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#186066 10-20-2014 01:45 PM
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Alpaca Offline OP
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I had a heated argument with my eldest son in the weekend. We were both swearing at each other in a way we've never done before (we're very well-behaved usually). He's furious with me for sitting back and waiting and worrying about my enlarged lymph node ultrasound. He doesn't know a lot about OC because for much of my struggle he's been in the UK. He was with me when I saw the ENT and didn't realise how significant an ordered ultrasound is even if the doctor says they're probably reactive. He thought I was shaken because the ENT said, when he asked her about my prognosis, that they need to keep a very, very close watch on me because I've had OC three times. I knew that, although she said it VERY emphatically. Anyway, when son clicked that I was on tenterhooks about the nodes (can still feel one) he tried to push me to email the hospital right away. I demurred and that set him right off - he emailed the specialist nurse - wants to know more and have the scan earlier - but I always just go with the flow and fret away at home. "I've had this for (swear word) 10 years with you, Mum!"

I feel regretful that none of my sons have learnt about oral cancer but I've never asked them to. My husband didn't either when he was with me. Those of you who have knowledgeable caregivers are very fortunate. My sons have such busy lives of their own that I can't really expect them to do the research. They ARE capable of telling me to pull my head in and be proactive with treatment but it would be better coming from a base of knowledge. Because I take different people with me for important appointments, no one person knows anything very much. I yelled at son, "What do you know about it, nothing!!" But in the end there were tears and reconciliation ... and lots of sympathy.

Do any of you have arguments with the younger generation who are less wary of demanding stuff from hospitals? Or is it just my generation of New Zealanders who are reluctant to make a fuss?


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.
Alpaca #186071 10-20-2014 04:22 PM
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You sound very much like me. My kids get mad at me for not running to the doctor for every little thing. I tend to put my health and issues on the back burner. Maybe its from going thru so much that we just cant push ourselves any more to get immediate medical attention. Plus we know these things all take time and wont get figured out overnight anyway so there isnt going to be a difference in a delay of a day or two.

As patients we all understand you very well. Children arent always as tuned in as we fellow patients are. They mean well but usually they arent the best with their communication skills. In their lack of understanding of the disease, they can easily get frustrated.

Im so sorry things have been rough at home for you!!!! Im sure its only temporary. Bottom line... be well and take good care of yourself.


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
Alpaca #186073 10-20-2014 06:08 PM
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Alpaca Offline OP
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Thanks, Christine. Wise words from you are always welcome!


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.
Alpaca #186074 10-20-2014 06:11 PM
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For all the reasons mentioned, adult children may not have the base of knowledge that fellow patients have, but I do suspect that they are speaking and reacting from a base of love and caring and wanting to keep you both around for a long time to come.


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.)



Alpaca #186081 10-21-2014 01:22 AM
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Oh dear. I have always tried to protect our 3 sons from all this OC stuff. We have never discussed " having cancer" or it's implications for the future. Yes, they are busy. They are also young and I don't want their early adulthood to be "blighted" by this. I want them out enjoying their lives. I don't want them worrying about us. In some ways, I think we keep them in the dark.
Our health system here in NZ is very different to that of the USA. We "wait" for appointments. It is hard to rock the boat. I guess that I am a bit luckier in that I work in our health system and have always been able to either phone our ENT myself , or get one of my Medical colleagues to push for me. I do this when I am desperate really, because it is just not the done thing. However, I always advise others who are worried to advocate for themselves, to ring the clinic, phone the Nurse Specialist etc. I think your Son did the right thing emailing the Nurse specialist. I think that is part of her job , to be the liaison person for you. I do also understand your reluctance Maureen.
I'm glad that you were able to "talk " about this and both acknowledge your worries. He loves you .
So hoping your appointment is moved up and your worries are allayed soonest.
Take care,
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!
Alpaca #186087 10-21-2014 08:04 AM
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It's good for kids to be made aware, it is good for people not to hide things from their kids - I am not saying scare them with the gory details but do make them aware of the basics. I know we all want our children to have joy and not ruin their formative/young adult years, however I am not sure we are doing them any favors. Some knowledge is a good thing. This way they have some understanding of what you are going through and are able to come to terms with it. It also makes them more readily able to handle similar situations later in life. All of my kids were kept up to date on what was going on with my health I didn't sugar coat it, I told them the truth but at the same times I softened it somewhat - I let them see me when I was at my worst, but also told them that it was going to be a temporary situation, though they knew there was no guarantee as cancer - like life is unpredictable. Hiding stuff from kids and keeping secrets (my sister in law did this when my father in law was sick) makes them not trust you in the future.

Provide the information, let them know you are there if they want to discuss it. Two of my three children handled my dad's last few month amazingly well. My middle child struggled with visiting regularly but came the day he passed.

It's not easy - but life isn't always easy- and if all you show them are rainbows and unicorns, they never learn to deal with the bad stuff. I know your son (s) are older and have their own lives, but they should still be made aware. Otherwise, if something does happen down the road, they will be kicking themselves and have regret over not doing more, or being more aware. 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
Alpaca #186096 10-21-2014 08:53 AM
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Thanks for sharing your story as we all have to interact with close friends and family to some degree during the diagnosis, treatment, and post tx phases.

Your kids, I assume, are grown adults so should be fully aware of what you have and are experiencing. Mothers always want to protect your kids but my feeling is full disclosure offers the best way to protect them.

Cancer clearly is partially passed along in the gene pool so making your kids very clear eyed about the potential increased risks to them is a very good thing, even if it scares the crap out of them. You only hope they are fully aware and take measures to ensure they advocate and inform all their providers about cancer in the family in order to make sure all providers take a close and second look over potential signs of cancer.

My own experience did not go smoothly with my family. My youngest was a junior in high school, my daughter was in college. My wife and kids all wanted to cower up and hide. No different than many here who rather close their eyes than stare the oncoming train head on.

Being of the later personality, "come on, let's get it on!", I personally got totally involved in all things cancer to best arm myself for the battles.

Looking beyond my own self interest, I wanted to use my experience to help as many others as possible. Make the most folks aware of oral cancer and all the details of each and every skirmish and battle.

I did two things. My cancer is HPV p16+ so the first I did was create an email list of nearly every person I knew (excluding business associations) and informed them about oral cancer and supported and urged everyone to have their kids get the HPV vaccinations or tell anyone they knew who had kids to get it. I figured if a single child was able to avoid getting this cancer it was worth the personal issues I and my family were suffering. I did get emails from parents who were on the fence and they were convinced to get the series for their kids!

Second thing was I created a detailed and daily blog of the entire experience, from initial visit through recovery. I post an update once in awhile just to keep the story complete. Never know what the future holds. Many members here at OCF and CSN have signed up and read the details. For those like me that seek the knowledge and feel more empowered then this is detailed journal provides pretty unique insight into what to generally expect.

Looking back, I feel great about those decisions. I have had a single thought of self doubt and know I have only helped people make the decision to get their kids vaccinated and provided the on the ground, on the battlefield experiences for those facing the disease.

In Alpaca's and others cases where there was less than full sharing of the entire experience(s), one might feel more encouraged to be more proactive to share one's experience with the view it may be difficult but offers more benefit than keeping things close.


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
Alpaca #186105 10-21-2014 01:53 PM
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I am not advocating keeping secrets at all. All 3 of our sons came home when Kris was diagnosed. 1 son flying back from London. We spent a week " in camp " together. We talked about HPV lots. We talked about the implications of the diagnosis and what the treatment involved. All 3 came at various times and stayed with us a night or 2 during rads and chemo. Likewise when Kris had his recurrence and salvage surgery . These boys were with me during the surgery. They drove to Auckland every weekend and stayed with me in the lodge the 4 weekends Kris spent in Auckland hospital. For the next 3 months they kept turning up further North at home in Whangarei. Sometimes ( in dismay - due to the mess always involved )I saw their vehicles arriving and thought why they home again? Oh yes, they are coming to see their Dad.
However we try to let them live their lives. Our closest child lives a 4 hour drive away. They do not need to know the minutiae of our daily lives. They know about every checkup. They know Kris has a daily struggle with food/drink and speech. They also are aware of how well he copes. They know me to be a coping mother and strong woman. They know that should things go to cactus they would be the first to know. But it doesn't consume our life or theirs.
When Kris developed the ulcer on his flap earlier this year, I didn't feel the need to mention it. It turned out to be nothing, just an ulcer. They do know now and that this is what lead to our health system giving him a dental plate and teeth.
I don't think that this is about keeping our kids in the dark, absolutely not. But I do not feel they should be unnecessarily burdened with worry either.
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!
Alpaca #186107 10-21-2014 02:16 PM
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Hi Tammy,
I did not intend to convey that you were hiding anything, maybe it came across that way. I responded in general that there is wide range of what gets shared and I feel it is better to be more open rather than sharing less or nothing. Sorry if you felt it was personal. It was not.


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
Alpaca #186109 10-21-2014 04:22 PM
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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All good Don. I so agree with you, honesty and openness Is definitely the best. I am a very open and honest person.
Sometimes I share too much!
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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