Update and questions. Dan has completed 26 IMRT and 6 cisplatin. The past 48 hours the dramatic decline has started. Pain has increased dramatically, swallowing ability decreased, food he could eat Friday he cannot eat today. He is sorely lacking in the calorie and fluid area now and I am not having much luck today to get anything into him. Today he has had maybe 25 oz of water and a small helping of soft steamed veggies. He is about 10 times more tired today than Friday. He has not really had a problem with nausea since we started, but today it is horrible. He has never taken any medicine without me saying do you want a __ pill... today he keeps asking for meds. Then to top all this fun off he has developed some pretty bad burns on his neck and behind his ear. Blistering, popping, skin coming off, etc. We've been putting the silvadene cream on it and trying to clean it - but I tell you I am woefully inadequate at burn care. I've spent the last hour searching here and online for some tips and not having any luck. I think I told you guys that his WBC was 2.5 on Friday and his BUN was bad enough that the nurse had to go check to make sure he could get treatment.

I know this is pretty much how it's supposed to be, but wow it seems to have all hit at once. Any suggestions on the burn or on any of it?


Michelle, CG to husband (45), DX 2/08 Stage IVa Adenocarcinoma Salivary Gland (T2N2bMO)
Parotidectomy & ND 2/08, Tumor margins not clear, 4 of 30 nodes positve for cancer,
TX IMRT 39x, cisplatin 7x (completed 5/1/08),
PEG (4/22 - 7/9), No port. Currently in remission!