Posted By: EllenB Getting to end of treatment/next? - 07-26-2011 12:02 AM
My husband and I now have 22 out of 35 radiation sessions behind us and two out of three scheduled chemos. He has virtually no taste buds and a horrible mouth but is still swallowing some foods and Ensure. We just ordered Carnation Breakfast VHC thanks to all the recommendations from this forum. Thanks all of you because we never would have known about it. Using the tube to supplement but he is determined to keep swallowing. There is fatigue but no pain killers at all at this time. We do not know what the next 13 treatments and final chemo will bring but I plan to stay home (been working through this) for the first two weeks after treatment. Again I would not have known how important that is unless I had heard from all of you. We do not know what will be next but with all of his determination, I know that he will do his best to "come back." I am a little concerned about what his recovery will be like but that is just me looking too far into the future. I want to thank all of you for the ideas, thoughts, adventures, candidness and inspiration. You are all thoroughly amazing. I get a great deal of strength from you.
My husband wants to try to get back to his therapy practice by January. How long has it been for some of you to return to your "life". That will be about 5 months. Does that seem possible?
Best to every one of you. I will continue to stay on this forum. It is really a great support
Posted By: Jenslp Re: Getting to end of treatment/next? - 07-26-2011 04:01 AM
Hi Ellen - sounds like your husband is doing very well! Good for you both - it's hard work making it through this treatment!
As far as return to work goes - it's not an unreasonable goal to be back at work in 5 months. I was fortunate enough to go back to work on a part time basis 6 weeks after treatment - I pushed it a bit because I was going totally stir crazy at home and getting back to work made me feel like I was getting my life back. Keep your mind open though - there were days shortly after treatment that I thought "I could really be working" and other days that I thought about needing to extend my FMLA for another 3 months - it's a bit of a roller-coaster ride with ok days and not so good days - you can just never tell how those days are going to stack up!

You mentioned that he wants to get back to his therapy practice - I know that it was hard for me to talk too much in the first couple months after treatment so he may run into that as an issue - talking a lot was fatiguing, a bit painful and as those 2 problems increased during the day I felt like the clarity of my speech was reduced - frustrating!

Good luck with these last treatments - it's a big deal when you're down to single digits!!
Posted By: davidcpa Re: Getting to end of treatment/next? - 07-26-2011 12:25 PM
Most likely he will be able to return on a part time basis well before that 5 month goal but he will have to take it easy at first. I finished my Tx the end of Aug and I was working within 2 months but owning my own businesses enabled me to work as little or as much as I wanted until I was able to go at it full time. I can't recall the specifics now but at least by Jan I was putting in 12 to 15 hr days just like pre Tx and I didn't miss a beat during that ensuing Tax season.

The thing I quickly grew tired of was EVERY client had to ask me how I was doing and wanted details of my Tx. That really took chunks out of my day. Five years later and I still have clients, and friends for that matter, who ask me "are you doing OK?". Guess it comes with the territory, lol.
Posted By: Cheryld Re: Getting to end of treatment/next? - 07-26-2011 03:35 PM
Yes but being around to answer those questions 5 years later positively is a pay off!! smile agreed though - finished my rads may 4 - my first Fu scan is tomorrow!!! That said- I had a meeting the week of June 20th at work that I attended! I was ready to go back and help out with the shut down then (I work as a tech for the school board). Other than the fact that I needed the occasional afternoon nap I felt good. Plus at he time my only real issues were eating and speaking both of which I could do without at work! If mt scan is clear I'm back the first week of sept. Good luck... Hugs!
Posted By: julieann Re: Getting to end of treatment/next? - 07-26-2011 04:19 PM
Cheryl:
Prayers headed your way for your scan tomorrow. I KNOW you'll do good, so let us know with a big smile when you get results.
Hugs from julieann
Posted By: ChristineB Re: Getting to end of treatment/next? - 07-26-2011 05:26 PM
Sounds like your husband is doing very well. If you end up putting the Carnation VHC in the tube, water it down. Its very thick. The thickness might make it easier to drink. When I used it in my tube, I would add 2 cans of water for 3 cans of formula.

When I did my radiation, I returned back to my office job 6 weeks after finishing chemo and radiation. After working half days for about 3 months, I then started working full time. I hope your husband does as well with his recovery after his treatments are finished. Its so hard to plan things while going thru this. Im sure you both are anxious to getting back to your normal routines. Returning to work is a big accomplishment and will make him feel so much better. The 5 month estimate is probably a very conservative guess as to when your husband will be ready to work again. I would say to plan for it to be 5 months but hopefully he will be ready to work again after 2 or 3 months.
Posted By: Maria Re: Getting to end of treatment/next? - 07-26-2011 06:19 PM
Ellen,
my husband's work allows him a good deal of flexibility, is computer related, and does not require a lot of talking. He took the chemo day off through most of CRT, but work either a full or part of a day the other four days. He took the last week of CRT off, and half of the next week, then did part time for a bit. He was able to work a full week about a month after treatment ended - I believe that is an unusually quick recovery.
Based on my single data point of my husband's recovery, my guess is that a) your husband's ability to talk without noisy interuptions due to mucous-related coughing and gagging (if he has these problems) and b) fatigue - will be the main factors in returning to therapy practice. If your husband can schedule breaks between appointments to get his mouth back in order, and rest up a bit, my opinion is that January would be doable. Best of luck with the remaining treatments!
Posted By: EllenB Re: Getting to end of treatment/next? - 07-27-2011 03:12 AM
Thanks everyone, you are all so positive. I think that the advice about taking it gradually makes sense. He is trying to do some things that make him feel productive right now. He putters around the house and drives to his office a couple of day a week just to do paperwork. Tonight was the first night since this all started that he expressed fears about "permanent side effects." He is worried about his salivary glands never coming back and his ability to enjoy food. He has been very positive so far but I know that his throat is starting to hurt more and more and that we will soon need the mouthwash to help numb it a bit. I did not know that you could use the Carnation in the tube. Thank you Christine for the advice. I will remember that. I guess we have to stop doing the "what if's" . The doctor had mentioned a "new Normal" and now for the first time my husband realizes that there really might be a difference in his life after recovery. He said to me "this is serious and I might never be the same." I am so sad for him.
Posted By: Caco Re: Getting to end of treatment/next? - 07-27-2011 03:50 AM
ellen, we are at the beginning of this tunnel and i admire you. i have met with several people years out. one is a sports correspondant and the other a rock star...really : ) both talk, sing and yes, carry water bottles. it does come back slowly i'm told, not completely...it's not perfect but better than the alternative. best to you.
Posted By: Steve F. Re: Getting to end of treatment/next? - 07-27-2011 05:34 AM
Ellen:
The new "Normal" will continue to improve. It's strange really, I was told two years out would be about as good as it gets, however I still feel improvements. My surgeon said it's also adaptability, what we don't get back we can "Adapt" to. I probably don't stay hydrated enough but I don't always have a water bottle with me any longer either. Advice; stay positive, experiment (As things constantly change), continue to keep an open mind, learn, grow, laugh, love! We're breathing!
Warm Regards,
Steve
Posted By: David2 Re: Getting to end of treatment/next? - 07-27-2011 04:53 PM
Ellen - yes, it's serious and none of us are ever quite the same. But many come very close, and Steve's comment just above about adapting is, well, apt.

It's hard to imagine right now, and the next months and even a year or more are going to be a tough uphill climb, but eventually your husband will find himself feeling much much better.

Like him, I worried about my salivary glands and about food. But eventually I've improved and for the rest have just kind of gotten used to things. So both of you hang in there!
Posted By: EllenB Re: Getting to end of treatment/next? - 07-27-2011 07:34 PM
Hmmm don't know of this went through. Steve great story and Cheryl how was your appointment? Julie Ann thank you. We try to laugh each day. Love hS always been there but we are closer than ever now. I will cherish all your posts and encouragement. It means the world to me. To those at the beginning the time does go by in spite of our fears. Going to respond to others now
Posted By: EllenB Re: Getting to end of treatment/next? - 07-27-2011 09:52 PM
Thanks David. Excellent advice. Recommend any inspirational books about oral cancer recovery? We had a good report from doc today. She managed to spare one side so his saliva should be better than expected. Hard road but we just keep looking forward
Posted By: EllenB Re: Getting to end of treatment/next? - 07-28-2011 01:12 AM
Caco, you will get through this. I actually cannot believe that we are this far along. Friday will put us in the single digits which is totally unbelievable. It seems like just yesterday that we were at the beginning, scared, sad and nervous. As the time does on and each "new" thing becomes part of the routine, you will rise to the challenge. Everyone here is very supportive and there is wonderful information here too. Good luck.
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