Make certain when they do your blood tests, that they also due a thyroid test that includes your TSH level so you will have a base line on this before radiation. The thyroid often decides to quit working anywhere from a few months to years later and it is good to know TSH level prior to treatment.

Since you had neck disections you may also meed PT. Are you having any problems getting arms over head, etc.? Do not go lifting anything over a pound for a while. Make certain your chair has arms on it. You also may want to put something under your arms like a pillow to avoid drag on the shoulder until it has time to heal.

As Christine says, eat as much as can now. Very few us made it through radiation without of a peg, it can be done but it is not easy. You must be very determined to get at least 2000 calories or more (David says 3000) in you daily regardless of how awful it tastes and most say 48 oz of water. That's a lot of swallowing when you feel so awful and your throat is so sore. I didn't have chemo when I did it so it was easier for more than most. I also only had a neck dissection so interior of mouth did not hurt going in. If you are having any trouble eating before radiation, I wouldn't attempt to do this without a peg. It is only going to get worse.

Please don't panic on the positive nodes. They removed them during the surgery and the radiation should clean up any microscopic stuff left around. I had one positive node and am still around despite a few additional setbacks. Keep your positive attitude and we'll get you through this.

Take care,
Eileen


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Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I