| Joined: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | To answer some questions on another post, I do not have a nutritionist. My RO's office has one, but she is not contracted with my insurance and so will not give me the time of day. I have been told I have to take in 2200 calories a day or 6 cans of jevity a day. At this point I am doing good to keep anything down. This stupid uvula that I have that is swollen is gagging me all the time. I can not even breath through my mouth without it moving around and touching my tongue. I will be talking to the Dr. about this on Monday, because i know that I can not continue this way. I WILL GET THROUGH THIS. Thanks for all you help and support. I feel like such a wimp right now. UGH.
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | Nutritionists, occupational therapists and physical therapists I found to be absolutely useless to me...but I was a health/fitness buff before this process. I threw a physical therapist out of my hospital room after my first surgery...the dumb "professional wouldn't" read the words on my notepad (jaw wired shut) and respect the patients wishes...and threatened me with a longer hospital stay.
I'm not the best patient by the way. Keep nutrition shooting up your tube, calories, calories, calories. Your blood work they take will keep them on the right track. 2200 calories sounds low to me however, especially during tx. I'd think more between 2700 and 3000 while your body is being "abused" as it is.
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.
| | | | Joined: Nov 2009 Posts: 212 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Nov 2009 Posts: 212 | There are some good yherapists out there. I could not swallow corectly after TX. Went to a speach therapist, they gace me some exercises to do. Worked well
just my 2C
Steve
70 male, athlete...again SSC of undetermined orgin , early july 09 40 tx radiation, 8 chemo cisplatin and ebuterx finished TX in mid Sept 09 Clear at the 6 year mark! Back to swimming, biking and running! just a tad slower never regained my weight, even when I eat lots and lots, just a skinny guy now
Just way glad to be seeing the green side up!
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | I do agree with Steve though there are good therapists out there. I went through six years of speach therapy as a child to correct massive speech impediments...went on to a career where public speaking was a must.
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.
| | | | Joined: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | Just want you all to know I have forced down two boosts today and half of a strawberry shake. I still can not keep the down the Jevity when using the PEG tube. It may be because I am not doing it right. My throat still hurts like the dickens, but I can deal with it for a little while.
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Well there are good therapists and bad therapists. I laughed in the face of my so called rehabilitation therapists in the hospital after surgery who kept talking about shower seats and leg exercises after I had my tongue cut off. For those who read my hospital posts, they may remember how I handled it. I challenged the top dog therapist to a race up and down the stairwells of the hospital and with all my tubes and drainage pumps I raced down and up those stairs beating her by over two minutes. Like Eric I had only contempt for these weaklings. Before the cancer I would have just picked them up and shook them into reality, but after all the radiation & therapy & surgery I was reduced to just being fleet of foot. Then and only then would they leave me alone. Subsequently I have had 30 sessions of VitalStim swallowing therapy but with little progress despite hour long daily exercises. Nutritionists I have found to be worse than useless, with their recommedations for ice cream, etc. Unfortunately, most of us are on our own in our quest to be healthy. Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Angelia,
You really need to consider the CIB VHC which has 560 cals in the same size can. Less pain for the calorie goal.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | Charm...it really is scary sometimes how similar we are. That was awesome!
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.
| | | | Joined: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | David, Thanks I will look for that. I did see the Dr. today and he took one look at my throat and he said "That lookd miserable all right". We did not do treatment today or tomorrow. He is going to look at my throat again on wednesday to see if we can start again. I did get some lidocaine. He asked me where i go my other cockrail and told hime his nurse did it. He had now idea she had given me a different cocktail than he normally recommends. YEAH, some relief is in sight. The PEG is getting easier and easier for me to use and I have actually kept down all the stuff I have put in it today. I will definitely try to fine the stuff with the most calories. What stores would have the CIB VHC??
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Jun 2009 Posts: 875 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2009 Posts: 875 | HiAngelia: I live in Huntsville, AL and couldn't find it locally at drug stores (CVS) or other stores. I ordered on line @ Nestle Nutritional Supplements, first one, Nestle Store. It cost $59.99 for 24 cans and only comes in Vanilla. I mixed chocolate syrup or Boost with it. It arrived in about 3 to 4 days. The price sounds high, but actually it's about $2.50 per can and each can has 560 calories. There is no shipping and handling cost. Hope you like it. Julieann p.s. I lived off mine for months, then found out I was allergic to soy - just another one of my oddities.
Julieann Nov 2007 SCC on right tonsil following tonsillectomy. Was smoker, QUIT. (Stage IV T2 N2b) 7 weeks radiation one day/wk chemo (carboplatin and 5-FU). Allergic to Taxol; PEG in, lost 30 lbs. TX completed January 2008. PEG out mid- 2008. PET/CT 1/17/2011;2/3/12 NEGATIVE for cancer | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Angelia,
You HAVE to order it from the pharmacy dept at a Walgreens or CVS or online. No one caries it on their shelves. I only paid about $32.00 at Walgreens for a case. Walgreens only took a day, 2 at the most to get in from the time I called them. Make sure you get them to order the right CIB as there is more than one but ONLY ONE WITH 560 calories. $60 seems way to high even 3 years later so check around and if you order it from Amazon the OFC can get some money back.
I drank that VHC stuff for a tad over a year post Tx just to make sure I was getting my 3000 cals a day.
YUMMY Vanilla!!! lol
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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