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Joined: Nov 2009
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by the way david, i got a little chuckle of ur description of ur overnight stay at the hospital....sorry my laugh was at ur expense...but i needed a good laugh--so thanks! grin


Teresa
-----------
CG to ANDY. Nasopharyngeal Carcinoma (NPC)
T2N2cMxG4 stage 4. 43 @ dx 8/31/09
tx 9/21/09-11/06/09 cispatin/docetaxel/5-FU X3
PORT 9/9/09, PEG 12/07/09
35 IMRT-1/wk carbo 11/30/09-2/3/10
tx stopped due to complications
IMRT BOOST 3/08-3/12/10
PET 4/12/10 CLEAR!
PEG out 4/14/10
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Posts: 104
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Teresa my heart goes out to you and Andy facing this unexpected delay when all you want is to get finished and let the healing begin. I hope your talk with the RO helped to answer some of your questions and gave you a little peace of mind knowing the reasoning behind the treatment decisions. Are you able to find a few minutes a day just for yourself to refresh your mind and spirit. Caregiving is a heavy burden at the best of times and more so facing the challenges O.C. treatment brings. I wish you both strength and courage to make it across the finish line.







Caregiver to husband Dx. Stage 4 SCC of gingiva with 3 nodes pos. Partial mandiblectomy with bone graft from iliac crest Dec. 2006. IMRT x30, Cisplatin x3. Completed Tx. March 15, 2007. Osteonecrosis & removal of graft & plate Oct. 2007. Recurrence of SCC Dec. 2007. Deceased Jan. 17, 2008.
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Teresa, I wish I could give you a big hug. What Andy's doctor's are saying makes sense I suppose but doesn't take away the stress and concern both you and Andy must have. You must both be feeling like you will never get to the end of this. But you will.

You are doing an amazing job girl. It's not easy being a caregiver. Damn hard in fact. But we do it because we wouldn't be anywhere else in the world. Stay strong and never, ever give up.

Wendy


Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone
No surgery
Teeth removed 06/07/2009
radiation 13/07/2009 x 7wks
chemo 15/07/2009 x 3 Cisplatin
last TX 28/08/2009
25/11/2009 PET-lymph node activity.
08/01/2010 CT Scan-ALL CLEAR
03/03/2010-Peg removed
01/2013 left side of Jaw removed and replaced with pectoral flap.
23/12/2020 scan show lesion in tongue
01/2021 SCC stage 3 base of tongue diagnosed
01/03/2021 chemotherapy started.
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i have gotten over the initial shock of it all and am doing better. crazy

i am going to linger in february knowing he doesnt have to endure any more treatments. i will face march 1st in march.

my little yorkie has been clingy all day...wont let me put her down. its like she knows im sad and is sticking with me. smile


Teresa
-----------
CG to ANDY. Nasopharyngeal Carcinoma (NPC)
T2N2cMxG4 stage 4. 43 @ dx 8/31/09
tx 9/21/09-11/06/09 cispatin/docetaxel/5-FU X3
PORT 9/9/09, PEG 12/07/09
35 IMRT-1/wk carbo 11/30/09-2/3/10
tx stopped due to complications
IMRT BOOST 3/08-3/12/10
PET 4/12/10 CLEAR!
PEG out 4/14/10
Joined: Nov 2002
Posts: 3,552
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I would have to agree with both Eric and David on this one. In my 7 years here I have never heard of anyone getting a 4 week break in radiation. My oncologist at UCSF and wrote the book on IMRT didn't like me missing treatments for any reason, well except for a few time when the machine went down.

I lost over 61 lbs and literally crawled into treatment the last few weeks - they did cut one Cisplatin treatment because I had such a severe reaction. I also made 2 trips to the ER. RT/Chemo is no walk in the park.

How is he faring? How are the mouth sores? Neck burns? Pain management effective?

I believe that the main benefit of RT is the accumulative effect and also the fact that the effects keep on going, for a time, post Tx. Maybe that's his logic?!? Maybe his bloodwork numbers are so poor he may have an unneccesary risk from completing treatment at this time. I would grill the RO about his decision and what the risk/benefit could possibly be from the delay. It is very unusual. It's the longest break in Tx that I have heard of.

Last edited by Gary; 02-05-2010 09:57 PM.

Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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he has mucocitis-his entire mouth is a sore, thrush, severly burned face and neck, on fentynol 125 (manages his pain...puts it at a 3). having alot of trouble breathing. some of it is mucous, but it is also nasal blockage due to swelling.

his main tumor is in his nasopharynx. he cannot breathe out of his nose due to the swelling (he also has frequent nosebleeds), and breathing out of his mouth due to the mucous is challenging.

he has had to have his mask redone 2 times due to swelling.

his bloodwork numbers where also one of the reasons to delay treatment.

after the intitial shock wore off...the delay made since to us. what use is treatment if he cant breathe??



Teresa
-----------
CG to ANDY. Nasopharyngeal Carcinoma (NPC)
T2N2cMxG4 stage 4. 43 @ dx 8/31/09
tx 9/21/09-11/06/09 cispatin/docetaxel/5-FU X3
PORT 9/9/09, PEG 12/07/09
35 IMRT-1/wk carbo 11/30/09-2/3/10
tx stopped due to complications
IMRT BOOST 3/08-3/12/10
PET 4/12/10 CLEAR!
PEG out 4/14/10
Joined: Nov 2002
Posts: 3,552
Patient Advocate (old timer, 2000 posts)
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Posts: 3,552
I think that most of us had severe mucositus in the end stages of treatment. Mouth sores were a bitch as well. In addition to skin burns. I had thrush so often I was on a 400mg/day "maintenance" dose of Diflucan for months. I honestly don't remember how breathing through my nose was and I have gotten nosebleeds all of my life. We all respond differently to treatment but that wouldn't prevent me from asking the RO about the risk/benefit of a 4 week delay in completing treatment. I had low white cells, low red cells, I used to wonder just what the hell was in there?!?! I can understand how esophogeal constriction may be a reason for a break... But this is a first on the forum.

Where is he being treated? At a NCCN CCC or NCI CC I hope.

Last edited by Gary; 02-05-2010 10:09 PM.

Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
Joined: Nov 2009
Posts: 396
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Posts: 396
houston cancer center.


Teresa
-----------
CG to ANDY. Nasopharyngeal Carcinoma (NPC)
T2N2cMxG4 stage 4. 43 @ dx 8/31/09
tx 9/21/09-11/06/09 cispatin/docetaxel/5-FU X3
PORT 9/9/09, PEG 12/07/09
35 IMRT-1/wk carbo 11/30/09-2/3/10
tx stopped due to complications
IMRT BOOST 3/08-3/12/10
PET 4/12/10 CLEAR!
PEG out 4/14/10
Joined: Jun 2007
Posts: 10,507
Likes: 7
Administrator, Director of Patient Support Services
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Sorry to hear how much he is suffering. Isnt there a shot he can get to help with the white count? Ive heard of one but cant remember the name of it. I never heard of a 4 week break either. Poor guy frown

You are doing a great job speaking up for him. Sometimes being a caregiver is worse than being the patient. Both of you hang in there smile


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: Nov 2009
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he gets the amifostine shot everyweek. we are hanging in there. crazy


Teresa
-----------
CG to ANDY. Nasopharyngeal Carcinoma (NPC)
T2N2cMxG4 stage 4. 43 @ dx 8/31/09
tx 9/21/09-11/06/09 cispatin/docetaxel/5-FU X3
PORT 9/9/09, PEG 12/07/09
35 IMRT-1/wk carbo 11/30/09-2/3/10
tx stopped due to complications
IMRT BOOST 3/08-3/12/10
PET 4/12/10 CLEAR!
PEG out 4/14/10
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