“From 2018 to 2022, nearly half of all lung cancers were diagnosed at a distant stage, meaning the cancer had spread from the lungs to distant parts of the body. More than one-fourth of lung cancers were found at a localized stage (the cancer had not spread outside the lungs) and less than one-fourth at a regional stage (the cancer had spread from the lungs to nearby lymph nodes, tissues, or organs).

Overall, 29% of lung cancer patients had not died from their cancer 5 years later. However, survival rates differed depending on the stage at which the cancer was detected.

Most lung cancers are found after the cancer has spread to other parts of the body, when survival is lowest. Lung cancer screening can find cancer earlier, when treatment works better. Lung cancer screening is recommended for people who are at high risk because of their smoking history and age.”

Center for Disease Control and Prevention – CDC (U.S. Cancer Statistics Lung Cancer Stat Bite | U.S. Cancer Statistics | CDC)

“More than 16 million Americans live with a disease caused by smoking.

• Cigarette smoking is the leading preventable cause of disease, death, and disability in the United States.1

• Cigarette smoking and secondhand smoke exposure cause more than 480,000 deaths each year in the United States. This is nearly one in five deaths.”

Centers for Disease Control and Prevention (Cigarette Smoking | Smoking and Tobacco Use | CDC)

When you breathe in, air enters through your mouth and nose and goes into your lungs through the trachea (windpipe). The trachea divides into tubes called the bronchi (singular, bronchus), which enter the lungs and divide into smaller branches called the bronchioles. At the end of the bronchioles are tiny air sacs known as alveoli.

Many tiny blood vessels run through the alveoli. They absorb oxygen from the inhaled air into your bloodstream and pass carbon dioxide (a waste product from the body) into the alveoli. This is expelled from the body when you exhale. Taking in oxygen and getting rid of carbon dioxide are your lungs’ main functions.

A thin lining called the pleura surrounds the lungs. The pleura protects your lungs and helps them slide back and forth as they expand and contract during breathing. The space inside the chest that contains the lungs is called the pleural space (or pleural cavity).

Below the lungs, a thin, dome-shaped muscle called the diaphragm separates the chest from the abdomen. When you breathe, the diaphragm moves up and down, forcing air in and out of the lungs.

LUNG CANCER

There are 3 types of lungs cancer.  The two most common types of lung cancer that exist are 1 non-small cell lung cancer (NSCLC), which is the most common, and 2 small cell lung cancer (SCLC), an aggressive cancer that occurs in just over 10 percent of all lung cancer cases.

The third group is 3 lung carcinoid tumors (also known as lung carcinoids) are a type of lung cancer, which is a cancer that starts in the lungs. Cancer starts when cells begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body.

Lung carcinoid tumors are uncommon and tend to grow slower than other types of lung cancers. They are made up of special kinds of cells called neuroendocrine cells.

Lung Cancer Symptoms

Both major types of lung cancer have similar symptoms. These symptoms often include a cough that doesn’t go away and shortness of breath.

Sometimes lung cancer does not cause any signs or symptoms. It may be found during a chest X-ray done for another condition. Signs and symptoms may be caused by lung cancer or by other conditions. Check with your doctor if you have any of the following:

• Chest discomfort or pain
• A cough that doesn’t go away or gets worse over time
• Trouble breathing
• Wheezing
• Blood in sputum (mucus coughed up from the lungs)
• Hoarseness
• Loss of appetite
• Weight loss for no known reason
• Tiredness/lethargy
• Trouble swallowing
• Swelling in the face and/or veins in the neck

For both conditions, early detection through a low-dose computed topography (CT) scan is especially critical. Identifying lung cancer in its earliest stages even before you have symptoms can reduce the risk of death by 20 percent, according to recent studies.

Non-small cell lung Cancer (NSCLC)

Non-small cell lung cancer (NSCLC) is the most common type of cancer in lung tissues. Your risk of developing this disease increases if you are a longtime or former smoker, have been exposed to passive smoke, or have had environmental or occupational exposure to radon, asbestos, uranium, and other substances. The primary types of NSCLC are named for the type of cells found in the cancer:

• Squamous-cell carcinoma (also called epidermoid carcinoma)
• Adenocarcinoma
• Large-cell carcinoma
• Adenosquamous carcinoma
• Undifferentiatiated carcinoma

Small Cell Lung Cancer (SCLC)

In small cell lung cancer (SCLC), small cancerous cells arise in the airway, usually in a central location. This is an aggressive cancer that spreads quickly throughout the body through the blood and lymphatic (node) systems. Typically occurring in people who smoke or who used to smoke, SCLC accounts for just over 10 percent of all lung cancers.

“From 2018 to 2022, nearly half of all lung cancers were diagnosed at a distant stage, meaning the cancer had spread from the lungs to distant parts of the body. More than one-fourth of lung cancers were found at a localized stage (the cancer had not spread outside the lungs) and less than one-fourth at a regional stage (the cancer had spread from the lungs to nearby lymph nodes, tissues, or organs).Overall, 29% of lung cancer patients had not died from their cancer 5 years later. However, survival rates differed depending on the stage at which the cancer was detected.

Most lung cancers are found after the cancer has spread to other parts of the body, when survival is lowest. Lung cancer screening can find cancer earlier, when treatment works better. Lung cancer screening is recommended for people who are at high risk because of their smoking history and age.”

Centers for Disease Control and Prevention – CDC (U.S. Cancer Statistics Lung Cancer Stat Bite | U.S. Cancer Statistics | CDC)

You may be surprised to learn that the most deadly cancer among both men and women in the United States isn’t breast cancer: It’s lung cancer.

Although the rate of new lung cancer cases has dropped in recent years along with the smoking rate, lung cancer still accounts for more deaths than any other cancer in both men and women, according to the American Cancer Society.

So even though you’ll probably never see professional athletes sporting pearl-colored gloves and shoes (pearl is the color of the lung cancer ribbon) to raise awareness, it’s important to learn about the disease: who is at risk — not just people who smoke tobacco — how it’s treated and why early detection is the best defense.

Here, Mary Jo Fidler, MD, a medical oncologist at Rush University Medical Center, discusses five things everyone should know about lung cancer.

1. It’s often caused by a combination of factors.

“It’s natural to associate lung cancer with cigarette smoking,” Fidler says. “Although it’s true that smoking is responsible for 80 percent of all lung cancer cases, lung cancer among people who have never smoked is the sixth leading cause of cancer death worldwide.”

These are some of the leading causes of lung cancer among nonsmokers:

• Exposure to radon gas released from soil and building materials
• Exposure to asbestos, diesel exhaust and/or industrial chemicals
• Exposure to secondhand smoke (the U.S. Department of Health and Human Services says secondhand smoke increases a nonsmoker’s lung cancer risk by as much as 20 to 30 percent)
• Air pollution

And while any of these factors can cause lung cancer on its own, the disease is often the result of interacting factors.

For instance, according to the National Institutes of Health, there is a greater risk for lung cancer when smokers are also exposed to radon gas. And research studies have shown that the combination of smoking and asbestos exposure greatly increases a person’s risk of developing lung cancer vs. both nonsmoking asbestos workers and smokers who are not exposed to asbestos.

Occupational exposures — including asbestos, uranium and coke (a type of fuel used in smelters, blast furnaces and foundries) — can also increase a person’s risk of dying from their lung cancer, according to another study.

2. Genes may play a role in lung cancer risk.

Scientists have discovered that another culprit may be responsible for some nonsmokers getting lung cancer: genetics.

A study published in the journal Nature Genetics identified three genetic variations — two on chromosome 6 and one on chromosome 10 — that are associated with increased lung cancer risk in Asian women who have never smoked.

Findings have shown that the risk of lung cancer among people who never smoked, especially Asian women, may be associated with specific genetic characteristics that distinguish it from lung cancer in smokers.

Another study, published in Cancer, found that a variant in the NFKB1 gene was associated with a 21 to 44 percent reduced risk of lung cancer. Because a protein produced in part of the NFKB1 gene is known to play a significant role in inflammation and immunity by regulating gene expression, cell death and cell production, the study suggests that inflammation and immune response may be associated with lung cancer risk.

Further research is needed, however, to determine whether there’s a cause and effect relationship between this variant in the NFKB1 gene and lung cancer. Future studies may also shed more light on the exact role inflammation plays in lung cancer risk.

3. If you’re at high risk, CT scans are an effective screening tool.

As with other cancers, the key to surviving lung cancer is catching it in the earliest stages, when it’s most treatable.

The five-year survival rate for people whose cancers are diagnosed when they’re still localized — meaning they haven’t yet spread to the lymph node drainage system or other areas of the body — can be as high as 80 to 90 percent; the survival rate plummets to 2 percent if the diagnosis happens after the cancer has spread to other body parts.

Unfortunately, because symptoms (including persistent cough or coughing up blood, unexplained weight loss, persistent chest pain and shortness of breath) don’t usually appear until the later stages, lung cancer is tough to diagnose early.

Low-dose spiral computed tomography (CT) has proven to reduce lung cancer deaths in patients at high risk for lung cancer. In fact, the National Lung Screening Trial found a 20 percent reduction in deaths from lung cancer among current or former heavy smokers who were screened with low-dose spiral CT (versus those screened by chest X-ray).

However, because the scans can also yield false positive results — by mistaking scar tissue or benign lumps for cancer — they’re recommended only for people at high-risk, for whom the benefits of early detection outweigh the risks of potential false positives and repeated exposure from the scans.

Lung cancer screening is recommended for people who meet these criteria:

• Are between the ages of 55 and 77 (for Medicare coverage) and 55 and 80 (for commercial insurance coverage)
• Have at least a 30 pack-year smoking history (an average of one pack a day for 30 or more years)
• Are in good health and have no signs of lung cancer (weight loss or coughing up blood)
• Have not had a chest CT in the past year.

“Talk to your doctor if you’re in this high-risk group,” says Fidler. “The best evidence we have available tells us that while CT scanning isn’t right for everyone, for those at high risk it does prevent lung cancer deaths by enabling earlier diagnoses.”

We have had a historically huge amount of FDA approvals in a relatively short amount of time for lung cancer therapies, which is good reason for optimism.

4. Some tumors can be removed minimally invasively.

Tumors that are caught in the early stages can often be surgically removed, giving patients a good chance of being cancer-free.

The standard procedure to remove the lobe of the lung in which the tumor is located, known as a lobectomy, typically requires a six-inch incision in the chest through which the ribsare spread apart.

But at a handful of medical centers, including Rush, roughly 80 percent of lobectomies can be done using a minimally invasive approach.

Video-assisted thoracoscopic surgery (VATS) lobectomies are performed through small incisions (and without spreading the rib cage) using a tiny video camera and specialized surgical instruments. There are many benefits to a VATS lobectomy vs. open surgery — including less pain and fewer complications after surgery, less time in the hospital and a speedier recovery — and the results are comparable, making it a good option for many tumors.

5. Newer treatments pack a targeted punch.

Research has yielded a wealth of information about how lung cancer cells change and grow, enabling scientists to develop drugs to specifically address those changes.

These “targeted” drug therapies, used alone or in combination with chemotherapy, are typically less toxic and have fewer side effects than chemotherapy because they zero in on specific genes or proteins more often found in cancer cells then in healthy tissue.

These are some of the targeted therapies currently available for lung cancer

• Monoclonal antibodies (bevacizumab, ramucirumab)
• EGFR inhibitors (erlotinib, afatinib, gefitinib)
  • Osimertinib, an EGFR inhibitor that also targets cells with the T790M mutation
  • Necitumumab, an EGRF inhibitor for squamous cell non-small cell lung cancer
• Drugs that target the ALK gene (crizotinib, ceritinib, alectinib)

• Smoking and exposure to secondhand smoke cause more than 480,000 deaths in the US every year.
• Smoking cigarettes increases the risk of at least 12 different cancers.
• In the US, cigarette smoking causes about 3 of every 10 cancer deaths. This number is higher in parts of the South and Appalachia.
• Some groups of people smoke more heavily or at higher rates. These populations tend to be those who face barriers to care and inequities in multiple areas of their lives, including:
  • People at lower socioeconomic levels
  • Those without college degrees
  • American Indians/Alaska natives
  • African American/Black communities
  • LGBTQ+ communities
  • People serving in the military
  • People with mental health conditions

It’s not too late to quit using tobacco. No matter your age or how long you’ve been smoking, quitting improves some aspects of your health immediately and even more over the long term.

Giving up smoking is a difficult journey, but you can increase your chances of success with a good plan and support.”

American Cancer Society (Great American Smokeout | American Cancer Society)

You smoke? Well why don’t you just drink poison?

Let’s start with what smoking actually does to the body. Smoking harms nearly every organ of the body. Smoking causes many diseases and reduces the health of smokers in general. It primarily starts at the lungs. How?   Well think of your lung tissue with openings all over which are air sacs called alveoli. This is an anatomical structure that has the form of a hollow cavity which does the exchange of oxygen and carbon dioxide in and out of our body, when we inhale and exhale. The thing to know about this tissue is that before you start smoking the alveoli are expandable (think of it like a rubber band) allowing the person to get a good exchange of oxygen getting in the body to go to all our tissues giving nutrients=oxygen BUT when we exhale we release  carbon dioxide from out body via the lungs letting the CO2 out of the body which is a toxin to the body (O2=oxygen being the fuel to our tissues and without it this would cause cellular starvation, carbon dioxide=CO2 being an acid / toxin which we release from our body on exhaling.  When our tissues use up the 02 it in exchange brings CO2 primarily back to the lungs for us to exhale it the human body and exhaled by the lungs).   After years of smoking the alveoli stretches out not allowing a good exchange of O2 and CO2. When we inhale taking 02 in the lungs).  The sad thing for a smoker is the alveoli cannot REVERSE back after damage=stretched out tissue that has already occurred due to years of smoking since it stretches the small pores of alveoli out where it has lost that elasticity to exchange O2 and CO2 unless you had a lung transplant with continuing to smoke, which no M.D. or health insurance would allow. More realistic would be QUIT the bad habit. The tissue doesn’t get completely better but it improves when you quit. So the pt with Emphysema has alveoli that can’t exchange oxygen and carbon dioxide from the blood like it use to exchange, prior to even starting to smoke. Also, after smoking years and when diagnosed with COPD you have difficulty breathing (that is why smoking is a major cause of bronchitis or Emphysema=types of chronic obstructive pulmonary disease=COPD and it is not REVERSIBLE). Emphysema is the worst type of COPD you can get. COPD is the third leading cause of death in the U.S., and the economic burden of COPD in the U.S. in 2007 was $42.6 billion in health care costs and lost productivity. Isn’t this reason enough to stop smoking?

Emphysema is an enlargement of the air spaces distal to the terminal bronchioles, with destruction of their walls. People with emphysema have historically been known as “Pink Puffers”, due to their pink complexion.

Chronic bronchitis is defined in clinical terms as a cough with sputum production on most days for 3 months of a year, for 2 consecutive years. People with advanced COPD that have primarily chronic bronchitis were commonly referred to as “Blue Bloaters” because of the bluish color of the skin and lips (cyanosis) along with hypoxia and fluid retention.

Know when the lungs get effected in time the heart gets effected. One affects the other in time. The heart can’t live without the lungs and vice versa.  Think of a car it has an engine (being its heart) but can’t live without the transmission (being the lungs).

Now knowing just this you’ll understand why smoking alone can cause the following conditions, Through the Centers for Disease Control and Prevention. They state the following:

Smoking and Increased Health Risks

Compared with nonsmokers, smoking is estimated to increase the risk of—

• Coronary heart disease by 2 to 4 times, ^(causing atherosclerosis=thickening of the vessels or due to arteriosclerosis=hardening of the arteries and remember smoking causes vasoconstriction of the vessels = increase pressure in the vessels = high B/P.
• Stroke by 2 to 4 times (Due to causing the above problems listed under coronary heart disease.)
• Men developing lung cancer by 23 times,
• Women developing lung cancer by 13 times(cancers due to constant irritation of the tissues) , and
• Dying from chronic obstructive lung diseases (such as chronic bronchitis and emphysema) by 12 to 13 times. ( Explained at the top)

Smoking and Cardiovascular Disease

• Smoking causes coronary heart disease, the leading cause of death in the United States.
• Cigarette smoking causes reduced circulation by narrowing the blood vessels (arteries) and puts smokers at risk of developing peripheral vascular disease (i.e., obstruction of the large arteries in the arms and legs that can cause a range of problems from pain to tissue loss or gangrene) This pain to gangrene to amputation is due to lack of oxygenated blood getting to the tissue caused by the vasoconstriction the cigarette smoking caused.
• Smoking causes abdominal aortic aneurysm (i.e., a swelling or weakening of the main artery of the body—the aorta—where it runs through the abdomen). An aneurysm with constant vasoconstriction (increases pressure) puts the aneurysm at risk for rupture because the aneurysm area isn’t as strong as the other vessels=Rupture of the aortic aneurysm

Smoking and Respiratory Disease

• Smoking causes lung cancer.
• Smoking causes lung diseases (e.g., emphysema, bronchitis, chronic airway obstruction) by damaging the airways and alveoli (i.e., small air sacs) of the lungs.

Smoking and Cancer

Smoking causes the following cancers: (in alphabetical order)

• Acute myeloid leukemia
• Bladder cancer
• Cancer of the cervix
• Cancer of the esophagus
• Kidney cancer
• Cancer of the larynx (voice box)
• Lung cancer
• Cancer of the oral cavity (mouth)
• Pancreatic cancer
• Cancer of the pharynx (throat)
• Stomach cancer

Smoking and Other Health Effects

Smoking has many adverse reproductive and early childhood effects, including increased risk for—

• Infertility
• Preterm delivery
• Stillbirth
• Low birth weight
• Sudden infant death syndrome (SIDS).^1,2,9Smoking is associated with the following adverse health effects:¹
• Postmenopausal women who smoke have lower bone density than women who never smoked.Women who smoke have an increased risk for hip fracture than women who never smoked.

References:

1. S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004 [accessed 2013 June 28].
2. S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: What It Means to You. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010 [accessed 2013 June 28].
3. Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000–2004. Morbidity and Mortality Weekly Report 2008;57(45):1226–8 [accessed 2013 June 28].
4. Centers for Disease Control and Prevention. QuickStats: Number of Deaths from 10 Leading Causes–National Vital Statistics System, United States, 2010. Morbidity and Mortality Weekly Report 2013:62(08);155. [accessed 2013 June 28].
5. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States. JAMA: Journal of the American Medical Association 2004;291(10):1238–45 [cited 2013 June 28].
6. S. Department of Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress. A Report of the Surgeon General. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1989 [accessed 2013 June 28].
7. Ockene IS, Miller NH. Cigarette Smoking, Cardiovascular Disease, and Stroke: A Statement for Healthcare Professionals from the American Heart Association. Circulation 1997;96(9):3243–7 [accessed 2013 June 28].
8. Institute of Medicine. Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence. [PDF–707 KB] Washington: National Academy of Sciences, Institute of Medicine, 2009 [accessed 2013 June 28].
9. S. Department of Health and Human Services. Women and Smoking: A Report of the Surgeon General. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General, 2001 [accessed 2013 June 28].

“Whether it’s a sudden stomach ache that won’t quit or an injury from hauling those heavy holiday decorations, knowing what to watch out for and when to seek help can make all the difference. Here are some practical tips and advice from our Archbold team to help you stay healthy and keep the holidays merry and bright.

From indulging in festive meals to engaging in strenuous activities like decorating or traveling, the combination of dietary changes, increased physical exertion, and busy schedules can create a perfect storm for certain medical conditions. Unfortunately, some of these issues may require immediate surgical intervention to prevent serious complications.

For example there is the Gallbladder-The holidays are notorious for rich, high-fat meals that can overwork the gallbladder. This organ, responsible for helping digest fats, can become inflamed or obstructed if gallstones are present, leading to sudden, severe pain and nausea.  Consuming fatty, greasy foods in larger quantities is the trigger.

2-Hernias-Activities like lifting heavy boxes of decorations, hauling luggage, or overeating can place added pressure on the abdominal wall, exacerbating existing hernias or causing new ones to become symptomatic.

3-Then there is always injuries from the holidays.

So to prevent any injuries or medical problems this thanksgiving consider the following:

• Eat Mindfully: Enjoy holiday treats in moderation and balance heavy meals with lighter options to reduce stress on your digestive system.
• Stay Hydrated: Drinking plenty of water aids digestion and can prevent dehydration-related issues, especially when consuming salty or sugary foods.
• Stay Active Safely: Engage in physical activities like walking, but avoid overexertion, especially when lifting heavy objects or participating in winter sports.
• Use a Spotter: When decorating, especially when climbing ladders or reaching high places, have someone nearby to provide assistance and ensure your safety.
• Listen to Your Body: Don’t ignore persistent or unusual pain. Early detection can prevent a minor issue from becoming a major health concern.”

Archbold (Holiday Health 101: Avoiding Common Risks and Knowing When to Get Medical Care)

From the pollens and molds released from the tree, to the plants and flowers given as gifts, we can bring lots of potential allergens into the house at this time of year. It’s a good idea, then, to keep some antihistamines on hand over Christmas and, if it’s been prescribed for emergencies, an epipen, in case you develop allergy symptoms.

Many people like to use scented candles and reed diffusers during the holiday season to fill our homes with festive fragrances like cinnamon, ginger and allspice. While they might give a nice effect, home fragrances can contain volatile organic compounds that can be harmful to health. Be particularly careful if you have pets or anyone with respiratory issues, such as asthma or COPD visits—being near a scented product can make some people ill.

One of the most common causes of allergic reactions, though, is the bowl of nuts that everyone seems to have at Christmas, not to mention the nuts found in so many festive foods such as mince pies, Christmas pudding and stuffing. Keep some nut free alternatives in the cupboard too.

Most of us will have our fair share of overindulgence over the holidays. It’s estimated that the average person will consume nearly 6,000 calories on Christmas day, three times the recommended daily amount. Associated weight gain and raised blood cholesterol, can increase the risk of heart attack and stroke. Try to keep the high calorie indulgence to one or two days only.

Christmas excess may also include increased consumption of spicy and fatty food and drinks which can irritate the gut and trigger indigestion.

You can try over-the-counter antacids to help combat the symptoms of indigestion, but seek medical advice for any severe symptoms or those which persist beyond the Christmas period.

A Swedish research group suggested that higher stress levels during the holidays could increase the risk of heart attacks. Given the financial pressure, inevitable family dramas and dietary overindulgence, the increased strain on our bodies is perhaps not surprising. But, it’s not yet clear whether there’s a spike in heart attacks at Christmas. Be on the safe side and consider taking time out to relax to help combat rising stress levels. Never ignore the associated symptoms, such as chest pain, either.

There is always food poisoning around Thanksgiving and Christmas.  There is the under-cooked turkeys to over-filled fridges and unwashed hands delivering into shared snack bowls, there’s no shortage of food hygiene risks at Thanksgiving and Christmas. If you do fall foul of food poisoning over the festive period, then you’ll know about it. Symptoms include nausea, vomiting, diarrhea, stomach cramps and high temperature. It’s crucial to avoid dehydration, so make sure you have lots of fluids and again, seek medical advice if symptoms are present.

Then there is choking, from inhaled nibbles to bits of plastic from presents and crackers, Thanksgiving and Christmas is actually full of choking hazards. It’s important, then, to be aware of these small pieces, especially if you have young children tearing around the house.

And bear in mind it’s not just children who can choke—adults can too.

Encourage the choking person to cough but be ready to perform back slaps and abdominal thrusts to try to dislodge the block—and to call 911 if the obstruction isn’t clearing.

We always have alcohol lovers.  Some of us are guilty of enjoying festive spirits a little too much over Christmas.

The current recommendation is spread out rather than consumed in one binge.

Consider planning ahead to decide what and where you’re going to drink. Including some alcohol-free days and New Year abstinence could also help to reduce the ill effects of any festive drinking.  Watch out for those especially on medications; if you’re on medication, check whether there are any harmful interactions with alcohol.

Also watch out for the one who is the designated driver.

Not to sound “bah hum bug” here but be careful and watch out for your health while having a Happy Holiday season as well!