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#114996 04-05-2010 07:32 AM
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Clark is in surgery today (now) to replace the skin flap that was put in last November. The skin had shrunk (is that a word?) thereby revealing the plate and screws. Post rad complication. Radiation: the gift that keeps on giving.

The PS is using a flap from his torso below his arm. It will be big and bulky. We now know that this WILL NOT be the last of surgeries. Debulking will come later. He will be in the hospital for 6 days. There is a possibility that this procedure will correct the stabbing pain when he eats. That would be wonderful.

Keep us in your thoughts and prayers. The waiting is so hard.



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
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Thinking about you and Clark, I'm pulling for you guys and hoping that this resolves at least a few of the issues Clark has had to endure.

Best wishes,

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 #115001 04-05-2010 07:49 AM
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Sending prayers to you and Clark.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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Posts: 476
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Hi Anita. I will be keeping both you and Clark in my prayers. You have both been through so much. I hope this finally takes care of the issues he has been having and relieves the pain. Waiting is always the hardest part. Let me know when you want to get together for that drink. I know you will be busy for a while. I'm also glad to hear that you had such a good weekend. It was good to let your family know what to expect before you got there.

John has had a full beard for most of his adult life. We had dinner yesterday at his mom's house and we weren't in the door 1 minute when his sister says "what happened to your beard? you looked so much better with it". It's not like we haven't seen her in the last year. I reminded her that he can't grow one because of the radiation and that I think he looks much more handsome without one. Family!!!


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 #115014 04-05-2010 01:47 PM
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Posts: 63
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My heart goes out to you! This is so hard! You and Clark are in my thoughts and prayers for the best possible outcome!
Pat C


Pat - 62 yr. old -DX 8/29/09 SCC stage III floor of mouth
Lower teeth& bone removed
Port& Peg
Cisplatin x3; Rad 35 - ended 12/21/09
Fox Chase 2nd opinion-mandibulectomy; tracheotomy; left neck dissection; jaw reconstruction 5/13/10; flap failed;new flap 7/13/10; lipo January 2011
Patcey1 #115022 04-05-2010 05:01 PM
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Positive results and positive news, Anita and Clark. And wishing Clark a speedy recovery from this latest (and hopefully, LAST for a long long time!) surgery!


Husband: 3 SCC gum and cheek cancers 2002, 2005, 2006: surgery only. Scans clear after removal of small, well differentiated, non-invasive cancers. No radiation. 4th SCC lip diagnosed 4/13/07 - in situ, removed in biopsy. More lip removed 2/8/08 - dysplasia. 2 Biopsies 3/17/09 no cancer (lichenoids)
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Hope all goes well with the new flap and follow up debulking (I had a few myself). Best of luck for quick healing from this and the future procedures.


History Leukoplakia bx 8/2006 SCC floor mouth T3N0M0- Verrucous Carcinoma.
14 hour 0p SCC-Right ND/excision/marginal mandibulectomy 9/2006, 4 teeth removed, flap from wrist, trach-ng 6 days- no chemo/rad.
6 ops and debulking (flap/tongue join) + bx's 2006-2012.
bx Jan 2012 Hyperkeratosis-Epithelial Dysplasia
24cm GIST tumour removed 8/2013. Indefinite Oral Chemo.

1/31/16 passed away peacefully surrounded by family

Gabe #115078 04-06-2010 07:32 PM
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Anita,

Thanks for the update. I was hoping to check yesterday, but never made it to this forum.

Sounds good and I'm sure the next surgery will be less troublesome.

I hope things go smoothly from now and that clark's pain goes away soon. He is lucky to have you as his caregiver.


Jerry

Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.

"Whatever doesn't kill me, makes me stronger"
wilckdds #115132 04-07-2010 06:14 PM
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Thank you all for your well wishes and prayers. Clark is doing very well. His flap looks good and he is so happy with the results. There is swelling but that will resolve in time. Clark is so enthusiastic that he said he feels like a new man, very positive. He is even talking about lining up some vacations. So far, he does NOT have that stabbing pain. The room he is in has a nice view of the trees and Penn's campus. The unit has an outside terrace where he can go to get some sun and fresh air. The nurses are wonderful, too. He is supposed to come home by Saturday.

The PS took the flap from his torso, from below the scapula down to his side under his arm. Big incision! He also took some muscle. It is incredible what can be done! All of that is now on the right side of his face (jaw and cheek) and fills in the concavity he had before this surgery.

I am so happy!!!!!


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: Apr 2005
Posts: 2,219
Patient Advocate (old timer, 2000 posts)
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Posts: 2,219
It is amazing what can be done. I'm thrilled to hear that he is doing so well.


Jerry

Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.

"Whatever doesn't kill me, makes me stronger"
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