she doesn't feed more because of nausea and vomitting and other complexities. because of the location of the tumor, her breathing is already very difficult. every time she throws up she feels like she's choking. also, her mouth and throat are quite sore and they get worse when she throws up. so, part of it might be her reluctance to put herself through that pain. and, when she caughs (quite frequently), she becomes nauseous.

her oncologist said TPN has high risk of infection and we should use it as last resort only. i'm not sure why this situation does not yet seem really critical to him. today she's only had about 130 calories. i'm very concerned.

gita

sister diagnosed 11/03 SCC maxilla keratenizing stg IV T1N1Mx; 4-7 positive lymph nodes; dissection 12/03 left upper pallette removd; radiaton left side 35 sessions 2/04-4/04; recurrence same side 4/04; chemo began 5/04 incl cisplatine, 5fu, taxotere