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#170873 09-10-2013 04:38 PM
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Meli Offline OP
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I finished radiation treatments 3 weeks ago now and my throat is still the sorest it's ever been... when will this start to heal? I can only eat about 5 different things without it making me cry. I'm on long-lasting morphine with some short-term one as well to help at mealtimes but it's still a struggle. At least I'm eating normally (by mouth).. gotta look on the positive side but I'm so sick of being in pain.

Please give me some hope that this will stop soon.


39yr old female, DX BOT SCC Stage IVA (T1N2bM0) HPV+
28 May 13 - Pharangoscopy & tongue biopsy
29 May 13 - BOT Surgery & right ND (lvls 2-5)
31 May 13 - Hemorrhage, emergency trach, critical care
BOT clr mgns, 9/67 nodes & extracapsular extension
Finished chemo (cisplatin) & 30 rads
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Right now is the worst part of this for most of us. Radiation continues to work even after the patient finishes. Im sorry you are having a difficult time of things, very soon you will turn the corner and begin to slowly feel a little better. Recovery can be a very long and frustrating time, full of ups and downs. Keep trying to see the positive in everything. If you think back to when you first finished, you should be able to recognize some very minor improvements. If not, you should see them any day now.

Keep taking in a minimum of 2500 calories and 48 oz of water every single day for at least the first full year after finishing rads. You will need to rebuild your body and it takes lots of calories to heal. 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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Meli,

We have been through it and know the discomfort, pain, and struggle it creates for you.

Pain meds you need to stay on top off. It seems you are taking both extended release and quicker acting forms which is fine but if you are feeling excess pain, it seems you need to check with your doctor to make adjustments.

I was able to keep the pain under control with MSContin, extended release morphine and hyrdocodone for breakthru pain. A number of patients needed fentanyl patches which are stronger. Maybe your doctor can evaluate that for you.

I created a blog that posted nearly every day of my treatment so there is lots of details in there but quite to slog through. I now post once a week and just a little update now.

Best luck, don


Don
Male, 57 - Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
All the details, join at http://beatdown.cognacom.com
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Wow, I'm just amazed that you are getting a few foods down at all! That is just great so don't get discouraged! Drink frozen slushies and it will help numb as it goes down. Work on keeping up the calories while the effects from radiation start going down. You will get better! Even though it has been 11 years since I had my treatment I remember those days well. You are on the upswing of the battle just remember that! - Love and prayers - Kris


SCC Stage IV left tonsil neck disection 3/02 radiation finished 6/02 chemo finished 9/02
Stage 2A left breast cancer 3/09, chemo and radiation, finished treatment 2/7/10 -Stage 2 right beast cancer 10/14 chemo and radiation
Every day is still a gift :-)
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I agree you're doing good at 3 weeks. It can take much longer in some, but everyone is different, and so is their treatment, other factors. It took me longer than 7 weeks from radiation, and would say my biggest meal was 8 months later on Thanksgiving.


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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Hi Meli,

Yep... those first few weeks post treatment were pretty much a blur. I was totally feeding by PEG and in a drug induced stupor the vast majority of the time. Sleeping was problematic and I "napped" for a few hours at a time.

It was about the 4-5th week out that I finally turned the corner. Remember, your progress will now be measured in weeks and months as opposed to days. It will get better I assure you.

Positive thoughts and prayers.

"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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Here we go gain with the oft used phrase, "everyone is different" but it is true. I just finished week 8 post treatment and do most of my nutrition by tube. I had an ulcer on my tongue that is now 75% healed but makes eating difficult. All other areas I feel ahead of the curve. Look for small improvements and try to evaluate weekly. Trend Line is sloping upward overall but you can have daily swings. Patience will take you far.


Age 55 HPV 16+ SCC, BOT 050613 Stage IV
great team at OSU
Tx 6 weeks of rad started June 3
8 weeks of chemo started May 28
RTOG Phase III trial Cetuximab group.
Treatment completed 7/16/2013
PET Scan completed 10/08/13
Results discussed 10/11/13
NED - Free but am I
Next part of the journey?
1year PET 10/24/14 NED
Good reports now 10 years out.
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Hi Meli, just want to say I hope you start feeling better soon. If it weren't in the name of healing, this entire regimen would be against the Geneva Convention!



53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
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Wow, I think you are amazing if you are able to eat after 3 weeks. It took me two months before I could even drink liquid. A couple of suggestions about the pain. There are many different types of pain. For muscular pain and most surgeries the narcotics you are taking work fairly well. It is a matter of trying to take enough to stay out of pain but not so much that you are out of it all together. One thing I might suggest is that you back off of hard foods and stick to various kinds of soups at first. I found that as long as I could incorporate ground beef or some protein in the soup I healed much faster. Also, you might ask your doc about other types of pain meds. There are many nerves inside your mouth and this radiated area. Some of your pain may be coming from that. My doc recently put me on something called neurotin which is usually used as an anti-convulsant drug but they have found that it is very helpful in chronic pain situations as well. What it does is slow down the speed with which the body processes nerve impulses. It might be worth a try if your doc says its a good idea. Don't get discouraged, the pain will go away but it will take a long time. I was on Tylenol 3 for over a year after my radiation. Good luck. Keep the faith.


In 1994 I found a 3cm tumor on my right tonsil. After 3 rounds of chemo, I underwent a radical neck dissection with a peck flap. I had a reoccurance which required twice a day radiation treatments and then had 19 years cancer free. I then found a very small tumor on my right tonsil. It was removed. Then I found a 1 cm mass near the base of my tongue on the left side. I had two partial glossectomys with bad margins and then then underwent Brachytherapy.
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I also found that milkshakes are a big help in the pain once you start eating. I would eat a real milkshake made with real ice cream and milk in a blender with each meal. I also supplemented it by adding vanilla flavored protein powder which you can get from any health food store. It makes it taste more like a malt. One bite of food one drink of shake. Another bite of food and another drink of shake. It is baby steps. Believe me you are doing really well at this point in your recovery. Keep the faith.


In 1994 I found a 3cm tumor on my right tonsil. After 3 rounds of chemo, I underwent a radical neck dissection with a peck flap. I had a reoccurance which required twice a day radiation treatments and then had 19 years cancer free. I then found a very small tumor on my right tonsil. It was removed. Then I found a 1 cm mass near the base of my tongue on the left side. I had two partial glossectomys with bad margins and then then underwent Brachytherapy.
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