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#177959 03-05-2014 11:00 PM
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We are both a little apprehensive about the surgery. They have told us that my husbands corner of his mouth needs to be removed. I'm wondering if anyone has had to do this and if there is any advise you can give.

I also want to know what to expect before and after surgery. He will be in ICU for 10 days then I don't know what else is going on.
Any advise wouldn't help.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
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Have you discussed how much will be removed? Will the doc have a plastic surgeon working with him in the OR? He may not have told you all the details like who else will be working in the OR with him.

I would ask how long the surgery will be. It could be a good 5+ hours depending on how much is taken. Ask specifically how much tissue will be removed to get clear margins. Have the doc go into detail with exactly what he will be doing.

The above info will help you to understand more what to expect. Ive had a mandibulectomy which is probably similar to what your husband will have done. In my situation, half of my lower jawbone was removed.

Dont be surprised if your husband is kept medically sedated for a couple days. This is not that unusual in major surgeries. He may have a trach, if so ask for a possey muir valve trach so he is able to speak easier. You must ask for this or it wont be given. Your husband probably will not remember much of the hospital stay or even the first couple days when he goes home. He may have significant pain levels. It would be a good plan to ask the doc to prescribe him 2 different pain meds so if he is hurting he would be able to take one or the other instead of waiting in agony for the clock to get his next dose. Sometimes the doc will give the patient a pain pump where they can get pain meds by pushing a button.

Ask the doc about eating, how much the surgery will compromise his ability to eat.

Recovery can be long depending upon how much is removed. He may have a "free flap". This is tissue taken from another area (usually wrist) to be used to replace what was removed. Dont be surprised to see major swelling that doesnt seem to go away for a few weeks. Complete recovery from a surgery like this can take a full year. Reconstruction can always be done after waiting for a year. You would be amazed at what doctors can do with plastic surgery.

If you arent feeling comfortable with the info you already have received from the doc, schedule another appointment to review the surgery info.

Best wishes!


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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We have another appointment on Tuesday with a surgeon about the reconstruction. So I will be sure to ask detailed questions.

They said that the surgery will take 10-12 hours. There will be a plastic surgeon on hand to do reconstruction right away. They are going to be using this new light to be sure they get all the margins out. This light works like a black light and makes the cancer show dark. So they can be sure where to cut.

They will be doing a free flap from his wrist to replace tissue and veins in his cheek.

thanks for the info. Curious to find out how different you looked and if you had any depression or any sadness due to this.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
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Hi where is he being treated.?


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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Calgary Alberta at the Tom Baker Cancer Center


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
Joined: Feb 2014
Posts: 24
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We were told today by surgeon that because his wrist has hair on it, when they put it in his mouth, he may have hair in his mouth. Has anyone experienced this. Let me know. Thanks. Surgery is booked for Monday.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
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Posts: 10,507
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Yes, this is can happen. Ive read several posts about patients who have gone thru this. As time goes on the hair will diminish and thin out and eventually it becomes barely noticeable.

Best wishes!


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: Dec 2013
Posts: 78
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I have hair on my tongue. I don't even notice/feel those.
Almost two months, I am out of surgery, nothing is worry some. Will go away eventually...
Functions are more important, swallow, speaking, moving food from one side to another.


Special thanks to OCF and all respected members here for their support

Ankur, 37, T1N2M0
12/13: Biopsy and results
01/14: Partial Hemiglossectomy (1/3 tongue) and a Flap Reconstruction
Right neck dissection. 3/42 nodes positive and removed
Speech (80%) and swallow (100%) restored within 5 weeks after surgery(3/1/14)
03/14: 30 IMRT Appointments Started 3/17 (No CT)
04/14: Radiation treatments completed
07/14: PET - All Clear
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It does happen. If they take from the inside of his wrist there shouldn't be too much smile I'm a woman so I had none but I know of a few people who had thigh transplants and they are quite hairy - smile laser kills it and rads will diminish 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
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Kris had his flap taken from his abdomen.
There were initially hairs on it. I think they were all gone after a few months. He never noticed them.
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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Best wishes to you and your husband on Monday. You will be in my thoughts. Keep coming back for support. We are here for you every step of the way.

((hugs))
~Kerri


37 y/o fem at Dx (23 wks preg @ dx on 3/16/11)
SCC L oral tongue (no risk factors)
L partial gloss/MND 3/28/11 @ 25 wks preg
T1-2N0M0; no rads/chemo
Tonsillectomy on 8/6/12 +SCC L tonsil T2-3N1M0 (HPV-)
Treated with 35 rads/7 carbo & taxol (Rx ended 10/31/12), but many hospitalizations d/t complications from rx.
Various scans since rx ended are NED!
Part of genetic study for rare cancers @ MGH.
44 years old now...I wasn't sure I would make it! Hoping for 40 more!
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Has anyone out there had the corner of their mouth removed due to cancer. My hubby just had surgery on Monday. He is doing great but his mouth can't open too much. He has a free flap in his cheek which is swollen still. Just wondering if any of you have any advise. Thanks


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
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There will be very few who will have gone thru this procedure. The mandibulectomy surgery I had, the one side of my lips were slightly affected. This is something a plastic surgeon can fix. Your husband may need to wait a full year for the procedure to "take". There are tiny blood vessels that are sewn together and the swelling takes a full year to completely go down. Bring this up to the doc. Sometimes they will go back in and do whats called a debridement. Thats where they will scale down the free flap. So if they do go back in again, they can open up his lips a little more. Yes, this can be fixed!


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: Dec 2010
Posts: 5,260
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Hi there... Just read back sorry I didn't respond sooner. The light surgery is actually one my dr. out of PMH invented. Very cool it's being used elsewhere. That said, your hubby's swelling will subside. And at this point forcing himself to open his mouth is not a good thing. Once he's healed and stitches dissolved he can begin t gently stretch it... Skin eventually stretches over time, (kinda like gaining weight...) so he should allow healing and follow through on his treatment then slowly once his wound site is healed he can start to do exercises (physio) to help stretch the area. It will take time. I do the same with my neck. And it has really loosened up. Hugs and best wishes. smile


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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So we are now 3 weeks out post Op. My husband is recovering awesome. His donor site is mostly healed. Still looks bad but you can see the skin now and the DR's have said he can leave it open. HIs flap is healing great ... the hair is growing ... which is a good sign. He has started eating solid foods. He is slow and messy eating but he can chew in the right the side. The surgery was on the left. He still has pain in his jaw when he chews. But the DR's say when he does Physio it will all get better. His neck from the neck disection is tender to touch and he feels a lot of weight in his face.

We met with DR's yesterday and they told us more about the surgery. They removed 37 nodes out of which 3 were malignant in level 1 just under the chin. the jaw bone is not effected and all other 34 nodes were clear. They removed 1 Salivary gland too. The margins are clear but only by 2 mm. So our DR doesnt like those margins.

The Cancer Care Center in Calgary ... Tom Baker will be reviewing his case on Wednesday to see if Radiation is needed or not. Any Advise you guys can give while we wait would be helpful. I am wondering if there are alternatives to Radiation. My thoughts is that if they have removed all nodes on that side and mostly clear then he should be okay but I might be naive.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
Joined: Apr 2013
Posts: 319
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Hi Can'tbelieve,

Sorry to be late, but happy to read that your husband is recovering so well!

My attitude towards any treatment my Oncologist recommends as his choice for being the right one, because he knows me pretty well and what my tolerances are.

When thinking about alternative treatments (to whatever was recommended,) the only question I would ask is: Will this alternative be more or less effective than the recommended treatment?

I would much prefer a treatment that sacrificed my aversion to pain and discomfort, over a treatment that reduced the chances of a fully successful elimination of the cancer.

Pain and suffering are generally transient, and when you have passed through them, as you certainly will, they are gone.

It's not always a black and white choice, but I would never choose comfort over survival if the choices did not offer equal chances for elimination of the cancer.

Last edited by Bart; 04-11-2014 02:16 PM. Reason: clarity

My intro: http://oralcancersupport.org/forums/ubbt...3644#Post163644

09/09 - Dx OC Stg IV
10/09 - Chemo/3 Cisplatin, 40 rad
11/09 - PET CLEAN
07/11 - Dx Stage IV C. (Liver)
06/12 - PET CLEAN
09/12 - PET Dist Met (Liver)
04/13 - PET CLEAN
06/13 - PET Dist Met (Liver + 1 lymph node)
10/13 - PET - Xeloda ineffective
11/13 - Liver packed w/ SIRI-Spheres
02/14 - PET - Siri-Spheres effective, 4cm tumor in lymph-node
03/15 - Begin 15 Rads
03/24 - Final Rad! Woot!
7/27/14 Bart passed away. RIP!
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My advice is if they recommend radiation (I personally think they will and should - 3 positive nodes, and small margins - I would personally be surprised if they didn't) ask can we start now... ???

I'm not being facetious.
This cancer is tricky. It can be aggressive and doesn't always behave in a typical fashion. People often make the mistake of thinking -- only two or three nodes out of 37... That's good... And yes it definitely beats all 37.. However the nodes are the fastest way for cancer to spread. And this cancer can move on a microscopic level - his 34 nodes may have been clear but that doesn't mean his other nodes don't have a cell or two - hitting it with rads is the best way to go. I had one involved and was grateful they recommended me for rads...

Its not fun by any means, but you want to do what you can now to get away from this. You don't want to walk away thinking he's clear only to have a bigger problem on your hands later. (this happened to my friends husband a while back, and by the time they realized the cancer was back it was too late.) rads is effective... And as far as I know there is no alternative to it and chemo at the present time.

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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For a cure for HNSCC, there is no alternative to radiation, except surgery, chemoradiation. Chemo and Targeted therapies alone is palliatve. There are different types of radiation though.

http://www.oralcancerfoundation.org/treatment/radiation.php

Good luck with everything.


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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We wont find out for 2 weeks if they will be doing Radiation. My inclination is yes they will too. And I think it is the best.

Just wondering when Scar Tissue in his face willl loosen up. Like I said he is eating solids but he is slow and gets frustrated quickly because of being slow. I know he is doing great but he doesnt feel that way and keeps thinking what if ... what if the scar tissue in his face doesnt go down ... will he have to eat this way forever ...

I know that is not the case ... but just wondering if there is something he can do in the interm to help the healing along.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
Joined: Dec 2010
Posts: 5,260
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One of the hardest lessons to learn is patience... I know we all want to get well and feel better/normal - this is a plus particularly when dealing with cancer - it gives you some leverage against the fear (the ability to say... that wasn't too bad.. I can do this) - however, our bodies need time to heal. Scar tissue will only loosen with stretching. So soon after surgery I would wait on that. Sadly it will tighten up during rads again. My neck is not stiff but my muscles are tight, and I've had acupuncture, and stretch daily. (muscles do have a memory - when they are healthy - but radiated tissue is a bit forgetful, so this is something he will have to get used to and work on for years)

Not to say that it won't get better. My neck is remarkably better after 3 years, and much acupuncture it's soft and I have full range of motion but on a muscular level it still feels somewhat tight.

Best thing to do (after 6 weeks when he is healed and during rads if possible is start stretching)

So tell him patience...hugs.

Last edited by Cheryld; 04-15-2014 07:09 AM.

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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Radiation is confirmed starting in a few weeks. The nice thing is that Physio will be ongoing while he is going through RADS so that might help. Any advise on Calorie intake and water during rads. thanks everyone for all your support.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
Joined: Apr 2013
Posts: 319
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This advice is what you'll hear from everyone here: Have him consume as many calories as possible, but a minimum of 2,500 daily.

Healing is a very energy-intensive process, and if you fail to feed it with food, it will go ahead and consume the body.

Getting him to consume enough calories is going to be one of your hardest jobs as Care giver, but stay on him about it. It's of vital importance!

Water intake should not be less than 48 oz (and IMHO, not less than 64 oz) daily as well.

I hope this helps,

Bart


My intro: http://oralcancersupport.org/forums/ubbt...3644#Post163644

09/09 - Dx OC Stg IV
10/09 - Chemo/3 Cisplatin, 40 rad
11/09 - PET CLEAN
07/11 - Dx Stage IV C. (Liver)
06/12 - PET CLEAN
09/12 - PET Dist Met (Liver)
04/13 - PET CLEAN
06/13 - PET Dist Met (Liver + 1 lymph node)
10/13 - PET - Xeloda ineffective
11/13 - Liver packed w/ SIRI-Spheres
02/14 - PET - Siri-Spheres effective, 4cm tumor in lymph-node
03/15 - Begin 15 Rads
03/24 - Final Rad! Woot!
7/27/14 Bart passed away. RIP!
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[quote]Any advise on Calorie intake and water during rads[/quote]Consume as many calories as possible. At this stage it is impossible to consume too many calories. Same with water to some extent. Just don't die from water overdose. lol

Rarely, do folks complete treatment without losing some weight, most a pretty good amount.

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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Every single day until hitting the first year after ending rads, daily minimums must be taken in. For calories at least 2500, water is 48 oz... more of both is better. Even taking in 3500 calories and 60 oz of water every day is not too much for what the patients body goes thru with treatments and recovery.

Best wishes!!!


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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Posts: 3,267
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Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Jul 2012
Posts: 3,267
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Here is a interactive DRI, Dietary Reference Intake, for healthcare professionals to give you a an idea for your daily nutritional needs, and water consumption based on your height, weight, age, activity level. Individuals may be higher or lower, especially after surgery, during treatment, other medical conditions, and should consult with your nutritionist, doctor.

http://fnic.nal.usda.gov/fnic/interactiveDRI/


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






Joined: Dec 2010
Posts: 5,260
Likes: 3
"OCF Canuck"
Patient Advocate (old timer, 2000 posts)
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"OCF Canuck"
Patient Advocate (old timer, 2000 posts)

Joined: Dec 2010
Posts: 5,260
Likes: 3
Protein - lots of it for healing - boost or ensure plus or protein powders are a great help...


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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