| Joined: Nov 2009 Posts: 644 Likes: 1 "OCF Down Under, Kiwi" "Above & Beyond" Member (500+ posts) | OP "OCF Down Under, Kiwi" "Above & Beyond" Member (500+ posts) Joined: Nov 2009 Posts: 644 Likes: 1 | Hi. I am starting RT on 8 April (has to be confirmed but I'm pretty sure). I have a couple of weeks to prepare so I'm doing my research now. First of all, I've heard people refer to Christine's milkshake. I'm intrigued and would love the recipe. Even now with my altered mouth after two surgeries in the last 4/5 weeks, I'm struggling to keep my weight up on a smooth puree diet. I'm enjoying my Fortisip (like Ensure) milkshakes with fruit added but I'm freaking out about my teeth. The advice is keep away from sugar but the sweet, milky foods and drinks are my mainstay. I've searched the topic on here but can't find what I'm looking for:) Maureen
1996, ovarian cancer surgery + cisplatin and taxol. September, 2007, SCC of left lateral tongue. Excision. October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT. February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
| | | | Joined: Nov 2006 Posts: 2,671 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2006 Posts: 2,671 | Here is Christine's famous milkshake:
<<Giant High Calorie Choc-Peanut Butter Milkshake
3 or 4 cups chocolate ice cream (regular/full fat type) 2 tablespoons peanut butter (smooth type) 2 tablespoons chocolate syrup 1 or 2 cups whole milk (can substitute half and half to add even more calories) 1 scoop carnation instant breakfast 1 scoop high protein whey powder (check with doc if this is ok)
Blend this extra long to make it very smooth and creamy so it goes down easier. If the shake is too thick, add more milk to thin it down to what works best for you.>>
Anne-Marie CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Many days I have drank 2 or 3 of these and not gained an ounce even though the shake (the way I made mine) has well over 2000 calories in it. All ingredients are guesstimates. Im not one to measure when I am in the kitchen. If you need a thinner shake, add more milk, for thicker, add less. Enjoy ChristineSCC 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 | | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Hi there. you can also get a protein that isn't sweetened with sugar - not a fake sugar replacement - some have agave and stevia. This will lessen the sugar impact.
One of the problems with radiation and your teeth is that it weakens the enamel and the lack of saliva caused by the treatments is what allows the bacteria,to do the most damage.
My advice; brush frequently with a soft tooth brush after each meal. Invest in a waterpik for cleansing during treatment (weakest setting - using the tongue cleaner) and then later use the pointier heads with more power to clean along the gum line (like flossing) If the toothpaste is too strong flavored - pick one that is a child's toothpaste (I sometimes use pronamel children's or they have different flavors - orange - whatever) some natural products are licorice flavored - I found the mint to burn so sometimes I take a break from it. I also rinsed my mouth frequently during treatment.
Finally - flouride trays. You should be seen by a dentist prior to treatment, and have the trays made. I found the flouride to burn later in treatment. I used it every second day then and once I was feeling better went back to using it daily.
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
| | | | Joined: Nov 2009 Posts: 644 Likes: 1 "OCF Down Under, Kiwi" "Above & Beyond" Member (500+ posts) | OP "OCF Down Under, Kiwi" "Above & Beyond" Member (500+ posts) Joined: Nov 2009 Posts: 644 Likes: 1 | Yummy. I will definitely try the shake. And I have ordered a waterpik. Amazon wouldn't deliver but there's a NZ site that orders them, probably from the US. I've got a child's toothbrush but will need to tie it to something to get it into the back of my mouth properly. Actually most of the time I'm using green swabs because I'm less than two weeks since last "little" surgery. It will take a bit of experimenting.
Love M
1996, ovarian cancer surgery + cisplatin and taxol. September, 2007, SCC of left lateral tongue. Excision. October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT. February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
| | | | Joined: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | "OCF Kiwi Down Under" Patient Advocate (1000+ posts) Joined: Mar 2011 Posts: 1,024 | Maureen, can you tell me where you ordered the waterpik from? I want one for Kris. 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!
| | | | Joined: Mar 2014 Posts: 22 Member | Member Joined: Mar 2014 Posts: 22 | Yeah, that shake is awesome! I had something similar during radiation. The only thing I'd add is if you're sensitive to peanuts, try sun butter or almond butter (about the same calories). Cheers,
Brian Liebenow, Stage 2 NHL survivor (left tonsil), I eat everything through a PEG tube. http://travelingtubie.blogspot.com/2013/04/why-i-tubie.html11/03 - started CHOP chemo 12/03 - remission 1/04 - finished chemo 4/04 - started 25 rads to make sure they got all the cancer 5/04 - stopped rads after 20 due to severe reaction to radiation 5/05 - began seeing damaging effects of radiation 7/08 - PEG 4/09 - 5th unsuccessful jaw surgery Smile!! Laughter is the best medicine!
| | | | Joined: Nov 2009 Posts: 644 Likes: 1 "OCF Down Under, Kiwi" "Above & Beyond" Member (500+ posts) | OP "OCF Down Under, Kiwi" "Above & Beyond" Member (500+ posts) Joined: Nov 2009 Posts: 644 Likes: 1 | Hi Tammy. I ordered one from Fishpond. Cheaper version not the big one but I think they are all available.
1996, ovarian cancer surgery + cisplatin and taxol. September, 2007, SCC of left lateral tongue. Excision. October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT. February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | make sure it has the tongue cleaner attachment. Otherwise the pik part will HURT!!!! the tongue cleaner looks like a spoon and it has a more diffuse spray it works well during treatment and doesn't hurt... too much... 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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