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Joined: Jun 2007
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Administrator, Director of Patient Support Services
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Joined: Jun 2007
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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.


Christine
SCC 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 smile
Joined: May 2009
Posts: 1,412
Patient Advocate (1000+ posts)
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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
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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
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Joined: May 2009
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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)
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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)
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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)
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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)
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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)
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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)
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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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