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#174560 11-26-2013 10:30 AM
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CherylS Offline OP
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Hi,

Well, I was discharged from hospital today after surgery 18th November to remove half my tongue, use a flap from my arm to reconstruct and a neck dissection. Can't say it was the most pleasant of weeks and the food (a term I used very loosely) was atrocious. Thank goodness for Jelly and custard is all I can say - I've lived on it for the last 3 days along with build-up drinks. I can't begin to say how lovely it is to be home and the support of my daughter and sister has been stupendous. So I have a week now to practice my eating skills before going back to the head and neck clinic for the results of the neck dissection. Any suggestions on 'fork mashable' foods would be appreciated. X


Cheryl aged 50. Long time smoker but quit 4 years ago - rarely drink alcohol
Referred oral health 17th Sept '13 -
Incisional biopsy right tongue 23rd Sept '13
MRI 30th Sept '13
Confirmed invasive moderately diffirentiated SCC 2nd October 2013 - Chest Xray and MRI Clear
Surgery planned 12th Nov '13 Partial glossectomy, neck dissection, flap from forearm.
Surgery cancelled - non-availability of HDU bed
Surgery resceduled 18th Nov '13
Fighting fear on a daily basis but keep smiling.
CherylS #174564 11-26-2013 01:04 PM
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Hi Cheryl glad to hear your home. Keeping you in thoughts and prayers for a quick and speedy recovery. Eggs,quiches ( not the crust) potatoes, and my husband blends chicken in the blender....not the best ideas and I'm positive other members will provide you with more helpful tips. Best wishes Sandy
Ps Do keep smiling because with every new day it all gets easier.


8/2013 dx sarcoma lft mandible 10/22/2013 fibula free flap with mandiblectomy, peg,tracheotomy, 11/8/13 trach removal, 2nd mandible sx 12/13, 35 IMRT 1/2014.4/2014 chemo x6 only tolerated 3. (Seizures) repeat fibula free flap 1/2016
CherylS #174566 11-26-2013 02:23 PM
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yeah... so glad you are back!!! I know the surgery sucks... but at least at this point you are closer to cancer free (or possibly cancer free!!!!) that's a heavy sigh.

soft eggs with some cheese is good. Mashed potatoes, soft veggies, soup. with lots of nutrients - and put it in the blender if you are worried about bits of stuff. Omelets, pasta - small pastina's - I found stuff like omeletes, and raviolis was surprisingly easy to control cut it into smaller bites and chew on your good side and wash it down with the fluid of your choice... hugs and way to go.


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
CherylS #174571 11-26-2013 03:38 PM
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Hope everything goes well. I liked the oatmeal and chocolate ensure. I don't know what it is about the ensure but it gives me a lot of energy.

Good luck and happy thanksgiving!


Curt

Age 43, nonsmoking, social drinker
Left tonsil cancer
SCC HPV+16
Stage IV
tonsillectomy, robotic radical tonsillectomy and neck dissection
4 of the nodes removed had cancer. 2 had extra capsular spread.
3x cisplatin 33x rad 11/18/13
Completed treatment 01/08/14


CherylS #174577 11-26-2013 05:27 PM
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Home just in time for Thanksgiving, I just hope you Limeys celebrate it. In all seriousness, congrats on getting home. I know you are a way happier camper now.

Even though I have no taste, soft scrambled eggs are good every day. And I can actually taste Ensure a little. And hot chocolate with lots of chocolate actually goes down pretty good.

take care
Tony


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

CherylS #174588 11-27-2013 05:25 AM
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I found that anything that could be cut into really small bits worked as long as I took small bites and chewed on the "good side. Be careful not to bite the flap. I did it a few times before realizing what it was that I was chewing on.

I started with a lot of smoothies (you can add skim milk powder for extra protein), soup and pasta (with lots of sauce). I tried the pureed meat idea, but it really grossed me out.

My fav is still potatoes au gratin, with cream and cheese. If I never eat another mashed potato I will be perfectly happy.


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
CherylS #174598 11-27-2013 11:01 AM
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The good news with the flap is eventually the swelling goes down (radiation actually helps with this - shrinks tissue) My tongue fits rather nicely now though i would like to have it debulked a tad at some point. But I still don't feel comfy chewing on that side... it just feels ODD... 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
CherylS #174611 11-28-2013 03:17 AM
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CherylS Offline OP
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Hi Everyone,

It's now a couple of days since I've been home and I'm now 10 days post op. The swelling of my tongue is going down everyday and my speech is becoming clearer. I'm starting to feel a little braver about chewing food - last night I tucked into salmon fillet, broccoli and mash and really enjoyed it although I chewed very carefully. I really hope the tingly feeling in my tongue goes soon - that feels very odd. I have found the worst part of it actually has nothing to do with re reconstruction or the neck dissection. Being so long on the operating table has caused me to have chronic back pain which means it is difficult to do everyday things - even getting dressed is a trial, plus I have a huge area on my back which has no feeling it. Has anyone else experienced anything like this?


Cheryl aged 50. Long time smoker but quit 4 years ago - rarely drink alcohol
Referred oral health 17th Sept '13 -
Incisional biopsy right tongue 23rd Sept '13
MRI 30th Sept '13
Confirmed invasive moderately diffirentiated SCC 2nd October 2013 - Chest Xray and MRI Clear
Surgery planned 12th Nov '13 Partial glossectomy, neck dissection, flap from forearm.
Surgery cancelled - non-availability of HDU bed
Surgery resceduled 18th Nov '13
Fighting fear on a daily basis but keep smiling.
CherylS #174617 11-28-2013 05:38 AM
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The weakness and numbness is likely due to the neck dissection. Many of us have issues with the side we have had that done. Many cant properly lift their arm on the surgery side.

Keep up the good work with relearning how to eat. It takes extra time when chewing carefully. Best wishes with your recovery.


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
CherylS #174619 11-28-2013 06:08 AM
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Congratulations on completing your surgery, and slowly recovering. The numbess from the neck dissection may go away, mine did, but have arm/shoulder raising limitstions, but I had 5 dissections, but also depends on the extent of the dissection, and what structures were removed, and there several types of dissections, Radical, Modified Radical, Selective, and a few others. Bilaterally, is rough, and usually not done at the same time, from what I heard, due to surgical risks, but have heard others having it done. You can ask your surgeon, and I like to get a copy of the surgical report, and pathology report, which is always good for your own records, future reference, and another doctor may ask.

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






CherylS #174850 12-04-2013 02:13 PM
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CherylS Offline OP
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Hi,

Just a short update about what's going on at the moment. A mix up with my outpatient's appointment means I will not get my pathology results re lymph nodes from my neck until next Wednesday. Today I had an appointment with Plastics to review the skin graph and all is well there. They seem pleased with the way it has taken. They seem to think the dark purple colour is normal which is something of a relief. Now have to wait and hope for the best Christmas present ever 'clear lymph nodes'. Here's to keeping everything crossed X wink


Cheryl aged 50. Long time smoker but quit 4 years ago - rarely drink alcohol
Referred oral health 17th Sept '13 -
Incisional biopsy right tongue 23rd Sept '13
MRI 30th Sept '13
Confirmed invasive moderately diffirentiated SCC 2nd October 2013 - Chest Xray and MRI Clear
Surgery planned 12th Nov '13 Partial glossectomy, neck dissection, flap from forearm.
Surgery cancelled - non-availability of HDU bed
Surgery resceduled 18th Nov '13
Fighting fear on a daily basis but keep smiling.
CherylS #174854 12-04-2013 04:04 PM
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Thanks for the update Chris.

I hope you get your Christmas present earlier in the way of good news.
Blessings"
Patty




Patty / husband Dx with Stage 1 SCC
November '12, BOT ulcer
June '13, first biopsy-negative.
October '13, second biopsy-positive
November '13, second opinion at CCC, T1
December '13, partial glossectomy.
September '14, biopsy on lymph nodes, 1 tested positive.
October '14, right side neck dissection. 14 nods out, with only one affected.
November '14, T1N1M0 radiation in the recommended by oncologist
December '14, radiation treatment

CherylS #174859 12-04-2013 05:22 PM
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Why would you wait? call your family dr and ask for the results!


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
CherylS #175032 12-08-2013 05:52 PM
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Can't sleep tonight - can't seem to switch off. I get my pathology results on Wednesday. I know Cheryld asked me why I would wait and why I didn't just get the results from my GP - I guess if I'm being honest it's for the simple reason that I'm scared and that while I don't have the results I can kid myself a bit longer that I'm cancer free and maybe I am... If I'm not however, it's the beginning of the next part of my treatment and I have to say that the thought of rads scares me probably more than the thought of surgery did. Don't get me wrong, I may be hiding from the truth for an extra week but I will face whatever I need to head on when I have to. But for tonight, the thoughts just won't stop. My neck seems to hurt tonight where the dissection wound is and the pillow seems to be too hard so I can't get comfortable; my arm where the skin graph is itches like hell and it's all I can do not to scratch. This has turned into something of a rant from someone who is feeling particularly sorry for herself tonight so while I'm at it I add one more thought. I am bloody sick of mash potato!!!


Cheryl aged 50. Long time smoker but quit 4 years ago - rarely drink alcohol
Referred oral health 17th Sept '13 -
Incisional biopsy right tongue 23rd Sept '13
MRI 30th Sept '13
Confirmed invasive moderately diffirentiated SCC 2nd October 2013 - Chest Xray and MRI Clear
Surgery planned 12th Nov '13 Partial glossectomy, neck dissection, flap from forearm.
Surgery cancelled - non-availability of HDU bed
Surgery resceduled 18th Nov '13
Fighting fear on a daily basis but keep smiling.
CherylS #175036 12-08-2013 06:42 PM
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Mashed sweet potatoes? With marshmallows or butter or brown sugar?

Sorry, couldn't resist. Although it actually makes me want dome. . .

I get my next results Wednesday too. Will think of you then. We can panic together.


Surgery 5/31/13
Tongue lesion, right side
SCC, HPV+, poorly differentiated
T1N0 based on biopsy and scan
Selective neck dissection 8/27/13, clear nodes
12/2/13 follow-up with concerns
12/3/13 biopsy, surgery, cancer returned
1/8/14 Port installed
PEG installed
Chemo and rads
2/14/14 halfway through carboplatin/taxotere and rads
March '14, Tx done, port out w/ complications, PEG out in June
2017: probable trigeminal neuralgia
Fall 2017: HBOT
Jan 18: oral surgery
CherylS #175047 12-08-2013 09:20 PM
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Butternut squash. Potato salad. Egg salad. smile the only reason is suggested not to wait is it actually helps knowing if you're negative and clear the next few days will be more relaxed if you're facing treatment you would get a jump on it.. 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
CherylS #175161 12-11-2013 02:06 PM
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I have just got home from my outpatient appointment. The news is very good. They got all the tumor and my lymph nodes are clear so no follow up treatment necessary. Monthly check-ups and scans for the next 2 years, then 2 monthly appoints for 2 years, then 6 month appointments in the fifth year. Figured I'd just get on with living my life and feel very grateful for being given this blessing.

Love and hugs to all smile smile

Cheryl


Cheryl aged 50. Long time smoker but quit 4 years ago - rarely drink alcohol
Referred oral health 17th Sept '13 -
Incisional biopsy right tongue 23rd Sept '13
MRI 30th Sept '13
Confirmed invasive moderately diffirentiated SCC 2nd October 2013 - Chest Xray and MRI Clear
Surgery planned 12th Nov '13 Partial glossectomy, neck dissection, flap from forearm.
Surgery cancelled - non-availability of HDU bed
Surgery resceduled 18th Nov '13
Fighting fear on a daily basis but keep smiling.
CherylS #175169 12-11-2013 08:46 PM
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So awesome and soo glad to hear!!


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
Joined: Sep 2013
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Hi Paul,

So there is hope? Numbness and strange tingling sensation can go away with time after a modifying radical neck dissection? Any luck with the tightness of the skin after fibrosis?

My husband just mentioned today that it feels like his neck is getting slightly tighter but it may be from all the stretching and neck exercises.

We had sushi tonight after his first day of radiation and he still has to cut the rolls in smaller pieces but really enjoys sushi more than any other food.

Thanks for the bit of hope, Sophie


husband 61@diagnosis painter
6/9/13 Exophylic invasive SCC IV(ext.gingivobuccal) 3cm+ mandibular/lytic/erosion, jugular/node9mmshort-axis
17/9/13 Dx(moderately aggressive)
24/10/13 left madiblectomy, mod radical neck disct, leg flap, NGtube
2/01/14 (30 tx)rads 60gy
N2b (2nodes under jaw) (rem. in tiny nerves) (rem. 30 nodes)
Clear margin, close 2mm inner cheek
15/05/14 cellulitis
3/12/14 Chest CT Clear
27/02/15 cellulitis
8/6/15 cellulitis
10/6/15 Osteomyelitis
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So happy for you Sheryl S,

What great news and so much to be great-full for! Your joy is definitely palpable, cheers to you and your enthusiasm. So glad to hear you have loved ones to celebrate and be there with you through all of this. My mom helped us out a lot by cooking up all the carrots in our garden into a soup and making pasta, wild rice and sea food casserole to last us for months. She was also there for me when I was nursing him at his bedside. Its just as important to share the difficult times as it is to share the triumphs!

Sophie

Keep us up to date on your recovery process


husband 61@diagnosis painter
6/9/13 Exophylic invasive SCC IV(ext.gingivobuccal) 3cm+ mandibular/lytic/erosion, jugular/node9mmshort-axis
17/9/13 Dx(moderately aggressive)
24/10/13 left madiblectomy, mod radical neck disct, leg flap, NGtube
2/01/14 (30 tx)rads 60gy
N2b (2nodes under jaw) (rem. in tiny nerves) (rem. 30 nodes)
Clear margin, close 2mm inner cheek
15/05/14 cellulitis
3/12/14 Chest CT Clear
27/02/15 cellulitis
8/6/15 cellulitis
10/6/15 Osteomyelitis
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There is always hope! I don't really have a problem with my neck or skin, but I do have some, minus three months post surgery, radiation. and just maybe ignore it, but the neuropathy is worse. I think exercising all my life may have helped me, currently nothing significant for 4 years really. I think my skin is naturally soft, elastic, the softest hands lol. so never had tightness, stretch marks, rough skin, even when I lost or gained 100 pounds on purpose, and last time it wasn't on purpose. Maybe see about physical therapy. I like sushi too, and small bites works here too!


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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