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got first Cisplatin last Thursday, its been a tough road since. In twice to get IV fluids and anti nausea. I warned them I was a puker and now they believe me. Haven't really had been able to eat solid food since Saturday. We are working on a plan for next infusion where I get IV before and after.

Keeping up on the daily Rad treatments though and those are going fine.


Mark
BOT Squamous cell, stage IIIa
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Mark,

My neighbor had a terrible time with Cisplatin and lost 14 pounds in the first week. Sounds like you are having similar issues. Do you have a PEG tube?

Good for you for keeping up with the daily rad treatments...I'm sure that's really challenging.

I hope the infusion before helps. Are you getting weekly doses or 3 big doses of Cisplatin?


Margaret
----------
C/G: Husband, 48 (at time of dx)
Dx 5/18/07 SCC, BOT, lymph node involvement. T1N2BM0. (Stage 4a, G2/3)
Tx 6/18 - 8/3/07, IMRT x 33 Cisplatin x3 (stopped after 1st dose due to hearing issues). Weekly Erbitux started 6/27/07 completed 8/6/07.
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Mark,
I had the same problem. They gave me the wonderful medicine, I threw that up too! I have heard that if you have a problem with motion sickness chemo's gonna be bad. In my case it was. I hope for you some of the nausea meds work for you! I have also read that high protein diet before infusion helps. Of course I read that after my chemo was over so I didn't have a chance to try it. I want to say in was in Good House Keeping believe it or not. Can't remember, I'll have to look.
Good luck too ya,
Amy


40 yr old. Stage IV SCC found left tonsil. PET/CT shows cancer on base of tongue, floor of mouth, lymph nodes on both sides. HPV 16 pos. 6 weeks of cisplatin, 43 days of radiation. 73gy on each side.
ND March 2, 2009
reoccurance dx'd Aug 19, 2009
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Keep a close eye on your blood pressure. I take blood pressure meds and as soon as I started Cisplatin my b.p. dropped like a stone. That in itself caused me huge problems as I fainted several times (had the shiner to show for it) and felt weak and dizzy. Had we gotten that under control, I think I would have felt better.

What anti nausea meds are they giving you? Mine worked well. They are expensive, but well worth it. There are several options - make sure you ask if any of them cause "agitation". I took one for awhile (can't remember the name) that made it impossible for me to sit still. I had to be constantly moving or rocking - drove me and everyone around me nuts.

Good luck. You can get through this - stick with it.

Donna


Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
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Cisplatin is some nasty stuff. I puked a LOT during treatment and they had to cut the last infusion so I only had 2 instead of the planned 3 but I am a six+ year survivor. None of the anti-emetics worked for me all that well. I ended up using Compazine suppositories because I couldn't puke them up. Make sure that you are on a strong antiacid as well because Cisplatin does a number on the stomach.

It is essential to take in 2-3 liters of fluids a day to protect your kidneys.


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
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Cisplatin knocked me for a loop too. I remember sleeping for 4 days after each infusion. The meds they gave me worked great as I never puked one time. It also did a number on my hearing. I now wear hearing aids behind both ears. Its some nasty stuff but it works. I am over 2 years out of treatment.

Billy


Dx Mar 07 with Base Of Tongue Stage IV. IMRT 35x with 3 doses Cysplatin ran concurrent. Tx ended May 31,07. Left and right node involved. Radical neck disection 7/18/07
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Steve has just finished his 3 x Cisplatin with his last one being done last wednesday. So far he hasn't puked with any of them but he has had really bad nausea and the medication provided hasn't helped much at all. Just wondering if they do the cisplatin infusion the same in the U.S as they do here in Australia. Steve had 2 litres of fluid via IV before the infusion of nausea meds, then cisplatin. Cisplatin was then followed by 2 more litres of fluids via IV. Since he's been home we've been making sure he gets at least 2 litres of fluid a day.


Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone
No surgery
Teeth removed 06/07/2009
radiation 13/07/2009 x 7wks
chemo 15/07/2009 x 3 Cisplatin
last TX 28/08/2009
25/11/2009 PET-lymph node activity.
08/01/2010 CT Scan-ALL CLEAR
03/03/2010-Peg removed
01/2013 left side of Jaw removed and replaced with pectoral flap.
23/12/2020 scan show lesion in tongue
01/2021 SCC stage 3 base of tongue diagnosed
01/03/2021 chemotherapy started.
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I am not sure of the exact volumes of fluids before and after the cisplatin treatments but I do remember that there was much preparation with IV fluids before the Cisplatin was administered. If I remember correctly there was a lag time of about four to six hours from the first administration of IV fluids to the introduction of the cisplatin. The cisplatin dripped for approximately three to four hours and then another three to four hours were used for further fluid infusion.

One of Earl's chemotherapy nurses was a lovely woman name Mali who hailed from Australia. She told us a little bit about her life in Melbourne and, when we all discovered that Greg Norman had married recently Chris Evert, she gave us some entertaining stories about "The Shark." Needless to say, she was not impressed.:-)



Caregiver to Earl--Laryngeal SCC stage IVb
tracheostomy performed May 20, 2008
three teeth removed June 16, 2009
rad/chemo started July 9, 2008
radiation 35X, cisplatin 3X,
completed August 27, 2008
PET scan November 2008--good
trach tube removed June 22, 2009
trach opening sutured shut July 6, 2009
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Here they seem to do the Cisplatin 2 different ways. The old school like I had is given in 3 "larger" doses, the first the first day of rad; the 2nd halfway through and the last bag the last day of rad. With each bag we usually get IV's of fluids and anti nausea meds as well. Nothing seemed to work nausea wise for me and I suffered all the way through beginning with the 2nd bag.

The newest way is the break the 3 large doses up into smaller weekly doses that is given throughout the rad which they hope decreases the nausea without affecting it's overall toxicity to the cancer. The only "test" of that was a small poorly planned sample that didn't provide any useful conclusions.


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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So how is MarkInOregon doing, haven't heard anything from him since this first posting after his initial Cisplatin treatment. Hope he is doing well and weathering the treatments.

Bonnie


CG to daughter Brandy age 31 initial dx 10/06
SCC T4N0M0 with bone invasion upper maxillary
Surgery 10/06
CT's clear for 2 years

2nd recurrence - Laser surgery 1/09 dx
Tumor board - No surgery to invasive for QOL
35 IMRT 3/30/09 Completed 5/15/09
8 tx Erbitux 3/24/09 Completed 5/6/09

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