#99688 07-17-2009 06:51 PM | Joined: Jul 2009 Posts: 453 "OCF Down Under" Platinum Member (300+ posts) | OP "OCF Down Under" Platinum Member (300+ posts) Joined: Jul 2009 Posts: 453 | Hi everyone, just need a bit of advise. Steve is 5 days into a 35 dose radiation. He also had cisplatin 4 days ago. So far he's been going really well but last night and today he is extremely tired. He slept for almost 15 hours last night and is now back in bed, where he's been for 2 hours already. Is this normal? I know fatigue is a side effect but should he be this tired, this early? Any helpful advise would be greatly appreciated.
Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone No surgery Teeth removed 06/07/2009 radiation 13/07/2009 x 7wks chemo 15/07/2009 x 3 Cisplatin last TX 28/08/2009 25/11/2009 PET-lymph node activity. 08/01/2010 CT Scan-ALL CLEAR 03/03/2010-Peg removed 01/2013 left side of Jaw removed and replaced with pectoral flap. 23/12/2020 scan show lesion in tongue 01/2021 SCC stage 3 base of tongue diagnosed 01/03/2021 chemotherapy started.
| | | | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | only 15 wendy?rob was clocking a steady 18 ,and that was without chemo.Sleep is natures healer sweetie so just take the chance to rest up your self. love liz
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007 Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
| | | | Joined: Jun 2009 Posts: 51 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Jun 2009 Posts: 51 | Sleeping is healing. And if he's sleeping that means his pain is controlled and that is a good thing!
Caregiver for Husband, Dana, age 52 DX 11/08, SCC right tonsil, Stage 3 RND, right tonsilectomy, Peg tube installed 12/08 Cisplatin X3, IMRT X35, last TX 3/09 CT scan 5/09 clear PEG removed 8/27/09 1st PET scan clear 9/10/09 Minor surgery to repair PEG site 9/17/09
| | | | Joined: Jul 2009 Posts: 453 "OCF Down Under" Platinum Member (300+ posts) | OP "OCF Down Under" Platinum Member (300+ posts) Joined: Jul 2009 Posts: 453 | Thanks once again. You guys are always there when I'm unsure of things and for that I am so grateful. Steve was doing much better tonight, mostly because of the sleep. I think I just didn't expect big sleeps like that so early into treatment. Although it is nice to see him finally sleeping after such a long time with not much sleep.
Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone No surgery Teeth removed 06/07/2009 radiation 13/07/2009 x 7wks chemo 15/07/2009 x 3 Cisplatin last TX 28/08/2009 25/11/2009 PET-lymph node activity. 08/01/2010 CT Scan-ALL CLEAR 03/03/2010-Peg removed 01/2013 left side of Jaw removed and replaced with pectoral flap. 23/12/2020 scan show lesion in tongue 01/2021 SCC stage 3 base of tongue diagnosed 01/03/2021 chemotherapy started.
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Wendy,
This Tx is brutal for the majority and for some it's even more brutal. His body is under attack from both the cancer and his Tx. I said many many times during my Tx that I didn't fear the cancer, the Tx was what I feared would kill me. Each of us can react differently but being tired and weak, etc is completely normal. Don't forget what this may be doing to his mental side as I'm sure it's working in overdrive 24/7 right now.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Jul 2009 Posts: 453 "OCF Down Under" Platinum Member (300+ posts) | OP "OCF Down Under" Platinum Member (300+ posts) Joined: Jul 2009 Posts: 453 | Thanks David. I can't begin to even imagine how he and you must have felt. I know Steve really can't explain it to me and all I can do is be patient for him and help as much as I can. I know he's starting to feel better tonight but we both know we are only at the beginning and have a long bumpy road ahead. But we'll get through it and come out the other side ok. He's been ok up until late yesterday and his chemo was 3 days ago but i think I naively thought he was through the worst of the first round of chemo because so many days had passed with him being ok. At least now I will know for next time. So much to learn isn't there?
Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone No surgery Teeth removed 06/07/2009 radiation 13/07/2009 x 7wks chemo 15/07/2009 x 3 Cisplatin last TX 28/08/2009 25/11/2009 PET-lymph node activity. 08/01/2010 CT Scan-ALL CLEAR 03/03/2010-Peg removed 01/2013 left side of Jaw removed and replaced with pectoral flap. 23/12/2020 scan show lesion in tongue 01/2021 SCC stage 3 base of tongue diagnosed 01/03/2021 chemotherapy started.
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | I still am tired all day and have to force things to keep me moving. Ths after at least 1 1/2 years maybe longer. I feel for him as do all of us in the forums. Don't forget most of the meds they give us can make one tired too. Of the nine I take in the morning, 7 of them have warnings LOL . Must be my reason for being tired all day. Same thing at nite but some are stronger.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | Wendy,
I will say from experience that you do need to make sure he is not running a fever. You probably have guidelines from your MO/chemo facility about what constitutes a fever that is concerning. I wouldn't think that it is too much of a worry this early in the game but do be aware that Steve is susceptible to illness the more chemo he has.
I say all this because Bill started being very sleepy about 5 weeks into treatment and could not stay awake. When I finally checked his temp, he was over 101 and had to be hospitalized for an unknown infection and neutropenia (low blood count.)
This is just for your information because even as a very involved caregiver, this one slipped up on me.
Deb
Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997. DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0 TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5. TREATMENT END: 10/1/07 PEG OUT: 1/08 PORT OUT: 4/09 FOLLOWUP: Now only annual exams. ALL CLEAR!
Passed away 1/7/17 RIP Bill
| | | | Joined: May 2007 Posts: 231 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: May 2007 Posts: 231 | I am in the same boat with Jim. I am tired when I go to bed and tired when I get up. I stayed tired and I talked with my family doc about it and she said it would take more than 2 years for my body to bounce back completely.
As far as him being in the bed 15 hours a day I would say hes doing very well not to be inthe bed longer. I especially remember when I had a chem treatment. I would sleep for 4 days straight. Look for the sleep time to get longer before it gets shorter. As has been already stated, the best time to heal is when the body sleeps.
Billy
Dx Mar 07 with Base Of Tongue Stage IV. IMRT 35x with 3 doses Cysplatin ran concurrent. Tx ended May 31,07. Left and right node involved. Radical neck disection 7/18/07
| | | | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | Just a word of caution wendy Rob always seemed a bit perkier by sunday evenings and of course when Monday comes you start all over again.
liz
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007 Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Billy,
Have they checked your TSH or thyroid levels? Mine crapped out due to the rad and one of my symptoms was felling tired all the time.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: May 2007 Posts: 231 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: May 2007 Posts: 231 | Yes they have. I remember you posting here about your thyroid and thats the first thing I always ask them about. My family doc said she thinks I am oversleeping and has told me 9 hours sleep a day max! I have followed her advice for about 3 or 4 weeks now and am feeling much better.
Thanks David, Billy
Dx Mar 07 with Base Of Tongue Stage IV. IMRT 35x with 3 doses Cysplatin ran concurrent. Tx ended May 31,07. Left and right node involved. Radical neck disection 7/18/07
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | With 7 cats, 2 70 lb dogs and a rabbit, I can only wish for 9 hours sleep in one night.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: May 2009 Posts: 113 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: May 2009 Posts: 113 | 7 cats???? lol and you threw a thumper in the mix? Well I am in the middle of my 3rd week and am about to go play tennis with my daughter. I have taken the opposite approach (of course) I have been staying extremely active but at the same time getting a good solid 8-9 hours of good sleep everynight! I did however as of yesterday concede to eating only soft foods from here on out. I got grilled chicken at longhorn lastnight and it beat my ass!! I got thru half of it and could barely talk my tongue hurt sooooo bad! I went home sucked down a VHC, popped a perk and went to bed! lol woke up feeling much better, however I am beginning to get a little nausious in the mornings....not liking that. Laying around all day is easy for me to do but makes me feel terrible and more tired, not to mention all I do is think about what is about to come and what I have already been through which of course does not help my morale at all. Guess its different for everyone, until I cant physically do it anymore I am going to stay as active as possible.
30 yr old M non-smoker (stuborn ass italian) SCC left side Tongue 2/17/09, Partial Gloss. 2/25/09 Left ND 5/20/09 10 nodes, 1 pos (1.7cm w/xtra cap spread) Finished Rads IMRT X 33 8/18/09 (70gy)No PEG, No Chemo "On the long road to recovery 1 step at a time" | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Jim,
This may be as bad as it gets so don't anticipate what may never come, just be prepared if it does get worse. Hey look at it this way, worse probable case you only have a mere 7 more weeks and then your recovery period will start and the worst will be over.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Jim, when dining out try ordering chocolate milk as your beverage. If you eat something that burns your mouth, the chocolate milk will soothe the burn. It is also very high in calories which is always a big plus ChristineSCC 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 | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | When you eat with this Jim Christine,, bring steak money for a nice filet. And ,milk. LOL
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
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