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Kerri Offline OP
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I'm only beginning the second week of treatment and I'm showing signs of the dreaded symptoms already...bummer. Oh, well. After all, they did say that they are treating me aggressively and throwing the kitchen sick at me; also doing both sides of my neck, so that makes me happy (in only a way only we folks could understand)!

I saw my MO today for my weekly checkup and she could see some mucositis starting on the surgical side of my tongue already. I asked her if there was anything else that I could so to slow it down and she said no. I'm already doing the salt/baking soda rinses, oral care, water, hard candy, etc. My mouth is pretty dry already, but I'm missing my left submandibular gland from my first surgery. She gave me to okay to use the manuka honey, but I'm not sure if I should use it now or later...Cheryl, I know in a previous post your told the me strength. Was it 16 or something. Please forgive me that I could not find your instructions. Oh, I also have to start using the cool mist humidifier.

Well, gotta get to bed. Another rad treatment in the a.m. I have to say that I am making friends with the mask and the machine. I even gave the linac (linear accelerator, I've just learned) a wink today, and said (in my head) "How you doin'?". Er, um that could have been partly due to the ativan, but not totally. I've gotta come up with a name for the mask and the machine before this is all over. It should give me some thing to focus on during the treatment! Gotta giggle when you can.


37 y/o fem at Dx (23 wks preg @ dx on 3/16/11)
SCC L oral tongue (no risk factors)
L partial gloss/MND 3/28/11 @ 25 wks preg
T1-2N0M0; no rads/chemo
Tonsillectomy on 8/6/12 +SCC L tonsil T2-3N1M0 (HPV-)
Treated with 35 rads/7 carbo & taxol (Rx ended 10/31/12), but many hospitalizations d/t complications from rx.
Various scans since rx ended are NED!
Part of genetic study for rare cancers @ MGH.
44 years old now...I wasn't sure I would make it! Hoping for 40 more!
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Kerri, focus on your nutrition and hydration. It is going to make a big difference in how you feel. Every single day take in a minimum of 2500 calories and 48 oz of water. Rinse with the warm water/baking soda/salt at least 5 times per day. Ask your doc for a magic mouthwash prescription (with refills) to numb your mouth so you can do your dental care and eat easier.

i believe the manuka honey Cheryl used was 16 and found in health food stores.

You know it will get harder before it gets better but thats what it takes to kill the beast. Every day you are one step closer to being well again. Hang in there!!!


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: 805
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Yay for Ativan!!!
I had some not so nice names for Kevin's mask. I just saw it yesterday on a top shelf and it made me jump and creeped me out. I don't know if we should throw it out. God forbid, but if there is recurrence, do they make a new mask?
Hang in there Kerri. So sorry you have to do this. So glad you are sharing with us.
Kathy


Kathy wife/caregiver to:
Kevin age:53
Dx 7/15/11
HPV16+ SCC Stage IV BOT/R
Non smoker, casual drinker
7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11
PEG placed 9/1/11 Removed 11/8/11
Clear PET 10/12 and 10/13 and ct in 6/14
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Posts: 3,082
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Kathy

Yes, they make a new mask each time. I have two at home and they have made a third one already , as that is part of the planning the radiation field process. I'm actually excited about using this third one, because that would mean they have figured out a safe radiation plan for my third time around.
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
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Ask your nurses if they can spray your mouth. This really helped initially - and then became a little less helpful- but still not bad.
I found the VHC shakes great- I liked them at room temp by the third week when I really needed them.
Aquaphor!! Slather it on!'. I looked SO shiny & gloppy- and am so happy I did!! I bought a bunch of cheap tees & put them under my clothes & then tossed them at the end of treatment as they had bad stains. Well worth it though as my skin came through really well!!
I carried around a cup to spit in... Gross, but made for less chasing of lips when spitting into a towel or tissue when in public.

I didn't have chemo, so not sure whether or not these tips will be as helpful- but we are all pulling for you.
You are a tough cookie- this disease has nothing on you!!

Love the machine nicknames!


Sally, 38 years old
T1N0M0 Left Tongue Lesion, Moderately Differentiated
10 + year history Leukoplakia, Mild Dysplasia before cancer diagnosis 8/2011
Scheduled Partial Glossectomy & Neck Dissection 9-17-11
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I have had three masks. First one I stuffed with cloth and used for target practice with my son using my Colt 45. Blew that thing to hell and back.

Second one was partial body head and neck. Stuffed that with hey and use it for bow practice. Not much left of that one. My son has gotten very good at hitting me in the head.

Third one I just told them to trash it. All I have left is the shotgun and that would be a one shot deal.


Kelly
Male
48, SCC (Soft Palet) Rt.,
Stage 1, T3n0m0,
Dx, 8-09, Start IMRT 35 9-2-09 end 10-21-09
04-20-10 NED
8-11 recurrence, node rt. neck N2b
10-11 33 IMRT w/chemo wkly
3-12-12 PET - residual cancer
4-12 5 treatments with Cyberknife & Erbitux
6-19-12 Pet scan CLEAR
12-3-12 PET - CLEAR
Joined: Oct 2011
Posts: 805
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That's kind of a cool idea Kelly. I could stuff the first one and let Kenneth, our oldest son, shoot arrows at it.
Charm...what do you mean about what you said about the third one? What's different this time?
Kathy


Kathy wife/caregiver to:
Kevin age:53
Dx 7/15/11
HPV16+ SCC Stage IV BOT/R
Non smoker, casual drinker
7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11
PEG placed 9/1/11 Removed 11/8/11
Clear PET 10/12 and 10/13 and ct in 6/14
Joined: Aug 2011
Posts: 596
Kerri Offline OP
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Thanks for all of your replies. Kelly, I love the idea of shooting up your masks! That must have felt great! I told my husband about that and he got a good laugh. He has a sword collection...that might be one way to make it more personal wink.

Christine,
I know that you are a fan of Carnation VHC and I think you once told me that you got yours on Amazon. I don't need it YET, but I imagine I will very soon. I did an Amazon search and it seems that it's not made by Carnation anymore, but by Boost? Is this the same stuff, just bought out be another company? Has anyone ever had any luck with insurance paying for it? Also, I have to idea how much to buy at at time. Any input would be appreciated.

Thanks,
Kerri


37 y/o fem at Dx (23 wks preg @ dx on 3/16/11)
SCC L oral tongue (no risk factors)
L partial gloss/MND 3/28/11 @ 25 wks preg
T1-2N0M0; no rads/chemo
Tonsillectomy on 8/6/12 +SCC L tonsil T2-3N1M0 (HPV-)
Treated with 35 rads/7 carbo & taxol (Rx ended 10/31/12), but many hospitalizations d/t complications from rx.
Various scans since rx ended are NED!
Part of genetic study for rare cancers @ MGH.
44 years old now...I wasn't sure I would make it! Hoping for 40 more!
Joined: Dec 2010
Posts: 5,260
Likes: 3
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HI kerri... 16 + umf! use it from the get go if you can... it will help stave off some of the symptoms for a bit. good luck and mucho hugs!


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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It's listed as Nestle now- that's the one I used at least. I also thought the Boost juices were good... They are 250 cals and I could handle them pretty well...

I don't know about insurance paying for them. Worth looking into though.

Good luck.


Sally, 38 years old
T1N0M0 Left Tongue Lesion, Moderately Differentiated
10 + year history Leukoplakia, Mild Dysplasia before cancer diagnosis 8/2011
Scheduled Partial Glossectomy & Neck Dissection 9-17-11
Joined: Jun 2007
Posts: 10,507
Likes: 7
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Kerri, you are correct. Boost has taken over the Carnation VHC. It used to run me about $48 a case which included s&h. If you use Amazon, please use the Amazon link which is the box on the right on the main forum pages. I would add water when putting that in my tube.

Didnt your doc give you prescription formula? I was given two-cal which had 540 calories per can so it was very close to the Carnation VHC. I still would order the VHC as it was alot cheaper than the prescription formula.

Insurance will never pay for over the counter formulas. Many times they will pay for the prescription stuff but not always. Sometimes you have to fight them with a couple appeals. Ridiculous when you are sick!



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: Feb 2007
Posts: 790
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Kerri! Oh wow-- you are in the trenches. Well, just put one foot in front of the other and before you know it you will be on the up and up every day instead of the slow decline with the side effects. Its hard - just stay distracted with good books movies and good company when you are up to it and be sure to stay hyrdrated and keep your nutrition on target so you give this all the ammo you can.

Thinking of you and hoping this takes care of bizness!!!!!

xoxoox KATE

Last edited by misskate; 09-20-2012 09:47 PM.

Tongue Cancer T2 N0 M0 /
Total Glossectomy Due to Location of Tumor

Finished all treatments May 25 2007
Surviving!!!
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Kerri Offline OP
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Thank you, dear friends! I am still able to eat and drink well enough. I am supposed to meet with nutrition next week. I've only dropped about 4 pounds thus far and I'm very overweight, sit that's to be expected. They are monitoring me closely.


37 y/o fem at Dx (23 wks preg @ dx on 3/16/11)
SCC L oral tongue (no risk factors)
L partial gloss/MND 3/28/11 @ 25 wks preg
T1-2N0M0; no rads/chemo
Tonsillectomy on 8/6/12 +SCC L tonsil T2-3N1M0 (HPV-)
Treated with 35 rads/7 carbo & taxol (Rx ended 10/31/12), but many hospitalizations d/t complications from rx.
Various scans since rx ended are NED!
Part of genetic study for rare cancers @ MGH.
44 years old now...I wasn't sure I would make it! Hoping for 40 more!
Joined: Oct 2011
Posts: 805
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Kevin was over weight too. He lost 56 pounds and looks great now. Not a diet plan he would recommend is what he tells everyone. Definetly look into the prescription formulas with the nutritionist next week. Save money where you can!
Thinking of you and knowing you will rock this!! You are an amzingly strong woman with a great attitude. Keep up the good work!


Kathy wife/caregiver to:
Kevin age:53
Dx 7/15/11
HPV16+ SCC Stage IV BOT/R
Non smoker, casual drinker
7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11
PEG placed 9/1/11 Removed 11/8/11
Clear PET 10/12 and 10/13 and ct in 6/14
Joined: Sep 2006
Posts: 8,311
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Boost VHC is now the old Carnation IB VHC. Same company and looks similar if not identical to CIB.


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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I heard you have to take the prescription for protein drinks to a medical supplier, so you can get it as durable medical goods, otherwise it will be denied if purchased at a regular pharmacy.



10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






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We were told we could not get the food for the PEG until my husband was not eating orally at all!! Then the insurance would kick in. When the RO saw he lost 10 pounds in less than a week she wrote out the prescription anyway. His last delivery was for a drink that could be taken orally as well and tasted good. We do have a lot left over that I need to pass on to someone else. We thought we would take them to the Hope Lodge but they were not needing them and worried about them expiring. If anyone needs anything, let me know. We have 3-4 types.


Husband diagnosed Oct '11 Cancer of the vocal cord Nov '11 removed right vocal cord. Neck Dissection, cancer in one node, .2, very small & contained) Jan '12 Radiation and Cisplatin, 6 doses. June '12 & Dec '12 clear Pet scan. April '13 Celebrating 1 year cancer free since treatment ended.
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The hospital should have set you up with a medical supply company. they will bring everything you need to the house. Ask for a pump too so you can run the formula while you are sleeping. It helps to ensure you are getting enough in.


The Oley Foundation runs a website to help patients who need not just formulas but also the supplies that go along with it. here is a link to their website.

Oley Foundation Exchange Program


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 2011
Posts: 123
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I wish I had known about the Oley Foundation. Ken had just received a full shipment when he passed away. They would not take it back for fear of tampering. The VNA gave my mother the name of someone who came and picked it up to send to the Ukraine or someplace like that. I would have much preferred to keep it local.

Kerri - the nutritionist should be very helpful and take care of it all for you. Setting you up with a company who will deliver it to you and make sure you are stocked up.


Jill..CG to Ken, age 43,mom of 1yr old girl.
DIAG:12/9/10 SCC BOT T4N0M0 HPV+
START:1/3/11 IMRT dailyX35 and 7 chemo
END:2/23/11 PEG IN:1/15/11 Out:4/26/11
CT/MRI 4/25/11-marked improvement CT 6/11 new spots
BX 6/23-cancer present
Total Glossectomy sched 7/20/11
7/19/11 Ken's suffering ended
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