Michael --

Don't think about the cost, just pop another Zofran 8 hours later if you need it. You can also (per our Dr.) take Compazine as a back-up as it does not operate in the same fashion and does not interact negatively with Zofran, although check with your own Dr. or nurse on this of course.

What are you doing for your mouth (inside?) -- try gargling with cold (pure 100%) aloe vera and also, use Gelclair if necessary. Assume you are using Radiacare gel or aloe, and then Biafine on the outside of your neck.

Watch for infections in mouth as it's getting radiation and your immune system is getting compromised due to the chemo -- Barry got a thrush infection (caught almost immediately and he is responding to Diflucane but still made back of mouth very sore so it was painful to swallow.)

Try to get moving a bit, even short walks now that the weather is better as it is necessary to combat fatigue. Drink lots of water to facilitate getting the bad stuff out of your system.

Good luck, Barry is on week three as of today!

Gail


CG to husband Barry, dx. 7/21/05, age 66, SCC rgt. tonsil, BOT, 2 nodes (stg. IV), HPV+, tonsillectomy, 7x carboplatin, 35x tomoTherapy IMRT w/ Ethyol @ Johns Hopkins, thru treatment 9/28/05, HPV vaccine trial 12/06-present. Looking good!