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HarryT #89784 02-09-2009 09:35 PM
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No cancer, lots of possible causes and options for solutions, but they all seem trivial in this forum. Certainly a huge relief, but after a long drive home, some thoughts. First, how incredibly humbling to sit in the waiting room on the head and neck center at MDACC. On my way out, the overwhelming thought was "God knew I was not as strong as these people must be, he knew I could not handle this".

The most valuable piece of advice I got from this forum was "do not pass Go, do not collect $200, go to a CCC". They got me in within a week and put an end to three plus years of needless worrying in two hours. Thousands of dollars, hours or my life and hours of worrying.

The doctors were not rushed, answered all my questions and, while they were not in any way judgemental or condemning, they were clearly not surprised at the lack of knowledge and inconsistency from the dentist, two oral surgeons and two ENT's I have seen over the past 3+ years. This is pure conjecture on my part, but I got this sick feeling while visiting about my frustrations that with the relatively small number of deaths, the fact that your average ENT or oral surgeon could go through their entire career and might miss one potential oral cancer if they ignore all but the most obvious cases, they might consider this an acceptable error rate. And besides, if they did, "that person shouldn't have smoked, drank, etc." Sorry, I have this basic problem with medical care in that if a GP tells every single patient to "go home and take two aspirin and call me in two weeks if you don't improve", they are by default assumed to be correct 95% of the time because the human body will cure itself in at least 95% of all ailments.

Sorry, I digress...

They said that MRI's probably would not pick up early oral SCC. Yes on nodes. Another interesting point on initial detection, all tongue cancers originate on the epithelium (surface) and tools like Velscope simply aid in detecting the very early subtle changes in the surfaces of the oral cavity, changes that they see enough of to pick up with simple visualization. These tools do not detect anything occuring under the surface.

I am very appreciate of the responses and welcoming by most of you and to those offended by my presence, I apologize for not meeting your standards for participation. I would think that any additional exposure and awareness for this cause would be worth the seeming drivel.

I feel this need to do something, but still need to figure out what the best use of my efforts would be. I would welcome any suggestions. Obviously, after sitting in the waiting room today, I feel sorry for the poor teenager I catch coming out of the convenience store tomorrow morning. It might be my highest and best use in life....harassing young tobacco users at 7-11. Having quit myself once a week for 20 years, at least I won't just be preaching.




HarryT #89785 02-09-2009 09:50 PM
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Glad to hear that cancer is off your list! Better than a clean biopsy!

[quote=HarryT]
I feel this need to do something, but still need to figure out what the best use of my efforts would be. I would welcome any suggestions. Obviously, after sitting in the waiting room today, I feel sorry for the poor teenager I catch coming out of the convenience store tomorrow morning. It might be my highest and best use in life....harassing young tobacco users at 7-11. Having quit myself once a week for 20 years, at least I won't just be preaching.[/quote]

I try to avoid this unless I actually know the kids involved, although I am not always successful!

Reminds me of "Never try to teach a pig to sing; it wastes your time and annoys the pig."


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
HarryT #89786 02-09-2009 10:18 PM
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Harry,

I'm glad for the "no cancer" diagnosis - I don't want to be a member of this club and I'm glad you don't have to join.

Wishing you the best!


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)
HarryT #89796 02-10-2009 11:07 AM
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[quote=HarryT]No cancer, lots of possible causes and options for solutions, but they all seem trivial in this forum. [/quote]

So what are the possible causes and solutions?

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
Eileen #89810 02-10-2009 07:14 PM
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allergies, acidic irritation from fruits, cumulative irritation due to dental irregularities, excessive tongue movement either during sleep or simply unaware of it while awake, dryness, etc., all potentially applicable to my situation.

Solutions are what you would expect for each of these but would require narrowing the cause. i.e. allergy tests followed by cutting out the allergen. Also a mouthguard for sleeping.

Just the knowledge that it was not dangerous made it much easier to put it out of my mind today. I am going to start cutting out certain foods for a few days at a time and see how that works.

HarryT #89817 02-10-2009 07:48 PM
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Excellent news Harry! Its very scary to go thru the process of thinking you may have cancer. Im so happy you are not going to need this forum. Consider yourself very very fortunate. Best of luck in the future smile


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
ChristineB #89828 02-10-2009 08:48 PM
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Close calls are the very best kind because you learn a lot!


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
Pete D #89863 02-11-2009 01:54 PM
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I agree with Pete, the closer the call, the more it sinks into out thick heads. Good luck in the future HarryT


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
Brian Hill #92069 03-18-2009 10:10 AM
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they did not hesitate when it came to a biopsy for my mom. It was the natural answer to the question of what it was....why do some drs push things off? Just the look if it?? Just curious!!

IowaGirl #92080 03-18-2009 02:30 PM
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Certainly if a doctor sees enough OC patients they will see enough that they can predict the outcome with a good degree of accuracy. Noting that nothing can replace a biopsy but after reading so many biopsies and then relating that to what it looked like before the biopsy it's bound to have some recognition benefit. The Chief of Oral Surgery at Moffitt who was the first there to scope me, showed me my BOT on the computer monitor as he was scoping and told me right there "see this area, it's looks rough and I bet that's where your Primary is. That's the first place I'm going to biopsy tomorrow." Sure enough he was correct and my tonsils were saved from removal.


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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