What is Non-Hodgkin’s Lymphoma? Here's what you should know

by Lee Batsakis
OSF Healthcare

EVERGREEN PARK - This week, Chicago White Sox pitcher Liam Hendriks announced he has been diagnosed with non-Hodgkin's lymphoma (NHL) and that he would be starting chemotherapy treatments. In a social media post, Hendriks said that while hearing the word "cancer" came as a shock, he is "resolved to embrace the fight and overcome this new challenge." The news comes just a few months after actress Jane Fonda revealed her NHL diagnosis in September 2022.

According to the Lymphoma Research Foundation, a lymphoma is a cancer that affects lymphocytes, which are white blood cells that travel through the blood and lymphatic system to defend the body against bacteria and viruses. There are three major categories of lymphoma. NHL is the most common, with more than 81,000 people diagnosed with NHL each year in the United States.

Deborah Oyelowo / Provided photo

Deborah Oyelowo, APRN
OSF HealthCare

"It is a blood cancer, but it affects the lymph nodes. And it is one of the cancers that can metastasize to a lot of body systems and could rapidly progress if it's not caught in time," says Deborah Oyelowo, an OSF HealthCare hematology/oncology advanced practice nurse.

As of 2016, the World Health Organization has classified at least 86 different types of NHL. Because we have lymph nodes throughout our entire body – in the neck, armpits, groin, behind the ears, and back of the head, to name a few – lymphomas can ultimately begin anywhere. Swelling of these lymph nodes can occur for a variety of reasons, however, and may not necessarily indicate cancer.

"There is a difference between having a common cold and having your lymph nodes inflamed, and having a lymph node that is swollen yet not painful, but it's there," Oyelowo explains.

You probably have had swollen lymph nodes in your throat when you have been sick. This swelling is associated with the illness and typically goes away once the illness has run its course. However, if you have a swollen lymph node that seems to have appeared out of the blue, Oyelowo advises people to take note of that and to make an appointment with a primary care provider if it does not go away.

Initially, a lymphoma may only present as a swollen lymph node with no other symptoms. The symptoms change, however, as the disease progresses.

"Because it affects the lymph nodes – and this is our immune system – we start to see fever, chills, unexplained rash, and weight loss for no reason. These are later signs that start from a lymph node that just grows and comes back, swelling and going down by itself. That is something to pay attention to earlier," advises Oyelowo.

Like with many cancers, family history, age, gender, and race are all considered when determining one's risk for NHL. Risk factors such as a weakened immune system and history of autoimmune disease tend to be more strongly associated with NHL.

According to the American Cancer Society (ACS), people with autoimmune diseases such as rheumatoid arthritis, lupus, Sjogren disease, celiac disease, and others have increased risk of NHL. When someone has been diagnosed with an autoimmune disease, it means their immune system attacks healthy cells in their body in the same way it would fight germs and infections – essentially putting their immune system in overdrive. The ACS says that this could cause lymphocytes to grow and divide more than normal, increasing the risk of them turning into lymphoma cells.

"The presenting symptoms will be much different than in a person who does not have autoimmune issues going on. If we have that kind of patient, the presenting signs and symptoms will be more aggressive. If we have a patient with no previous medical problems, but has a hormonal imbalance or swelling of lymph nodes, we would take a different approach," Oyelowo explains.

If you have a family history of lymphoma or have been diagnosed with an autoimmune disease, Oyelowo recommends getting any swollen lymph nodes evaluated by your health care provider.

Most importantly, Oyelowo advises individuals to listen to their bodies and to make an appointment with their primary care provider if they are concerned about any abnormal lymph nodes or other symptoms that do not go away on their own. There are successful treatment options available for NHL and other lymphomas, but early detection is key.


Photo of the Day | January 14, 2023

Rockets jinx unlucky Panthers

TOLONO - Members of the Unity student cheering section react to a moment on the court during fourth-quarter action of their basketball team's home game against Paxton-Buckley-Loda. Fans from both teams watched the Rockets decimate the visiting Panthers, who mustered just six points in the first half, en route to a 58-22 victory on Friday, January 13. With the Illini Prairie Conference win, Unity boasts a 10-7 record and moves to third place in the league behind Pontiac and Prairie Central.

Photo: PhotoNews Media/Clark Brooks


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Youth orchestra concert at Smith Music Hall

URBANA - The East Central Illinois Youth Orchestra will perform their annual Winter Concert at Smith Memorial Hall in Urbana tomorrow. The Sunday evening concert features classical pieces from both American and Russian composers.

Urbana Entertainment News "These talented students have worked long and hard to prepare this wonderful music, and we would all be gratified to see you in the audience," said Kevin Kelly, Music Director for youth orchestra.

The program includes two popular Russian pieces from Shostakovich and Tchaikovsky, as well as works from American composers Aaron Coplan, Irving Fine, Virgil Thomson, and John Philip Sousa.

Admission to the event is free to the public and begins promptly at 7 p.m. Smith Memorial Hall is located on the University of Illinois campus at 805 S. Mathews Avenue.


Health issues like depression, heart disease & anxiety are linked to toxic workplaces

by Paul Arco
OSF Healthcare

The five components of a healthy workplace include: protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.

A new year brings about many possible changes – promises to eat better, exercise more, stop smoking, save money, and so on. Another priority for some is to improve their work situation.

If that’s you, there may be no better time than the present, especially after the U.S. Surgeon General Vivek Murthy released a report that links a toxic workplace culture to health issues such as heart disease, depression and anxiety.

"A toxic workplace is basically any work setting where you're dealing with any sort of psychological stress, where you're feeling nervous, you have some fear, anxiety, sadness, depression – things like that," says Victor Mendoza, a behavioral health provider with OSF HealthCare. "If you start noticing those things in your own workplace, that can be something we would call a toxic environment."

According to the U.S. Surgeon General, the five components of a healthy workplace include: protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.

Mendoza says now is the time for organizations to assess their relationship with employees – to create a sense of connection among workers, show them they are important, and support their professional needs.

"First of all, if they haven't added these five components, they should probably try to because I think that's a good foundation to what a healthy work environment should be like," says Mendoza. "You want to have a workplace where you feel comfortable, you feel heard, you feel like there is upward mobility, and that that people care for you. That you're not just a number to them but that you actually are a human, and they understand and are willing to be empathic to your situation. And if there is a concern, they're open to listen to you."

There are many ways feeling stressed or miserable can manifest in an unhealthy work environment such as increasing the risk for cardiovascular disease, increasing the chance of high blood pressure, weakening immune systems, causing headaches and increasing anxiety and stress. Mendoza says physical symptoms can include stomach aches, nausea, vomiting, diarrhea and racing heartbeat.

The report comes during an uncertain time in workplace culture due to the COVID pandemic, when employees are seeking more flexible opportunities including working remotely or a hybrid schedule. Mendoza adds that the pandemic also affected our routines, and when routines are changed it can impact our mental health.

"It's been really tough for a lot of people," says Mendoza. "When all this started with the pandemic, a lot of people were having anxiety about what was going to happen. People feared losing their jobs, and a lot of people did lose their jobs, sadly, and that was very hard for them. They had to switch careers. A lot of them were lucky they were able to keep their jobs, but they had to work from home and that that created some stress as well even though we do have good technology."

There are things, however, you can do to cope with your workplace stress. Mendoza suggests keeping track of the stressors in your job, developing healthy responses such as exercise, getting enough sleep and learning how to relax and take time to recharge by unplugging from work, and making sure to use your vacation days.

Mendoza says it’s easy for some people to feel guilty about work-related issues. The most important take home message is to first take care of yourself, and not let a stressful environment affect your health. 

"Sometimes you can only do so much and you have to advocate for yourself, and you have be aware when this happens," he adds. "So set up good boundaries with your workplace, make sure that you're taking some time off work for self-care, whatever that looks like for you, and do something you enjoy. Make sure you do some basic things like exercise, you’re eating well and you're sleeping well. That's a really good foundation to deal with a toxic work environment."



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