| 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 | Angelia, ask your doc for a feeding pump. Its covered by most insurance companies. Even with having a peg tube, keep eating and drinking by mouth as long as you can. Towards the end of radiation it may difficult but drink anyway.
My instructions are similar to Brian's. Since my rate is only set at 100, I use my feeding pump starting about 4pm. I use 3 can + 1 can water. I watch tv and when Im ready for bed I add 2 more cans. For you, your speed would be much faster than mine as I have a different type of peg tube. You could probably fill your bag with 3 more cans when you go to bed. Done forget to fluch your peg tube a few times per day.
Best of luck with your treatments. 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: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | Thanks guys. Another questions baout sickness, When I wake up in the morning I notiuce it hard to breath and I have to cuagh alot to get things out. I can hear me gurgle or something like that when I breath. I after I cough really hard it is out. Shoulg I ask the nurse about it? This has been going on for about a week. SO far I have had no nausea from the Chemo. YEAH!!!! I will take what I can get.
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Brian
And here I thought I was the only one who could not stomach the bolus feedings with the syringe. I can force it down when I have to (when I take my wife out to a restaurant) but otherwise I have been resigned to the drip of the gravity bag. I will have to try putting more cans in as currently I just do one at a time spaced out over six feedings which really circumscribes my daily activities. I learn something here every day. Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | Where do you ge the bags and how do you use them? I feel so lostin all this. All I have been given so far are syringes and the Jevity. Can't get a nutritionist for anything. It is so frusterating.
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Jan 2009 Posts: 476 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Jan 2009 Posts: 476 | John's Radiation Oncologist's nurse took care of ordering all supplies for the PEG. Good thing we have a spare bedroom. We received the pump, printed out instructions, as well as a dvd explaining how to put it together and boxes of bags, syringes, tape, gauze pads, cans of "food" etc. Are you being treated at a Cancer Center?
Wanda (47) caregiver to husband John (56) age at diag.(2009) 1-13-09 diagnosed Stage IV BOT SCC (HPV+) 2-12-09 PEG placed, 7-6-09 removed Cisplatin 7 weeks, 7 weeks (35) IMRT 4-15-09 - treatment completed 8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear 4-2013 - HBO (30 dives) tooth extraction 10-2019 - tooth extraction, HBO (10 dives) 11-2019 - Left lateral tongue SCC - Stage 2
| | | | Joined: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | Yes, I am being treated at a cancer center.
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Aug 2008 Posts: 238 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Aug 2008 Posts: 238 | I'm glad you have so many here who can answer your questions and give great advice. I can't do that, but I'm sure sending positive vibes your way. Hang in there - one day at a time!!! Take care.
Nancy T
CG/Mom: 5 1/2 years SCC upper palate,4 recurrences, surgeries, chemo & radiation. Mom went to Heaven 1/21/11. | | | | Joined: Dec 2008 Posts: 1,004 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Dec 2008 Posts: 1,004 | Hi Angelia....I'm happy to hear you aren't not feeling sick..that is great news. Does your doctor know the problems you are having with the PEG? I know everyone here has invaluable information and proably know more that some docs..but..you still need someone to go over this with you in person and show you what you to do. How are you supposed to know what to do? Keep us posted...
Suzanne *********** T1 SCC on right side of tongue Age 31...27 when diagnosed 4 partial glossectomies No chemo or radiation Biopsy on 2/2/10-Clear Surgery needed again...no later than April 2011 Loving life and just became a mother on 11/25/10 It's not what we CAN'T do..it's what we CAN do:)
| | | | Joined: May 2009 Posts: 1,412 Patient Advocate (1000+ posts) | OP Patient Advocate (1000+ posts) Joined: May 2009 Posts: 1,412 | I talked with sister-in-law today who deals with PEGS all the time. She said what I had going on was normal. I said okay. She did say to keep watching it and keep cleaning it so it does not get infected.
Angelia 31 at Dx. DX: 4/30/09, 10/21/09 SCC on floor of mouth, T1NOMO, T2N1M0 TX: 39 IMRT, 8 cisplatin 11/30/09 PET/CT: 11/03/09: Lymph node involvement PEG/PORT: 11/09 TX end: 02/01/10 PET Scan: 04/05/10 clear PEG Out: 06/21/10 Biopsy: 12/23/10: fibrosis HBO: 01/04/11 - ORN Baby girl born 11-30-12
| | | | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | Angelia,
You can probably contact the same company that delivered your supplement to get the supplies you need. Usually, once they have the orders for enteral feedings, they can contact your insurance company to get the precertification needed to get the bags and tube hookups (or pump) you need for the slow feedings. Then your SIL can show you how to use them.
I fed Bill 6 cans per day along with water, etc. but he had to lie still after each feeding to keep from getting lightheaded/nauseated and sweaty. In hind site, the gravity bags or pump would probably have negated some of those issues.
Please look for the invoice that came with your cans and see if there is a contact number. Call...I am sure there is someone handling that account that can be a big help in getting you what you need. They have case managers that do this sort of thing.
Deb
Last edited by debandbill; 12-02-2009 10:18 AM.
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
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