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#185556 09-29-2014 06:10 PM
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My mom is being released tomorrow morning from the hospital. She is still recovering slowly from surgery but we know the Chemo treatments must get started ASAP . The Oncologist visited her at the hospital today and said there were 2 Chemo treatment options. One would be taking a treatment everyday or the other choice would be taking a treatment once a week for three weeks. Which one is easier ? The Oncologist said the side effects are about the same but it seems to me taking 1 treatment a week would be a little easier and maybe less sickness. In your opinion which way should we go ?


Sweetpe
Caregiver
RE:My Mother
Age 70
Non Smoker
SCC 3/4/2014 Left rear jaw
Mandiblctmy 3/25/2014
35RAD Completed on 06/03/2014
MRI 9/3/2014
25mm lobulated recurrence left mandible/floor of mouth carcinoma
9/23/14 Salvage Surgery
MET(s)
9/23/14 Salvage Surgery Not Successful
Chemo Recommended
1st Round of Cisplatin Chemo Started 10/20/14
Cisplatin stopped 11/20/14. Side affects to bad.
Chemo started again 1/22/15 Carbo/Docetaxel
Passed Away April 22,2015


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ask your oncologist about Herbitux!it saved my life!!!

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Posts: 286
"OCF Down Under"
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Medically the Oncologist will make an assessment based on your mother's specific case. The staging, the location, the past history etc. There is also the logistics of transporting her every day, which needs to be taken into account. She will have good days and bad days, but still have to turn up on bad days.

I suspect the Oncologist thinks the daily treatment option is medically better, with a better prognosis. Otherwise he would just recommend the easier weekly travel option. Ask him if thats the case, he'll have an opinion whether the better prognosis is worth the extra stress.


Cheers, Dave (OzMojo)
19Feb2014 Diagnosed T2N2bM0 P16+ve SCC Tonsil.
31Mar2014 2 Cisplatin, 70gy over 7 weeks (completed 16May2014)
11August2014 PET/CT clear.
17July2019 5 years NED.
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Thank you for the help. we have an appointment on Monday and I will discuss which treatment is best. I guess I was trying to get an idea on which chemo makes you less sick ,but whatever the Doc thinks is best is what it will be. I'm just so scared she is going to get so sick that she may give up . we are trying to be as supportive as we can .
Thanks
Heidi


Sweetpe
Caregiver
RE:My Mother
Age 70
Non Smoker
SCC 3/4/2014 Left rear jaw
Mandiblctmy 3/25/2014
35RAD Completed on 06/03/2014
MRI 9/3/2014
25mm lobulated recurrence left mandible/floor of mouth carcinoma
9/23/14 Salvage Surgery
MET(s)
9/23/14 Salvage Surgery Not Successful
Chemo Recommended
1st Round of Cisplatin Chemo Started 10/20/14
Cisplatin stopped 11/20/14. Side affects to bad.
Chemo started again 1/22/15 Carbo/Docetaxel
Passed Away April 22,2015


Joined: Mar 2014
Posts: 286
"OCF Down Under"
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"OCF Down Under"
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Joined: Mar 2014
Posts: 286
Heidi you're doing a great job. Just be there for her when she's having it all explained by the doctors. A second set of ears is very helpful and comforting.


Cheers, Dave (OzMojo)
19Feb2014 Diagnosed T2N2bM0 P16+ve SCC Tonsil.
31Mar2014 2 Cisplatin, 70gy over 7 weeks (completed 16May2014)
11August2014 PET/CT clear.
17July2019 5 years NED.
Joined: Apr 2014
Posts: 236
Gold Member (200+ posts)
OP Offline
Gold Member (200+ posts)

Joined: Apr 2014
Posts: 236
Thank You OzMojo

I'm trying to do my best. I will be with my mother all the way through. I am all she has. I lost my father 3 years ago to a massive Heart Attack so my mom is alone. She has 2 brothers that are offering help also. I know its going to be a long road but I will be there to the end . I get so emotional some days just watching her getting so sick But I will be strong and get her through this.
Heidi


Sweetpe
Caregiver
RE:My Mother
Age 70
Non Smoker
SCC 3/4/2014 Left rear jaw
Mandiblctmy 3/25/2014
35RAD Completed on 06/03/2014
MRI 9/3/2014
25mm lobulated recurrence left mandible/floor of mouth carcinoma
9/23/14 Salvage Surgery
MET(s)
9/23/14 Salvage Surgery Not Successful
Chemo Recommended
1st Round of Cisplatin Chemo Started 10/20/14
Cisplatin stopped 11/20/14. Side affects to bad.
Chemo started again 1/22/15 Carbo/Docetaxel
Passed Away April 22,2015


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Posts: 1,291
Likes: 1
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The MO's staff might have the best insight as they have a lot more direct and frequent contact with the patients. See if you can informally ask a few what they see.

If they are giving the same drug but only different schedule and dosing, then one can likely assume the weekly dose will be greater than the fractions given on a daily basis.

My personal experience is the longer between dosing means harsher side effects as the body gets more chemo on the less frequent cycle. I did really well on weekly carbo and had a much harder time on the every three cycle. But that was a more harsh blend too which I am certain did not make it easier.

Good luck
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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Patient Advocate (old timer, 2000 posts)
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Once you find out the name of the chemo or targeted therapy, post it here. There may be someone who did similar treatment, and can share their experience.

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






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"OCF Canuck"
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Chemo is funny - some just cause mild nausea and a general feeling of crappiness. That said, after a few treatments she will aclimatize to it and it won't generally be so bad.

hugs and stay strong.



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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