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Joined: Nov 2014
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I've had a red dry rash on my neck in several places for last 10 days. Anyone experienced this? Suggestions?

I still have sticky phlegm which I spit out frequently. I sleep sitting upright.

My RO seems to think I ought to be eating and drinking by now.

My ENT got me a swallow and speech therapist and I do exercises. I can get down 8 oz of pur�ed foods and 4oz of honey thick liquid. But it takes me a while. I feel it getting caught up. Even though it's baby steps I feel I am moving forward. It feels confusing when RO thinks I should be drinking water regularly. He just doesn't seem to get the fact I choke and therapist watches me. She feels I need to be cautious as I was hospitalized with aspiration pneumonia in Dec.

I still have my PEG and my weight fluctuates even though my calorie intake is same. I am on liquid hope and do well with it.

My pet was clear but for a spot in a lung. Next scan is August.

Last edited by larry6905; 04-18-2015 02:25 PM.

T4,N2,MO SCC of the BOT hpv+
Weekly Taxol/Carboplatin w/ 44 rad 73 GY Nov 2014 - Jan 2015
PEG tube feedings (Liquid Hope). Removed PEG 7/7/2015
Clear 4.9.2015 PET/CT H&N.
11mm low SUV nodule RUL on lung PET/CT
2nd PET 8.25.15 10+ numerous nodules bi later lungs
9.9.15 Lung biopsy SCC Org BOT
Avastin and Torisel clinical trial 11/15-3/16 MDA
Home 5/23/16 Pet scan 50% growth & +SUV
Opdivo 6/2016
Synthroid 100 mcr
Scan tumors shrinking
Teeth decay 9/2016
Joined: Jun 2007
Posts: 10,507
Likes: 7
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Larry, recovery from OC and its brutal treatments takes a very long time. We all recover at our own pace, it cant be rushed or put on another person's timetable. A complete recovery takes a full 2 years. Radiation continues to work even after the treatments stop. Ive heard from a few on here recovery takes a month for every week of rads the patient has. Next time your doc is comparing you to other patients and how their recovery went, ask him exactly how many OC patients he has treated. To me it doesnt sound like this doctor has enough compassion for the suffering of OC patients.

Im glad your therapist understands and isnt pushing you too hard. As you know aspiration can cause serious problems and is very common for OC patients when they are relearning how to eat. With your history Im surprised your doc is trying to rush your recovery.

The rash is not common to show up 3 months post rads. Most of us had a red sunburn like area from the rads but this showed up during rads, not after. You probably should check this with your doc to rule out a reaction to something or anything serious.

Hang in there, you are doing your best and thats all anyone can expect. Most patients want to get well and get easily frustrated with their progress. Your body has been thru so much and it takes time to rebuild itself. Dont sweat it, in time you will get there.



PS... Try adding high protein whey powder to your feedings to boost your protein intake. Protein helps to speed healing.




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
The red, dry rash could be radiation recall if it is in the field. Some people get it dark, almost purple, but it can be red. The timeframe is about right.


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: Nov 2014
Posts: 73
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Nov 2014
Posts: 73
I appreciate your input very much.


T4,N2,MO SCC of the BOT hpv+
Weekly Taxol/Carboplatin w/ 44 rad 73 GY Nov 2014 - Jan 2015
PEG tube feedings (Liquid Hope). Removed PEG 7/7/2015
Clear 4.9.2015 PET/CT H&N.
11mm low SUV nodule RUL on lung PET/CT
2nd PET 8.25.15 10+ numerous nodules bi later lungs
9.9.15 Lung biopsy SCC Org BOT
Avastin and Torisel clinical trial 11/15-3/16 MDA
Home 5/23/16 Pet scan 50% growth & +SUV
Opdivo 6/2016
Synthroid 100 mcr
Scan tumors shrinking
Teeth decay 9/2016
Joined: Nov 2014
Posts: 73
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Nov 2014
Posts: 73
Saw dermatologist and she gave me Elidel 1% cream 2x's a day it cleared it up. I saw ENT about phlegm and he diagnosed beginning of cellulitis and have me bacterium and prednisone. All clear now. Thank you for your comments, they really help me.


T4,N2,MO SCC of the BOT hpv+
Weekly Taxol/Carboplatin w/ 44 rad 73 GY Nov 2014 - Jan 2015
PEG tube feedings (Liquid Hope). Removed PEG 7/7/2015
Clear 4.9.2015 PET/CT H&N.
11mm low SUV nodule RUL on lung PET/CT
2nd PET 8.25.15 10+ numerous nodules bi later lungs
9.9.15 Lung biopsy SCC Org BOT
Avastin and Torisel clinical trial 11/15-3/16 MDA
Home 5/23/16 Pet scan 50% growth & +SUV
Opdivo 6/2016
Synthroid 100 mcr
Scan tumors shrinking
Teeth decay 9/2016
Joined: Nov 2014
Posts: 73
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Nov 2014
Posts: 73
I am 20 weeks out now and eating selective foods. If I can keep my weight up for 1 month I get my tube out early July.


T4,N2,MO SCC of the BOT hpv+
Weekly Taxol/Carboplatin w/ 44 rad 73 GY Nov 2014 - Jan 2015
PEG tube feedings (Liquid Hope). Removed PEG 7/7/2015
Clear 4.9.2015 PET/CT H&N.
11mm low SUV nodule RUL on lung PET/CT
2nd PET 8.25.15 10+ numerous nodules bi later lungs
9.9.15 Lung biopsy SCC Org BOT
Avastin and Torisel clinical trial 11/15-3/16 MDA
Home 5/23/16 Pet scan 50% growth & +SUV
Opdivo 6/2016
Synthroid 100 mcr
Scan tumors shrinking
Teeth decay 9/2016
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
Larry, it sounds like you have been doing very well with your recovery. PEG removal is a huge accomplishment. I really hope you can ditch the tube next month!

Remember to keep your calories up so you dont drop any weight. You still need at least 2500 calories every single day until you hit the first year mark at the earliest. If you can take more in that will help boost your recovery, as will high protein whey powder. Make sure you check this with your doc.

Best wishes with your continued improvements smile


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

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