Previous Thread
Next Thread
Print Thread
Page 1 of 2 1 2
#185456 09-24-2014 06:54 PM
Joined: Aug 2014
Posts: 61
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Aug 2014
Posts: 61
Hi, i just had my peg tube removed today. Doctor said "count backwards from 10 to 0"! I got to 7 and he yanked it out. I kinda feel more normal , i guess.

Question on shakes. I need to keep up my calories. Tonight i made a shake with, 3 scoops vanilla ice cream, chocolate boost, whole white milk, 3 spoon fulls of peanut butter, and a banana. Is this a good mix for calories? Do any of you have some recipes for my nutra bullet? Thanks and prayers to all.


Tongue Cancer
1/2 tongue removed, replaced by flap from forearm. April 15, 2014
neck disection, 1 lympnode involved, doctors removed all to make sure cancer is gone.
30 rad treatments and 2 cisplatin chemo, doctor said I did not need the third
one. Finished up July 30,2014
Chemo treatment was my choice. The board felt surgery and radiation was plenty to take care of my cancer.
Joined: Jun 2007
Posts: 10,507
Likes: 7
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
Offline
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)

Joined: Jun 2007
Posts: 10,507
Likes: 7
Your shake sounds great!!!


Easy to Eat Food List

(All measurements are estimates)

Giant High Calorie Choc-Peanut Butter Milkshake (1200++ calories per shake)

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.



Hang in there! Very soon you will be coming out of the tunnel.


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: Aug 2014
Posts: 61
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Aug 2014
Posts: 61
Thank you.... The peg tube was a life saver. Now i have to work on getting the calories by mouth... thanks


Tongue Cancer
1/2 tongue removed, replaced by flap from forearm. April 15, 2014
neck disection, 1 lympnode involved, doctors removed all to make sure cancer is gone.
30 rad treatments and 2 cisplatin chemo, doctor said I did not need the third
one. Finished up July 30,2014
Chemo treatment was my choice. The board felt surgery and radiation was plenty to take care of my cancer.
Joined: Aug 2012
Posts: 214
Likes: 1
Gold Member (200+ posts)
Offline
Gold Member (200+ posts)

Joined: Aug 2012
Posts: 214
Likes: 1
Don't forget about the water. Also boost and ensure should be in play. However, I remember, being two months out, I was really sick and tired of those little bottle of corn syrup and vegetable oil. I hope your taste starts to come back soon. It makes it a lot easier to eat.


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!!!
Joined: Aug 2014
Posts: 61
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Aug 2014
Posts: 61
Thanks. Yep, i have boost and ensure, i drink with meals and as a snack. Taste is so-so. Its my salivary glands that are shot. They are all swollen, etc. Im 7 1/2 weeks out of treatment.


Tongue Cancer
1/2 tongue removed, replaced by flap from forearm. April 15, 2014
neck disection, 1 lympnode involved, doctors removed all to make sure cancer is gone.
30 rad treatments and 2 cisplatin chemo, doctor said I did not need the third
one. Finished up July 30,2014
Chemo treatment was my choice. The board felt surgery and radiation was plenty to take care of my cancer.
Joined: Aug 2014
Posts: 61
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Aug 2014
Posts: 61
Just talked to my RO doc, he is pleased with my progress. He also told me i was permitted to drink a few beers, with Dinner, etc... Still not sure about it...


Tongue Cancer
1/2 tongue removed, replaced by flap from forearm. April 15, 2014
neck disection, 1 lympnode involved, doctors removed all to make sure cancer is gone.
30 rad treatments and 2 cisplatin chemo, doctor said I did not need the third
one. Finished up July 30,2014
Chemo treatment was my choice. The board felt surgery and radiation was plenty to take care of my cancer.
Joined: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
Offline
Patient Advocate (old timer, 2000 posts)

Joined: Dec 2003
Posts: 2,606
Likes: 2
When in doubt, do without. It's easier than wondering if you are causing a recurrence. Just my opinion.


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: Aug 2014
Posts: 61
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Aug 2014
Posts: 61
True. My ENT told me absolutely no tobacco. He never mentioned alcohol. Im gonna talk to all my doctors about this.


Tongue Cancer
1/2 tongue removed, replaced by flap from forearm. April 15, 2014
neck disection, 1 lympnode involved, doctors removed all to make sure cancer is gone.
30 rad treatments and 2 cisplatin chemo, doctor said I did not need the third
one. Finished up July 30,2014
Chemo treatment was my choice. The board felt surgery and radiation was plenty to take care of my cancer.
Joined: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
Offline
Patient Advocate (old timer, 2000 posts)

Joined: Dec 2003
Posts: 2,606
Likes: 2
Alcohol is also a risk factor, increasing with tobacco combined. We hear a lot about tobacco, but not much about alcohol.


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: Sep 2014
Posts: 87
Likes: 2
Supporting Member (50+ posts)
Offline
Supporting Member (50+ posts)

Joined: Sep 2014
Posts: 87
Likes: 2
All those are good additions to your milkshakes. The chocolate/peanut butter/banana was probably my most used combination. I actually keep bananas in the freezer. Easier if you peel them before freezing. I'd snap them in half and decide if I want half, a whole or even more depending on how much milkshake I wanted that day.

Also added whey protein, frozen cherries, raspberries, blueberries, etc. coconut milk, mint, vanilla extract, ovaltine, etc.

Hmm, a chocolate stout milkshake might be pretty good. whistle (Yes, we do hear that alcohol could be bad for you. I'll leave it to others to decide if alcohol in small amounts is ok for them. I don't know how much of a contributing factor a beer or two on a weekend evening could possibly be, but I still enjoy them on occasion. If you're worried about it, don't drink them at all, but I'm guessing by your username that you might appreciate the many different styles of beer out there.)

Last edited by Vanpaddler; 09-26-2014 01:10 PM.

Dx 2014Jan29 (42 yr old otherwise fit nonsmoker)
SCC tongue stage III T3N0M0
subtotal glossectomy, partial neck dissection, RFFF, trach, NG tube 2014Feb25 16 days in hospital
RAD 25 zaps 2014May5-2014Jun9
Back to work, paddling & hiking shortly afterwards
Joined: Aug 2014
Posts: 61
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Aug 2014
Posts: 61
Thanks everyone. Yes, i loved a few beers when working outside, fishing, sitting around a camp fire, etc. I, m gonna talk with all 4 of my doctors. My RO said moderation would not hurt me.

Yes, i love messing around with different stuff to throw in a shake. Since tube is out, gotta find different mixes for boost and ensure.. I made strawberry, banana ensure shake with berries. ~mmmmmmmmmm


Tongue Cancer
1/2 tongue removed, replaced by flap from forearm. April 15, 2014
neck disection, 1 lympnode involved, doctors removed all to make sure cancer is gone.
30 rad treatments and 2 cisplatin chemo, doctor said I did not need the third
one. Finished up July 30,2014
Chemo treatment was my choice. The board felt surgery and radiation was plenty to take care of my cancer.
Joined: Oct 2012
Posts: 1,275
Likes: 7
Assistant Admin
Patient Advocate (1000+ posts)
Offline
Assistant Admin
Patient Advocate (1000+ posts)

Joined: Oct 2012
Posts: 1,275
Likes: 7
John is hoping to lose the PEG tube at some point, now that he is able to swallow. The problem is when he drinks his Ensure 1.5, it seems to get stuck in his throat and creates a lot of phlegm and stops him swallowing more. The MO has made it very clear that he has to keep his weight (which is 183 lb). Is there any advice or suggestions on what he can try?


Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards

Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
Joined: Jun 2007
Posts: 10,507
Likes: 7
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
Offline
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)

Joined: Jun 2007
Posts: 10,507
Likes: 7
The following list are foods that geared towards patients who are relearning how to eat. The foods are less spicy and easier to swallow.

Make sure for at the very least, the first year after finishing rads calories are at least 2500 and water is 48-64 oz every day. After rads, the patient needs a long time to recover. It takes a full 2 years for a complete recovery. Intake, especially higher protein is what will help make the recovery easier.

Congrats on the feeding tube removal and best wishes!!!

Easy to Eat Foods list


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: Jan 2013
Posts: 80
Supporting Member (50+ posts)
Offline
Supporting Member (50+ posts)

Joined: Jan 2013
Posts: 80
Though my PEG has been out for a while, I still drink Ensure several times a week to help keep my weight up. I have found that my appetite is not what it used to be so I often have a high calorie shake as well. I buy the Boost VHC (530 calories) through Amazon and mix with ice-cream, milk and a few scoops of Carnation Breakfast powder. The texture, while thick like a shake, can be blended with more milk or ice to thin it out; maybe that consistency will be easier than Ensure/Boost by itself.

While not the healthiest, I used whole milk in all food preparations - trying to add calories whereever I could, and ate a fair amount of mac & cheese, potates with butter & sour cream, etc.

I hope John's progress with swallowing continues and becomes easier with each day. I share his story with all my doctors so they become aware of it and can know of his success!

Contined best wishes and prayers for all,

Nancy



Last edited by Nancy14; 01-06-2015 07:01 PM.

Nancy
Age 56 at diagnosis
Neck Lymph node removed 11/2012
Tonsillectomy perfomed 12/2012 - identified as primary
SCC Left Tonsil with Left Node involvement, DX 12/2012
RX started 1/29/2013, finished 3/23/2013;
Daily IMRT (35 Sessions)
Weekly Taxol/Carboplatin (6 weeks)
PEG placed after week 4 (3/1/2013)
PEG removed 6 1/2 months later (8/12/2013)
Joined: Oct 2012
Posts: 1,275
Likes: 7
Assistant Admin
Patient Advocate (1000+ posts)
Offline
Assistant Admin
Patient Advocate (1000+ posts)

Joined: Oct 2012
Posts: 1,275
Likes: 7
Thanks Nancy14 and ChristineB for your suggestions. I guess we will try and take it slowly so that he won't feel he has "failed." I also spoke to the visiting nurse who is going to try and arrange for a dietitian to come see John and give us pointers on how to manage the transition.

Nancy, I am so glad you are talking to the other doctors about John's procedure. Even doctors have told us that they don't often come across people who have a blocked esophagus. In response, I always say that people just give up and go away since it looks like nothing can be done.

John's IR will be presenting his new technique at an Endoscopy Conference in Europe sometime this year. It will also be published soon, I think.


Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards

Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
Page 1 of 2 1 2

Link Copied to Clipboard
Top Posters
ChristineB 10,507
davidcpa 8,311
Cheryld 5,260
EzJim 5,260
Brian Hill 4,912
Newest Members
Jina, VintageMel, rahul320, Sean916, Megm37
13,103 Registered Users
Forum Statistics
Forums23
Topics18,168
Posts196,925
Members13,103
Most Online458
Jan 16th, 2020
OCF Awards

Great Nonprofit OCF 2023 Charity Navigator OCF Guidestar Charity OCF

Powered by UBB.threads™ PHP Forum Software 7.7.5