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#108131 12-02-2009 08:11 PM
Joined: Sep 2009
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It has been 2+ weeks since Clark's jaw reconstruction and today he is very down. I feel so bad for him. He thinks he looks like a freak, he is still in pain and tired of the assortment of meds and their assorted side effects, ie constipation, cotton mouth. He thinks the PS botched the job.

He misses eating and tasting real food. He is doubting his decision to have had the surgery. He is worried about his weight, down a few pounds. To top it all off, he is experiencing urine retention and must use a catheter for a few weeks until his bladder wakes up. He feels old and defeated.

This cancer trip can really bring a person to your knees. Clark is so overwhelmed with the process. I am glad he trusts me enough to express his feelings but I wish I could do more.

Can anyone offer some suggestions? Two days ago I gave him a copy of "The Ten Commandments of Cancer Survival" to read. I think that helped him express some of his frustrations. But I've got to find other ways to help him through this.

How do I help him face this challenge?

Anita


Anita (68)
CG to husband, Clark, 79,
DX SCC 11/07, T4N0Mx, PEG 1/08, RAD, post rad infection 3/08,
HBOT 40 dives, ORN, Surg 11/09 mandibulectomy w/fibular graft.
Plastic Surg 4/10, 12/10, 3/11, 10/11, 4/12, 10/12. All PETS clear,
PEG out 1/11. 6/11 non union jaw fracture
Fractured jaw w/surgery 7/14
Aspiration pneumonia 7/21, 10/22
PEG 7/21
Botox injections
Joined: Jan 2009
Posts: 1,844
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Anita,

Your husband and I have similar experience. During my rt mandiblectomy w/fibular free flap + Neck dissection the right side of my face was paralyzed as a result of the operation.

I too questioned why I had the surgery when after chemo and radiation tx my tumors were below malignent levels. I would do it again in a moment though as it's reduced my chances of a recurrance...even though I'm severly disfigured with severly affected speech.

What helped me was reading books of others who had survived horrible situations and gave up everything to survive...to live on. Viktor Frankle's book "Mans Search for Meaning" helped me immensly, his favorite quote from Nietzche is in my signature...it's what I live by. "Touching the Void" is another great book to read as well.

Most importantly I would get your husband to post on these forums, talk to people he can relate to and that relate to him. If you are, or he is on Facebook you can certainly look me up @ www.facebook.com/eric.statler

add me as a friend and you can view some before and after pics of me to see just how disfiguring this disease can be. It's hard to cope with however I have my "why" to live in my young family. I've also built friendships on this site with some amazing, strong, wonderful survivors and caregivers that have helped me along my path.

Good luck, the caregiver role is the hardest one of all so take care of yourself as well my dear.

Eric


Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
EricS #108146 12-03-2009 12:25 AM
Joined: May 2009
Posts: 35
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Posts: 35
Anita,

My situation is nowhere close to what your husband or Eric has faced/is facing, so I cannot give suggestions on the technical/medical aspect.

I do endorse Eric's suggestion, however, to read books and articles (like those in this site) on cancer survival as these do help a lot, as it did for me.

A specific one that helped me is Lance Armstrong's ebook, "It's Not About the Bike". If you or your husband hasn't read it yet, I will send you a copy if you want one. Lance had his "why" to live and viewed cancer as a part of life where he even made an acronym out of it: Courage, Attitude, Never give up, Curability, Enlightenment, Remembrance of fellow patients.

The ebook, by the way, is not only about Lance the cancer patient/survivor, but also about his mother and wife (then fiance) who formed part of his strength.

Be strong for you and your husband.

Jojo


Diagnosed: 16Feb'09
Pre-op Dx: Tongue SCCA Stage IVB (T4N2cM0)
Opn: 2Mar'09. Total glossectomy, Neck dissection (Levels I-V), bilateral; Anterolateral, Thigh flap recon'n; Tracheostomy; PEG
Decanullation: 24Mar'09
IMRT x30, concurrent with chemo (cisplatin) x3: May-Jun '09
PEG out: 23Oct'09
Joined: Jan 2009
Posts: 476
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Hi Anita. I will continue to keep you and Clark in my prayers. I wish I could offer more words of wisdom. I think it would be "not normal" to not feel a little down and depressed after all he has been through. Brighter days are ahead. Tell him "let's just take each day as it comes". John hasn't had surgery but deals with looker older and thinner and not wanting his picture taken any more. This cancer and treatment are brutal and leave a new normal in each of our lives. Hang in there neighbor. Wanda


Wanda (47) caregiver to husband John (56) age at diag.(2009)
1-13-09 diagnosed Stage IV BOT SCC (HPV+)
2-12-09 PEG placed, 7-6-09 removed
Cisplatin 7 weeks, 7 weeks (35) IMRT
4-15-09 - treatment completed
8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear
4-2013 - HBO (30 dives) tooth extraction
10-2019 - tooth extraction, HBO (10 dives)
11-2019 - Left lateral tongue SCC - Stage 2
slim #108284 12-05-2009 09:40 AM
Joined: Sep 2009
Posts: 701
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Thank you Eric, JoJo and Wanda.

We had a follow up with the Oral Maxillofacial team Thursday. They were pleased with Clark's progress but did tell him he has a long way to go. They also said that a year from now when everything has healed, the PS can improve the aesthetics, ie debulking, filling in, and shaping. He isn't allowed to chew yet. Mashed potatoes, ice cream, smoothies, pureed soups are all okay.

Eric-- I am going to pick up the Frankle and "touching the Void" books today. I am a little reluctant to do the Facebook thing. Do you find that you are contacted by people that you really don't want to be in touch with? I worry about overexposure on the net. How do you control that without opening yourself to every curious individual out there?

You are right about caregiving being tough but I can't imagine not being there for Clark. I find it to be one of the most rewarding things I've ever done. I am surrounded by family and friends who are supportive of both of us and who are wonderful listeners when I need an ear.

JoJo--A good friend who had and survived brest cancer gave me Lance Armstrong's book years ago. I also found that to be a testament to the power in the fight. I have since passed it on to others but I'm going to pick up a copy for Clark. Thanks for offering to send me one.

Wanda--Clark and I talked about the "new normal". There is a lot of sadness for the loss of the man Clark's known himself to be. And while he knows that this is better than the alternative, mourning that loss is important. Thanks for your prayers. I love knowing that we are in the same zipcode.


Anita (68)
CG to husband, Clark, 79,
DX SCC 11/07, T4N0Mx, PEG 1/08, RAD, post rad infection 3/08,
HBOT 40 dives, ORN, Surg 11/09 mandibulectomy w/fibular graft.
Plastic Surg 4/10, 12/10, 3/11, 10/11, 4/12, 10/12. All PETS clear,
PEG out 1/11. 6/11 non union jaw fracture
Fractured jaw w/surgery 7/14
Aspiration pneumonia 7/21, 10/22
PEG 7/21
Botox injections
Joined: Jan 2009
Posts: 1,844
Patient Advocate (1000+ posts)
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Patient Advocate (1000+ posts)

Joined: Jan 2009
Posts: 1,844
Anita,

Facebook has been a social outlet for me to keep in touch with friends that I'd lost touch with along the way. The beautiful thing about Facebook is that if you accept a friendship request and they turn out to be someone you really don't want to be in contact with anymore...you just hit the delete button.

I get daily uplifting messages from great people there as well as some semblance of social interaction. Due to the massive effects the surgeries have had on my appearance I don't go out in public much and FB is a way to help get that social interaction for me. I use this site to get advice and to talk with people that I relate too, who have walked the path I'm walking down.

Good luck,

Eric


Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
EricS #108491 12-09-2009 03:03 AM
Joined: Feb 2007
Posts: 1,940
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Facebook is a great tool for talking ordinary personal stuff with the friends i have made here over the past three years.I love being able to put faces to names and reading all the day to day junk of life.I am happy to say that i now share with my support team that dragged me through Robs illness and death ,ordinary events like births and weddings and school achievements although i have to say i get a bit lost in the "football frenzy" you americans get so excited about lol.

Erc its way past your bedtime!!!

Last edited by Cookey; 12-09-2009 03:05 AM.

Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.

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