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.

I have a bucket of drugs in one of my kitchen cabinets, stored way up high and out of the reach of two busy little boys. For a short time during my breast cancer treatment I reached for this container every day. Lately, though, I have little use for this medley of medication. There are some things I use -- like cough medicine made for little people and ibuprofen for the occasional headache -- but mostly, we are a drug-free household. So really, I don't need much of what I'm storing in that cabinet. Much of it is so old, in fact, it has probably expired.

Every once in a while, we should all take a tour through our medicine cabinets and peek at the expiration dates on our prescriptions and over-the-counter bottles. If anything is expired, toss it! Expired medications do not work. In some cases, they can be toxic if consumed after their deadline dates.

To find out more about the shelf life of common medicine cabinet products, click here. To learn more about safely disposing of expired medications, click here.

On Friday, Walgreen Co. was ordered by a jury to pay $25.8 million to the family of a cancer patient given a medication that caused a stroke and then several years later, death.

Beth Hippely was prescribed Warfarin, a blood thinner, in 2002 while being treated for breast cancer. According to court documents, the prescription she received at a Walgreen's pharmacy was 10 times what it should have been. The overdose caused a cerebral hemorrhage which led to permanent bodily injury, disability, pain, and then death. Hippely, a mother of three, died at the age of 46. Apparently, the error occurred when a 19-year-old pharmacy technician misfiled the prescription.

Hippely's family has been seeking justice for five years.

Health care is expensive, even for those with insurance. My treatment with the breast cancer drug Herceptin cost $5,000 every three weeks for 52 weeks. Insurance paid 80 percent; I was responsible for 20. That's $1,000 every three weeks. Not exactly affordable.

What many of us don't know is that we can play an active role in cutting our health care bills. We can shop around for everything, for example. Before filling a prescription, consider comparing prices offered at mail-order and online pharmacies with those of larger retailers. You may even find that mom and pop shops offer competitive rates since they can set their own pricing. Don't forget about generic drugs too. Ask your doctor if a generic version of your medication is just as good as a brand name drug. If so, go for the price break.

Did you know that lab work is more expensive if you get it at a hospital? Ask your doctor for other trustworthy locations and save a few bucks.

It is important to question your physician about the prescriptions you are given. Most doctors will talk to you about the medication prescribed, but it is still important that you know what you're taking and ask appropriate questions.

• Know the name of the drug. This will enable you to look up information about the drug on your own. It will also enable you to discuss the drug with your doctor or another doctor for a second opinion.
• What is the purpose of the drug? This information will help you to know and understand what this drug is supposed to do and will let you know if the treatment is actually working.
• What are the side effects? It is helpful to be aware of the most common side effects. All drugs have some side effects. Information about side effects can be obtained by asking your doctor or pharmacist or consulting a reliable reference.

Prescription weight-loss drug Xenical hit drugstore shelves on Friday with a new name -- Alli (pronounced: "Al-eye") and with a new non-prescription strength. The newly-named drug is to be more effective with less unpleasureable side effects. Still, there's a problem surrounding this drug, regardless of its name. It's thought to cause colon cancer.

The nonprofit group Public Citizen says Alli, made by GlaxoSmithKline, has been shown in mice studies to cause pre-cancerous lesions in the colon. Since there are no long-term studies on humans, this group believes the FDA should not have approved the drug for non-prescription use. It's not clear whether or not the pre-cancerous spots will lead to colon cancer but the mere suggestion that it might is enough, says a Public Citizen spokesperson.

"What we do know is that these lesions occur much more frequently in people who do get colon cancer," he said. "Why do we recommend that everyone get a colonscopy at the age of 50? Because you pick up on these polyps when you do one. And, even though not all of the polyps are pre-cancerous, no (doctor) does a colonscopy without removing every single polyp that is found. And you do this because you know if you don't, it greatly increases the chances of getting cancer."

Jack Osbourne, son of rock legend Ozzy and colon cancer survivor Sharon Osbourne, recently stated that he blames his alcohol and drug addiction on his father. During his mother Sharon's diagnosis and treatment for colon cancer, the young Jack used alcohol and the powerfully addictive prescription painkiller OxyContin as a way to cope.

Jack is quoted as saying, "My problems peaked when mom was sick and dad was dealing with his problems the same way as I was, by drinking, so I had no one to turn to. I was just hanging out with my crowd drinking and doing drugs." Jack ended up in an addiction rehab clinic to get clean and sober.

This is no way excuses the badly-decided choices that Jack made when he turned to alcohol and drugs as a way to cope with his feelings, but there is a sharp focus and more than a bit of snarkiness to the news reports concerning Jack's blaming comment that misses a great opportunity in regard to discussing the impact a parent's cancer diagnosis has on children.

As the American Cancer Society (ACS) states, "Families face many complex issues when one of their members has cancer. There will probably be a time during a family's experience with cancer when psychosocial support services will be helpful in meeting the emotional needs of the family. There are teams of experts, each with a different focus, who offer support and are trained in how cancer affects a family." ACS offers a terrific resource for the family with the online publication of Helping Children When A Family Member Has Cancer.

The Family Doctor states, "Every person has a different way of handling news that a loved one has cancer. Many people react with shock, disbelief and even anger when they're first given the news." The Family Doctor's Cancer: Helping Your Family Help You offers advice on different questions a parent might have, such as:

• How will my family react to the news that I have cancer?
• Should I tell my children that I have cancer?
• How do I tell my children that I have cancer?
• How can I help my children cope with their feelings?
  

In 2002, when I drove home after being told I had cancer, I wondered and worried about how I was going to tell my children, how I could avoid the unavoidable shattering of innocence in their world, how to protect them from their own fear and pain? I sat outside in the car, trying to stare through the walls of our home, knowing that in the next five minutes I would be changing our lives forever with the news of my cancer diagnosis. I wanted to freeze time, to save the innocence, to keep the awful news from being true.

In the ACS online resource for families, it states, "Parents can have a powerful effect on how their children react to a crisis in the family. In the beginning this responsibility can feel like a huge weight, but it is possible for family members to learn how to deal with and even grow through the experience of having cancer in the family."

Support services can include individual counseling, family counseling, and support groups. If you do not know where to start, ask your physician or call the local hospital or local ACS office. Someone will be able to help you help your children, and all family members, navigate through the crisis of cancer, so that everyone becomes a survivor of cancer in the best way possible.

Two months ago, Wal-Mart launched its $4 dollar generic prescription drug program in Tampa, Florida. Two weeks ago, the program was expanded to include all Wal-Mart and Sam's Club pharmacies in 14 additional states -- Alaska, Arizona, Arkansas, Delaware, Illinois, Indiana, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Texas and Vermont.

314 generic prescription drugs, accounting for 25 percent of prescriptions it currently dispenses in its pharmacies nationwide, are available under the $4 dollar program.

For those with health insurance, the typical co-pay for the 314 generic drugs in Wal-Mart's $4 dollar generic prescription drug program cost between $5 dollars and $10 dollars. While the savings might not seem like much for people with health insurance, the co-payments can add up each month. For those on limited incomes, any savings is welcome relief. For the 46 million uninsured patients who live in one of the 15 states where this program is available, the savings can amount to much more, and may be one of the few times they have been offered a break when it comes to medical costs.

The generic drug list is available as a PDF document here.

Prescription drugs purchased online from Canadian pharmacies were intercepted before they reached the US, and after preliminary laboratory tests were found to be counterfeit. The U.S. Food and Drug Administration (FDA) is warning consumers who may have obtained prescription drugs from Mediplan Prescription Plus Pharmacy or Mediplan Global Health in Manitoba, Canada not to take the medication as it may not be safe.

The drugs in question are Lipitor, Diovan, Actonel, Nexium, Hyzaar, Ezetrol or Zetia, Crestor, Celebrex, Arimidex, and Propecia. Most of the drugs are prescribed for cholesterol disorders and high blood pressure; Actonel for osteoporosis in postmenopausal women; Nexium for gastroesophageal reflux disease; Celebrex for arthritis-related pain; Propecia for male-pattern baldness and Arimidex is a breast cancer chemoprevention medication.

Interestingly, the FDA conducted an investigation last year and discovered that nearly half of the imported drugs they confiscated from four selected countries were shipped to fill orders that consumers believed they were placing with Canadian pharmacies. The drugs did not come from Canada. According to the FDA, 85 percent actually came from 27 other countries around the globe. Buyer beware.

Yesterday, the Food and Drug Administration (FDA) proposed a ban on over-the-counter (OTC) sales of skin-lightening products containing hydroquinone. Hydroquinone is found in skin bleaching products used primarily for lightening age spots, skin discoloration from years of excess tanning or dark under-eye circles. Research has indicated a possible link to increased cancers.

In the US, there are over 65 companies selling more than 200 skin-bleaching products that contain hydroquinone. Hydroquinone has been banned in Japan, the European Union and Australia. The FDA now wants all OTC and prescription skin-lightening products containing hydroquinone to be classified as new drugs and companies making the skin-bleaching products would need to seek FDA approval to sell them. Likely, the products would stop being available as an OTC product. The proposed ban means that the FDA will take public comments until the end of this year before making any final action.

Maybe I have been weaving my way through the web for too many years that shades my perspective cynical and jaded but there are few internet destinations I trust outright. Certainly not when it comes to purchasing drugs. Questions of purity, reliability of ingredients and quality immediately come to mind. Equally at issue is the folly of self diagnosis and self prescribing medications for self described illness or malady.

UK doctors have reported that a woman, who diagnosed herself with chronic fatigue syndrome and, on the advice of a neighbor, bought oral steroids from an online pharmacy in Thailand, is going blind as a result of the drugs she took.

NeedyMeds is a pharmaceutical prescription assistance programs resource guide for people who need help with the cost of medicine and other healthcare expenses. Founded in 1997 by a physician and home health social worker, NeedyMeds is an established and comprehensive online patient assistance programs database featuring over 350 different companies and programs offering more than 2600 different drugs and describes 200 state programs for low-income patients who might not be able to afford medications.

According to NeedyMeds, the website, which now averages 6,500 visitors each day and will soon reach a hallmark of seven million visitors in total, continues to add new programs such as Assistance for Specific Diseases and Conditions, Application Assistance, State Sponsored Programs and Medicaid Sites.

I cannot personally vouch for NeedyMeds, as I have not used them as a resource, but I am always on the look out for resources that might be of benefit to our readers. If you are in need of assistance in affording your medications, visit the NeedyMeds online guide and database. If you do use them, come back and let us know your experiences with NeedyMeds.

The world is a dangerous place for the trusting and the innocent -- which is probably one of the reasons we have some of the laws we do to protect everyone.

Still, even with laws in place, it seems we are not all that safe. Frankly, I am disturbed by what I learned that I did not know about prescription drugs being dispensed in this country and the estimated number of those prescriptions that are counterfeit drugs. Drugs of ineffective strength. Drugs made with unknown chemicals. Drugs switched with less expensive drugs meant for another medical condition. Basically -- the wrong drugs.

I was hospitalized twice last year for chemo-induced fever and low blood counts. My first stay came at a busy time -- the hospital's oncology floor was full and there was no space for me. So I was admitted to the bone marrow transplant unit as an overflow patient and suddenly -- even in my very sick and compromised state -- I became the healthiest person on the floor. My white blood count was 700 -- sounded pretty bad to me -- but some of the patients staying on this floor with me had no blood counts because in order to receive a transplant, their own bone marrow is completely depleted in order to prepare for new bone marrow. Patients on this floor are considered pretty healthy when their counts reach 500. I was considered sick and was hospitalized at 700. Adults and children on this floor stay in rooms behind glass panels and with special -- and loud -- air flow systems that push germs out of the room. Visitors must wear gowns and shoe covers and must wash their hands before entering the rooms. Patients might stay on this floor for months at a time, receiving chemotherapy and preparing for their eventual bone marrow transplants. Some patient rooms are decorated and arranged just like home. Parents prepare rooms for children with play areas and craft areas and television areas. This floor is home to many sick children -- and this is what affected me most. For my five days on the bone marrow transplant unit, I gained an up-close and personal look at what many parents and children encounter when cancer derails their lives. It was so much more than I had to encounter. It must be quite an undertaking to prepare a child for this experience.

I picked up a coloring book the day I was discharged and walked off this floor and back into my own life. It's a coloring book that comes from The Leukemia & Lymphoma Society and is made by bone marrow transplant patients for children preparing for their own transplants. There is a poster for children to color and hang on their hospital room walls that says I Will Get Well, there is a page that terms chemo and radiation as Laser Rays and Guard Dogs and pages that help children visualize happy moments -- like playing a favorite sport or activity and jumping rope in the warm sunshine. This book reminds children that it is okay to cry and it even includes a prescription: Make sure you get at least one hug every day!

The overall message of this coloring book, which is stated in writing is, "A good attitude does not mean being cheerful all the time; it just means that you know that this is necessary to help fight your cancer."  Well said. And something I will always remember.

Nevada is home to the loneliest road in America, legalized brothels and Las Vegas. Now -- according to a spokesman for Gov. Kenny Guinn -- the state government will help Nevadans with the ability to purchase low-cost prescription drugs from Canada via the internet by providing direct web links to pharmacies in Canada. Nevada is not listening to the staunch objections from the U.S. Food and Drug Administration to the fact that it is illegal. The legislators state that the import option is needed because many people pay twice as much for similar prescriptions in this country and often cannot afford the drugs they need to live. Lawmakers contend that the federal policies regarding the ability to obtain low-cost prescription drugs are simply a disgrace.

Nevada lawmakers passed the measure allowing Nevadans access to less expensive prescription drugs from Canada, and Nevada regulators have given approval to move ahead with implementing links to pharmacies in Canada. There will be a warning on the state website saying that the federal government views getting prescriptions filled in Canada with non-FDA-approved drugs an illegal act. The state website and links to Canadian pharmacies is scheduled to go live today.