Oncology in Chicago

Oncology is the branch of medicine that focuses on the research, prevention, diagnosis, and treatment of cancer. A medical professional who specializes in diagnosing and treating people with cancer is called an oncologist.

An oncologist can design a treatment plan based on detailed pathology reports that shows the type of cancer the patient has, how much cancer has developed, how fast the cancer is likely to spread, and what parts of the patient's body are involved.

The field of oncology has three main areas, which include:

• Medical oncologists use chemotherapy, hormonal therapies, and other types of targeted treatments to treat cancer. Most people think of medical oncologist as their primary cancer doctor. Medical oncologists help monitor and maintain patients' well-being, as well as helping patients manage side effects. Often patients follow up with their medical oncologist once their treatment is complete.
• Surgical oncologists perform the surgical removal of the tumor and surrounding tissue. They will help patients prepare for and recover from any surgical procedure they undergo during their cancer treatment. If your primary doctor suspects that you have cancer, a surgical oncologist is likely one of the first doctors you see. Surgical oncologists can perform biopsies, which involves removing a small tissue sample to be checked for cancer cells.
• Radiation oncologists treat cancer using radiation therapy. They use high-energy photon beams to target and destroy cancer cells. Approximately one-half of all cancer patients will undergo radiation treatment during their cancer care.

Because most cancers are treated with a combination of therapies, you could see two or all three different oncologists during the course of your treatment.

Besides the three main areas, there are also several other areas of oncology. These include:

• Pediatric oncologists diagnose and treat cancer in children. Some types of cancer appear more often in children and teenagers, such as leukemia, brain tumors, osteosarcoma, and Ewing’s sarcoma. Some pediatric oncologists focus on conducting research on childhood cancers, while others specialize in certain types of cancer.
• Gynecologic oncologists treat cancers that affect women, such as cancer of the ovary, cervix, uterus, vagina, and vulva. Additionally, they also treat complicated gynecological conditions that are not cancerous, such as fibroid tumors and endometriosis.
• Hematologist-oncologists diagnoses and treats blood cancers, such as lymphoma, leukemia, and myeloma. They may also specialize in the management of solid tumors.

Oncologists usually work with a variety of other medical professionals, including pathologists, diagnostic radiologists, oncology nurses, and oncology social workers. They may also work with doctors from other areas of medicine, such as neurologists, dermatologists, or urologists.

What does Oncology Involve?

There are many types of procedures to treat cancer. The types of procedures that you receive will depend on the type of cancer you have and how advanced it is. Some people who have cancer will only have one treatment. However, most people have a combination of treatments, such as surgery with radiation therapy and/or chemotherapy. Below are the types of procedures to treat cancer:

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells in the body and prevent them from growing. The drugs can prevent cell division, target the food source of the cancer cells’ (the hormones and enzymes the cells need to grow), and trigger apoptosis (a process in which cancer cells kill themselves).

• Chemotherapy drugs can be given in several different ways, including.
• Oral – taken in a pill or capsule form.
• Intravenously – through an infusion into a vein.
• Shots – injected with a needle.
• Topical – applying creams or gels into the skin. This type is used to treat certain types of skin cancer.

Chemotherapy drugs can also be given directly to cancer or directly to an area of the body, such as the abdomen or central nervous system.

Immunotherapy

Immunotherapy, or biologic therapy, boosts your body’s natural defenses to fight cancer. It uses substances made by your own body, or in a laboratory, to improve or restore your immune system function. It can stop cancer from spreading to other parts of the body, stop or slow the growth of cancer cells, and help your immune system work better at destroying cancer cells.

There are several types of immunotherapy to treat cancer, including immune checkpoint inhibitors, T-cell transfer therapy, monoclonal antibodies, treatment vaccines, and immune system modulators. Different types of immunotherapy may be given in different ways, such as intravenous (IV), oral, intravesical (directly into the bladder), or topical.

Targeted therapy

Targeted therapy uses drugs that are designed to specifically “target” cancer cells without affecting normal cells. It targets the cancer’s specific proteins, genes, or other tissue environment contributing to cancer survival and growth. These proteins and genes are found in cancer cells or in cells related to cancer growth.

The targeted drugs can block or turn off chemical signals that tell cancer cells when to divide and grow, stop making new blood vessels that feed cancer cells, change proteins within the cancer cells so the cells die, trigger the immune system to kill cancer cells, and carry toxins in the cancer cells to kill them.

• There are two types of targeted therapy:
• Small-molecule drugs, which is given through pills or capsules that you swallow
• Monoclonal antibodies, which are given through a needle in a blood vein.

Radiation Therapy

Radiation therapy uses intense energy beams to kill cancer cells and shrink tumors. It most often uses X-rays, but other types of energy, such as protons may also be used.

Radiation therapy can be done in two ways:

• External-beam radiation therapy – this type of radiation therapy delivers radiation from a machine outside the body. You will lie on a table, and the machine (called a linear accelerator) moves around you to deliver radiation from several different angles. It is a quick and painless procedure.
• Internal radiation therapy – also called brachytherapy, involves both temporary and permanent placement of radioactive sources in the body. During the placement of the radioactive sources, you will be given anesthesia.

Hormone therapy

Hormone therapy stops or slows the growth of cancer that uses hormones to grow. It works by blocking your body’s ability to produce hormones or interfere with how hormones behave in your body. It can reduce the chance that cancer will return by stopping or slowing its growth, as well as preventing or reducing symptoms in men with prostate cancer.

Hormone therapy is usually used to treat breast and prostate cancer. It can be taken in many ways, including orally, through an injection, and surgery.

Stem Cell Transplant

People whose blood-forming stem cells are damaged by the very high doses of radiation therapy or chemotherapy can undergo stem cell transplant to restore the cells. Blood-forming stem cells are vital since they grow into different types of blood cells that you need to be healthy. The stem cells will be given to you through an IV catheter. The process is very much like receiving a blood transfusion.

Surgical treatment

Surgical treatment for cancer is a procedure to remove cancer from your body. There are many types of surgeries to treat cancer, which differ based on the part of the body that requires surgery, the purpose of the surgery, the amount of tissue to be removed, and your preference. In general, the surgery can be open or minimally invasive.

• During open surgery, one large incision is made to remove the tumor, some healthy tissue, and some nearby lymph nodes.
• During minimally invasive surgery, a few tiny incisions are made instead of a large one. These incisions are made to insert a laparoscope (a long, thin tube with a camera on its end) and special surgical tools. The laparoscope allows your surgeon to see the inside of the body, and the surgical tools are used to remove the tumor and some healthy tissue.

How Long Should I Stay in Chicago?

For chemotherapy, radiation therapy, immunotherapy, hormone therapy, and targeted therapy, the treatment schedule may vary. You may have treatment every day, week, or month. It may also be given in a cycle, which is a period of treatment followed by a period of rest to give your body a chance to recover. For surgical treatment, you may need to stay in the hospital for a few days, and you need to stay in Chicago for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Chicago.

What's the Recovery Time?

The type of procedure you undergo determines the recovery period. While you may be able to get back to your normal routine within 10 days after laparoscopic surgery, you may need to wait around 6 weeks to fully recover from open surgery. Your oncologist will give you a detailed recovery timeline.

What About Aftercare?

You will be given instructions on how to take care of yourself. Your surgeon or nurse will explain how to control your pain, how to take care of your wound, activities you can and cannot do, and how to spot signs of infections. You may also need to talk to a dietitian to help with eating problems caused by the treatment. You will need to attend follow-up checkups to monitor your condition.

What's the Success Rate?

Cancer survival has improved significantly due to constant advancement and improvements in the field of oncology, including improvement in treatments and screening (allowing for earlier diagnosis). Still, you need to be aware of the risks, such as infection, bleeding, nerve damage, fatigue, nausea, vomiting, and hair loss.

Are there Alternatives to Oncology?

There is no other alternative than to see an oncologist when it comes to cancer treatments. Some people may choose to undergo meditation, hypnosis, and acupuncture as well, usually to relieve the stress, anxiety, and pain that cancer can bring.

Oncology in and around Chicago

About Chicago

The city of Chicago is the third-most populous city in the United States of America, with a population of over 2.7 million people. The city is located on the southwestern shores of Lake Michigan and is known as the “Windy City.” It is an international hub for culture, finance, commerce, technology, telecommunications, transportation, and industry. The city offers visitors a wide range of things to do. Whether you want to dine in its exquisite restaurants, have fun in the jazz clubs, wander around the green space, admire its architectural beauty, or go shopping. The city also provides top-notch medical centers that attract medical tourists from around 140 countries, especially from the Middle East region. These medical centers have world-class specialists and advanced technologies. Many patients come for cancer, orthopedic, or other complex treatment that they might not be able in their home country. 

Popular Areas in Chicago

• Millennium Park is one of Chicago’s most popular attractions located on Michigan Avenue. Here, tourists can discover a collection of architecture, art, and landscape design. The park includes Pritzker Pavilion, an amazing silver bandshell that hosts free weekly concerts every summer; Cloud Gate ‘the Bean’ mesmerizing silvery sculpture; Crown Fountain, an imperative work of public art and video sculpture; McCormick Tribute Ice Rink for skaters in the winter; and the tranquil Lurie Garden filled with stunning flowers.
• Art Institute of Chicago was founded in 1879 and is the oldest museum in the city. It houses more than 300 thousand pieces of art and has the largest collection of Impressionist and Post-Impressionist art outside the Louvre. Tourists can get intimate views of some of the world’s most popular artworks, from Pablo Picasso’s The Old Guitarist to Etruscan pottery. Other important artworks in the museum’s permanent collection include Nighthawks by Edward Hopper, American Gothic by Grant Wood, Rainy Street; Rainy Day by Gustave Caillebotte, and Day of the God by Paul Gauguin.
• Navy Pier was initially constructed as the world’s largest pier in 1914. It was built for shipping and entertainment. During World War II, the pier serves as a training place for pilots. Today, it has become a famous location for tourists to enjoy the cool breeze from the lake. Ride the Centennial Wheel which offers an astounding view of Chicago. The pier also hosts seasonal fireworks and concerts. Tourists can also find public arts on the pier, such as the Captain of the Helm Statue, Bob Newhart Statue, and Crack the Whip Statue.
• Wrigley Field is located on the North Side of Chicago. It is the home to one of the city’s Major League Baseball franchise, the Chicago Cubs. Fans of baseballs will be happy to visit and watch a game here. It was built in 1914 and is one of the oldest major league ballparks. It was the first ballpark to let fans keep foul balls. 

Weather and Climate in Chicago

Chicago experiences four distinct seasons.

• Spring is from April to June. The temperatures are good and enjoyable, making it the best time to visit the city. The average high in May is around 21°C. However, keep in mind that rain showers can occur.
• Summer starts in July and ends in August. The weather can be hot and humid, especially in August. The city is filled with tourists and families during this season. 
• Autumn starts in September to November and the weather is at its best in September, and there are fewer crowds in this season. The temperatures will slowly decrease, sometimes dipping to 4 °C at night.
• Winter will start from late November to March. The winter is cold and snowy, but December is known to be a wonderful time to visit the city because many holiday events and festivals transform the city into a winter wonderland. 

Getting Around in Chicago

O’Hare International Airport is the 3rd busiest airport in the United States. It serves domestic and international flights to many cities in the world, including London, Shanghai, Delhi, and Auckland. Low-cost carriers, such as Frontier Airlines, JetBlue, and Spirit Airlines, are a good and affordable option to travel to and from Chicago. 

Traveling around Chicago is fairly easy since the city has numerous public transportations. The buses and trains are operated by the Chicago Transit Authority (CTA) and they are fast and inexpensive. The trains are known as the “L” trains and it is best to buy a CTA Visitor passes, which has unlimited rides on all CTA trains and buses. A 1-day pass is $10, a 3-day pass is $20, and a 7-day pass is $28. 

Taxis can be found easily throughout the city. They can get a bit expensive, but they provide a convenient way to get around the city. The fares depend on gas prices and the number of passengers. Apps like Lyft and Uber are more cost-effective and are plentiful.

Tourists Visas in Chicago

Visa exemption access is given to Canada, Marshall Islands, Micronesia, Palau, and Bermuda. Citizens of 38 countries (including Australia, Japan, Singapore, and the United Kingdom) are selected for the Visa Waiver Program. Citizens from other countries not listed in the visa exemption and visa waiver agreement are required to apply for a visa. Visitors may stay in the United States for 90 days. It is best to check the visa policy at the nearest United States Embassy.

Additional Information

1. Local Currency: The official currency is the US dollar ($). For the current exchange rate to your local currency, check XE.com.
2. Money & Payments: Tourists can easily find ATMs in almost every part of the city. Credit and debit cards are accepted in almost every restaurant, shop, and hotel. Tipping can be mandatory in Chicago, tipping at least 18% is generally expected in restaurants.
3. Local Language: The main language is American English and many people can also speak Spanish.
4. Local Culture and Religion: Christianity is the biggest religion in Chicago, followed by Islam and Judaism.
5. Public Holidays: Some of the major public holidays in Chicago are New Year’s Day, Independence Day, Thanksgiving, and Christmas.