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#176382 01-11-2014 12:57 PM
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On my first go-round, I never really found a satisfactory method of securing the PEG tube to keep it from flopping around. I ended up hanging it from a shoelace tied around my neck, but this was not great and it irritated my neck after while, especially as I got into my radiation treatments.

For night, I made a band to go around my torso by cutting the sleeves and neck off of a ladies spandex top to make an elastic tube. This worked OK, but tended to slip down.

I expect to have the PEG tube in longer this time than the first time around. I welcome suggestions on keeping it secure and comfortable.

Thanks!
Roger


Male, non-smoker, very light drinker, age 56 at diag.
9/18/12 - Diag. tongue cancer, left lateral border HPV 16+
9/24/12 - Partial glossectomy w/recon. Left side neck nodes removed
11/7/12 - Begin rads (30 treat.) and Cituximab (11 treat.)
12/26/12 - Rads compl.
1/18/13 - Cituximab compl.
3/13/13 - PET clear
12/19/13 - Positive PET
1/3/14 - Biopsy confirm cancer in tongue and 1 node (stage 4)
1/16/14 - Surgery - full glossectomy and and right neck dissect
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I bought two of these and they were great. Comfortable and took care of the tube

http://www.exmed.net/p-2003-nu-hope-carefix-fabric-ostomyurology-pouch-support.aspx?Defaul tVariantID=20711

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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Thank you T, that looks dynamite! And, the price is very reasonable. I'll have to give them a try!


Male, non-smoker, very light drinker, age 56 at diag.
9/18/12 - Diag. tongue cancer, left lateral border HPV 16+
9/24/12 - Partial glossectomy w/recon. Left side neck nodes removed
11/7/12 - Begin rads (30 treat.) and Cituximab (11 treat.)
12/26/12 - Rads compl.
1/18/13 - Cituximab compl.
3/13/13 - PET clear
12/19/13 - Positive PET
1/3/14 - Biopsy confirm cancer in tongue and 1 node (stage 4)
1/16/14 - Surgery - full glossectomy and and right neck dissect
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Great idea!!!

When I had my peg tube switched to a J/G tube I was given one of these.

Another option is the pregnancy bands women use to help support their tummies. A ladies tube top would also work.


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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Something similar is a tubular mesh bandage, made of stretch fiber, which comes in rolls to be cut with a scissor to your specifications, pulled over head to stomach to secure ovet the tube, used once, more, washed or thrown out. This is what my hospital used.


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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Thanks Paul, another good idea!


Male, non-smoker, very light drinker, age 56 at diag.
9/18/12 - Diag. tongue cancer, left lateral border HPV 16+
9/24/12 - Partial glossectomy w/recon. Left side neck nodes removed
11/7/12 - Begin rads (30 treat.) and Cituximab (11 treat.)
12/26/12 - Rads compl.
1/18/13 - Cituximab compl.
3/13/13 - PET clear
12/19/13 - Positive PET
1/3/14 - Biopsy confirm cancer in tongue and 1 node (stage 4)
1/16/14 - Surgery - full glossectomy and and right neck dissect
Joined: Jun 2013
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I just got my tube this week and decided tape was going to drive me crazy. It was the ONLY option suggested by the home nurse. Argh.

I cut a band off one of my husband's old undershirts I was saving for rags, and am using a ponytail holder to take up the slack. Cheap and comfortable for this early post-op time.

I can't wait to see some of those other options.


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
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Hi all,

Check this out:
www.mic-key.com/stories/meet-joey-schwartz.aspx

My husband has had this for about 3 1/2 years (hasn't swallowed since his surgery) and would never switch.

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Hi KristenS,

That sounds very workable, and cheap too!

Roger


Male, non-smoker, very light drinker, age 56 at diag.
9/18/12 - Diag. tongue cancer, left lateral border HPV 16+
9/24/12 - Partial glossectomy w/recon. Left side neck nodes removed
11/7/12 - Begin rads (30 treat.) and Cituximab (11 treat.)
12/26/12 - Rads compl.
1/18/13 - Cituximab compl.
3/13/13 - PET clear
12/19/13 - Positive PET
1/3/14 - Biopsy confirm cancer in tongue and 1 node (stage 4)
1/16/14 - Surgery - full glossectomy and and right neck dissect
Joined: Aug 2013
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This mic-key looks pretty amazing, my main motivation to getting rid of my PEG tube comes from how much the damn thing flops all over the place and hurts when I try to exercise, this looks like it would completely solve the problem. I'm pushing the docs to take it out but am nervous about taking it out before I'm able to consistently swallow 8 cans of Ensure every single day. This solution would allow me to be 'patient'....thanks for posting it.


Joe
SCC BOT T3N0 Aged 36 (1999)
Unknown HPV status (before they knew)
SWOG Protocol - 2 rounds chemo, 6 weeks radiation
Recurrence Age 50 (2013) - same site
SCCa BOT T2N0M0
HPV negative
60% Glossectomy/Free Flap from Latissimus Dorsi Recon,
Neck Dissection + 6wks Rad Tx
Non-tobacco user
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You should get the Mic-Key. You will be amazed at the freedom and ability to just about everything without the tube in the way. You can even slap some tegaderm over it and go swimming.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
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jneal.... Its smart to hang onto your feeding tube until you can go for 2 months sustaining yourself without using it. Recovery is full of ups and downs with many setbacks coming unexpectedly. I know how lousy it is having that darn tube. A couple weeks longer in the whole scheme of things isnt a big deal. Always better to be safe than sorry. Most docs wouldnt bother to switch the average short term peg user over to the Mickey button. I remember when Charm went back and forth with his doc about making the changeover. Of course, he finally prevailed and got one. Thats the Charm we all know and love.



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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I had a simple solution, I just secured it in the elastic band of my shorts. I tried surgical sleeves, tape, even a lanyard with a clip, the shorts or pants waist band was the best for me

Steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




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Hi Steve - sounds worth a try. Thanks!


Male, non-smoker, very light drinker, age 56 at diag.
9/18/12 - Diag. tongue cancer, left lateral border HPV 16+
9/24/12 - Partial glossectomy w/recon. Left side neck nodes removed
11/7/12 - Begin rads (30 treat.) and Cituximab (11 treat.)
12/26/12 - Rads compl.
1/18/13 - Cituximab compl.
3/13/13 - PET clear
12/19/13 - Positive PET
1/3/14 - Biopsy confirm cancer in tongue and 1 node (stage 4)
1/16/14 - Surgery - full glossectomy and and right neck dissect
Joined: Aug 2012
Posts: 71
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I just wore an size or 2 smaller tee-shirt.


large lymph node Left Neck around May 22 2012
ENT June 6, did needle Biopsy - Negative
ENT CT scan July 9 - Negative
Remove lymph node July 26, DX - SSC - T1N2aM0
PET Aug 7, BOT
Aug 14, endoscopy, 1cm - clear margin HPV+
TX 33 IMRT - 6 Chemo - Taxol/Carboplatin
TX chemo 09/04/12 RAD 09/05/12
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[quote=ChristineB]jneal.... Its smart to hang onto your feeding tube until you can go for 2 months sustaining yourself without using it. Recovery is full of ups and downs with many setbacks coming unexpectedly. I know how lousy it is having that darn tube. A couple weeks longer in the whole scheme of things isnt a big deal. Always better to be safe than sorry. [/quote]

Thanks Christine, I know you're right but I'm impatient to getting back to doing more active things with my kids. I do tape the tube down, but I'm skinny and there's no fat to cushion the site so by 'flopping around' I meant any movement of the tube between the 'exit' point and the taped down end hurts, plus wearing tight clothes just kind of bends it at the site and that hurts; the only position that doesn't hurt is when the tube is perpendicular to the surface. I've had it since September and it doesn't seem to be getting any better. I'm telling myself that I'll have them take it out, and if I can't keep up the 3K calories a day or God-forbid something else goes south then I'll have them put a mic-key in.


Joe
SCC BOT T3N0 Aged 36 (1999)
Unknown HPV status (before they knew)
SWOG Protocol - 2 rounds chemo, 6 weeks radiation
Recurrence Age 50 (2013) - same site
SCCa BOT T2N0M0
HPV negative
60% Glossectomy/Free Flap from Latissimus Dorsi Recon,
Neck Dissection + 6wks Rad Tx
Non-tobacco user
Joined: Aug 2011
Posts: 269
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An idea for women ... I secured my PEG tube by wearing a camisole with a built in bra, then stuck the feeding tube up under the elastic. It was very easy.


Nancy (53 at dx)
Metastatic SCC. Stage III. HPV positive with occult primary. N1, no ecs
7/1/11 - L-Selective neck dissection. Tonsillectomy. All clean. No rad, no chemo.
5/29/13 - Found primary
7/3/13 - TORS
7/8/13 - Emergency Surgery/Blood vessel burst in throat
8/9/13 - Peg in
9/3/13 - Radiation starts 30 IMRT, 60gy BOT, 56gy both sides of neck
10/14/13 - Radiation ended!
11/12/13 - PEG out!
Joined: Mar 2011
Posts: 1,024
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Before Kris's PEG was changed to a Mickey, I just used to attach a piece of firm Elastoplast tape to the top of the dangling part and then Kris just used a safety pin to attach it to his T shirt or singlet. Worked very well.
Tammy


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!
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You should support the peg tub. Having it pull down cause irritation. I used a rubber band and a binder clip for papers. I just looped the hose on rubber band and to the clip. Then use the clip on my under shirt. The rubber band allows it to stregh and move easily. Works well easy to remove.


Hockey Dad
43, No smoke, Small BOT HPV+16
8/30/12 Biopsy found SCC in Lymph node (removed)
9/19 DX 4a T1N2aM0
10/1 TX 2x Cisplatin 35 IMRT 70 gry (Done 11/15)
PEG tube in 11/7. Out 1/4, Back at work 2/4/13
PET 2/13 Clear, 10/16 all Scopes Clear, 4/14 Chest X-ray Clear, 5/14 Abdominal ultrasound Clear, 8 yrs clean!!!
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[quote=Hockeydad]You should support the peg tub. Having it pull down cause irritation. I used a rubber band and a binder clip for papers. I just looped the hose on rubber band and to the clip. Then use the clip on my under shirt. The rubber band allows it to stregh and move easily. Works well easy to remove. [/quote]

I'll give this a try, thanks. Lots of credibility from a fellow hockey dad...

Last edited by jneal3; 02-18-2014 11:43 AM.

Joe
SCC BOT T3N0 Aged 36 (1999)
Unknown HPV status (before they knew)
SWOG Protocol - 2 rounds chemo, 6 weeks radiation
Recurrence Age 50 (2013) - same site
SCCa BOT T2N0M0
HPV negative
60% Glossectomy/Free Flap from Latissimus Dorsi Recon,
Neck Dissection + 6wks Rad Tx
Non-tobacco user
Joined: Nov 2002
Posts: 3,552
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I bought one of these. will add more once I get it.

http://www.caregiverproducts.com/g-tube-belt.html


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)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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I ordered my husband two of these and he didn't like them so if you message me your address I will mail them to you...he ended up using a baby band for pregnant women..it worked amazing!

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After using it for a few weeks I didn't like it. The elastic kept slipping down and putting pressure on the peg tube. I've gone back to 2"X2" Avant drain sponges and tape but I use Sureprep and that takes a lot of the sting out of using paper tape all the time. It looks like an alcohol prep but its like a varnish and acts like a buffer between the skin and the tape. The tape sticks well but doesn't tear out my skin.


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)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
Gary #181933 05-24-2014 06:09 AM
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We found that a wide Ace bandage worked very well...not the rubbery self stick kind but the soft kind meant to wrap a knee, etc. You do need a caregiver to help wrap it around the abdomen but with the little clip toward the back, it stays put all day and the tube can be slipped in and out from under it.

Bill could not tolerate the tape after one week so we tried this and used it till the PEG came out. I bought several so I could launder them. WORKED GREAT!


Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!

Passed away 1/7/17 RIP Bill
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Thanks! Cheap enough and worth a try. The Sureprep has taken the pain out of using paper tape however. I leave the tape on the peg when I shower to protect it.
See: http://www.medline.com/jump/product/x/Z05-PF46676# (Cheaper to buy it through Amazon) I can relate to what you're saying though, the tape was a major pain in the beginning until I found this stuff (actually the home care nurse ordered a box for me and until I read the label , thought it was an ordinary alcohol prep. ;-)


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)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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I just let it all hang out lol. In the beginning I used tape, but found that to be irritating to my skin, so I use nothing, and comfortable with that. I don't use a pad under or over the stoma finding that may harbor bacteria. My CCC used tubular elastic net bandage, which you cut to size, slip over your head to your stomach to hold the tube whatever position, and that was comfortable and didn't feel restrictive to me, so I used that for a while. They come in different sizes.



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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Thanks for the tip, very good one! Saw this. http://www.exmed.net/p-2003-nu-hope-carefix-fabric-ostomyurology-pouch-support.aspx?Defaul on fishmanpa's post from January on this thread. It arrived today and was an instant hit. It is comfortable and feels much better than the way the nurse at the endoscopy clinic set him up (stuck tape to the tube put safety pin through tape and pinned it to the inside of his t shirt).


Caregiver to husband with SCC BOT HPV+ T4N2cMO stage 4a
CT scan 7/23/14
Biopsy 8/7/14
PEG tube in 8/15/14, out 4/2015
35 rads, Cisplatin X 3 - finished 10/27/15
cancer free May 2018



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Glad to hear something is working out!


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
Joined: Nov 2002
Posts: 458
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I had a bunch of T-shirts with pockets on them. Just took a couple, cut a slit in the t shirt just below the top of the pocket. Pull the tube through that, coil it up and stuff the tube in the pocket. Usually I wear some sort of long sleeve shirt or sweater over that so it's not particularly noticeable. Still have easy access to the tube for feeding, and it's out of the way otherwise.


SCC Tongue, stage IV diagnosed Sept, 2002, 1st radical neck dissection left side in Sept, followed by RAD/Chemo. Discovered spread to right side nodes March 2003, second radical neck dissection April, followed by more RAD/Chemo.
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