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Never Again: Time to Bring Wellness Strategies to Cancer Survivors

In August 2010, I received news that no one wants to hear: My sister’s mammogram identified a tumor. Cancer was the likely cause. After undergoing a biopsy, the pathology supported the initial dread — she had breast cancer and would face an uphill battle for survival. In fact, when she had surgery to remove the tumor in its entirety, it was found that she had two tumors (one on top of the other) that were classified as different primary cancers — how incredibly unlucky for her.

Most of us can identify a family member, friend, co-worker or neighbor who has been impacted by a cancer diagnosis. Frustration continues to mount as we race to find the silver bullet that will eradicate this devastating disease. I was intrigued by a recent report that could illustrate a major breakthrough in cancer treatment.

This spring, the HBO documentary series “Vice” aired an eye-opening account of current clinical trials in the U.S. that use old adversaries to augment the immune system’s fight against cancer cells. “Killing Cancer” centered on the work of Dr. Jon Bell, a Canadian researcher who looked back 100 years to find a treatment program to test.

The documentary follows several cancer patients who all failed standard treatments and faced certain death, until they met Dr. Bell. Inspired by a century-old study, he administered genetically modified viruses that he hoped would attack the cancer cells.

For many of the patients, the aggressive treatment worked. Two people with glioblastoma are in full remission. At the very least, the science is encouraging, and the medical community is hopeful that this will help eradicate the world’s cancer epidemic.

After watching the show, a question popped into my head: “How can the Cleveland Clinic Wellness Institute assist cancer survivors?” We have wellness programs for weight loss, disease reversal, chronic pain and brain health, but nothing that relates to current and future cancer survivors.

Dr. Mladen Golubic, section head of Lifestyle Medicine at Cleveland Clinic, and I are meeting with specialists who treat prostate and breast cancer to collaborate on wellness initiatives for cancer survivors. We believe that for survivors to remain in remission, we must provide a clear roadmap — a survivor’s guide — to living an anti-inflammatory lifestyle.

Lowering inflammation goes a long way toward living a long, healthy life. And cancer survivors need to focus on more than their cancer diagnosis. The rest of the body needs TLC in order to reduce the risk of developing another chronic disease. This starts with food choices and portion size, proper supplementation, stress reduction, avoiding all tobacco products and exercise.

So much of what we offer cancer survivors is about watching for signs of recurrence. The Cleveland Clinic Wellness Institute will partner with experts to develop forward-thinking approaches for cancer survivors. We want our patients focusing on healthy living. Running scared? Never again! The only running cancer survivors should be doing is for daily exercise.

My sister continues to receive the best care possible at Cleveland Clinic’s Tausig Cancer Center. I am grateful for her team of doctors and am so thankful to report that she continues to live a full life in remission. Though she is five years removed from her breast cancer diagnosis, it is time for her — as well as the millions of cancer survivors — to have a discussion on living “well.”

This forward-thinking approach to wellness will assist many patients in truly leaving their cancer in the rearview mirror. I will keep you updated on our newly created shared medical appointments as they emerge. Until next time, be well.

More from U.S. News

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7 Innovations in Cancer Therapy

10 Questions to Ask Your Doctor About Prostate Cancer

Never Again: Time to Bring Wellness Strategies to Cancer Survivors originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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