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#117855 06-12-2010 03:48 PM
Joined: Aug 2008
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TomT Offline OP
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Hello, will try to make this a quick question. For about the last two weeks, Pam has been coughing up dark red phlegm. For quite a while she has had phlegm to cough out about once a day or so, about a week ago she told me that she thought what she was now coughing up was blood. Seems like it is mostly red as opposed to phlegm with blood streaks. Sorry for the gross description but almost looks like a blood clot or like what you can sometimes blow out after a bloody nose. Last few days seems like it is getting more often (several times a day).

We plan on calling the clinic Monday but wondering if anyone else has had this problem. Blood counts have been good the last several weeks at chemo.

Thanks,


Tom-CG to wife, Pam 46@dx
Stage IV Tongue Cancer T2N2C
Dx 6/08, Surgery 7/08, 3 nodes positive
9/08 33IMRT/7Carbo/Taxol
4/09 node biopsy positive, mets to lungs/stomach
5/09 Cisplatin or Cis/Alimta study
6/09 Cis/Taxotere
9/09 Taxotere
1/10 Xeloda
3/10 Cetuximab weekly
6/29/10 lost battle
TomT #117858 06-12-2010 06:03 PM
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Tom,

It could be a number of things really so Pam really needs to go in and get checked out.

I had a few episodes where I had a really dark, coagulated blood coming from the area around my main tumor in my mouth that was just horrible..but it doesn't sound like this is the case, so make sure to get her in as soon as possible.


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 #117972 06-14-2010 12:25 PM
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Has she had any procedured where they might have taken tissue ? I know this is scary for both of you. We all pray she is OK.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
EzJim #118036 06-15-2010 01:16 PM
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I don't have anything relevant to add Tom other than I pray she is OK. You two have been on my mind lately because we haven't heard anything from you. No news is good news, so I was hopeful she was doing pretty good and you are enjoying life. Hope that's the case.

Hugs,

Shelley


Caregiver to husband Ron. Throat Cancer. Finished 35 radiation treatments on 11/21/04. 8/2/11 small lesion on lower gum, laser Procedure to remove. 3/6/12 Doc. removed another lesion on outside of his neck. Did a skin graft from his chest to replace the skin on his neck. Went to Heaven on 6/24/12.
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TomT Offline OP
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Hi, thank you for the thoughts and input.

We did get the results back from Friday's PET/CT. Six weeks ago the Erbitux had not only slowed the growth but had shrunk some of the tumors. This time not so good, some significant growth and activity. They feel the cancer in the left lung is causing some bleeding and the best treatment is to hit it with radiation. She goes for the simulation tomorrow and start treatment in a couple of days. Over the weekend she has some trouble catching her breath and is saying that pain in her shoulder is bothering her (another area that grew on this scan).

Any experiences with radiation to the lungs (how hard is it on her compared to the neck/mouth, real life side effects to look for, etc., any success stories?).

Thanks, Tom


Tom-CG to wife, Pam 46@dx
Stage IV Tongue Cancer T2N2C
Dx 6/08, Surgery 7/08, 3 nodes positive
9/08 33IMRT/7Carbo/Taxol
4/09 node biopsy positive, mets to lungs/stomach
5/09 Cisplatin or Cis/Alimta study
6/09 Cis/Taxotere
9/09 Taxotere
1/10 Xeloda
3/10 Cetuximab weekly
6/29/10 lost battle
TomT #118387 06-22-2010 09:21 PM
Joined: May 2009
Posts: 1,412
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I am so sorry. I will be praying for you and Pam.


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: Aug 2008
Posts: 100
TomT Offline OP
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Posts: 100
Hi folks, think I need to ask for a few prayers. Friday Pam was admitted to the ICU with difficulty breathing. She had received her first radiation to her lungs on Thursday and woke up Friday with chest pain and shortness of breath with any activity. Long story made short, Friday went from radiation clinic to ER to ICU. As of Friday night they hadn't found liquids or a blood clot in her lungs. She had some trouble Friday night/Saturday morning, they performed some type of a bronchial procedure and scoped her lungs out. Found a blood clot in her left lung that they removed, then found another larger blood clot a little further completely blocking the airway to her left lung. They did not want to touch it for fear that the clot was preventing active bleeding. After discussions with a surgeon, her tumor is growing t0o close and around main arteries to surgically remove and I believe they said it was too risky to try to cautorize around the tumor. They feel that either her tumor has been growing fast the last couple of weeks or that the radiation on Thursday caused her lung to swell causing more bleeding around the tumor. Hopefully will hear of some plan or alternate tomorrow otherwise it almost sounds like a wait and see situation. Think they said that if the swelling in her lung would go down then they may be able to blast the tumor again with radiation.

At this point it sounds like it is in God's hands. As late as last week was told they thought Pam would have good health for another 4-6 months. Wasn't quite as prepared for what may be coming.

Thanks for letting me babble on.

Tom


Tom-CG to wife, Pam 46@dx
Stage IV Tongue Cancer T2N2C
Dx 6/08, Surgery 7/08, 3 nodes positive
9/08 33IMRT/7Carbo/Taxol
4/09 node biopsy positive, mets to lungs/stomach
5/09 Cisplatin or Cis/Alimta study
6/09 Cis/Taxotere
9/09 Taxotere
1/10 Xeloda
3/10 Cetuximab weekly
6/29/10 lost battle
TomT #118596 06-27-2010 12:11 AM
Joined: Oct 2008
Posts: 251
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Posts: 251
Tom,

I am so sorry to hear this latest news. I hope Pam is comfortable and not in pain. May tomorrow bring new hope. Please stay strong and take care of yourself. You are Pam's "Rock", and I know your love will carry both of you through this.

My thoughts will be with you both.


Catherine

2mm tumor excised 09/23/2008 (floor of mouth)
SCC (superficially invasive, well-differentiated)
Stage 1, T1N0M0
01/2009 and 01/2010 - PET/CT clear
Four and 1/2 years - NED!
"Detection can be easy, treatment is not!"
RPCV #118604 06-27-2010 06:01 AM
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Tom, Ive been following Pam's story you have written since you joined. Im very sorry to read of her latest downturn. Sending lots of prayers your way.


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
Joined: Jan 2006
Posts: 756
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Tom,

Sorry to hear the latest news. I will keep Pam and you in my prayers.


Susan

SCC R-Lateral tongue, T1N0M0
Age 47 at Dx, non-smoker, casual drinker, HPV-
Surgery: June 2005
RT: Feb-Apr 2006
HBOT: 45 in 2008; 30 in 2013; 30 in 2022 -> Total 105!
Recurrence/Surgeries: Jan & Apr 2010
Biopsy 2/2011: Moderate dysplasia
Surgery 4/2011: Mild dysplasia
Dental issues: 2013-2022 (ORN)
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