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I Had Ocular Melanoma: One Woman’s Experience With the Rare, Aggressive Eye Cancer

There was a period of about two years when my husband and I were focused almost solely on starting our family. Twenty-two months after our son was born, I was pregnant with our second child. Two pregnancies in less than two years meant a lot of doctor’s appointments. Prenatal check-ups, followed by sick and well-visit appointments for my newborn, followed by another round of prenatal appointments.

At times it felt like I was either at a doctor’s appointment or scheduling the next one. Thankfully, both pregnancies were successful, and both our babies were healthy.

A few months after bringing home our second child, a sweet, happy little girl, I felt like it was time to tie up a few loose ends regarding my own health. Though I’ve had glasses most of my life, I barely wore them during my two pregnancies. It was a matter of convenience, mostly.

But with two young children in the house, and running two businesses from my home, I felt myself reaching for my glasses more and more. It had been a decade since my last eye exam, so I decided it was time to make an appointment with my optometrist to update my prescription.

That appointment would end up saving my life.

During a routine eye exam, my optometrist noticed a small freckle in my left eye and, not wanting to take any chances, referred me immediately to the Stein Eye Institute at UCLA. It was there that I met Dr. Tara McCannel, a retinal surgeon.

I had a feeling from the outset that this was not just a freckle. It can take up to six weeks to get an appointment with a specialist. I was scheduled within 10 days. During my appointment, I was seen by four technicians and three doctors. I underwent an ultrasound and had a dye injection so doctors could see intricate details of the blood vessels deep inside my eye.

After about six hours of tests, Dr. McCannel gave me the diagnosis. I had ocular melanoma, a rare but aggressive form of eye cancer. Only 2,000 people are diagnosed with ocular melanoma each year in the United States, and many patients don’t realize they have it until it has spread to other parts of their bodies. Doctors still aren’t sure exactly what causes it, but they do know that once ocular melanoma has spread to other parts of the body, it is universally fatal.

I was lucky. Mine was found early enough that not only was Dr. McCannel able to save my life, she was able to save my sight. In many cases, the eye is simply removed to prevent the spread of cancer, but in my case, doctors at UCLA were able to offer what’s known as brachytherapy.

In order to treat my cancer, Dr. McCannel performed a biopsy and stitched a radioactive gold plaque to the back of my eye. The plaque contained 16 tiny, radioactive seeds that delivered concentrated doses of medicine directly to the tumor, while protecting other sensitive tissue surrounding it. After seven days, the plaque was removed.

Today, my vision is still a bit blurry in my left eye, but once the swelling goes down completely, it should return to normal. The tumor is still in my eye, but I will go to regular visits with Dr. McCannel so she can measure it and evaluate the effects of the radiation.

I vowed to use this experience to educate others about this rare — but dangerous — condition. There is no predicting who will get ocular melanoma. And the symptoms are often so subtle that patients aren’t diagnosed until later stages, when their vision and their lives are threatened.

I’m grateful you’re reading this article and, as long as I have your attention, I feel compelled to ask: When’s the last time you went to the eye doctor? Are you due for an exam? If so, what’s keeping you from making an appointment?

I’m glad I did. Had I not made that random call to my optometrist a few months ago, I may never have gotten the chance to see my children grow up.

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I Had Ocular Melanoma: One Woman’s Experience With the Rare, Aggressive Eye Cancer 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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