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#187880 01-25-2015 11:41 PM
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I am afraid I might have to miss treatments because of a historic blizzard coming this way. I'd been hoping for an easy winter. Could this effect my out come?

Last edited by QueenKong; 01-25-2015 11:42 PM.

HPV+ P16 positive squamous cell carcinoma

Oct 2014 found neck node lumps
Went to Oncologist (TNBC)
Ultrasound
2 CT Scans - body/head and neck
Needle & core biopsy
Pet Scan
Biopsy to find primary w/ anesthesia - failed
Second Opinion found primary & biopsied
Biopsy confirmed HPV+ P16 Squamous cell carcinoma
Radical Neck Dissection 11/22/2014
32 lymph nodes removed - 3 positive
Ported 12/29/14
Chemo and rads to start January 5, 2015
cisplatin weekly 40 mg/m2
Rads M-F for 7 weeks
Joined: Mar 2011
Posts: 1,024
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While it's not generally recommended to miss scheduled radiations, there are times when there is no other option. Most times the radiation sessions are just added on at the end. I do not think that this will affect your outcome.
Take care in that blizzard,
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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Maybe the historic blizzard won't be that bad. While it's not a good idea to miss a Rad session, - every patient is different, so IF it does look like travel may be dangerous, I would check with the doctor just to let him know what's up. Once, my son missed an appointment but it was because the Rad Tx Center gave everybody a day off because of a holiday. Another time, when it was time for us to go to his Rad Tx, my son absolutely refused to go, he was in such pain and as hard as I tried to get him going, he just laid there refusing to move. Then I remembered he also had a doctor's appointment with the oncology doctor so I convinced him to just go for his scheduled appointment and when the doctor saw the condition of his mouth and throat, he gave him a day off. And he survived. I'll pray for the blizzard to move out of your area.


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.)



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I can't give a definite answer to your question, but would probably say no, if it's a day or two. There is some literature saying for each day of unscheduled radiation missed is like reducing survival by a certain percentage, but I don't recall what it said about how long in duration or making up the days like going in for a 6th day, tacking it on at the end or doing double treatments, 6 hours apart, changes matters, and it may.

I missed several days of radiation treatment during the hurricane in 2012. The hospital closed for 5 days due to loss of power, so eventually our treatment plans were sent to a sister hospital, and had to go there for several days. I also lost 3 days due to being hospitalized for a blood transfusion and dehydration. At the end, I needed to go in for the 6th day, and a week was added at the end.

When I had Proton treatment last year, I was unable to get transportation to NJ due to snow, and several holidays they were closed, so the days missed were added at the end, once they opened up for the weekend.

The doctors didn't seem too concerned just saying they'll be added on, so patients do miss days for various reasons, and better to be safe, so radiation can be finished for the allotted times. I think its a concern when patients decide to stop treatment completely or a longer duration. Looks like the snow here is going to be mostly overnight into Tuesday, but one inch here basically shuts down the city.

Good luck, and be safe.


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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There are so many things to get freaked out over during this whole ordeal, it's best to try to focus on those that really are important. I'm no doctor but missing rad session that is tacked on to the end seems pretty minimal. I've never read here where someone posted here that any RO staff lit their hair on fire screaming about a missed rad appointment.

Common sense also seems to indicate an extra day or two between sessions is not that critical. Holidays are skipped and every weekend is two days off. I just never felt an extra day or two between sessions was something I was going to get worked up over.


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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My treatments were in March/April last year, where we have a lot of public hoidays including Easter. They scheduled in double doses on the adjoining days. You can have two hits in a day, as long as they are 8? hours apart.

Mine were obviously known events, but they do rearrange hits around chemo treatments, colds and flu etc. Its completely routine.


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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Yes I believe I had to miss one or two through no fault of my own. They added them on at the end. I was told it wouldn't affect my outcome.


Do not go gentle into that good night. Rage, rage against the dying of the light.

31 @ Dx SCC of tongue right side May 27, 2011, no tobacco, light drink
Partial gloss. and ND June 2011 - 2 jaw nodes positive ("encapsulated")
33 rads ended 10/21/11.
Dx Non small cell lung cancer 05/18/15
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I missed two, one the machine broke down and the second was a holiday. I asked them to double up. Not fun - but doable. 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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I ended up not having to miss any appointments! Yeah! The storm wasn't so bad as predicted and we were able to get out. I am hoping the rest of the winter is mild and I can get through these appointments. I want to keep zapping these cancer cells.

Thanks everyone for easing my fears. I was hoping to have all these treatments done before my kids birthday.


HPV+ P16 positive squamous cell carcinoma

Oct 2014 found neck node lumps
Went to Oncologist (TNBC)
Ultrasound
2 CT Scans - body/head and neck
Needle & core biopsy
Pet Scan
Biopsy to find primary w/ anesthesia - failed
Second Opinion found primary & biopsied
Biopsy confirmed HPV+ P16 Squamous cell carcinoma
Radical Neck Dissection 11/22/2014
32 lymph nodes removed - 3 positive
Ported 12/29/14
Chemo and rads to start January 5, 2015
cisplatin weekly 40 mg/m2
Rads M-F for 7 weeks

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