaking control, even if it's short-term
Flashes of light
Feeling full after eating little
Hot, red or swollen joints
I definitely agree that these should be cause for alarm. My dad started to exhibit several of these symptoms a few months before he passed away, but explain them away as normal aging. Don't make the same mistake.
Our bodies are good at telling us when something is wrong most of the time. It is important to listen to those messages and seek medical attention when specific symptoms arise. The June issue of the Mayo Health Letter covers symptoms that should not be ignored.
Seven symptoms not to ignore:
Unexplained weight loss: This could be a symptom of such conditions as an overactive thyroid, depression, liver disease, cancer or other noncancerous disorders that interfere with how well your body absorbs nutrients.
Fever: A fever can point to underlying infections. A fever accompanied by chills or one that is greater than 103 degrees should be evaluated immediately.
Shortness of breath: Gasping for air or wheezing are medical emergencies. Shortness of breath can be caused by asthma, heart problems, anxiety, panic attacks, or a blood clot in the lungs.
Severe headaches: A headache accompanied by a fever, stiff neck, rash, mental confusion, seizure, vision changes, weakness, numbness, speaking difficulties, scalp tenderness or pain when chewing are medical emergencies. Causes vary for headaches and may include stroke, blood vessel inflammation, meningitis, brain tumor, aneurysm or bleeding on the brain. Most headaches, are just that, headaches but it is important to know the warning signs for more serious underlying conditions.
Ronnie Lippin, long-time publicist and manager who helped shape the careers of rock stars Eric Clapton, Brian Wilson, and Prince, died Monday from a rare form of breast cancer. She was 59 years old.
Lippin began her career in the New York film and stage industry and migrated to music when she moved to Los Angeles with her husband, Dick Lippin. She worked for MCA Records, with Elton John's Rocket Records, and with RSO Records -- home of the Bee Gees and the Grease and Saturday Night Fever soundtracks -- where she became a top publicist. In 1989, she joined the marketing and public relations Lippin Group, founded by her husband. At the time of her death, she was president of the Lippin Group.
Lippin is survived by her husband and a daughter, who also works for the Lippin Group.
Heavy head. Heavy body. Sore throat. Sore gums. Swollen lymph nodes. Fever blister. Hurts to chew. Hurts to swallow. Hurts to recall last time symptoms appeared. During chemotherapy.
Drugs attacking cells. Body weak. Blood counts plummeting. Body crashing. Headache. Fever. Sore throat. Sore gums. Trip to hospital. For five days. For antibiotics. For opinions. For constant monitoring. For daily shots to rebuild blood.
Phone call to dentist who knows my burden. Of worry. And fear. And anxiety. That never really goes away. Always reappears. A virus, he says. All of it. The throat. The gums. The lymph nodes. The fever blister. Nothing more. Should last five to seven days. Don't worry. Relax. Call if it gets worse.
Feeling better. Feeling emotional. Because people are so kind. Like my dentist. Who eased my mind. Soothed my soul.
I was in the emergency room the other night with my three-year-old who was experiencing a mysterious leg pain that resulted from a bad case of strep throat. It wasn't serious enough to warrant swift movement from the waiting room to an actual room and we sat in a holding pattern with a crowd of other patients, some of whom were still waiting after Danny had been treated and released. I was told patients are served in the order in which they arrive but also according to the seriousness of their complaints -- which takes me back to the night I was in the ER with a fever, headache, sore throat, and sore gums. The night I was given a mask and was immediately escorted from the waiting room to a private room where doctors and nurses treated me for neutropenia -- a condition caused by chemotherapy and marked by a drop in neutrophil levels, a condition that puts chemotherapy patients at great risk for infection. This was the second time I went to the hospital for neutropenia. Both times I was admitted and treated for five days.
And so sitting in the ER reminded me about how serious chemotherapy side effects can be. And it makes me want to caution all chemotherapy patients to never dismiss the signs that the body is suffering -- to never tough it out with the hope that a good night's sleep or a few days rest will straighten everything out. Because it may not -- and the end result may be tragic.
All chemotherapy patients should be briefed by their medical teams about when to call for medical assistance. For me, a temperature of 100.4 was the magic call-for-help signal. And twice, I called for help -- once in the middle of the night. But any symptoms , and definitely a combination of symptoms, are cause enough for a simple phone call. So don't delay. Don't excuse warning signs that your body is struggling. Don't second-guess your decision to notify a medical professional about your symptoms. Just call. It could save your life.
Four-time Iditarod champion Susan Butcher died Saturday of complications from a recent bone marrow transplant. Her health concerns began three years ago when she was diagnosed with polycythemia vera -- a rare disease that causes bone marrow to produce excess blood. Then last winter, she was diagnosed with leukemia. Her subsequent bone marrow transplant on May 16 cleared her system of cancer. But she developed graft-versus-host disease -- where transplanted cells start attacking the digestive system. A fever, a change in her potassium level, and a trip to intensive care prompted her husband to write on his blog Friday of her condition. He reported that if she remained stable, she would return to her previous hospital room and would work on recovering. But sadly, Butcher did not recover.
Butcher dominated the 1,100-mile sled-dog race from Anchorage to Nome in the late 1980s and brought national attention to the grueling competition. She won the 1986 race and became the second female champion -- and then won again in 1987, 1988, and 1990. She finished in the top four through 1993. Butcher also made headlines in 1979 when she helped drive the first sled-dog team to the 20,320-foot summit of Mount McKinley -- the highest peak in North America.
Butcher, who ran her last Iditarod in 1994, grew up in Cambridge, Massachusetts and was married with two daughters -- ages 10 and five. Butcher was 51 years old.
The World Cup, called by some the mother of all international soccer competitions, is held every four years. Hosted this time in Germany, national teams representing 32 countries will compete for the world championship title. World Cup fever is rising, as the first day of the tournament approaches, but the heat is not all due to the frenzied excitement of the three million fans who will attend the games. Cancer advocacy groups and health organizations are none to happy about the fact that while the FIFA will ask fans to voluntarily refrain from smoking, they will not issue a straight-out ban on smoking. According to the low-down on the reasons for the strong objection on the polite request that smokers not smoke with no legal enforcement, it is noted that cigarette lighters and ashtrays will be sold at the games. So, are they asking smokers not to smoke, but just in case they forgot their lighter or need an ashtray, smokers will be able to purchase them at the games?
The World Health Organization, WHO, signed a deal with FIFA four years ago to make the 2002 World Cup games tobacco-free in a deal it hoped would set a precedent for future tournaments. But FIFA declined to renew the agreement for the 2006 event after discussions with the German government and the local organizing committee. According to WHO, billions of people are expected to watch the televised matches around the world and they are concerned, as are all the health organizations and health advocates, that this will send the wrong message about smoking. I know I am sort of confused.