You need to get his pain under control. Make sure you tell his docs the same thing you just told me. There are many different types of pain meds and they should be able to find a combination that works for him. Might even want to consider some meds to deal with his depression as well. As I said before, his side effects will probably only get worse from now thru 3 or so week post Tx so you really need to get this under control before things really go south.

His thrush med is probably Diflucan which works really fast to stop the symptoms.

It also sounds like he's not getting enough calories or especially water each day and those 2 are extremely important to insure his Tx is as effective as possible.

Get some Carnation Instant Breakfast VHC. It comes in a small 8 oz can and packs 560 calories so he will get more bang for his swallowing. You can either order it online or thru a pharmacy like Walgreens or CVS.

Watch out for the Cisplatin as it can cause hearing loss. Ask him to tell you immediately if he hears "ringing" in his ears and if so you need to tell his chemo doc.

Unfortunately your job as the Caregiver is to make sure your patient does all the right things and coming to this site is just the beginning.

You might want to update your signature line like most of us so you won't have to repeat yourself everytime you ask a question.

We are here to help the both of you get thru this but you need to get on top of the things I have just mentioned ASAP.



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.