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#172458 10-13-2013 11:47 AM
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Well, as so many of you have warned, Tim is experiencing his first real "down" days. His last of 3 cisplatin was last Tuesday, and the final radiation was on last Wednesday. He had done so well with eating and drinking Ensure that he had only lost 10 lbs. But now he is fighting to drink 3 or 4 Ensure a day and is losing weight. (He only weighs 170 after stating at 185) I am experiencing all of the negative and stubborn attitude/responses that I have read so much about in this forum. The realization that the worst days are now upon us has me quite stressed, depressed, and frustrated to say the least. I have called in my "reinforcements" who are trying their best to keep us above water.
I am sharing this because it seems to help to put my thoughts down in words, and perhaps get an internet "hug" by means of some supportive suggests or comments.
Anyway.... the house is getting very clean and organized, and many art projects are being completed. LOL


Caregiver to Tim(Best friend and love of my life)55 years young!!
Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013
Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG.
PET Scan 1/15/2014 NO Evidence of Disease
5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months.
Cautiously Optimistic and starting on the journey to recovery!
Joined: Jul 2012
Posts: 3,267
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It doesn't sound that bad, but rather good, if he is still drinking 3-4 ensure's, only lost 10lbs, but doctors do get concerned when 5% of your weight is lost unintentionally, so ask about that, and there are ways to increase calories, fat, protein to these drinks, make your own, and everyone's own pain is the worst pain, but it does get better. In another week or two the rope mucus should start subsiding, and he will start to feel better, less nausea, vomiting. After that, I felt best at three months, then 7 months with eating, some taste, with something different improving at each phase, and some may take even longer like dry mouth, which may never fully recover, but may be good enough, and may take some a year or two for some ailments, including energy, blood chemistry, etc to resolve, and other co-factors may be involved, making everyone different. Basically it takes time. It's not a sprint, but rather a marathon, so both pace yourself, and your expectations. Radiation keeps working just as long as your treatment lasted, so keep doing what was done during treatment, and beyond, since it does not end once treatment ended. The main thing is to be cancer free, and most everything will follow. If you have any question in recovery, of course ask your doctor(s) first, but asked here, and you may tell us something new, different.

Good luck.


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,

My goodness! He sounds like he's doing GREAT! Finished treatment lost ONLY 15 pounds and is only now getting a little moody? I started at #230 and ended up at #170 after 6 weeks and needed a PEG tube!

Hell! You guys are doing just fine. Look, the month or so after treatment ends is brutal. It's actually a bit worse than the treatment itself.

Keep things in check. Keep track of calorie intake, hydration and pain management and he sounds life he'll get through this just fine.

Positive thoughts and prayers,

"T"

Last edited by fishmanpa; 10-13-2013 12:53 PM.

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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Thank you "T"!! the encouragement is so very helpful!!
Pain management- he is only taking regular strength Tylenol and I have to push him to do that. He says "It only hurts when I swallow so I don't need anything for pain". I think they will rewrite dictionaries and have a picture of my Tim for STUBBORN!
wink
AND Thank you Paul! I think we breezed through the first 6 weeks so very well that I am frightened by the change! Slow and steady wins the race so we will continue on!!


Caregiver to Tim(Best friend and love of my life)55 years young!!
Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013
Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG.
PET Scan 1/15/2014 NO Evidence of Disease
5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months.
Cautiously Optimistic and starting on the journey to recovery!
Joined: May 2013
Posts: 185
Likes: 3
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Count your blessings for sure. Just the use of Tylenol is incredible and shows determination. At this stage I was using 20 mg Oxycodone every 3 hours. Others will testify to much stronger meds than mine. Also I could not drink Ensure at this point. Water and a milkshake every 2 days was it by mouth. So tell Tim good job and stay patient through some tough days. Keep hydration up.


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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Posts: 8,311
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Switch from the Ensure to the Boost VHC, same small cans but with more to much more calories. This is a critical time to make sure he gets tons of calories and water each and every day.


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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+1 on the VHC.

While I would encourage your husband in his plan to tough this out (I credit that attitude and pursuit in part with how well I did) but stronger pain meds were a GAME CHANGER. I got on them later than suggested and took myself off of them earlier than suggested but can't imagine not having had them at all. They allowed me to rest when it was time to rest and fight when it was time to fight.


Dx March 2011 via FNA (49 yrs old)
SCC BoT
HPV+ exact strain unknown
Stage IVa T3N2cM0
Cisplatin x 3, IMRT x 40 (7267 cGy)
One node removed post-treatment (rad dmg)
Clean PET 10/28/11
Swallow therapy
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Posts: 381
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Carol, it sounds like Tim is a warrior! He should be immensely proud of himself for pushing through, but stubborn can be taken a bit too far (my parents would concur, I refused PKs for a long time until my weight loss leading up to surgery got too much).

Skim milk powder (look in the powdered milk isle of any grocery store)can be added to Ensure or whatever he drinks (even water) to boost the protein levels.

Good luck!


Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
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Thanks to all of you for sharing your wisdom!
Tina- He is a warrior! He had them take a picture of him with his "Alien Fighting Helmet" so he could post it on his Facebook page. His determination and sense of humor is awesome! It has remained almost constant until now but he is still fighting back!!
We only "found" each other 3 1/2 years ago (even though we went to high school together in the 70's), and we are both determined to defeat these invaders!!!


Caregiver to Tim(Best friend and love of my life)55 years young!!
Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013
Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG.
PET Scan 1/15/2014 NO Evidence of Disease
5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months.
Cautiously Optimistic and starting on the journey to recovery!
Joined: Sep 2012
Posts: 381
"OCF Canuck"
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Posts: 381
Sounds like me - I made my dad take a photo in ICU with all the tubes, but my thumb up!



Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
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