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#188493 02-28-2015 06:02 AM
Joined: Jan 2015
Posts: 18
Johnnie Offline OP
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Member

Joined: Jan 2015
Posts: 18
I am a survivor of base of the tongue cancer diagnosed and treated in 2002. I had chemo, radiation and a radical neck. My wife monitored this site for me and we gained a lot of helpful knowledge. Once through with my treatment, we fell away because I was doing well.
I am back because I am now aspirating and had a bout with pneumonia. I am told I need a permanent feeding tube as my swallowing techniques are no longer viable. I am told that this is the result of the long term radiation effects.
I would like any input from old timers like me.


Johnnie
Stage 4 cancer survivor 2002
RND
IMRT
Chemo
Joined: Jan 2015
Posts: 37
Contributing Member (25+ posts)
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Contributing Member (25+ posts)

Joined: Jan 2015
Posts: 37
Welcome back, Johnnie. As you know, this site is full of some very helpful and wonderful people with much knowledge and experience to share. While I can't offer any advice on a permanent feeding tube, I would certainly recommend that you get a second and possibly even a third opinion before you commit to what one doctor has told you. The more experienced people around here will also probably tell you to get at least one of those opinions from a CCC (Comprehensive Cancer Center).

I'm sure others can offer more specific advice relating to your issues. Best wishes and best of luck to you.


Andrew
4x survivor
1998 - SCC of larynx
...laryngectomy, tracheotomy, radiation, caries, HBO, teeth extr, TEP
2002 - lung cancer, wedge resection
2014 - SCC of BOT, pharynx, oropharynx, HPV-, stage IV, T2N0MX, invasive, poorly differentiated
...chemo (carboplatin, taxol), dc'd due to neuropathy
2015 - SCC of palate
...Feb-April IMRT (46 x 70 Gy)
...Jan 2015 - May 2016 cetuximab 500 mg q week x 55wks
2016 - metastases to mediastinum, lungs, spleen, pancreas
...Aug-? pembrolizumab q 3 wks
Joined: Jun 2007
Posts: 10,507
Likes: 6
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
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Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)

Joined: Jun 2007
Posts: 10,507
Likes: 6
Hello again smile Im sorry you have returned due to having post rad issues.

Aspiration pneumonia is common with OC radiated patients. It sounds like you have already been thru the testing. Just checking to make sure you have had a swallow test and consulted with a speech pathologist as well as a nutritionist? If not those are the avenues I would advise you to take.

Ive seen some OC patients who have lost their ability to swallow and been forced to become dependent on a permanent feeding tube. In time, they have been very successful living a quality life even with the tube.

Best wishes!


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: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Dec 2003
Posts: 2,606
Likes: 2
Johnnie, I am sorry to hear you are having swallowing issues. Depending on where you live, there are several swallowing boot camps that have popped up since your treatment plus some interesting options. Good luck.


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

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