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Patient Advocate (old timer, 2000 posts)
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That's one of the rarer side effects with Erbitux, usually seen in the initial or 2nd infusion, severe allergic reaction, and cardiac arrest. It's good someone took notice, and made the switch. I had a different reaction on the 7th day, after my 5th day of infusions, but already went home, but had to be admitted to a local hospital. Carboplatin, is related to Cisplatin, but with less adverse effects, in some aspects.


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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Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
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If your father is not able to drink enough water, at the hospital they can give him fluids. It will need a doctors prescription. Becoming dehydrated will make him feel awful, Im sure even your father would say something if that happened. Its not a big deal to get a couple bags of fluids in the chemo lab. It will make him feel much better. So keep that in the back of your mind for the upcoming weeks in case his drinking capabilities diminish.



PS... Shannette....Scroll to the top and look next to the "My Stuff" tab. You should see a blinking envelope, click on that to read the message I sent you. Its about navigating the forum easier and making a signature.


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: Mar 2013
Posts: 421
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Hi Shannette,

I'm just starting treatment so I'm a newbie in comparison to most on the boards. I spoke with my team about a PEG but they all feel that I'll be fine.

My RO put me on Gabapentin (Neurontin) a few weeks before I started treatment and so far so good with my throat. It helps to reduce or eliminate pain associated with sores in the mouth and throat. I'm 7 rads (of 30) and 1 chemo (of 6) into treatment and I have no throat issues (yet). Upon examination last Friday, I had redness in my throat but I couldn't feel anything. I'm also rinsing with the baking soda/salt/glutamine 4-8 times a day.

It's my goal to do this without a PEG but we'll see. So far, I've maintained my weight over the last few weeks. I'm eating pretty well despite swallowing issues from surgery. Protein shakes have been a huge plus in that (Whey protein, whole milk, fruit, glutamine). I have at least 2 a day in addition to any solids I can get down.

I was a smoker and my cancer is HPV related too (a double whammy!) but should respond well to treatment. Shingles is a form or herpes (herpes zoster) caused by the chicken pox and yes, both HPV and HSV can lie dormant and one would never know they had it. A weakened immune system can trigger an outbreak and treatment can do that so keep an eye for that.

Positive thoughts and prayers for your Dad!

"T"



57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
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More power to your dad, hopefully he'll get through it without needing the tube... 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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Posts: 40
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Thanks so much, all! His doc looked at his mouth last week and said the inside was red, but didn't really see any sores. I think my Dad's biggest issue is taste and just not really feeling like eating, rather than the physical problems with his mouth/throat due to mouth sores and what not.


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
Joined: May 2010
Posts: 638
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"OCF Down Under"
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Posts: 638
Hi Shannette

Lack of taste and loss of appetite can be just as debilitating as physical pain.

Alex's doctor and I made the nearly fatal mistake of thinking that with the right attitude, Alex could "just do it". Well he couldn't and he ended up in hospital. Please understand that whilst some of it can be overcome with attitude and perserverance, sometimes it can not and this is the time that your Dad needs support rather than nagging.

Alex's taste disturbance and complete lack of hunger was so bad that he would throw up if he forced himself to consume more than 3-4 mouthfuls of soft food or 50 mLs of formula. The mucousitis (ulcers and rawness) is caused by both chemo and radiation and in the case of chemo, goes right the way through the digestive tract. This means there may be issues lower down that the doctor can't see that is still impacting on his ability to eat.

By all means encourage him to eat, and nag him just a little bit, but be aware it might be much much harder than just mind over matter and he needs as much support when he can't do it as when he can.


Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
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Update: My Dad has decided to get a feeding tube. He can barely get water down, which by reading your posts I had told him this might happen. He is just one of those who doesn't want to just "take your word. ". He had to try without a tube, just to see if he can make it.

Anyways, he knows now he needs a tube to get adequate nutrition and hydration. Did any of you have one put in this far into treatments? He is a little over halfway through. Treatment is scheduled to be done April 25, unless this feeding tube procedure makes that date later.


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
Joined: Jun 2007
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Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
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Posts: 10,507
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There have been many members who have gotten feeding tubes half way thru or even at the very end of their treatments. Its a good tool to help keep him hydrated and with enough calories. He still needs to continue to take sips of water several times per day even if it hurts. Believe it or not, a person can easily lose their ability to swallow after just a couple days of not doing it. This can be a huge problem down the road so please tell him he MUST swallow water every single day.

Best wishes with the surgery. He may be sore for a couple days after getting the tube. Ask if he can have a visiting nurse to help him learn to use the tube and ask for a pump so he can do feedings while watching tv or even while sleeping.

Good luck!!!


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: Mar 2013
Posts: 40
Contributing Member (25+ posts)
OP Offline
Contributing Member (25+ posts)

Joined: Mar 2013
Posts: 40
So......since my recent post about my Dad wanting a feeding tube, he blended 2 scoops of ice cream and a can of peaches and drank it. Ha. He said if he knew for a fact his throat wouldn't get any worse, he wouldn't get a tube, but since he doesn't know, he wants to have one just in case. He certainly knows the importance of continuing to use his throat and swallowing muscles. He says he will not become dependant on the tube. Just use it to up his calories and when absolutely necessary. smile


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
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